In this issue of Gastrointestinal Endoscopy Clinics, guest editor Chin Hur brings considerable expertise to the topic of Gastric Cancer. Provides in-depth, clinical reviews on Gastric Cancer, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

If we feel run down and we want to support our immune system, most of us tend to pop some vitamins. But an incredible 70% of our immune system is in the gut, so gut health is crucial in our defence against illness. Is it possible to improve our gut health with simple changes to our lifestyle? Yes – with this essential recipe book from nutritionist and gut health expert, Kate Llewellyn-Waters. Kate explains in simple terms how our immune system and gut work, how we can help improve our immunity every day, what autoimmune conditions and allergies are, and which are the key non-food contributors to gut health and immunity, such as sunlight, sleep, mental health and exercise. The main part of the book offers 100 everyday recipes, all using accessible, supermarket ingredients and offering helpful switches or additions to suit you and your family's needs, as well as practical meal plans to make life even easier.

Celiac Disease is an authoritative text intended to educate healthcare practitioners, gastroenterologists, physicians and nutritionists about the diverse manifestations, complications and management of gluten-sensitive enteropathy. The seventeen-chapter text provides the latest research on pathophysiology, including animal models, immunopathogenesis, genetics and the intestinal microflora. The book also features chapters on diagnosis, monitoring, complications and nutritional management, including therapies on the horizon. The text concludes with appendices that provide educational tools for symptom monitoring and dietary guidance. Written by specialists in their respective fields, Celiac Disease is a comprehensive resource that provides the healthcare practitioner an evidence-based practical guide to pathogenesis and therapy of celiac disease.

Now fully revised to include recent advances in the field, the third edition of Gastrointestinal and Liver Pathology Pathology, a volume in the Foundations in Diagnostic Pathology series, is an essential foundation text for residents and pathologists. The popular template format makes it easy to use, and new information throughout brings you up to date with what's new in the field, including advances in molecular diagnostic testing and new diagnostic biomarkers. Practical and affordable, this resource is ideal for study and review as well as everyday clinical practice.Key features of this practical text include:  A consistent, user-friendly format that explores each entity's clinical features, gross and microscopic findings, ancillary studies, differential diagnoses, and prognostic and therapeutic considerations.  A focus on specific features of selected neoplastic and non-neoplastic entities, including broad and in-depth differential diagnoses.  Clinical information on treatment and prognosis, enabling you to better understand the clinical implications of the diagnosis.  Nearly 1,000 full-color, high-quality illustrations with extensive figure legends, as well as abundant boxes and tables throughout.  Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.  What's NEW in this edition:  Advances in molecular diagnostic testing and its capabilities and limitations, including targeted/personalized medicine.  New diagnostic biomarkers and their utility in differential diagnosis, newly described variants, and new histologic entities.  The latest TNM staging and WHO classification systems.  New co-editors Drs. Amitabh Srivastava and Daniela S. Allende lead a team of expert, internationally recognized pathologists who keep you up to date with the latest information in the field. 

Adoption of video capsule endoscopy has been slow, but there are now four FDA-approved devices and others available in China. It is now generally realized that there is an expanding role for these devices, not only in the small intestine but in the GI tract in general. In collaboration with Consulting Editor, Dr. Charles Lightdale, guest editor Dr. David Cave has assembled expert authors to provide clinical reviews that address where we are now, areas of controversy that still need resolution, and where the field is likely to develop over the next 5 to 10 years. Articles are specifically devoted to the following topics: Training, Reading and Reporting for Video Capsule Endoscopy; Indications and Contraindications: Complications of Capsule Endoscopy; Preparation, Prokinetics, and Surface Active Agents; Role of Capsule in Small Intestinal Bleeding; Role of Capsule Endoscopy in IBD; Role of Video Capsule Endoscopy in Liver Disease; Role of Video Capsule Endoscopy in Alternative Settings; Timing and Use of the Capsule Endoscopy in the Acute Care Setting; Role of Video Capsule Endoscopy as a Prelude to Deep Enteroscopy; Location of Capsule and Provocation Testing; Cost Effectiveness of Video Capsule Endoscopy; Artificial Intelligence in Capsule Endoscopy; and Novel Clinical Applications and Technical Developments in Video Capsule Endoscopy.

The organs of the gastro-intestinal tract play an essential role in sustained physical activity, but their consideration in exercise-related literature has, to this point, been limited. Physical Activity and the Gastro-Intestinal Tract is the first book to explain the function and response to exercise of the gastro-intestinal system, in cases of both health and disease, and helps to shed light on the role they play in acute and chronic exercise. Professor Roy Shephard synthesises previously disparate research to explain the physiology, function, pathology of disease and role of exercise in both health and chronic disease, covering topics including: physical activity and the oesophagus gastro-duodenal function and physical activity physical activity and peptic ulcers physical activity and gastro-oesophageal cancers physical activity and the function of the large bowel physical activity and chronic intestinal inflammation. With each chapter including a thorough bibliography and signposts to further reading, Physical Activity and the Gastro-Intestinal Tract provides a complete reference for understanding how exercise affects the function of the digestive organs. It is an important text for academics and upper-level students in sports medicine and exercise physiology, and for health professionals in preventative medicine.

Gout: Basic Science and Clinical Practice is a thoroughly researched comprehensive text which covers all important aspects of gout, including its genetics, pathophysiology, diagnosis, and management. Gout is probably the most common rheumatic disease after osteoarthritis and is becoming more common with the prevalence of the metabolic syndrome in the US, and in many other countries. Only about 10% of patients with gout are treated by rheumatologists and this often leads to inadequate diagnosis and treatment in general medical practice. Written by an expert in the field this book is valuable reference for rheumatologists and others in the medical profession who are interested in understanding and managing this important disease.

This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes ("diabetes surgery") is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.

Psychiatry: a clinical handbook provides all the essential information required for a successful psychiatry rotation. Written by two recently qualified junior doctors and a consultant psychiatrist, the book offers an exam-centred, reader-friendly style backed up with concise clinical guidance. The book covers diagnosis and management based upon the ICD-10 Classification and the latest NICE guidelines. For every psychiatric condition: the diagnostic pathway is provided with suggested phrasing for sensitive questions the relevant clinical features to look out for in the mental state examination are listed a concise definition and basic pathophysiology/aetiology is outlined. The book also boasts a range of features to test your understanding of the subject: Self-assessment questions are provided at the end of each chapter. A common OSCE scenarios chapter with mark schemes, to aid practising with colleagues in preparation for exams. An exam-style questions chapter with detailed answers written by a Consultant Psychiatrist. Printed with an attractive full colour design, the book includes mnemonics, clinical photos, diagrams, OSCE tips and key fact boxes. Psychiatry: a clinical handbook is ideal for medical students, junior doctors and psychiatry trainees. From reviews: "This book excels as a guide for studying, for a variety of reasons. Notably, the pedagogic quality truly benefits from the authors' deliberate use of a variety of formats for presenting information. As a result, nearly any medical student could find this book easy to use." Doody, July 2016 "One of the best psychiatry books I have ever read. It is organised in a neat, concise manner with tables, colours, mnemonics, OSCE tips to name but a few." Amazon reviewer

Infections of the liver and biliary system are not uncommon, while most of the infections are viral in nature. Globally, viral hepatitis is a major public health problem and parallels infections such as HIV and tuberculosis and is associated with significant morbidity and mortality. Rapid advances have been made with HCV therapy at a time when the community focus has shifted to global elimination. This issue highlights some of the areas of considerable advances and challenges in viral hepatitis B and C. In addition, Hepatitis E is resurfacing as an infection of significance, particularly in the Western World where there is a prevalence of chronic infections. Gastroenterologists and hepatologists often think of viral hepatitis as the sole cause of hepatic infections, but there are other infections caused to bacteria, fungi and parasites; this issue highlights these infections as well. Articles are devoted to the following topics: Global epidemiology of viral hepatitis; Update on diagnostics in viral hapatitis; Heptatitis B: Immunization and impact on natural history and cancer incidence; Heptatitis B: Current status of therapy and future therapies; Hepatitis Delta: Prevalence, natural history, and treatment options; Hepatitis C: How good is real-life data and do generics work: Hepatitis C: Does successful treatment alter the natural history and quality of life; Hepatitis E: Epidemiology,clinical course, prevention, and treatment; CMV and EBV infections of the liver; Extrahepatic manifestations of viral hepatitis; Pyogenic and amebic infections of the liver; and Fungal and parasitic infections of the liver.

Together with Consulting Editor, Dr. Alan Buchman, Dr. Parkman has created as state-of-the-art issue devoted to the modern technology and approaches for evaluation and treatment of GI motility. He has provided coverage for the esophagus, colon, small intestine, and gut. Leaders in the field have contributed the detailed clinical review articles on the following topics: Enhancing High Resolution Esophageal Manometry: Use of Impedance, multiple rapid swallows, Position change, Solid food boluses, and other techniques; EndoFLIP in the esophagus: Assessing sphincter function, wall stiffness, motility to guide treatments; Evaluation and Treatment of patients with persistent reflux symptoms despite PPI treatment; Esophageal Evaluation for Patients undergoing Lung Transplant Evaluation: What should we do for evaluation and management; Tailoring Endoscopic and Surgical Treatments for GERD; Endoscopic and Surgical Treatments for Achalasia: Who to treat and how; Enhancing Scintigraphy for evaluation of gastric, small bowel, colonic motility; Targeting treatment for gastroparesis: Use of clinical tests to guide treatments; Endoscopic and Surgical Treatments for Gastroparesis: What to do and Whom to treat; Gastric Biopsies in Gastroparesis: Insights to Gastric Neuromuscular Disorders to Help with treatment; SIBO: How to diagnose and treat (and then treat again); Assessing anorectal function in constipation and fecal incontinence; Treating chronic abdominal pain in patients with Chronic Recurrent Abdominal Pain and IBS; and Refractory Chronic Constipation: How to evaluate and treat. Gastroenterologists will come away with the technical information they need to improve outcomes in their patients.

An understanding of virus infection and the underlying role of the immune system in protection against these diseases is vital in today 's medical climate. Previously, only symptoms could be treated, as there were no antiviral therapies. The increasing amounts of research and the huge number of discoveries of immunologic agents and pathways has led to the opportunity to look to the basic physiology of the various disease process as never before. This book is designed to provide the clinician with a thorough and yet approachable textbook describing the relationships between immunology, virology and the disease process.

Recent advances in gastroenterology and hepatology as well as new findings in biliary and pancreatic diseases are presented in the proceedings of the 86th annual congress of the Japanese Society of Gastroenterology. From the hundreds of papers delivered at the congress, 70 were selected for inclusion here. Opening with special lectures on gastroenterology in the new millennium, ulcerative colitis-pathophysiology and therapy, and life style-related diseases and gastroenterology, the volume is divided into sections reflecting the major concerns of researchers in the science of digestive diseases in Japan today: apoptosis in digestive organs, nitric oxide, transcription factors in digestive organs, antigen-presenting cells, pathology of inflammatory bowel disease, NSAID-induced gastric lesions, microcirculation in digestive diseases, hepatic regeneration, and hepatic fibrosis.

Development and progression of gastrointestinal disease involves inflammatory, vascular, fibrogenetic and immune reactions accompanied by deregulation of cellular growth and death often resulting in cancer of the organs affected. This book, the proceedings of Falk Symposium 132 on Disease Progression and Carcinogenesis in the Gastrointestinal Tract', held in Freiburg, Germany, October 9-10, 2002, addresses these various cellular processes in five sections in order to build up a broad pathogenic concept of gastrointestinal disease, purposely going beyond organ-specific research. Each section combines experts in the various fields of molecular medicine together with clinical scientists in order to stimulate interdisciplinary discussion. In addition, clinical chapters focus on new findings in both diagnostics and therapeutics.

Cytochromes are proteins that catalyze electron transfer reactions of well-known metabolic pathways and are classified in various superfamilies. The CYP, or P450, superfamily accounts for 90% of the oxidative metabolism of clinical drugs. One member of this superfamily, P450 2D6 (or CYP2D6), singlehandedly metabolizes about 25% of all medications in the human liver. Cytochrome P450 2D6: Structure, Function, Regulation, and Polymorphism reviews the current knowledge of CYP2D6 as well as the maturing body of evidence indicating its significance to clinical and pharmacological researchers and practitioners. This book focuses on the critical role CYP2D6 plays in the human liver. It examines the genetic, epigenetic, physiological, pathological, and structural factors of the gene that govern the highly variable metabolism of a number of drugs in clinical use. It highlights the impact of the functional roles of CYP2D6 on clinical practice and drug development and also discusses implications for precise medicine, strategies to avoid adverse drug reactions, and paths for future research. Cytochrome P450 2D6 is a unique, valuable book focusing on a single but immensely powerful human gene. It provides the first single source of comprehensive information on CYP2D6 that serves as an important reference for medical, biomedical, pharmaceutical, and nursing researchers, practitioners, and students.

A rigorous and groundbreaking study. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology. Martine Derzelle is the first researcher to approach hypochondria as a relational pathology.

The author tackles a subject that has puzzled care professionals for decades: hypochondria. Martine Derzelle confronts all specialists (psychotherapists, psychiatrists, doctors, psychosomaticians) with the paradox of this pathology and the theoretical void on which the approach to those patients who express a suffering of various kinds has stood for more than a century.

In the first part, the author highlights the lack of theoretical elaboration on hypochondria in the existent literature; in the second part, on the basis of clinical examples, she analyzes the nature of the disease, and then offers a completely innovative theoretical elaboration. Finally, in the third part, she proposes a new and specific approach to treating this pathology at both the theoretical and clinical levels within the framework of psychoanalysis and implementing key concepts from relational psychosomatics.

Medical Semiology Guide of the Digestive System provides a comprehensive understanding of medical semiology in the digestive system. Highly illustrated with many original images from the author's daily medical practice, the book highlights all signs of diseases and important semiological maneuvers in the field. Each chapter incorporates a specific questionnaire with important questions that should be asked to patients in different situations to obtain valuable information that helps identify rare and unusual diseases. This unique feature of the book aims to facilitate the learning process among medical students, while also acting as a quick reference guide for clinicians in practice.

Medical Semiology of the Digestive System, Part II provides a comprehensive understanding of medical semiology in the digestive system. Highly illustrated with many original images from the author's daily medical practice, the book highlights all signs of diseases and important semiological maneuvers in the field. Each chapter incorporates a specific questionnaire with important questions that should be asked to patients in different situations to obtain valuable information that helps identify rare and unusual diseases. This unique feature of the book aims to facilitate the learning process among medical students, while also acting as a quick reference guide for clinicians in practice.

In gastrointestinal (GI) practice, a large proportion of patients present with what are currently classified as functional GI complaints. For decades, psychological causes have been implicated in the initiation and maintenance of symptoms. In recent years, disturbances of GI function including sensory motor abnormalities have been catalogued and are now believed to play a key role in the development of symptoms. A genetic predisposition may be important. Furthermore, evidence has accumulated that GI inflammation can trigger and maintains functional disturbances. In particular, acute GI inflammation appears to play a crucial role in at least a subgroup of patients. These observations potentially have profound implications for the field, and suggest that functional GI disorders are indeed organic diseases.

'I deeply respect and honour the work of Ann Louise Gittleman, whom I consider as a teacher, as well as what she has done to bring intelligence to the world of nutrition.' Dr Mark Hyman Eat your way to a faster metabolism, easier weight loss and better health - from New York Times bestselling author and health pioneer Ann Louise Gittleman. One reason many diets fail is that they don't correct the shutdown of key fat-burning tissues in the body: brown fat, muscle and the microbiome. Each of these prefers a specific type of food for optimal function and this expert book tells you exactly how to fuel them. Radical Metabolism will shake up your long-held beliefs and assumptions about what is healthy, especially when it comes to diet. However, this isn't just about weight loss - this is about putting the brakes on ageing, gaining the tools necessary to dodge age-related illness and staying energised for life. The book is divided into three sections: The first section lays out the scientific basis for the Radical Metabolism plan so that you can understand the rationale behind the programme. Discover the five radical rules for rescuing your metabolism, the forgotten but powerful role bile plays in the body's slimming systems and the hero ingredients that are key to lasting weight loss. The second section is the eating diet plan. It starts off with the 4-Day Radical Intensive Cleanse, a simple juicing-and-souping detox plan designed to give your liver and gallbladder a rest before the main programme. The 21-Day Radical Reboot will teach you how to reawaken and retrain your metabolism to build a lasting and lean body. The third section expands the menu with a collection of 49 recipes (anglicised for UK readers) and provides a maintenance plan and additional guidance for staying on track for life. An easy-to-follow programme with the nutritional and scientific research to back it up, this book offers simple strategies that produce radical results. REAP THE BENEFITS OF A RADICAL METABOLISM: - Lasting weight loss - Greater energy - Balanced mood - Healthier skin - Protection against health problems, such as type II diabetes and gallbladder issues

In collaboration with Consulting Editor, Dr. Norman Gitlin, Dr. Vinod Rustgi has put together topics that provide a current clinical update on the treatment and management of patients with Hepatic Encephalopathy (HE). Experts in the field have contributetd clinical review articles on the following topics: Definition, Prevalence, and Epidemiology of HE; Pathophysiology of HE; Clinical Manifestations of HE; Laboratory Abnormalities of HE; Minimal or Subclinical HE; Prognosis of Prognosis of HE; Pharmacological Management of HE; Non-pharmacological Management of HE; Cost Burden of HE; Long-term management of HE: Modern Measures to Prevent Re-admission; Social Impact of HE; and Novel Therapies for HE. Readers will come away with the information they need to improve outcomes in patients with HE.

Written by world authorities on the subject, this reference comprehensively covers every aspect of colorectal cancer. Addressing the molecular mechanisms, genetics, identification, and therapy of disease, this guide covers new pharmaceutical developments, current screening protocols, and modern methods of disease management by specialists at renowned institutions such as the Royal Marsden Hospital, the Memorial Sloan Kettering Cancer Center, and the Vanderbilt-Ingram Cancer Center.

Integrative Weight Management: A Guide for Clinicians intends to educate physicians and nutritionists about the wide ranges of approaches to weight control from non-traditional sources. The options for weight management in conventional practices are limited to a small number of medications, a confusing array of dietary approaches and surgical procedures with their inherent risks and complications. Unfortunately medical practitioners are not exposed to nutrition and weight control principles during training and thus are reluctant to manage their patients weight control issues. This volume is structured into 4 sections: Introduction to Weight Management Disorders; Morbidity and Mortality of Obesity; Therapy of Obesity; and Integrative Medicine and Obesity. Integrative Weight Management: A Guide for Clinicians represents a powerful collaboration of dozens of leading experts in the fields of nutrition, weight management and integrative medicine who have managed countless numbers of patients and summarized the research from thousands of articles to create an up-to- date state of the art guide for healthcare practitioners, allied health professionals and public health authorities who manage those who are overweight/obese along with the associated metabolic consequences.

Together with Consulting Editor Dr. Alan Buchman, Drs. Arun J. Sanyal and Mohammad Siddiqui have put together a comprehensive issue devoted to fatty liver disease for the gastroenterologist. Expert authors have contributed clinical review articles on the following topics: Burden of disease due to NAFLD; Genetic risk factors and disease modifiers of NASH; How to identify the patient with NASH who will progress to cirrhosis; Similarities and Differences between cirrhosis due to NASH versus other etiologies; Impications of NASH as the etiology of end stage liver disease prior to and after liver transplantation; Why do lifestyle recommendations fail in most patients; Rational nutritional therapeutics for NAFLD; Recruitment and retention strategies in long-term trials for NASH; Managing extrahepatic comorbidities in NAFLD; The current status of noninvasive tools for the assessment of NAFLD; and Pharmacological Treatment strategies for NASH. Readers will come away with the information they need to improve outcomes in patients with fatty liver disease.

Barrett's Esophagus gives an extensive overview written by the world's leading experts covering the epidemiology, gastroenterology and surgery, as well as the molecular basis of:

• the precursor lesions leading to the development of Barrett's epithelium;
• the unique characteristics of Barrett's esophagus;
• the consequences of malignant degeneration, i.e. adenocarcinoma.

All aspects in terms of diagnosis, secondary prevention, multimodality, medical and surgical treatment are elucidated.