[Verified Answer]: CASE STUDY #12: ARNOLD TITLEMAN OPERATION:…

CASE STUDY #12: ARNOLD TITLEMAN OPERATION: Colonoscopy to the cecum DESCRIPTION OF PROCEDURE: The patient was taken to the outpatient endoscopy suite where he was monitored for pulse oximetry and blood pressure monitoring. He was turned to the left side and given 50 mg of Demerol with 2 mg of Versed, IV, titrated during the procedure; the nurse monitored Arnold’s vital signs for a total of 28 minutes. An Olympus video colonoscope was inserted in the patient’s anus and directed up to the rectum, sigmoid colon, descending colon, around the splenic flexure, through the transverse colon, around the hepatic flexure, ascending colon, and cecum. The ileocecal area was inspected and appeared grossly normal. Terminal ileum was cannulated, appeared grossly normal. The scope was then slowly withdrawn back through the entire colon, rectum, and anus and no gross abnormality or lesion was identified. Mucosa pattern appeared normal. The patient tolerated the procedure well. He will be discharged home with instructions to follow up for a surveillance colonoscopy.