Diverticular disease first became recognised at the beginning of the 20th century and although the incidence of the disease is not known, it is considered to be a disease of the older person. This book looks at a disease that is known as a Western world disease, often called by surgeons a 'cinderella disease' as they often feel that there is little to offer the patient with uncomplicated diverticular disease.

The book endeavours to give the healthcare professional a holistic view of the care and pattern of diverticular disease, and chapters may be used as stand alone chapters for those wishing to know more about stoma care, alternative treatments or food management. This book is essential reading for healthcare professionals involved in the care of patients with this disease.

This book, the proceedings of Falk Symposium 152 a oeEndoscopy 2006 a" Update and Live Demonstrationa, held in Berlin, Germany, 4--5 May 2006 as part of the Intestinal Disease Meeting, provides an update on the entire spectrum of gastrointestinal endoscopy and its interface with gastroenterology as well as other disciplines. Endoscopy plays a pivotal role in gastroenterology and, vice versa, is crucially dependent on new developments and inventions in gastroenterology and basic sciences as well as technical progress.

The first section deals with the most relevant new technologies including conventional and novel endoscopic imaging as well as new developments in therapeutic gastrointestinal endoscopy, pancreatobiliary endoscopy and ultrasound. The second part highlights the role of endoscopy in special areas, e.g. inflammatory bowel syndrome or pediatrics. Therapeutic endoscopy of biliary and pancreatic diseases is often difficult and involves risks. The third section contains papers on hilar tumors and chronic pancreatitis.

Prevention and adequate management of complications is the topic of the final section. It is important to maintain high standards in interventional endoscopy. Complications can arise when patients are sedated, which is mostly the routine in daily endoscopic practice; during dilatation of gastrointestinal strictures perforations can occur or endoscopic retrograde cholangiopancreatography may result in post-interventional pancreatitis.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional cancer references that are not designed for gastroenterologists? Are you seeking brief, evidence-based advice for complicated cases or patients with complications that need management? Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues. Dr. Douglas G. Adler has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with GI cancer. The unique Q&A format provides quick access to current information related to GI cancer with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of GI cancer patients. Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: * An 81-year-old man is found to have unresectable esophageal cancer and malignant dysphagia. Should he have a stent? A nasogastric feeding tube? A PEG tube? * How is tumor-related bleeding from gastric cancers best approached? * Do patients with pancreatic cancer and jaundice need to have an ERCP preoperatively? * What is the role of ERCP and EUS in patients with suspected cholangiocarcinoma? * Why are rectal cancers so different from colon cancers with regards to medical and surgical management? Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions illustrates how patients at different points in their treatment may go back and forth between specialists to receive coordination of care, and incorporates input from gastroenterologists, surgeons, radiologists, and oncologists. While providing up-to-date information, this book will help gastroenterologists to manage complex cancer-related issues and guide physicians through the maze of cancer-related treatments available. Ideal for practicing gastroenterologists, gastroenterology fellows, surgeons, oncologists, residents, and medical students, Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions is sure to benefit anyone caring for patients with gastrointestinal cancers.

Continuous technical developments of radiological imaging techniques have not only improved the potential of organ-based radiological diagnostics, but now also allow for dedicated whole-body exams which may be used in the field of screening and preventive diagnosis. The concept of this book is to provide clinicians with a broader understanding of screening and preventive diagnosis using radiological imaging. The first part of the book is dedicated to the fundamentals of screening and preventive diagnosis, and will comprise chapters on epidemiology and pathology, technical and organizational aspects of radiological screening, and chapters on legal issues and cost-risk analysis. The second part of the book will discuss the most important practical examples of radiological screening and surveillance, both for unselected populations, as well as for individual risk groups.

Pocket Guide to IBD, Second Edition is designed to provide quick clinical information for gastroenterologists, primary care physicians, physician assistants, and nurse practitioners who need to review symptoms, medications, and disease management, in order to decide effective diagnoses and treatments for their patients with IBD. Some of the topics covered are: * Special populations, including pregnancy and children * Vaccinations in the patient with IBD * Treatment of the infliximab refractory patient * Diagnosis and treatment of perianal disease * Care of the post operative patient Dr. Marla Dubinsky and Dr. Sonia Friedman have created this go-to reference for one of the most popular topics among practicing gastroenterologists and other GI and primary care providers. Features: * Comprehensive chapters in quick reference format * Symptom-based guide for diagnosis and treatment * Tables highlighting the full array of IBD medications * Charts and figures detailing complete treatment algorithms The Pocket Guide to IBD, Second Edition is unique in its size, accessibility of information, thoroughness, and clarity of content. This clinical guide will be the quick reference to turn to when treating patients with IBD.

This book, written by leading experts from many countries, provides a comprehensive and up-to-date description of how to use 2D and 3D processing tools in clinical radiology. The opening section covers a wide range of technical aspects. In the main section, the principal clinical applications are described and discussed in depth. A third section focuses on a variety of special topics. This book will be invaluable to radiologists of any subspecialty.

about the book... Standing alone as the first definitive and comprehensive book on the subject, this guide describes the most recent studies on the brain-gut connection and psychosocial issues related to patients experiencing visceral pain. Bringing together leading experts from the top-tiers of the science, this source provides 33 engaging chapters and spans basic concepts in pharmacology, neurobiology, physiology, and psychology to provide a practical approach to the treatment of chronic pain. Examining a condition that affects up to 25% of the general U.S. population, this source is the only book on the subject to cover both clinical syndromes and neurobiology...ranges from basic mechanisms to diagnosis and clinical treatment of specific syndromes including inflammatory bowel disease, functional abdominal pain, dyspepsia, non-cardiac chest pain, and pelvic pain syndromes...analyzes the latest scientific advances including the role of functional imaging in patient care...integrates fundamental scientific concepts with a practical clinical approach...and supplies 250 figures, and more than 16 color photographs. about the editors... PANKAJ JAY PASRICHA is Chief, Division of Gastroenterology and Hepatology; Bassel and Frances Blanton Distinguished Professor of Internal Medicine; and Professor of Neuroscience and Cell Biology and Biomedical Engineering; University of Texas Medical Branch (UTMB), Galveston. Dr. Pasricha also heads the Enteric Neuromuscular Disorders and Pain Center at UTMB and has performed pioneering research in pain and motility disorders. Dr. Pasricha has served on numerous national gastroenterological committees and on panels for the National Institutes of Health. He received the M.D. degree (1982) from the All-India Institute of Medical Sciences, New Delhi, India, and post-graduate training in gastroenterology at the Johns Hopkins University Medical School in Baltimore, Maryland. WILLIAM D. WILLIS is Director, Cecil H. and

Probiotics: A Clinical Guide is one of the first books on the market to present current and evidence-based recommendations for primary care providers and gastroenterologists on the use of probiotics as a way to treat specific diseases and disorders. Why you will want Probiotics: A Clinical Guide: * Unique focus on the clinical use of probiotics in a wide variety of diseases * Comprehensive review of the science behind probiotics and probiotic products * In-depth review of current literature for specific diseases or disorders * Recommendations of the use of probiotics is supported by evidence-based clinical trials * Each chapter includes a table that outlines the exact probiotic organisms and dosages that are the most efficacious. A glance at what is inside Probiotics: A Clinical Guide: * Basic Physiology o Intestinal microecology; stimulating the immune response, nutrients to nourish the organism, role in fermentation and metabolism, and much more... * Use in Clinical Medicine o Probiotics in children, adult infectious diarrhea, surgical infections, allergic disease, ulcerative colitis, crohn's disease, liver disease, and more... Probiotics: A Clinical Guide by Dr. Martin Floch & Dr. Adam Kim is a ground-breaking book that will serve as a valuable reference and clinical guide for gastroenterologists, internists, family practitioners, nurse practitioners, and physician assistants.

Human illness attributed to foodborne pathogenic microorganisms has been prominent in the mass media in recent years. The Practical Food Microbiology Series has been devised to give practical and accurate information about specific organisms of concern to public health. The information is designed for use by those in the food industry working in manufacturing, retailing and quality assurance, those in associated professional sectors e.g. public health, and students in each of these areas.

The series is unique in its practical approach as it draws on real life situations to highlight practical means for controlling the organism in foods.

Salmonella species are arguably the most commonly reported food associated human pathogens in the developed world. They are zoonotic agents and many different animal reservoirs are known. They can be found widely in the environment and may also establish in food processing environments. Over 2000 serotypes of Salmonella have been identified to-date, some of which cause very serious illness in humans particularly in vulnerable populations such as the elderly. Although rare, illness may result in fatality or long term debility and sequelae. Salmonella spp. are so widespread in raw foods and food source environments that the food industry has to maintain constant vigilance regarding contamination in raw materials, effectiveness of food processing systems and control of finished product characteristics for assuring food safety with respect to this important pathogen.

This book details the causes of selected outbreaks and assesses the lessons that can be learnt from them. It examines the characteristics of Salmonella spp. and identifies factors that make foods susceptible to contamination and growth of these organisms. Specific product sectors are used to indicate practical measures that can be applied to control Salmonella spp. in foods and minimise their potential to cause harm to the consumer. It also provides guidance in selecting effective sampling plans and test methods to monitor and detect the organism and offers pragmatic advice on action to be taken when the organism is detected during monitoring programmes.

This volume serves as a hands-on, practical reference in nutrition support for the clinical gastroenterologist and for other clinicians with similar interests. The book offers expert nutritional knowledge and management ideas. It also provides methodology for combating problems such as short bowel syndrome, inflammatory bowel disease, celiac disease and obesity.

Thanks to new tools of research and the heightened scientific rigor with which they are applied, medical science has reached a far more heightened understanding of nutrition s complex relation with digestive disease.
Nutritional Management of Digestive Disorders bring together the contributions of leading experts in nutrition and digestion to provide readers with a concise yet thorough record of the advances made in this area of research. In addition to discussing traditional areas of nutrition, it presents essential findings on more recent and novel therapies.

Specific Therapeutic Approaches to Specific Digestive Concerns

Among the specific topics, it describes celiac disease and eosinophilic esophagitis and their management through diet. It considers the role of nutrition in treating acute pancreatitis and liver disease, the role of macro- and micronutrients in preventing colon cancer, and the role of nutrition and dietary supplements in inflammatory bowel disease. Among emerging topics, it considers

• Guidelines for the use of probiotics to ease irritable bowel syndrome and antibiotic-associated diarrhea
• Bariatric surgery for the treatment of obesity
• Short bowel syndrome and small intestinal transplantation
• Expanding metal stents used to overcome malignant obstructions of the upper gastrointestinal (GI) tract
• Nutrition s role in treating acute pancreatitis and liver disease

Chapters in the book are dedicated to modern approaches to nutritional assessment, parenteral nutrition, and home nutritional support. Putting those recent developments into perspective, the book begins with a chapter that recounts the history of nutritional therapy in gastrointestinal disorders. Offering a cutting edge look at the field, Nutritional Management of Digestive Disorders provides researchers with critical data needed to conduct further research, while also providing clinicians with a look at new approaches to effective treatment.

Hepatology is an expanding field -- it's hard to keep up. The liver has been sitting there the whole time, but the knowledge surrounding this perplexing organ is exploding; this makes it hard to prepare for board and recertification exams, where 1 in every 4 questions pertains to hepatology. Until now, there has been no single, slim, but high-yield volume that summarizes the hepatology you need to know for the boards. This book has it nailed. The authors have collected every pearl of wisdom, high-yield factlet, liver "board buzzword," hepatic micrograph, and classic liver imaging study they could muster, all while keeping the book a manageable size - because who has time for more than manageable when you're busy? The answer to your study questions (and study time ) can be found inside: Acing the Hepatology Questions on the GI Board Exam: The Ultimate Crunch-Time Resource. Traditional textbooks usually feature long and detailed discussions that are not directly related to Board and recertification exams. On the flip side, many Board review manuals provide lists and bullet points lacking sufficient background and context. Inside Acing the Hepatology Questions on the GI Board Exam, Drs. Brennan Spiegel and Hetal Karsan present time-tested and high-yield information in a rational, useful, and contextually appealing format. Why You Will Need to Read Acing the Hepatology Questions on the GI Board Exam: * Focuses exclusively on Hepatology review -- an area that comprises 25% of the Board exam * Carefully vetted board-style vignettes with color images * Comprehensive yet succinct answers using a high-yield format * Emphasis on key clinical pearls and "board buzzwords" * Answers to classic board "threshold values" questions that you need to know but always seem to forget: If an echinococcal liver cyst exceeds XX cm, then the risk of rupture is clinically significant and surgery is warranted * Rapid fire crunch-time exam with 135 classic

Get rid of GERD for good Is your heartburn making you dread meal times? No matter how delicious a feast is before you, the prospect of that burning pain, nausea, and even vomiting can be enough to make you turn away. Heartburn is a symptom of Gastroesophageal Reflux Disease, commonly called acid reflux, and the pain is caused by stomach acid damaging the tissue in your esophagus. It's more than a minor annoyance GERD is a precursor to esophageal cancer, and it affects over 50 million Americans. There are medications to treat GERD, but what most sufferers don't realize is that a few simple lifestyle changes can help your medication work better or get you off medications completely. Acid Reflux Diet & Cookbook for Dummies is your roadmap to ending GERD for good. In it, you'll find lifestyle and diet modifications that prevent symptoms from occurring in the first place, as well as explanations about the mechanism of the condition and how and why these modifications help. The book contains over 70 practical recipes, plus tips on navigating grocery stores, restaurant menus, and the holiday season. You'll gain valuable insight on the small, easy changes that can make a big difference, and get answers to questions like: * Is your posture and sleep position working against you? * Can chewing gum really help or hurt? * What supplements may work just as well, or better than, prescriptions? * How does eating more often help prevent symptoms? Whether you've tried every treatment available and still haven't found relief, or are hoping to avoid prescription medication completely, Acid Reflux Diet & Cookbook for Dummies is a clear, comprehensive guide to getting rid of GERD.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional liver references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation of the Liver: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues. Dr. Mitchell Shiffman has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the liver. The unique Q&A format provides quick access to current information related to the liver with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of the liver. Curbside Consultation of the Liver: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows, residents in training, and medical students will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: How often should I follow a patient who had chronic hepatitis C after they achieved a sustained virologic response? Should I stop the HIV medications in a patient who has developed an elevation in serum liver transaminases? What should I tell my patient who is a carrier for alpha-1-antitrypsin deficiency? Which patients with fatty liver disease on an ultrasound examination require a liver biopsy? Which patients with chronic liver disease should I screen for hepatocellular carcinoma? How much ascites is safe to remove at any time?

Are you looking for concise, practical answers to questions that are often left unanswered by traditional GERD references? Are you seeking brief, evidence-based advice for complicated cases or complications? "Curbside Consultation in GERD: 49 Clinical Questions" provides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues.
Dr. Philip Katz has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with GERD. The unique Q&A format provides quick access to current information related to GERD with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of GERD patients.
"Curbside Consultation in GERD: 49 Clinical Questions" provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.
Some of the questions that are answered:
- Can medical therapy alter the natural history of Barrett's esophagus?
- Can antireflux surgery alter the natural history of Barrett's esophagus?
- How does pregnancy affect GERD? Is GERD in pregnancy a risk for long-term reflux?
- What is the association of obesity and GERD?
- What are the so-called extraesophageal manifestations of GERD?
- Is there a gender difference in reflux disease? Does this affecttreatment?

Colorectal cancer is the third most commonly diagnosed cancer in the US and the third most recently linked to cancer deaths. The national annual incidence rate of colorectal cancer is approximately 148,000+, striking slightly more females than males. The lifetime risk of colorectal cancer is 5-6%, however patients with a familial risk (with two or more first or second degree relatives) make up 20% of the patients. Persons who carry genetic mutations linked to hereditary colorectal cancer are the most likely to develop the disease.

This book, the proceedings of the Falk Syposium No. 139 on "Gallstones: Pathogenesis and Treatment", held in Freiburg, Germany, on January 15-16, 2004, reflects the tremendous advances in the field of biliary diseases both at the genetic and cellular as well as the clinical levels. In industrialized countries, gallstones are a frequent clinical entity with a prevalence of 10-15%. In clinical practice one can differentiate between cholesterol stones, black pigment stones and brown pigment stones. 80-90% of gallbladder stones are cholesterol stones, 10--20% are black pigment stones. The prevalence of cholesterol stones increases with age and in Europe in the 70+ age group reaches about 20% in males and about 30% in females. Gallstones and gallstone diseases, therefore, are a frequent and important clinical problem. The book addresses the basic aspects of gallstone pathogenesis as well as the non-surgical and surgical treatment of gallstone diseases. Of particular interest are the epidemiology and genetics of gallstone formation, with definition of risk factors, in particular of genetic predispositions. Other major aspects are the hepatocellular and bilary transport mechanisms that predispose to the formation of gallstones. Apart from cholesterol and lipid transport and absorption, gallbladder function plays a central role in gallstone formation. Another clinically very relevant topic is the treatment of gallstone diseases by drugs, endoscopic and other non-surgical interventions, and surgery, as well as the long-term outcome of therapeutic interventions. The volume concludes with a state-of-the-art chapter on "Gallstone Research in the Post-Genomic Era". Gallstones: Pathogenesis and Treatment is an excellent update on the pathogenesis of gallstones as well as on the treatment of gallstone diseases, written by an international faculty of outstanding clinicans and scientists. The book will, therefore, be of great interest to hepatologists and gastroenterologists in academic institutions as well as in clinical practice.

Inflammatory Bowel Disease: From Bench to Bedside is a detailed and comprehensive story of the local and systemic pathophysiology of intestinal inflammation including management strategies. Research advances and current concepts of etiopathogenesis in the context of what is already known of the clinicopathologic features of these disorders is explored. This volume blends recent advances in the basic and clinical sciences as they relate to inflammatory bowel disease and emphasizes the effectiveness of a team approach of basic scientists and clinician investigators in this field.

Nutrition has been identified as one of the most neglected, but important aspects of gastroenterology. "Clinical Nutrition in Gastrointestinal Disease" covers all of the vital aspects of nutrition and serves as the definitive resource on this topic.
Dr. Alan Buchman has teamed up with more than 70 world renowned leaders in the field to provide today's professional specializing in gastrointestinal disease with a practical guide that examines and explains the necessary elements and principles of nutrition. With more than 100 images and 180 tables, "Clinical Nutrition in Gastrointestinal Disease" contains essential information to optimally and successfully manage pediatric and adult patients.
Some Topics Covered Include:
- Nutritional assessment
- Nutrition in critical care
- Nutritional support
- Management of intestinal failure
- Obesity
- Pediatrics
- Probiotics
- Nutrient absorption
- Metabolism
- Home care

Some Gastrointestinal Diseases Covered Include:
- Inflammatory bowel disease
- Irritable bowel syndrome
- Colon cancer
- Pancreatititis
- Heptatic failure
- Celiac sprue
"Clinical Nutrition in Gastrointestinal Disease" delivers the latest information in a comprehensive and well-organized format that is perfect for gastroenterologists, general surgeons, and general internists looking to increase their knowledge of clinical nutrition. The extensive use of images, graphs, and tables compliments the text and makes this one of the most authoritative and thorough books on gastrointestinal disease currently on the market.

Inflammatory Bowel Diseases: A Clinician s Guide provides practical guidance for the diagnosis and management of those suspected or known to have one of the forms of these complex diseases. It is perfect both for gastroenterology trainees learning to care for these patients and the experienced physician as a concise and practical resource for day to day use. Written by the experts, Inflammatory Bowel Diseases: A Clinician s Guide is an essential tool for all gastroenterologists managing patients with inflammatory bowel disease.

This book is based on the proceedings of the Enteric Nervous System conference in Adelaide, Australia, under the auspices of the International Federation for Neurogastroenterology and Motility. The book focuses on methodological strategies and unresolved issues in the field and explores where the future is heading and what technological advances have been made to address current and future questions. The Enteric Nervous System II continues in the tradition of a popular earlier volume which covered the previous meeting. Many of the same authors are contributing to this new volume, presenting state-of-the-art updates on the many developments in the field since the earlier meeting. The coverage include a wide range of topics, from structure and function of the enteric nervous system through gut motility and visceral pain. The author team includes long-established authorities who significantly contributed to the advances in ENS research over the past two decades and the new generation that will continue to contribute to advancing our understanding of the field.

Over two decades an abundance of knowledge has been accumulated focus ing on the understanding of the molecular and cellular pathomechanisms of stressful conditions like systemic inflammation and sepsis. We have learned that there is a clear correlation between the magnitude of the inciting traumatic event and the degree of inflammatory dysbalance. The immunoinflammatory disintegration comprises a simultaneous col lapse of the otherwise very smoothly balanced pro- and antiinflammatory vectors of cytokine regulation. Most recently, we understood that it is predominantly the dysregulation of antiinflammatory mediators that plays a pivotal role for the phenomenon of trauma-induced depression or paralysis of cell-mediated immune responses. The substantial intellectual and logistic investments of numerous investi gators towards understanding the biology of sepsis inevitably lead us towards a rewarding status in terms of reaching spheres of clinical relevance. From the evolutionary collection of a multitude of ex-vivo and in-vivo immuno mechanistic parameters, some were found to represent most significant bio logical markers to support the clinician to characterize better the severity of inflammatory illness and to predict outcome. Chapter one of this book, authored by G. Grass and E.A.M. Neugebauer, analyses elegantly our current knowledge on the assessment of the immuno logical status in terms of risk and prognosis of sepsis.