8. 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
21. 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
25. HOW WE DID
• PAINLESS NON LOOP CAP
COLONOSCOPY
• COLONOSCOPY WITHOUT AIR THAT
MEANS LESS DISCOMFORT
• SINGLE HANDED TECHNIQUE
26. LIMITATION OF COLONOSCOPY
PROCEDURE
• SEVERE PAIN EXPERIENCE DURING THE
PROCEDURE
• GENERAL ANAESTHESIA
• LESS NUMNER OF EXPERTIES IN FLEXIBLE
ENDOSCOPY
• SURGEONS ARE RELACTANT TO DO
COLONOSCOPY
27. CONVENTIONAL COLONOSCOPY
• DIFFICULT
• PAINFULL FOR THE PATIENT
• NEED ASSISTANT
• LONG LEARNING CURVE
• CAECAL INTUBATION RATE IS LESS
• MORE CHANCE OF PERFORATION
• FAILURE RATE IS HIGH
28. OUR MISSION
• DEVELOPED A SPECIAL TECHNIQUE OF
COLONOSCOPY
• WHICH IS PAINLESS
• NO AIR NO DISCOMFORT
• WE USE WATER
• WE USE DISTAL ATTATCHMENT CAP
• MERGE ENDOSCOPY WITH LAPAROSCOPY
35. • I WITH TOMOAKI KARUBE TRANSLATE THIS
BOOK IN ENGLISH AND IT WILL BE AVAILABLE
SOON BY INTERNATIONAL PUBLISHER.
• THIS IS ACTUALLY DESCRIPTION OF PAINLESS
NON LOOP TECHNIQUE OF COLONOSCOPY.
• ONE OF THE BEST BOOK OF COLONOSCOPY
TECHNIQUE IN JAPANEESE LANGUAGE AND
ALREADY PUBLISHED BY JAPANEESE MEDICAL
JOURNAL.
36. WHAT WE DID
Total number of procedure
720
Screening
20
Diagnostic
672
Therapeutic
28