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Haze, Gray, and Endoscopy Underway

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Expeditionary Surgery at Sea

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Abstract

Endoscopy is a critical skill set for deployment of surgical teams at sea on certain platforms. There are multiple emergent indications for endoscopy, most commonly esophageal food impactions and gastrointestinal bleeding; however, as a diagnostic modality endoscopy is also critical to rapidly triage and evaluate the deployed patient to maintain mission readiness. Additionally, endoscopy can be utilized as an adjunct during various surgical procedures. Familiarity with the endoscopic equipment and pathologies diagnosed and managed endoscopically are important for the deployed surgical team. This chapter reviews the endoscopic equipment including basic setup, risks of endoscopy, fundamentals of endoscopic technique, troubleshooting steps during the difficult procedure, and presentation, diagnosis, and endoscopic and medical management of the most commonly encountered gastrointestinal (GI) pathologies at sea.

Non nova, sed nove. (Not new things, but in a new way.)

Latin proverb

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Author information

Authors and Affiliations

  1. Navy Medicine Readiness and Training Command Bremerton, Bremerton, WA, USA

    Thomas Mellor

  2. Navy Medicine Readiness and Training Command San Diego, San Diego, CA, USA

    Diego A. Vicente

  3. MultiCare Rockwood Clinic, Spokane, WA, USA

    R. Daniel Lawson

Authors
  1. Thomas Mellor
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  2. Diego A. Vicente
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  3. R. Daniel Lawson
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Editor information

Editors and Affiliations

  1. Department of Surgery, Naval Medical Center San Diego, San Diego, CA, USA

    Matthew D. Tadlock

  2. Department of Surgery, Naval Medical Center San Diego, San Diego, CA, USA

    Amy A. Hernandez

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The views expressed in this chapter are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the US Government.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflict of Interest Statement

The authors declare no conflict of interest.

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Mellor, T., Vicente, D.A., Lawson, R.D. (2023). Haze, Gray, and Endoscopy Underway. In: Tadlock, M.D., Hernandez, A.A. (eds) Expeditionary Surgery at Sea. Springer, Cham. https://doi.org/10.1007/978-3-031-21893-4_18

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  • DOI: https://doi.org/10.1007/978-3-031-21893-4_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21892-7

  • Online ISBN: 978-3-031-21893-4

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