description of endoscopy suite and sharing experience of screening colonoscopy and therapeutic procedure such as polypectomy endoscopic mucosal resection. as a whole painless cap colonoscopy.

1. DR.MASFIQUE AHMED BHUIYAN
DEPARTMENT OF SURGERY
DHAKA MEDICAL COLLEGE & HOSPITAL.

2. HISTORY OF ENDOSCOPY

6. IN 2013 WE,DEPARTMENT OF SURGERY
STARTED OUR JOURNEY

7. GREATFULL TO THESE GREAT MENTORS
•PROF. M A HASHEM BHUIYA
•PROF. A Z M MOSTAQUE
HOSSAIN TUHIN
•PROF. A B M KHURSHID ALAM
•PROF. A H M TOWHIDUL ALAM
•PROF. AHMEDUL KABIR
•PROF.ABDUL HANIF TABLU
•PROF.K ABUL KALAM AZAD
•PROF . FAROQUE AHMED

8. OUR ENDOSCOPY SUITE

9. ENDOSCOPY SUITE (cont…..)

10. ENDOSCOPY SUITE (cont…..)

11. ENDOSCOPY SUITE (cont…..) Diathermy

12. ENDOSCOPY SUITE (cont…..) PROCESSOR

13. ENDOSCOPY SUITE (cont…..)

14. ENDOSCOPY SUITE (cont…..)
LAPARO-ENDOSCOPIC UNIT
DHAKA MEDICAL COLLEGE HOSPITAL
BANGLADESH

15. TIP OF ENDOSCOPE

16. REGULAR SUCTION DEVICE

17. DISINFECTANT

18. REPORTING STATION

19.  WE WILL SHARE OUR COLONOSCOPIC
EXPERIENCE

20. Indications of colonoscopy :
 Surveillance in persons with average and high risk for colon
cancer
 Faecal occult blood
 Iron deficiency anaemia
 Haematochezia
 Malaena with nondiagnostic UGI endoscopy
 After finding colonic polyps on sigmoidoscopy
 Adenocarcinoma metastasis to liver with unknown primary
 Follow up after colonoscopic removal of large sessile colonic
polyp
 Abnormal radiographic study ( contrast enema, virtual
colonoscopy)
 Colonic stricture
 Intraoperative colonoscopy to localise lesion for surgical
removal

21. Patient source
 In Patient Department.
 Out Patient Department.

22. Patient preparation
 Adequate counseling.
 Valid informed written consent.
 Dietary modification.
 PEG sol
 USUAL AS BOWEL PREPARATION IN BOWEL
SURGERY.

23. Total number of procedure
720
Screening
20
Diagnostic
672
Therapeutic
28

24. HOW WE DID
 PAINLESS NON LOOP CAP COLONOSCOPY
 COLONOSCOPY WITHOUT AIR THAT MEANS
LESS DISCOMFORT
 SINGLE HANDED TECHNIQUE

25. SINGLE HANDED TECHNIQUE

26. SCREENING
TOTAL NUMBER 20
NORMAL FINDING 18
ABNORMAL FINDING 2

27. DIAGONOSTIC
TOTAL NUMBER 672
FINDING MALIGNANCY
ILEOCAECAL TB
CROHN’S
ULCERATIVE COLITIS

28. NORMAL RECTUM FROM INSIDE

29. NORMAL SIGMOID COLON

30. NORMAL TRANSVERSE COLON

31. NORMAL TRANSVERSE COLON

32. NORMAL CAECUM

33. APPENDICEAL ORIFICE

34. NORMAL ILEOCAECAL VALVE

35. PAINLESS NONLOOP CAP
COLONOSCOPY

36. THEREPEUTIC IN THIS SUITE
 VOLVULUS DEFLATION 10
 POLYPECTOMY 16
 EMR 2

37. COLOSCOPIC VOLVULUS
DEFLATION DEFLATION
Mr. Ali Haydar, 65 yrs old male admitted in emergency with sigmoid volvulus

38. HYBRID SURGERY

39. PICTURE OF HYBRID TECHNIQUE

40. REMOVED FOREIGN BODY

41. Flat broad base polyp which can not be
removed by conventional snaring

42. EMR

44. POLYPECTOMY

45. CONTINUED TRAINING PROGRAME
ENDOSCOPY WITH LAPAROSCOPY

46. HANDS ON WORKSHOP ORGANIZED BY
DEPARTMENT OF SURGERY
IN COLABORATION WITH 4 SOCIETIES:

47. HANDS ON WORKSHOP at KORMOCHARI HOSP

48. CODUCTING BASIC LAPARO-ENDOSCOPIC
TRAINING FOR RESIDENTS

49. Opening of new horizons to the Surgical
Trainees:

50. THANKS FOR PATIENCE HEARING
we know we have limitation but we
have the courage to overcome it.