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This book looks at the comprehensive management of all aspects of gallstone disease, from the epidemiology and pathogenesis to the complex management approaches required for some patients. The main emphasis is placed on effective diagnosis and treatment, making extensive use of practical case-based material while reviewing the guidelines in a multi-disciplinary manner. It is an essential read for all clinicians involved in managing patients with gallstone disease.
Many people suffer from gallstones and undergo unnecessary surgery. Reading this book will help you to understand natural ways of ridding your gallstones without necessarily resorting to surgery. This book takes you step-by-step through a natural method of flushing your gallstones without pain in just 24 hours. Learn what gallstones are made of, how toxins can affect them, how to detoxify the body in preparation for the gallstone flush, what supplements to use and how thousands of people have been cured of gallstones naturally without surgery. Dr Georgiou has personally supervised more than 5,000 gallstone flushes throughout his career as a Holistic practitioner.
The exponential expansion of knowledge in the field of hepatobiliary diseases makes systematic revisions of current concepts almost mandatory nowadays. This eBook summarizes the progress in understanding the molecular mechanism of cholesterol and bile acid metabolism and the physical-chemistry of biliary lipids, with emphasis on biliary lipid metabolism that is regulated by nuclear receptors in the hepatobiliary system. By guiding the readers through the various aspects of anatomy, physiology, and biochemistry of all "players" involved in bile formation, this eBook is intended to be a compendium of recent progresses in understanding the molecular mechanisms of cholesterol and bile acid metabolism.
The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.
This book, written by expert surgeons, offers a comprehensive and up-to-date overview of all aspects of laparoscopic cholecystectomy. Coverage includes the indications for surgery, anesthesia, surgical technique, and the prevention and management of complications, with extensive reference to the latest clinical evidence and assessment of the benefits of the laparoscopic approach, for example in terms of outcomes and day surgery. New technologies, including SILS, NOTES, robotic surgery, and miniaturized instruments, are reviewed. The learning curve and training are also extensively discussed, and an individual chapter is devoted to the views of international experts in the field. Readers will find the book to be an ideal guide to this gold standard technique, which continues to evolve some 20 years after the National Institutes of Health Consensus Conference first published recommendations regarding indications for laparoscopic cholecystectomy.
An interdisciplinary reference book for the diagnosis and treatment of gallbladder and bile duct diseases With recent developments in the management of hepatobiliary diseases including liver transplantation, this new edition aids all members of the team by addressing both the biliary indications for and biliary complications of these procedures. It's divided into three sections on anatomy, pathophysiology, and epidemiology; diagnostic and therapeutic approaches including the latest therapeutic modalities; and specific conditions. Includes more than 250 illustrations for rapid reference. Each chapter now has a Q&A section and begins with a list of objectives outlining the chapter’s goals. In addition, a number of new imaging modalities are presented in this new edition. It takes an integrated medical, surgical and radiological approach, making this invaluable to all members of the team who deal with complications of liver transplantation and the management of patients.
Since the first edition of this highly acclaimed text was published in 1992, much new knowledge has been gained about the role of genetic factors in common adult diseases, and we now have a better understanding of the molecular processes involved in genetic susceptibility and diseases mechanisms. The second edition fully incorporates these advances. The entire book has been updated and twelve new chapters have been added. Most of these chapters deal with diseases such as gallstones, osteoporosis, osteoarthritis, skin cancer, other common skin diseases, prostate cancer and migraine headaches that are seen by all physicians. Others address the genetic and molecular basis of spondylarthropathies, lupus, hemochromatosis, IgA deficiency, mental retardation, hearing loss, and the role of mitochondrial variation in adult diseases. Chapters on the evolution of human genetic disease and on animal models add important background on the omplexities of these diseases. Unique clinical applications of genetics to common diseases are covered in the additional new chapters on genetic counseling, pharmacogenetics, and the genetic consequences of modern therapeutics.
Get instant, easy access to the natural medicine expertise you need with The Clinician's Handbook of Natural Medicine, 3rd Edition. Written by leading authorities in complementary and integrative medicine, this portable handbook offers clear and rational directives on diagnosing and treating 80 diseases and disorders with natural medicine. Inside the pages you'll find concise summaries of diagnostic procedures, general considerations, therapeutic considerations, and therapeutic approaches for each condition, as well as naturopathic treatment methods like dietary changes, physical therapy advice, exercise modifications, and recommended supplements and botanical medicines. Based on Pizzorno's trusted Textbook of Natural Medicine, 4th Edition and the most current evidence available, it's your key to accessing reliable, natural diagnosis and treatment options in any setting. More than 80 algorithms throughout text synthesize therapeutic content and provide support for clinical judgment with a conceptual overview of case management. Combination of expert author team and scientifically verified content assures this handbook contains the most reliable coverage of diagnostic and natural treatment methods. Well-organized format utilizing consistent headings helps you make fast and accurate diagnoses. Light, portable size enables you to easily carry the handbook along with you in practice. NEW! Updated content reflects the latest research, data, and trends - including the most current recommendations related to specific diseases and newly emerging treatments. NEW! Four new chapters cover female infertility, maldigestion, bronchitis and pneumonia, and pregnancy health and primary prevention of adult disease.