Endoscopy
OGD, ERCP, colonoscopy and interventional endoscopy workflow
OGD (Upper GI Endoscopy) — ENDO-2026-041
Gopal Mehta, 45M · 22 Jun 2026 14:00 · Scope: Olympus GIF-HQ190
Indication: Haematemesis × 2 episodes, Hb 82 — UGI bleed source identification
Anaesthesia: IV conscious sedation (Midazolam + Fentanyl)
Findings: Posterior duodenal ulcer (2 cm), Forrest Ia — active spurting. H. pylori CLO test sent.
Intervention: Dual therapy — adrenaline injection (1:10,000, 8 mL) + bipolar coagulation (10W × 4 applications). Haemostasis achieved.
Post-proc Plan: NBM × 4h. IV PPI (Pantoprazole 80 mg stat, then 40 mg BD). H. pylori eradication if positive. Repeat OGD in 6 weeks.
ERCP + CBD stone extraction — ENDO-2026-040
Rajan Kumar, 68M · 22 Jun 2026 10:00 · Scope: Olympus TJF-Q190V (duodenoscope)
Indication: Choledocholithiasis — CBD 14 mm, ALP 480, biliary colic
Anaesthesia: Deep sedation / GA (Anaesthesia standby)
Findings: Papilla cannulated. CBD 14 mm. Two stones extracted (1.2 cm, 0.8 cm) via balloon sweep. Bile flow confirmed.
Intervention: Sphincterotomy. Balloon dilatation. Stone extraction ×2. Biliary stent NOT required.
Post-proc Plan: NBM 2h then sips. Amylase at 4h. If > 3× ULN — post-ERCP pancreatitis. Cholecystectomy planned as elective.
Colonoscopy — ENDO-2026-039
Sunitha Bai, 68F · 23 Jun 2026 09:00 · Scope: Olympus CF-HQ190L
Indication: Staging workup — ovarian cancer (peritoneal spread suspected). Rectal bleeding.
Anaesthesia: IV conscious sedation
Post-proc Plan: Bowel prep (PEG sachets) started. Low-fibre diet yesterday.