2. Bloating Volvolus difficult, surgical, slow onset
Gangrene up to 60% mortality, colonoscopic perforation
Skill mix
Formulate local plans
Perforation – look at XR [out of fashion]
Abdominal examination

3. Batteries and foreign bodies
Accidental or intentional
Institutionalised and imprisoned patients
Consent issues

4. 32x70x10.7 mm

7. Indications for emergency endoscopy [foreign bodies]
Disk battery in the oesophagus
Objects lodged in oesophagus [with surgical cover]
Within 24 hours
Long sharp objects
Other batteries over 20 mm, disk batteries outside oesophagus, magnets within endoscopic reach, objects over 6 cm
Don’t remove drug packets endoscopically

8. 500 years Royal College of Physicians