"Handbook of Capsule Endoscopy "is a concise guide to the clinical diagnostic use of capsule endoscopy, a non-invasive imaging technology of the gastrointestinal tract. This book is written by an international team with over 30 authors from 8 countries, mainly China, Britain, Israel, Italy, Germany, Korea, United Arab Emirates and the United States.

This book introduces nearly all aspects of capsule endoscopy, including the six devices currently in use, the set up procedures, indications and contraindications, its application in three organs, special use in pediatrics, safety issues and case presentations. This book is an ideal reference work for physicians and surgeons who wish to utilize this helpful imaging technology.

Prof. Zhaoshen Li and Associate Prof. Zhuan Liao are doctors in Changhai Hospital, the Second Military Medical University, Shanghai, China. Mark McAlindon is a consultant gastroenterologist and the directorate of gastroenterology in Royal Hallamshire Hospital, England, the United Kingdom.

Although the first description of patients with what we now call Crohn's disease or ulcerative colitis was published well before 1900, both disorders seem to be diseases of the twentieth century. At the very start of the twenty-first century, it therefore seems appropriate to look back and at the same time look forward and to assess what knowledge has been gained during the last 100 years and in what direction research and thereby clinical practice will go in the future. This book, the proceedings of Falk Symposium No. 111 held in Freiburg, Germany, on June 19-20 1999, contains contributions from experienced senior scientists on the state of the art in pathophysiology, diagnosis and treatment, together with unpublished and new findings from young researchers. Basic scientists and clinicians are thereby involved in an exchange of information which will lead to new directions for future research and clinical management of inflammatory bowel diseases.

The 35 essays collected here report on many new diagnostic and therapeutic aspects of endoscopy. The topics covered include endoscopic ultrasonography, videoendoscopy, percutaneous endoscopic gastronomy tube placement, hydrostatic dilators and overtubes. A special section is devoted to biliary stent, balloon dilation of biliary strictures, and nasobiliary drains. In addition, the various methods for achieving hemostasis in gastrointestinal bleeding are reviewed and an endoscopic videoquiz is provided.

Animal Models of Hepatic Encephalopathy and Hyperammonemia.- Brain Metabolism in Encephalopathy Caused by Hyperammonemia.- In Vivo Brain Magnetic Resonance Imaging (MRI) and Magnetic Resonance Spectroscopy (MRS) in Hepatic Encephalopathy.- Role of the Cellular Hydration State for Cellular Function: Physiological and Pathophysiological Aspects.- Astrocyte-Neuron Interactions in Hyperammonemia and Hepatic Encephalopathy.- Spinal Seizures in Ammonia Intoxication.- Molecular Mechanism of Acute Ammonia Toxicity and of its Prevention by L-Carnitine.- Portal-Systemic Encephalopathy: a Disorder of Multiple Neurotransmitter Systems.- The GABA Hypothesis: State of the Art.- Neuropharmacologic Modulation of Hepatic Encephalopathy: Experimental and Clinical Data.- S-Adenosyl-L-Methionine Synthetase and Methionine Metabolism Deficiencies in Cirrhosis.- Diagnosis and Therapy of Hepatic Encephalopathy.- Neomycin Reduces the Intestinal Production of Ammonia from Glutamine.- N-Acetylglutamate Synthetase (NAGS) Deficiency.- Ornithine Transcarbamylase Deficiency: A Model for Gene Therapy.- Retroviral Gene Transfer for LDL Receptor Deficiency into Primary Hepatocytes.- The Carnitine System: Recent Aspects.- Use of Hepatocyte Cultures for Liver Support Bioreactors.- Hepatitis C Viral infection after Orthotopic Liver Transplantation.- Exercise-Induced Hyperammonemia: Skeletal Muscle Ammonia Metabolism and the Peripheral and Central Effects.- Possible Role of Ammonia in the Brain in Dementia of Alzheimer Type.- Contributors.

Nutritional management is an integral part of the management for virtually all gastrointestinal diseases. Nutritional Care of the Patient with Gastrointestinal Disease fills a current void in nutritional education by providing a reference for diagnosing and managing common nutritional issues related to gastrointestinal disease. Its separation into focused chapters allows it to be read cover to cover or in selections, making it useful on a need-to-know basis or for more diligent study. The book presents case studies in each chapter to illustrate the main topic. They include new landmark examinations on the role of nutrition and diet in the management of eosinophilic esophagitis, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD). The book also addresses contemporary concerns with the use of probiotics, including their effectiveness (or ineffectiveness) either individually or in combinations in given clinical situations. This book identifies and satisfies a need for evidence-based clinical knowledge. It provides up-to-date information on nutrition that practitioners need and serves as a guide to recognizing and administering nutritional care and support to patients with gastrointestinal disease. The new and updated information combined with supporting material make this book a necessary resource for study, research, and practice in understanding nutrition's role in gastrointestinal health.

Practical, handy and succinct, this full colour pocketbook provides clear-cut clinical guidance to the main symptoms that infants and children commonly present with in both primary and secondary care. Clearly divided into specific sections covering the GI tract, liver and nutrition, Professor Kelly and her team discuss how best to investigate and manage specific clinical problems such as vomiting, abdominal pain, acute diarrhoea, constipation and jaundice using a highly clinical problem-orientated approach. They cover the management of important clinical problems such as chronic liver disease, ascites, malnutrition, obesity, coeliac disease and inflammatory bowel disease, and provide advice on nutritional problems in premature infants and children including weaning and food aversion. Key points, potential pitfalls, and management algorithms allow for rapid-reference, and link with the latest evidence, guidelines and protocols from ESPGHAN and NASPGHAN providing coverage of the major professional society recommendations for clinical practice. Brought to you by the experts, Practical Approach to Gastroenterology, Hepatology and Nutrition is the perfect accompaniment for trainees in gastroenterology, hepatology and pediatrics, as well as nutritionists, GI nurses and GPs.

Gastrointestinal Malignancies: New Innovative Diagnostics and Treatment summarizes new advantages in the diagnosis and treatment of gastrointestinal malignancies, thereby providing the most current and up-to-date knowledge on gastrointestinal malignancies to medical students, gastroenterologists, general surgeons, oncologic surgeons, and oncologists.This book will feature the progresses made on treatment and diagnosis of gastrointestinal malignancies in the last ten years and provides the most current diagnostic and therapeutic modalities to the readers. The book will be an excellent reference tool for physicians and surgeons working in the field of gastrointestinal malignancies.Editors of the book are experts from both the western and eastern parts of the world.

A number of areas within liver transplant continue to evolve as the field matures. The advent of increasingly effective therapy for HCV will dramatically reduce the burden of recurrent disease within the next few years. HCC has become a well established indication for transplant with an increasing emphasis on adjuvant therapies to reduce the risk of tumor recurrence and potentially expand the acceptable limits of tumor burden amenable to liver transplant. Renal dysfunction is a frequent complication of decompensated liver disease and an important predictor of diminished post-transplant survival. Newer approached to therapy including terlipressin will reduce the impact of renal dysfunction in liver transplant candidates and potentially reduce the need for combined liver/kidney transplant. Increasing attention is being paid to role of comorbidities such as diabetes and hypertension on longterm recipient outcomes. Retransplantation remains a challenge with a variety of models available ot redict outcomes. Cardiac disease pretransplant is an area of active investigation with newer entities such as cirrhotic cardiomyopathy a growing concern. These are some of many evolving issues in liver transplant which will be addressed to update our readers and which in turn will enhance the care of patients with liver disease.

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1958 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

These proceedings of Falk Symposium 110 on `Intestinal Mucosa and its Diseases - Pathophysiology and Clinics' held at Titisee/Black Forest, Germany, 16-17 October 1998, comprehensively review salient clinical as well as scientific aspects - pending or settled - of the main intestinal diseases. In particular, chapters deal with infectious and neuroendocrine diarrhoeas, coeliac sprue, allergic enteropathy, intestinal lymphomas, colorectal carcinomas, and chronic inflammatory bowel diseases, in terms of clinical presentation as well as underlying mechanisms. This book therefore aims to bridge the gaps between basic science and clinics for the eventual treatment of patients afflicted with these diseases.

Hepatitis is a common causes of illness and death. Many types of hepatitis are caused by viruses, whereas other types result from the liver being overwhelmed by toxins, including alcohol and drugs. In this User's Guide, Dr. MacKay describes the most common forms of hepatitis, their causes, and ways to reduce your risk of contracting or developing them. He also describes vitamins, herbs, and other supplements that can help you reduce symptoms of hepatitis, including elevated liver enzymes, so you can lead a healthier life.

This volume provides the most comprehensive and complete resource available on all aspects of gastric cancer and it's management. The book covers topics such as oncologic approaches to staging, treating, and following patients, filling a critical need for resource materials on these areas. As multidisciplinary care is an integral part of gastric cancer treatment, this text is unique in including a renowned group of expert authors from a variety of disciplines, including pathology, gastroenterology, medical oncology, surgery and clinical genetics. In addition, authors from an international pool of gastric cancer experts have covered the breadth of practice and understanding globally. Edited and organized by an expert from one of the most highly respected cancer institutions in the country, Gastric Cancer: Principles and Practice is an expert review of this field, serving as a valuable reference for physicians in training and in practice, as well as for researchers who are interested in the scope of issues and advances in this important malignancy.

Physiology of the Gastrointestinal Tract, Sixth Edition, a Two-Volume set, covers the study of the mechanical, physical and biochemical functions of the GI Tract by linking clinical disease and disorder, thus bridging the gap between clinical and laboratory medicine while also covering breakthroughs in gastroenterology, such as the brain-gut axis and microbiome. Additionally, information is provided at the organism level, including animal models of gastrointestinal disorders and therapeutic possibilities. The book covers a wide range of conditions, from food allergies, constipation, chronic liver disease and IBS, also exploring emerging techniques to diagnose and normalize functions of the GI tract. As a highly referenced book, this is a useful resource for gastroenterologists, physiologists, internists, professional researchers and instructors teaching courses for clinical and research students.

In the Western world around 360 in every 100,000 individuals have inflammatory bowel disease (IBD), a relapsing-remitting autoimmune disease that affects the gastrointestinal tract. Its impact on individual functioning across physical and psychosocial domains is significant and psychological distress is a common feature, with research suggesting that active IBD is associated with one of the highest rates of depression and anxiety of all chronic illnesses.

Despite the high prevalence of mental health co-morbidities in IBD, psychological illness remains largely undertreated, with studies showing that 60% of IBD patients experiencing mental health problems do not receive adequate help. In this book, Knowles and Mikocka-Walus bring together world experts who practice integrated and holistic approach in their care for IBD patients, to provide an overview of research across a range of topics associated with the biopsychosocial treatment of IBD. Each chapter provides an up-to-date comprehensive consolidation and evaluation of the current literature alongside recommendations for practice.

Key themes include:

• current understanding of the interrelationship of the neurological and biological aspects of IBD
• common concerns and issues individuals with IBD face
• exploring challenges across individual life-stages
• current evidence for psychosocial interventions
• recommendations for future directions of biopsychosocial work.

Psychological Aspects of Inflammatory Bowel Disease: A biopsychosocial approach" is a key resource for researchers, practitioners and academics considering psychosocial aspects of the disease and psychological interventions. It will also appeal to health psychologists and mental health practitioners working with clients with IBD, as well as gastroenterologists interested in a comprehensive and holistic approach to IBD management.

Now considered an organ with defensive and metabolic capabilities, the intestinal microbiota plays a major role in the local host immune system development and education. It contributes to the generation of a homeostatic balance characterized by the capacity to react against pathogens while remaining hyperresponsive/tolerant against commensals. This homeostatic response depends on bacteria and bacterial product sensing by innate immune cells and their molecular asset at the intestinal mucosa. This book captures the enormous progress that has been accomplished in this field in recent years.

This title includes a number of Open Access chapters. The study of the intestinal ecosystem of bacteria in the human gut-the gut microbiome-is a new field that is rapidly evolving. This book serves as an introduction to some of the new and exciting research that is being done in this field. Included are chapters that examine the following: * Gut microbiome's roles in the pathogenesis of obesity and autoimmune disease * The effect of nutrition on the richness of the microbial community * The stability of the microbiome to various stressors * Emerging ways to diagnose diseases using the microbiome * Exciting prospects for using these microbes to cure disease This easily accessible reference volume offers a comprehensive guide to this relatively new field of study. Edited by a researcher from Yale University, Health and the Gut: The Emerging Role of Intestinal Microbiota in Disease and Therapeutics is an authoritative and easy-to-use reference, ideal for both researchers in the field and those who wish to gain more information about the impact of gut microbiota on human health.

Normal Colon.- A. Anatomic Considerations.- B. Histology.- Pathology.- A. General Prevalence and Anatomic Distribution.- B. Gross Appearance.- Multiplicity.- Size.- C. Microscopic Features.- Tubular versus Villous Adenomas.- Degree of Dysplasia.- Problems in Grading Dysplasia.- Carcinoma in a Polyp.- Morphometric Studies.- D. Differential Diagnosis.- Hyperplastic (Metaplastic) Polyps.- Mixed Hyperplastic-Adenomatous Polyps.- Juvenile Polyps.- Hamartomatous Polyps.- Polypoid Carcinoma.- Nonepithelial Polyps.- E. The Diminutive Polyp.- F. Other Characteristics of Polyps.- Kinetics.- Electron Microscopy.- Histochemistry.- Markers.- Tissue Culture.- DNA Content.- Doubling Time.- Regression of Polyps.- G. Histogenesis of Polyps.- Adenomatous Polyposes.- A. Familial Polyposis Coli and Gardner's Syndrome.- B. Other Adenomatous Polyposis Syndromes.- C. The Genetics of Adenoma Transmission.- Malignant Potential of Adenomatous Polyps.- A. Association of Polyps and Carcinomas.- Risk Factors for Carcinomas among Polyp-Bearers.- Natural History of Polyps; Metachronous Carcinomas.- Peak Incidences of Adenomatous Polyps and Colorectal Carcinomas.- Metachronous Carcinomas in Subjects with Synchronous Polyps and Carcinomas.- Prevalence of Polyps in Subjects with Colorectal Carcinomas.- Opposing Views.- B. Histological Evidence of Malignant Transformation.- C. Adenomatous Remnants in Carcinomas.- D. Epidemiological Evidence and Etiological Factors.- Sex and Age.- Relationship of Polyps and Colorectal Carcinomas.- Dietary and Other Factors.- Etiology.- E. Findings in Experimental Animals.- Observations.- Genesis of Tumors.- Interpretation of Findings and Relevance to Humans.- F. Alternate Hypotheses of Carcinogenesis.- The Flat Mucosa.- Other Routes.- Nonadenomatous Polyps.- Inflammatory Bowel Disease.- Miscellaneous.- The Field Effect.- Hereditary Nonpolyposis Colorectal Cancer.- G. Conclusions.- Evidence of Malignant Potential of Adenomatous Polyps.- Significance of Malignant Potential of Adenomatous Polyps.- The Problem of the Metachronous Carcinoma.- Detection and Management.- A. Screening, Diagnostic, and Surveillance Techniques.- Principles of Screening.- The At-Risk Population to Be Screened.- Digital Examination of the Rectum.- Stool Blood Tests.- Barium Enema (BE).- Endoscopy.- Proctosigmoidoscopy.- Colonoscopy.- Sensitivity.- Comparisons with Barium Enema.- Effectiveness of Screening.- B. The Malignant Polyp.- The Problem.- Frequency.- Risk Factors for Malignancy in a Polyp.- Size.- Multiplicity.- Villous Component.- Degree of Dysplasia.- Effects of Study Design and Polyp Processing Technique.- Statistical Analysis.- Adverse Outcomes.- Level of Submucosal Invasion by Carcinoma.- Postpolypectomy Therapy.- C. Endoscopic Polypectomy.- How Polyps Are Detected.- Rationale for Detection and Eradication of Polyps.- Manpower and Cost Considerations.- Therapy of Diminutive Polyps.- Polypectomy Technique.- D. Postpolypectomy Surveillance Recommendations.- Recurrent Polyps.- Risk Factors for New Polyps.- Surveillance Schedules.- Effectiveness and Cost of Surveillance.- E. The National Polyp Study.- F. Polyp Registries.- Conclusions.- Glossary and Abbreviations.

1. Non-Ulcer Dyspepsia.- 2. Cellular Mechanisms: The Potential Role of Polyamines in Intestinal Adaptation.- 3. From Both Sides Now: The Modulation of Enterocyte Function by Contraluminal and Luminal Factors.- 4. Intestinal Microcirculation: Implications for the Pathogenesis of Gastrointestinal Disease.- 5. Radiation Effects on Normal Intestinal Tissue.- 6. Newly Recognized Bacteria Associated with Gastrointestinal Illness in Humans: Vero Cytotoxin-Producing Escherichia Coli.- 7. Food-Associated Toxicants.- 8. Central Organization of Gastrointestinal Vagal Reflexes.- 9. New Insights into the Pathogenesis and Pathophysiology of Irritable Bowel Syndrome.- 10. Management of the Irritable Bowel.- 11. Cholesterol Gallstones: Recent Advances with Particular Reference to Diet and the Relevance of Changing the Bile Acids of Animal Models.- 12. Diagnosis of Chronic Pancreatic Disease.- 13. Copper Metabolism and Wilson's Disease: An "Ion" Recent Advances.- 14. New Therapeutic Strategies for Chronic Hepatitis..- 15. Therapies for PBC.- 16. Gastrointestinal and Hepatobiliary Complications of Cystic Fibrosis.- 17. Sex Hormones and the Liver.

Covers all aspects of gastrointestinal and liver malignancies (epidemiology, pathophysiology, screening where appropriate, symptoms and clinical signs, diagnostic studies, staging and classification, treatment, prognosis, follow-up, future perspectives). The text is addressed to those involved in the multidisciplinary approach to the gastrointestinal cancer patient (gastroenterologists, medical oncologists, radiation therapists, surgeons, interventional radiologists, pathologists, nurses, and physicians-in-training). The book provides in-depth information, illustrated by numerous color/black-and-white pictures. Selective reading for a quick reference is made possible by introducing text elements such as summaries, tables, listing and treatment algorithms.

Inflammation and cancer are two major disorders that cause huge concerns in our society. However, what one may not know is that both diseases are closely associated and, in particular, both occur in the gastrointestinal tract and liver. This book describes the mechanics of how inflammation can progress to cancer in these organs. The authors in this book comprehensively discuss the different biomarkers for early diagnosis, and current therapeutic treatments for these diseases. All of these would allow us to better understand the pathogenesis of both diseases. As such, this book provides comprehensive information concerning the interrelationship between inflammation and cancer in a cohesive manner, and the information derived would benefit not only basic scientists but also clinicians who are working in these fields.

Short Bowel Syndrome: Practical Approach to Management is the first reference exclusively about the issues experienced by patients with a short bowel. It covers all aspects of normal and abnormal physiology, the presenting features, and outcomes, including metabolic problems, gallstones, and renal stones. It discusses both medical and surgical treatments, including intestinal transplantation. The use of growth factors, which is likely in the future to become increasingly important in promoting intestinal structural adaptation, is extensively discussed. Special emphasis is given to the psychosocial aspects of the quality of life of patients, including support groups. Emphasis is also given to the importance of an experienced multidisciplinary team in caring for these patients. This book is particularly timely given the recent advances in the management of Short Bowel Syndrome, including the availability of pharmacologic agents to enhance intestinal absorption, refinements in parenteral nutrition, and surgical procedures designed to eliminate the need for parenteral nutrition support. The goal of this international, interdisciplinary book is to bring the subject of Short Bowel Syndrome to a wide audience. A wide range of specialists have contributed to this book to provide various viewpoints on the state-of-the-art care of those with this condition.

From embryology to epidemiology, pathophysiology, diagnosis, complications, treatment and prognosis, this book provides a comprehensive overview and the latest evidence-based data on pancreaticobiliary maljunction (PBM), a congenital malformation in which the pancreatic and bile ducts join anatomically outside the duodenal wall. Resulting in various pathologic conditions, such as biliary cancer and pancreatitis, immediate prophylactic surgery is recommended upon diagnosis. The standard operative procedure for congenital biliary dilatation (CBD) is extrahepatic bile duct resection with bilioenteric anastomosis, but the optimal treatment of adult patients with PBM without biliary dilatation remains highly debatable. This book, written by pioneering editors and authors provides latest data, sheds new light on the disease. With abundant figures to aid understanding, Pancreaticobiliary Maljunction and Congenital Biliary Dilatation appeals to a wide readership, especially adult and pediatric surgeons, physicians including gastroenterologists and endoscopists, as well as radiologists and pathologists.

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.

This is the first exploration of the relationship between the abdomen and British society between 1800 and 1950. Miller demonstrates how the framework of ideas established in medicine related to gastric illness often reflected wider social issues including industrialization and the impact of wartime anxiety upon the inner body.

This book is the proceedings of the Falk Workshop on 'Strategies of Cancer Prevention in Gastroenterology', held in Mainz, Germany, on 17 September 2008. The meeting was a unique opportunity to assemble so many of the world's best experts to discuss the state of the art and future developments and challenges in cancer prevention in gastroenterology. Barrett's, gastric and colorectal cancer were the main topics, with cancer in inflammatory bowel disease as a particular subject. The overall impression of the meeting was the experience that in many countries of the world the strategies are similar with, of course, focus on different ways to reach the same goal of reducing incidence and cancer mortality. It was extremely stimulating to exchange new ideas and new concepts and to see what progress in public awareness has been made in different countries. Cancer prevention is and will continue to remain a major political as well as a genuinely medical task, to work for more convenient and useful programs and to carry the burden of broad acceptance. This workshop was another milestone on the long road towards this difficult goal. All those working in this important field will find in this book detailed information and instruction for their clinical and/or scientific activities.