Anoscopy - Revision history

Blsimpso: /* Equipment Needed */

2021-08-18T18:19:39Z

Equipment Needed

← Older revision		Revision as of 18:19, 18 August 2021
Line 30:		Line 30:
	**Culture tube and swab		**Culture tube and swab
	**Biopsy forceps		**Biopsy forceps
			[[File:Anoscopic Exam Photo.jpg\|thumb\|Use of anoscope for internal inspection of the lower rectum]]

	==Procedure==		==Procedure==

2021-08-18T18:01:21Z

External Links

← Older revision		Revision as of 18:01, 18 August 2021
Line 52:		Line 52:

	==External Links==		==External Links==
			*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/how-to-do-gastrointestinal-procedures/how-to-do-anoscopy?query=anoscopy Merk Manual - How To Do Anoscopy]
			*[https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=88 Emergency Medicine News - The Anoscope for Foreign Bodies in the Rectum]

			===Videos===
			*{{#widget:YouTube\|id=DraK34z4lFk}}

	==References==		==References==

2021-08-18T17:54:31Z

2021-08-18T17:52:00Z

Complications

← Older revision		Revision as of 17:52, 18 August 2021
Line 43:		Line 43:

	==Complications==		==Complications==
			*Tearing of perianal skin/mucosa
			*Abrasion or tearing of hemorrhoidal tissue
			*Infection (rare)<ref>London S, Hoilat GJ, Tichauer MB. Anoscopy. [Updated 2021 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459324/</ref>

	==See Also==		==See Also==

2021-08-18T17:48:30Z

Procedure

← Older revision		Revision as of 17:48, 18 August 2021
Line 32:		Line 32:

	==Procedure==		==Procedure==
			*Position the patient (lithotomy position or left lateral decubitus w/ knees flexed toward chest)
			*Pull buttock apart, inspect the external area
			*Perform digital rectal exam with lubricated, gloved finger (use topical anesthetic jelly if needed and wait 1-2 minutes prior to anoscopy)
			*Lubricate the anoscope and the central guide plug (obturator)
			*Slowly insert the anoscope fully, maintaining pressure on the obturator.
			**If obturator slips or falls out during insertion, remove anoscope completely and repeat procedure
			*Once inserted, remove the obturator (keep it nearby if needed again)
			*Slowly withdraw, rotate (if non-slotted anoscope), and visual the entire circumference of the canal
			*Perform any biopsies (if above dentate line) or cultures as needed

	==Complications==		==Complications==

2021-08-18T17:05:50Z

Equipment Needed

← Older revision		Revision as of 17:05, 18 August 2021
Line 19:		Line 19:

	==Equipment Needed==		==Equipment Needed==
			*Gloves
			*Anoscope (Reusable or disposable)
			**Adults: 7-cm (typically 19-mm diameter) anoscope; slotted or non-slotted
			**Pediatrics: 8-mm to 14-mm diameter
			*Light source (often built into disposable anoscopes)
			*Lubricating jelly (and topical anesthetic jelly if patient has severe anal pain)
			*Cotton swabs
			*If needed:
			**Fecal occult blood test
			**Culture tube and swab
			**Biopsy forceps

	==Procedure==		==Procedure==

2021-08-18T16:52:53Z

Contraindications

← Older revision		Revision as of 16:52, 18 August 2021
Line 10:		Line 10:

	==Contraindications==		==Contraindications==
			===Absolute Contraindications===
			*Imperforate anus
			*Bowel Perforation
			*Significant active bleeding
			===Relative Contraindications===
			*Severe anal pain
			*Recent anal surgery

	==Equipment Needed==		==Equipment Needed==

2021-08-18T16:43:58Z

Indications

← Older revision		Revision as of 16:43, 18 August 2021
Line 7:		Line 7:
	*Evaluation of bright red bleeding		*Evaluation of bright red bleeding
	*Evaluation anorectal symptoms (anal pain, discharge, protrusions, or pruritus)		*Evaluation anorectal symptoms (anal pain, discharge, protrusions, or pruritus)
			*Evaluation/treatment of rectal foreign bodies

	==Contraindications==		==Contraindications==

2021-08-18T16:39:48Z

Indications

← Older revision		Revision as of 16:39, 18 August 2021
Line 5:		Line 5:

	==Indications==		==Indications==
			*Evaluation of bright red bleeding
			*Evaluation anorectal symptoms (anal pain, discharge, protrusions, or pruritus)

	==Contraindications==		==Contraindications==

2021-08-18T16:36:36Z

Overview

← Older revision		Revision as of 16:36, 18 August 2021
Line 1:		Line 1:
	==Overview==		==Overview==
			*The use of an anoscope to visually inspect the anus, anal canal, and internal sphincter
			*Helpful in identifying causes of rectal bleeding
			**Up to 50% of rectal bleeding is falsely attributed to hemorrhoids when internal examination is not used<ref>Gudur A, Shanmuganandamurthy D, Szep Z, Poggio JL. An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia. Anticancer Res. 2019 Jan;39(1):17-23.</ref>

	==Indications==		==Indications==