BPKMCH | ANNUAL REPORT - 2018
DEPARTMENT OF SURGICAL ONCOLOGY
ENDOSCOPY SERVICE UNIT
Introduction
Endoscopy unit at BP Koirala Memorial Cancer Hospital is a dedicated, state-of-the-art unit for therapeut c
and diagnost c procedures for gastrointest nal tract, pulmonary condit ons, head and neck, urological and
gynecological lesions. Besides, ECG and spirometry are also carried out rout nely.
Routine Services
1. Diagnost c:
a. Videoscopic Flexible Nasopharyngolaryngoscopy
b. Videoscopic Flexible Bronchoscopy
c. Videoscopic Flexible Esophagogastroduodenoscopy
d. Videoscopic Flexible Enteroscopy
e. Videoscopic Flexible Colonoscopy
f.
Videoscopic Flexible Cystoscopy
g.
Videoscopic Flexible Hysteroscopy
h. Rigid Sigmoidoscopy
i.
Screening for GI Tract malignancies using i-scan (Image-Enhancement Technology)
j.
Use of Image Enhancement Technology for beter delineat on of bronchogenic malignancies.
2. Therapeut c:
a. Tracheobronchial suct oning in ICU/ crit cally ill and needed pat ents
b. Endoscopy guided Nasogastric tube placement for grade IV dysphagia in pat ents with esophageal
cancer
c. Esophageal dilatat on
d. Esophageal variceal sclerotherapy/ banding
e. Endoscopic polypectomy (upper GI and lower GI tract)
f.
Endoscopy guided guide wire placement for endoluminal brachytherapy in esophageal and pulmonary
cancer
g. ERCP and biliary stent ng
h. Esophageal stent ng
i.
Endoscopic mucosal resect on
An overview of services provided by endoscopic unit in the year 2018 has been shown in tables 1, 2, and 3.
Table 1. Endoscopy services in 2018
Endoscopy Services
Male
Female
Total
Esophagogastroduodenoscopy
726
806
1532
Bronchoscopy
540
440
980
NPL
721
590
1311
Cystoscopy
297
331
628
Colonoscopy
199
169
368
Sigmoidoscopy
121
121
242
Endoscopy guided NG insert on
0
3
3
Esophageal dialatat on
11
3
14
Colonoscopy guided polypectomy
5
1
6
ECG
2660
2960
5620
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BPKMCH | ANNUAL REPORT - 2018
Table 2. Month wise Report of Endoscopy 2018
Esophageal
OGD Guided NG
Bronchoscopy
OGD
Dilatat on
Insert on
Month
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
January
45
37
82
67
50
117
1
-
1
-
-
-
February
45
36
81
62
58
120
-
1
1
-
1
1
March
46
42
88
58
60
118
-
-
-
-
-
-
April
36
48
84
55
60
115
2
2
4
-
-
-
May
60
33
93
74
71
145
2
-
2
-
1
1
June
54
38
92
59
99
158
3
-
3
-
-
-
July
69
24
93
58
59
117
-
-
-
-
-
-
August
44
44
88
82
81
163
-
-
-
-
-
-
September
25
23
48
43
57
100
-
-
-
-
-
-
October
33
32
65
48
62
110
1
-
1
-
1
1
November
27
24
51
53
67
120
-
-
-
-
-
-
December
56
59
115
67
82
149
2
-
2
-
-
-
Total
540
440
980
726
806
1532
11
3
14
-
3
3
Table 2: Cont nued
NPL
Cystoscopy
Sigmoidoscopy
Colonoscopy
Month
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
January
42
31
73
19
25
44
8
6
14
17
8
25
February
78
50
128
19
24
43
6
7
13
14
12
26
March
31
32
63
22
17
39
10
7
17
16
16
32
April
70
46
116
29
33
62
11
12
23
13
14
27
May
69
60
129
28
21
49
9
10
19
22
10
32
June
49
55
104
33
27
60
8
7
15
19
17
36
July
72
53
125
29
29
58
2
13
15
20
13
33
August
67
53
120
34
37
71
16
17
33
14
22
36
September
56
60
116
20
22
42
6
9
15
8
5
13
October
60
55
115
18
32
50
7
6
13
18
7
25
November
65
40
105
24
32
56
19
10
29
15
17
32
December
62
55
117
22
32
54
19
17
36
23
28
51
Total
721
590
1311
297
331
628
121
121
242
199
169
368
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BPKMCH | ANNUAL REPORT - 2018
Table 3. Month wise ECG Servies 2018
Months
Male
Female
Total
January
234
202
436
February
246
232
478
March
198
256
454
April
200
218
418
May
275
278
553
June
235
273
508
July
230
258
488
August
224
247
471
September
181
221
402
October
175
220
395
November
209
239
448
December
253
316
569
Total
2660
2960
5620
Note: PFT machine was out of order, so it was not performed.
New Services
In the year 2018, we have given the cont nuity to esophageal variceal banding, esophageal dilatat on with
nasogastric tube insert on prior to chemoradiat on for pat ents with grade IV dysphagia due to esophageal
cancer, endoscopic polypectomy (upper GI and lower GI tract). In selected cases, we rout nely insert
bronchoscopy guided guide wire for brachytherapy of lung cancer. We have started training/ Fellowship
program in diagnost c and therapeut c endoscopy. We have started esophageal stent ng (SEMS) and ERCP
with biliary stent ng. It's our pride to state that the unit has got one of the best endoscopes with Image
Enhancement Technology (EPK - 5000, Pentax), which helped us to start endoscopic screening of various GI
Tract malignancies as well as beter delineat on of laryngeal and bronchogenic cancers.
Future Plans
In the coming years, we are planning to start the following services:
1. Intralesional treatment for palliat on of obstruct on due to locally advanced tumors of esophagus and
lung
2. Endoscopic ultrasound
3. Endobronchial ultrasound
4. Transrectal ultrasound
5. ESD (Endoscopic submucosal dissect on)
6. Rigid bronchoscopy
7. Establishment of well-equipped endoscopic suit
Human Resources
Doctors from medical and surgical oncology perform the various endoscopic procedures. Besides, there are
two nurses and one atendant.
Unit Chief: Dr Binay Thakur
Nurses: Ratna Rajbhandari
Ganga Neupane
Indira Gurung
Atendant: Harimaya Chaudhary
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