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This new edition provides a comprehensive overview of procedures for the gastrointestinal tract. The volume describes the indications, contraindications, and precise method of a procedure, under normal anatomical conditions and when the gastrointestinal tract is surgically altered. In addition to revised chapters from the previous edition, the latest edition features new chapters that cover such topics as endoscopic accessories, cleaning and disinfecting gastrointestinal endoscopes, tissue sampling, removal of foreign bodies, and confocal endoscopy and robotic endoscopy. Each chapter is also accompanied by photographs, diagrams, tables, and algorithms to precisely and easily display complex information. Written by leading authorities from around the globe, Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide, Second Edition is a valuable resource for gastroenterologists, primary care physicians, and gastroenterology fellows in training who treat and manage patients with gastrointestinal disorders.
Thoroughly revised and updated for its Fourth Edition, this Spiral® Manual is a practical quick-reference guide to the diagnosis and management of all gastrointestinal problems—from common complaints such as intestinal gas to life-threatening diseases such as cancer and AIDS. Chapters written in an easy-to-scan outline format cover the approach to the patient, diagnostic and therapeutic procedures, nutritional assessment and management, gastroenterologic emergencies, and specific complaints and disorders. Highlights of this Fourth Edition include an expanded obesity chapter, major updates on inflammatory bowel disease and irritable bowel syndrome, new treatments for viral hepatitis, and endoscopic treatment of gastroesophageal reflux disease.
Praise for the previous edition:This work has great visual appeal and superb images...a superior text that will undoubtedly withstand the test of time.--GastroenterologyWritten and edited by internationally renowned specialists, the second edition of Gastroenterological Endoscopy covers the entire spectrum of diagnostic and therapeutic procedures for the upper and lower GI tract and provides an up-to-date overview of GI disorders. The book opens with a section on the development and technology of endoscopy, followed by an expanded section on issues related to patient care, such as informed consent, sedation, and special clinical conditions. The discussion of techniques for the diagnosis of GI diseases ranges from enteroscopy and colonoscopy to recent advances in capsule endoscopy and chromoendoscopy. New to the section on therapeutic procedures is coverage of such topics as dilation techniques, resection, ablation, and dissection. The book closes with a chapter on pediatric endoscopy.Features of the second edition: Thirteen new chapters present current developments in the specialty, including evidence-based approaches, natural orifice translumenal endoscopic surgery (NOTES) and hybrid procedures, endoscopic therapy in obesity, and therapeutic endosonography Insightful contributions are presented in a format that aids rapid reference to key topics 1,820 high-quality illustrations and endoscopic images, including over 1,135 in full-color, demonstrate anatomy and pathophysiology Already a standard in the field, this text is an essential desk reference for all clinicians in gastroenterology, internal medicine, and GI surgery. Residents and fellows in these specialties will also greatly appreciate its easily accessible wealth of information and visual appeal.
This unique book is the first to focus on diagnostic and therapeutic endoscopy in gastrointestinal and pancreatico-biliary diseases. It provides an in-depth overview of the state of the art in diagnostic and therapeutic endoscopy of both the digestive tract and the pancreatico-biliary ductal system, and documents the latest innovations in the field. The first part of the book addresses advanced diagnostic and therapeutic endoscopy of the digestive tract, discussing bariatric endoscopic surgery, and the treatment of neoplasia and precancerous lesions of the upper and lower GI tract, motor disorders, GERD, strictures, fistulae and bleeding. The second part of the book is explores ERCP and EUS procedures, covering the diagnosis and therapy of biliary ductal system and pancreatic diseases. Each chapter includes an abundance of color images that document in detail the devices, operative techniques and outcomes. Written by leading internationally renowned experts, the book is a valuable resource for both specialists and residents in gastroenterology and surgery.
In the second edition of the book, the diversity of established and modern endoscopic therapeutic interventions is systematically, comprehensively, and practically presented by experts in visceral surgery and gastroenterology. Numerous endoscopic images and schematic drawings illustrate the descriptions of therapeutic procedures. For each endoscopic procedure, the following is described: Indications Personnel, instrumental, and technical requirements Implementation Results Limitations, complications, and their management All contributions have been updated; a new chapter on hygiene measures has been added. Practical tips and references to alternative approaches appeal to both the young specialist and the experienced endoscopist, as well as endoscopy professionals from other fields.
Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide is a comprehensive volume describing procedures for the gastrointestinal tract in a simple way. Artistic illustrations are provided to educate the physician about procedures, and to provide not only clear descriptions of the changes in the anatomy and physiology, but also to provide advice on medical management of the post-procedure patient. Clear, detailed, artist-rendered illustrations of the anatomy are included as well as appropriate, radiological images. Chapters describe in detail the indications, contraindications, anatomical alterations, and physiological alterations that result from various operations and procedures. Comparisons between alternative operations, complications, medical management issues, and costs are also discussed. Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide is a unique volume, written primarily for primary care physicians and general internists. It is also suitable for medical students, residents, nurses and nurse practitioners, nutritionists, dietitians and various subspecialists, who take care of patients with gastrointestinal disorders.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Gastrointestinal endoscopy is now mainstream and the focus is nowchanging from developing new techniques to enhancing the efficiencyand quality of fundamental techniques. There are three elements tothis agenda: initial training, continuous quality improvement andpatient empowerment. For the first time, the book is accompanied by two CD-ROMs -featuring video and animation of how to perform the techniques. Thefirst CD-ROM covers the upper GI tract and consists of twosections: (1) the background to instruments and how to get set up,and (2) how to perform diagnostic techniques. The second CD-ROMcovers diagnostic and therapeutic procedures in colonoscopy. Cotton and Williams' book has evolved with each new edition toreflect developments in the field of endoscopy over the last 20years. This fifth edition draws on the vast experience of the authorsand heralds current changes in both endoscopy and publishing. The emerging 'back to basics' attitude of endoscopy opinionformers with regard to the teaching of endoscopy has resulted in amore focused table of contents specifically targeted at newcomersto this specialty.
The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy – trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike. Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete "how to" manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field. Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include: GI pathology Subtleties of diagnostic technique specific to children Application of therapeutic endoscopy to specifically pediatric scenarios Anesthesia and sedation Training and skill maintenance Sophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood. This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.
Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.