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.

In consultation with Consulting Editor, Dr. Charles Lightdale, Dr. Kenneth Chang has assembled top authors to provide a current update on the management of GERD. Clinical review articles provide updates on the these important topics: Mechanism and Pathophysiology of GERD; Personalized Approach in the work-up and management of GERD; Proton Pump Inhibitors; Radiofrequency Treatment for GERD; Trans-oral Incisionless Fundoplication (TIF); Innovations in Endoscopic Therapy for GERD; Laparoscopic Hernia Repair and Fundoplication, Failed Nissen; Laparoscopic Sphincter Augmentation (LINX); Refractory GERD and Functional Heartburn; and Extra-esophageal GERD and LPR. Readers will come away with the latest techniques and clinical applications to improve patient outcomes.

A Comprehensive Overview of Irritable Bowel Syndrome: Clinical and Basic Science Aspects presents up-to-date knowledge in the field and provides a comprehensive summary of this area of study, including an overview on IBS, starting from its pathogenesis, including genetic, microbial and physiological background, through symptom recognition, diagnosis and IBS treatment, both non-pharmacological and pharmacological.

Featuring more than 4100 references, Drug-Induced Liver Disease is an invaluable reference for gastroenterologists, hepatologists, family physicians, internists, pathologists, pharmacists, pharmacologists, and clinical toxicologists, and graduate and medical school students in these disciplines. This book supplies an in-depth discussion of drug-induced hepatoxicology, covering mechanisms, histopathology, management, risk factors, and patterns of drug and toxin-induced disease. It includes contributions international experts.

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.

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.

"BetaSys" uses the example of regulated exocytosis in pancreatic -cells, and its relevance to diabetes, to illustrate the major concepts of systems biology, its methods and applications.

First suggested in 1863 by Marey, abdominal compartment syndrome, (ACS), is a constellation of the physiologic sequelae of increased intra-abdominal pressure, (IAP), termed intra-abdominal hypertension, (IAH). Recent observations suggest an increasing frequency of this complication in all types of patients, neonates to the elderly and in diverse clinical conditions, surgical to non-surgical. Even chronic elevations of IAP seem to effect the various organ systems in the body. Despite its obvious clinical implications, not enough attention is paid to IAP and IAH. ACS is still not uniformly appreciated or diagnosed. Only a few medical and surgical intensivists believe in the concept of IAH and actively attempt its prevention and treatment. The result, as is strongly substantiated by retrospective and prospective data, is a successful reduction in organ failures and mortality. Abdominal compartment syndrome is a condition that, until recently, has been poorly appreciated, despite important potential implications for all organ systems. Recent interest has helped clarify the local and systemic effects of increased intra-abdominal pressure and heightened awareness of the importance of early recognition and treatment. This book, written by international experts in the field, follows the first World Congress on Abdominal Compartment Syndrome held in Noosa, Australia in December 2004, and provides an excellent update on this topical subject. Comprehensively constructed, this book covers all key aspects of the syndrome, from definitions and diagnosis to monitoring and management, and is supported throughout by appropriate and ample illustrations. Many of the detrimental consequences of abdominal compartment syndrome are reversible with appropriate and timely intervention, and, although many questions remain unanswered regarding this condition, this book provides a welcome and detailed source of current information and opinion on abdominal compartment syndrome, which will be he

From screening and diagnosis to prevention and treatment, every aspect of gastrointestinal endoscopy as a therapeutic measure is addressed in this volume. The authors are recognized authorities in this field, and in Therapeutic Gastrointestinal Endoscopy they present a problem-oriented, evidence-based textbook. In each chapter, it cites the key medical literature that can be studied for further reference. The book uses dozens of figures, photographs and illustrations to address the key issues of assessment, diagnosis and options for treatment. The authors present cohesive arguments for the preferred chosen management regime.

This book contains the proceedings of Falk Symposium 167 entitled 'Liver under Constant Attack - From Fat to Viruses', which was held in Mainz, Germany, on 20-21 September 2008. It merges up-to-date viral liver immunology with relevant topics in clinical practice. Sections cover viral hepatitis, immunosuppressive approaches in liver patients, malignant liver diseases, inflammatory liver diseases and complications of liver cirrhosis. Interdisciplinary discussion of new concepts in the treatment of liver diseases makes this book valuable for scientists and clinicians alike.

Dr. Alan Buchman, Consulting Editor, selected world renown experts on celiac disease, Dr. Green and Dr. Lebwohl, to update the topic for gastroenterology readers. They have secured expert authors from top institutions to contribute articles with high clinical utility on the diagnosis, treatment, and management of celiac disease. These clinical reviews are devoted to the following topics: Clinical features and diagnosis of celiac disease; The gluten-free diet; Histopathology of celiac disease; Epidemiology and risk factors for celiac disease; Enteroscopy and capsule endoscopy in celiac disease; Measuring symptoms and other outcomes in celiac disease; Celiac disease in Asia; The microbiome and celiac disease; Follow-up of celiac disease; Refractory celiac disease; Non-dietary therapies for celiac disease; and Non-Celiac gluten or wheat sensitivity. Readers will come away with the most current clinical information they need to inform clinical decisions to improve patient outcomes.

With 2300 radiological images dispersed throughout the text, this source provides an expansive armamentarium of case studies and examples showcasing both common and uncommon liver pathologies. Serving as an unparalleled how-to source for the investigation of liver disease by MRI, this guide demonstrates key MRI techniques currently utilized in clinical practice, as well as explains the choice of acquisition sequences, specific parameters, and the use of contrast media for each application.

The intestine (and the gut microbiota), often referred to as the "real brain" of the body, has been implicated in a wide range of diseases, including obesity, and diet has a direct impact on intestinal health. While bloating, flatulence and constipation seem like routine, everyday symptoms, one cannot deny the significant societal burden they impart partly through their effect on the quality of life and partly through the medical and surgical costs they incur on patients desperate to improve symptoms. This book discusses irritable bowel syndrome, which is accompanied by complaints of bloating, flatulence, constipation and diarrhea, from which many people routinely suffer. Furthermore, it presents treatment methods, e.g., dietary and nutritional approaches, and recommendations to change lifestyle and manage digestive symptoms.

Despite the expected decline in the mid-1970s in the use of computed tomography (CT) following the excitement of magnetic resonance imaging (MRI), CT has confounded its detractors and remains the imaging modality of choice, particularly for the chest and abdomen. Spiral/helical CT with the development of 64-multislice variant has revolutionized diagnostic imaging: image acquistion of large body volumes are obtained in short times during a single-breath hold. Scanning protocols without contrast enhancement are not a challenge; however, with intravenous contrast agents, critical choices are made and bad choices inevitably produce bad scans. This handy guide provides the reader with a simple introduction to the essential ideas involved and a practical guide to the implementation of rational scanning protocols for multislice spiral instruments. Written by Peter Dawson, a well-respected figure in computed tomography and radiology, and a world expert on contrast agents, Scanning Protocols for Multislice Helical Computed Tomography is an essential guide for all those working with CT, as well as those in training.

A detailed compilation of the latest research and recommendations for the diagnosis and assessment of esophageal disorders, this reference delves into a wide range of applications and technologies currently utilized in the field including radiology, endoscopy, endoscopic ultrasonography, manometry, ambulatory manometry, pH testing, catheter-free pH testing, bilitec monitoring, and impedance plethysmography.

Pouchitis and Ileal Pouch Disorders: A Multidisciplinary Approach for Diagnosis and Management provides much needed information on the evolution of pouch surgery, pouch surgery techniques, and surgery-associated complications, including inflammatory, functional, neoplastic, and metabolic complications. The book provides information on the anatomy of the pouch, pathogenesis of pouchitis and other pouch disorders, proper diagnostic modalities, and medical, endoscopic and surgical options for those disorders. The information has been compiled from a panel of national and international leading experts in the field, including basic scientists, gastrointestinal (GI) pathologists, GI radiologists, gastroenterologists, and more.

With collaboration of Dr. Alan Buchman, Consulting Editor, Dr. Perry J. Pickhardt has created a comprehensive issue of Gastroenterology Clinics that looks at imaging techniques for gastrointestinal diseases. Experts in their respective fields have contributed clinical reviews in the following areas: Evaluation of Dysphagia: The Role of Barium Fluoroscopy; CT and MR Small Bowel Enterography: Current Status and Future Trends; Radiologic Assessment of Gastrointestinal Bleeding; CT Colonography: Implementation for Screening; Rectal MR for Cancer Staging and Surveillance; Defecography (fluoro vs MR); Noninvasive Imaging Techniques for Staging Liver Fibrosis; HCC Screening: Comparison of US, CT, and MR Approaches; Pancreatic Cystic Lesions; Overview of biliary imaging; Splenomegaly: Clinico-Radiologic Approach to the Differential Diagnosis; MR for Non-Traumatic Acute Abdominal Pain: Comparison with CT and US; and PET/MR: Current Clinical Status and Future Prospects. Gastroenterologists will come away with the knowledge they need to understand the latest imaging modalities for diagnosis and assessment of gastrointestinal diseases and disorders.

Clinical and Translational Perspectives on Wilson Disease brings together the genetics, cell and structural biology of Wilson Disease into one contemporary, easy to navigate handbook. Created to meet the diverse needs of the clinical and research communities surrounding Wilson Disease, this reference provides a worldwide approach that is concise and translational. Specifically, it provides a basis for clinicians to appreciate 'basic science' aspects of Wilson disease, presenting a guide for researchers to understand the clinical disorder on which their research is focused and fostering constructive dialogue and progress for this puzzling disorder.

This book is the proceedings of the Falk Symposium No. 122 on "Inflammatory Bowel Disease - A Clinical Case Approach to Pathophysiology, Diagnosis, and Treatment," held in Bologna, Italy, on June 22-23, 2001, and deals with some major issues concerning Genetics of IBD, Pediatrics in IBD, Early vs Late IBD, Bacteria and Gut Inflammation, Refractory CD, Fistulizing CD, Refractory Distal Colitis, and Complications of Ileal-Pouch Anastomosis. The main aim of the meeting was to highlight the value of an integrated clinical approach and the importance of clinical research in developing innovative methods of treatment.

This reference supplies a comprehensive and current overview of every aspect of gastrointestinal microbiota. Expertly written chapters cover conventional and molecular techniques for the study of differing microbial populations, as well as the analysis of microbial activity and interaction with host bodies. Illustrative and up-to-date, this source showcases how fluctuations in our diet, environment, and pharmaceutical intake affect microbial composition and behavior.

The "Evidence-based Practice Workbook" is an ideal tool for use by GPs, medical specialists and other healthcare professionals to learn the concepts of evidence-based practice (EBP). Practical and interactive, this workbook provides simple methods to help health professionals find and use the best evidence to answer clinical questions, developing their skills in:
asking clinical questions
searching for answers
discriminating good from poor information and research
using the answers to make clinical decisions.

This attractive, colour workbook provides a clear explanation of EBP skills and concepts. Written by internationally respected authors, this expanded and updated edition has been developed from evidence-based practice workshops run by the Centre for Evidence-Based Medicine at the University of Queensland and Oxford, and contains information and exercises to help health professionals learn how to use EBP in their clinical practice.

Helicobacter pylori Protocols offers an outstanding collection of state-of-the-art protocols for the identification and molecular manipulation of H. pylori. The authoritative contributors supply detailed and readily reproducible protocols for the culturing of H. pylori, for the isolation and restriction endonuclease digestion of H. pylori chromosomal DNA, and for the transformation and insertional mutagenesis of H. pylori. They also provide molecular epidemiological techniques, including ribotyping, PCR-RFLP, and RAPD-PCR. These procedures have been developed by leading practitioners to solve the difficult technical problems created by the application of the powerful bacterial genetic and molecular cloning techniques to H. pylori.

Hepatocyte and Kupffer Cell Interactions presents a comprehensive discussion of historical and recent information regarding this diverse field of research. The role of Kupffer cells and hepatoctyes in normal physiology, nonseptic pathological states, and in sepsis is examined. Microanatomy and methods of experimental study are covered as well. In each of the book's chapters, the role of the Kupffer cell and hepatocyte interaction is placed in context with information on particular liver functions or disease states. Hepatocyte and Kupffer Cell Interactions is an essential reference for leukocyte specialists, gastroenterologists, immunologists, and other researchers working in this fascinating field.

This book brings together world experts in the field of Functional Gastrointestinal Disorders (FGIDs) who practice an integrated and holistic approach in their care for patients to provide an up-to-date and comprehensive evaluation of a range of issues associated with the biopsychosocial treatment of FGIDs. Examining topics such as neurological and biological aspects of FGIDs, common concerns faced in relation to diagnosis, and ongoing medical decisions and interventions, each chapter provides crucial practical recommendations, as well as future directions of psychosocial work in multi-team environments. Functional Gastrointestinal Disorders considers individual conditions in detail, including the current Rome IV diagnostic criteria for FGIDs required to make a positive diagnosis, the role of psychological and other biopsychosocial and biofeedback aspects of treatment, and general recommendations with regard to diet and medications. Each chapter also provides an up-to-date consolidation and evaluation of the current literature as well as practical recommendations, which can then be applied by the reader in their own interaction with FGID patients. Topics covered include: the common concerns and issues faced by individuals with FGIDs in relation to pre-and post-diagnosis, ongoing medical decisions and interventions review of current evidence-based biopsychosocial treatment practices for each FGID condition the differences and challenges associated with FGIDs across individual life stages special topics such as the relationship with eating disorders and the role of psychotropic medications modern patient centred initiatives such as patient empowerment, distance and e-therapies the future challenges facing FGID treatment. Throughout the entire book, common themes and practical recommendations are described. Functional Gastrointestinal Disorders, has broad applicability across multiple spheres, including treatment, research and teaching and is accessible to those working in gastroenterology and primary care alike.

The field of liver transplantation has undergone tremendous change and continues to evolve at a fast pace. This book covers topics beyond standard care and discusses issues that are new and rapidly evolving in the field. These include innovative surgical methods to maximize the donor pool, non-surgical methods to expand the existing pool of additional donors, the changing face of liver rejection, and management of infections in the presence of new antivirals.This book is an interesting read for surgeons, hepatologists, and healthcare workers looking after patients who need or have had a liver transplant.