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This book provides a comprehensive overview of non-surgical treatments for complicated and refractory biliary and pancreatic lesions. In particular, it offers non-surgical treatment options for benign biliary strictures. For those suffering from intractable total biliary obstruction following biliary operation, magnetic compression anastomosis represents a good therapeutic option, and this technique is fully explained. Moreover, the book describes diverse treatment modalities for hilar stricture, which is one of the most challenging areas of ERCP. Several chapters cover a variety of important aspects of this area. The book also aims to identify and solve the unmet needs for the diagnosis and treatment of biliary and pancreatic diseases. The precise explanations of treatment concepts and strategies will both increase readers’ knowledge and provide assistance in daily clinical practice. The authors are pioneering experts from around the world, and the text is supported by numerous informative illustrations and helpful summaries.
Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this “how-to” guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering “tips and tricks” and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on “getting prepared,” including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers “what can be done,” describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on “what should be done,” clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP—highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.
This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research. ​
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.
Comprehensively covering various techniques such as ERCP, EUS, EST and lithotripsy, this book highlights innovative endoscopic surgical techniques for managing pancreatico-biliary. It will provide readers an extensive overview of the therapeutic endoscopy management solutions and techniques currently available. Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases was written by pioneering experts from around the world, providing a concise yet comprehensive summary of the current state of therapeutic endoscopic techniques in a step-by-step format. Each chapter examines both major and subtle yet important techniques, together with new findings, an approach that will appeal to a broad readership, from beginning to advanced endoscopists and surgeons with a background in gastroenterology, particularly those specializing in endoscopy of pancreatico-biliary diseases to help guide patient management.
Advanced Digestive Endoscopy: ERCP addresses some of the most complex diagnostic and therapeutic procedures for endoscopists. It provides the latest thinking and clear instruction on the techniques, which have been integrated with overall patient care. Written by the leading international names in endoscopy, the text has been expertly edited by Peter Cotton into a succinct, instructive format. Presented in short paragraphs structured with headings, subheadings and bullet points and richly illustrated throughout with full-color photographs.
This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS. In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them. Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms – both based on scientific evidence and expert findings – are illustrated and compared to alternative treatments.
Clinical Pancreatology Since the book Clinical Pancreatology for Practising Gastroenterologists and Surgeons was first published sixteen years ago, the knowledge and clinical management of pancreatic diseases have developed markedly. Thanks to the development of the translational research and the from bench to bedside concept, much progress from the lab has been applied to clinical practice. In addition, several highly relevant clinical trials published over the last years have resulted in the update and optimisation of clinical guidelines. A new and validated classification of severity and complications of acute pancreatitis is firmly rooted in clinical practice and has been the basis for the development of minimally invasive approaches to pancreatic necrosis. The etiopathogenic knowledge of chronic pancreatitis and other pancreatopaties, like that associated with diabetes mellitus, has developed significantly. Especially important has been the development of the field of cystic pancreatic tumours, which has been reflected in the publication of several guidelines and consensus reports over the last few years. Most research efforts have focused on pancreatic cancer, which have led and will further lead to a significant increase in the therapeutic armamentarium against this devastating disease. Finally, many newly published studies have changed the concept, causes, clinical relevance, diagnosis and treatment of exocrine pancreatic insufficiency. This new edition of Clinical Pancreatology for Practising Gastroenterologists and Surgeons has enjoyed the collaboration of the world’s leading experts in each of the areas of clinical pancreatology with the aim of facilitating gastroenterologists, surgeons, oncologists, internists, nutritionists, diabetologists, paediatricians, radiologists, pathologists and other specialists in their decision making when facing patients with pancreatic diseases in their daily clinical practice. All in all, this book supplies an indispensable update of the relevant aspects of clinical pancreatology.
Authored by the very best, this is the perfect “how-to” guide to mastering a crucial yet complex gastrointestinal procedure. Peter Cotton and Joseph Leung have once again assembled many of the world’s leading experts in this field to provide clear and concise guidance. There are chapters on “How to do” all of the specific manoeuvers, followed by chapters on “When to do” them (and when not to). Key highlights include the following: Full coverage of the entire range of both standard and advanced techniques, using a highly practical approach Strong focus on patient education, safety, and minimizing risks Twenty-four outstanding procedural videos of the experts performing ERCP, ideal for improving best practice techniques Over 250 excellent illustrative photos, X rays, and anatomical drawings “Tips and tricks” and key points throughout to aid rapid understanding Reference to the latest ASGE, ACG, ASG, and UEGW guidelines throughout New to this second edition are a host of new topics, including simulation training, formal credentialing and certification, wire-guided cannulation techniques, pancreatic stenting, short wire technology, cholangioscopy, plastic versus metal stents, radiofrequency ablation, sphincter manometry, and ERCP in acute pancreatitis. Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 2nd Edition, is an essential purchase for gastroenterologists and endoscopists of all levels.
The Atlas of Endoscopic Ultrasonography provides readers with a large collection of excellent images obtained from both diagnostic and therapeutic procedures. The Atlas includes a DVD which will be an invaluable addition to the library of trainee and practising gastroenterologists with video clips and searchable database of images. Together the book and DVD offer a first class collection of images to give a highly integrated introduction to endoscopic ultrasonography. The Atlas is an ideal companion to Dr Gress et al’s Endoscopic Ultrasonography, Second Edition.