The last decade has seen enormous upheaval within all aspects of health care, and the gastrointestinal/ gastroenterology (GI) service has been no exception. Increasing demand for new and established diagnostic and interventional procedures has encouraged innovative models of service delivery, resulting in a range of health professionals crossing traditional practice boundaries. In particular, nurses and radiographers have seized the opportunity to develop their scope of practice, managing a range of procedures including colonoscopy, barium studies and CT colonography. This has, in many cases, freed both radiologists and gastroenterologists to take on new roles in the interventional service. The development of new procedures and new ways of working has promoted a renewed enthusiasm for critical evaluation of the GI service as a whole. As practitioners and clinicians learn new skills and extend their scope of practice it is essential that they have a thorough understanding of the basis of safe, effective and evidence based practice. This book offers the reader a detailed overview of the range of imaging procedures that may be employed in the investigation of gastrointestinal tract pathology, and explores current practice related to the subsequent patient care pathways and treatment options. It has been designed as a detailed reference guide for all health professionals who have a direct involvement in the GI tract and its imaging, including those who may be referring patients for GI radiological investigation, those professionals who are performing and subsequently reporting the procedures, and the clinicians responsible for the subsequent patient management. This book offers a unique insight into the rapidly changing radiology service, and offers introductory chapters which provide the fundamental underpinning knowledge required for safe and effective GI practice. Subsequent chapters discuss the evidence base related to a range of imaging procedures suitable for investigation of upper and lower GI symptoms, supported by key pathology chapters. The book also explores the range of treatments available for the more common GI tract pathology. Multi professional authorship. Detailed evidence-informed explanations of a range of individual GI procedures, including suggestions for problem solving and adaptation of technique. With extensive illustrations, medical images, boxes and tables. References and further reading. /ul>

Pathophysiology of Bariatric Surgery: Metabolism, Nutrition, Procedures, Outcomes and Adverse Effects uses a metabolic and nutritional theme to explain the complex interrelationships between obesity and metabolic profiles before and after bariatric surgery. The book is sectioned into seven distinct areas, Features of Obesity, Surgical Procedures, Nutritional Aspects, Metabolic Aspects, Diabetes, Insulin Resistance and Glucose Control, Cardiovascular and Physiological Effects, and Psychological and Behavioral Effects. Included is coverage on the various types of bariatric surgery, including Roux-en-Y gastric bypass, gastric banding, sleeve gastrectomy, biliopancreatic diversion, and jejunoileal bypass, as well as the variations upon these procedures.

In this issue of Surgical Oncology Clinics, guest editor Dr. Traci L. Hedrick brings her considerable expertise to the topic of Colorectal Cancer. Excluding skin cancers, colorectal cancer remains the third most common cancer diagnosed in both men and women in the United States. In this issue, top experts in the field provide current discussions on surgery of rectal cancer, colon cancer, targeted therapies, technological advances, genetics of colorectal cancer, and health disparities. Contains 12 relevant, practice-oriented topics including preoperative staging and evaluation of colorectal cancer; technological advances in the surgical treatment of colorectal cancer; surgical principles of rectal cancer; targeted therapy for colorectal cancer; surgical principles of colon cancer; molecular genetics of colorectal cancer/hereditary colorectal cancer syndromes; and more. Provides in-depth clinical reviews on colorectal cancer, offering 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 clinically significant, topic-based reviews.

"Medical Care of the Liver Transplant Patient" looks at monitoring and maintaining the health of organ recipients and donors, pre, during and post-operatively.

There are twenty-nine chapters containing practical advice on total patient management. They are arranged into 8 sections and follow the stages of transplantation from first indication and selection of potential recipient, through to acute recovery, long-term follow-up and continued health.

In this edition there are new chapters on special considerations in liver transplant patients such as viral hepatitis, alcoholic liver disease and live donor liver transplantation. It also contains the very latest information concerning complications and recurring problems after transplantation. Another new chapter considers fresh approaches and developments in the future.

This is a vital reference to all members of the medical team involved at different stages in the care of liver transplantation patients including hepatologists, gastroenterologists, transplant surgeons, specialist nurses, and nutritionists.

Interventional Inflammatory Bowel Diseases: Endoscopic Management and Treatment of Complications covers the preparation, principle, techniques, and damage control of complications in endoscopic therapy, providing the ultimate guidance in endoscopic management of IBD. With contributions from a panel of international leading experts in the field, perspectives are included from GI pathologists, GI radiologists, gastroenterologists, advanced endoscopists, IBD specialists and colorectal surgeons. Recommendations from experts are also included within each chapter. By bridging medical and surgical treatment modalities for IBD, this is the perfect reference for GI researchers, medical students, therapeutic GI endoscopists, IBD specialists, surgeons and advanced health care providers.

Biomedical Engineering in Gastrointestinal Surgery is a combination of engineering and surgical experience on the role of engineering in gastrointestinal surgery. There is currently no other book that combines engineering and clinical issues in this field, while engineering is becoming more and more important in surgery. This book is written to a high technical level, but also contains clear explanations of clinical conditions and clinical needs for engineers and students. Chapters covering anatomy and physiology are comprehensive and easy to understand for non-surgeons, while technologies are put into the context of surgical disease and anatomy for engineers. The authors are the two most senior members of the Institute for Minimally Invasive Interdisciplinary Therapeutic Interventions (MITI), which is pioneering this kind of collaboration between engineers and clinicians in minimally invasive surgery. MITI is an interdisciplinary platform for collaborative work of surgeons, gastroenterologists, biomedical engineers and industrial companies with mechanical and electronic workshops, dry laboratories and comprehensive facilities for animal studies as well as a fully integrated clinical "OR of the future".

This issue of Medical Clinics of North America, guest edited by Drs. David A. Sass and Alden M. Doyl, is devoted to Care of the Liver and Kidney Transplant Recipient. Articles in this issue include: Liver and kidney transplantation: a half-century historical perspective; From Child's-Pugh to MELD: Deciding who really needs a liver transplant; When to consider renal transplantation in your advanced CKD patients; Management of the liver transplant recipient: approach to allograft dysfunction; Acute and chronic allograft dysfunction in renal transplant recipients; The ABC's of Immunosuppression: a primer for the primary care physician; Managing cardiovascular risk in the post solid organ transplant recipient; Diabetes care after transplant: definitions, risk factors, and clinical management; De novo malignancies after transplantation: risk and surveillance strategies; Metabolic bone disease in the post-transplant population: preventative and therapeutic measures; Infectious complications and vaccinations in the post-transplant population; Selection and post-operative care of the living donor; and Long-term functional recovery, quality of life and pregnancy following solid organ transplantation.

This book is intended for surgeons wanting to take their antireflux practice to an advanced level. It focuses on what experts do in real life, highlights pitfalls in skillful patient selection and fundoplication surgical technique, and addresses how to handle the "curve balls". It also provides recommendations on obtaining high patient satisfaction and building relationships with referring physicians. It is intended as an "expert" level manual to help readers move to the next level in their practices. From patient assessment and selection, anticipation of perioperative challenges, intraoperative problem-solving and technique, and postoperative management of side-effects, to reducing long-term recurrence rates and resumption of antisecretory medication, these expert authors dig deep to share the pearls of wisdom that make the difference between the average surgeon and the expert. Written by experts in the field, Fundoplication Surgery: A Clinical Guide to OptimizingResults confronts the issues that have hindered the broader use of fundoplication nationally and is a valuable resource and reference guide for addressing ambiguous symptoms and test results in one's practice.

Therapeutic Laparoscopy for Digestive Disease is intended to give the practicing surgeon or trainee an in-depth analysis of the technical aspects of the most commonly performed laparoscopic procedures, their indications, contraindications, and complications. Included are strategies to prevent complications as well as ways to handle them once they occur. Heavily illustrated, the book breaks new ground in visualizing operative procedures and problems. Seven sections, comprising the core curriculum of accepted procedures in laparoscopic surgery, present gallbladder disease, common bile duct exploration, hernia, colon diseases, anti-reflux procedures, acute abdomen and the role of diagnostic laparoscopy, and emerging procedures on the spleen and adrenals. Recognized leaders in the field tackle each section, emphasizing what to do when and how to solve acute situations. The book also features a patient information component for each section, providing the necessary background on the procedure, post-operative period, and recovery. These pages are perforated for inclusion in a binder in the patient office as well as for photocopying as patient take-home instructions. Therapeutic Laparoscopy for Digestive Disease is a practical, must-have resource for the general surgeon, imparting the clinical insight needed for successful performance of the core miminally invasive procedures as well as a source of useful patient information for the office practice.

This volume provides a comprehensive, state-of-the art review of inflammatory bowel disease and its management through the use of telemedicine applications. The book reviews barriers to successful outcomes in patients with IBD and offers a rationale for how self-management and telemedicine approaches can improve care in chronic illnesses such as IBD. This volume also includes a summary of the burden of telephone encounters in patients with IBD, characteristics of frequent callers to the office, outcomes associated with high telephone use, and strategies to provide education via telephone to patients with IBD. Prior literature on implementation of teleconsultation in research and clinical practice, as well as mobile applications used to track symptoms, quality of life, diet, and medication use in IBD are also explored in the book. Written by experts in the field, Telemanagement of Inflammatory Bowel Disease is a valuable resource for gastroenterologists, surgeons, a nd other clinicians dealing with, and interested in, this novel adjunct to routine care for inflammatory bowel disease.

Editor Jessica Wernberg and authors review the current management and procedures in biliary tract surgery. Articles will cover: anatomy and embryology of the biliary tract, bile duct cysts, symptomatic cholelithiasis and functional disorders of the biliary tract, gallstone pancreatitis, technical aspects of bile duct evaluation and exploration, iatrogenic biliary injuries, proximal biliary malignancy, distal biliary malignancy, gallbladder cancer, bile duct metabolism and lithogenesis, unusual complications of gallstones, endoscopic management of biliary disorders, ? biliary issues in the bariatric population, technical aspects of cholecystectomy, cholecystitis, and more

An important review on abdominal wall reconstruction for the general surgeon Topics will include preoperative optimization of a ventral hernia patient, prevention of incisional hernias, laparoscopic ventral hernia repair, open ventral hernia repair, atypical hernias, epigastric and umbilical hernias, parastomal hernia repair, flap reconstruction, synthetic mesh, clinical outcomes of biologic mesh, pediatric hernias, takedown of enterocutaneous fistula, a review of laparoscopic versus open inguinal hernia, and more

Contemporary Surgical Management of Liver, Biliary Tract, and Pancreatic Diseases presents an excellent resource for surgical residents, hepatobiliary fellows and practicing surgeons interested in hepatobiliary surgery. This textbook offers a readable, concise and practical alternative. It is divided into three sections: liver, biliary tract, and pancreatic diseases. Each section covers the spectrum of benign and malignant disease. In addition, several chapters in each section are devoted to surgical techniques. This textbook should ultimately serve as an essential source for the rapidly evolving field of hepatobiliary surgery and its practitioners.

This issue will explore the complications, considerations and consequences of colorectal surgery. Topics will include evaluating colorectal surgery patients to estimate and minimize morbidity and mortality, fast-track pathways, intra-operative adjuncts, colorectal anastomotic complications, proctectomy, stomas, Crohn's disease, rectal prolapse, pelvic surgery, laparoscopy, enterocutaneous fistula, and more.

Master the full range of colorectal procedures performed today with Atlas of Surgical Techniques for the Colon, Rectum, and Anus. In this volume in the Surgical Techniques Atlas Series, top authorities provide expert, step-by-step guidance on surgery of the large bowel, rectum, and anus - including both open and closed approaches for many procedures - to help you expand your repertoire and hone your clinical skills. Easily review normal anatomy and visualize the step-by-step progression of each procedure thanks to more than 600 detailed anatomic line drawings and clinical photographs. Master both open and laparoscopic techniques for numerous surgeries, such as abdominal perineal resection, abdominal colectomy, and low anterior resection. Apply the latest developments in colorectal surgery, including restorative and reconstructive techniques (such as pelvic floor reconstruction after abdominal perineal resection or sacrectomy) and the newest procedures in transanal endoscopic microsurgery (TEM). Effectively interpret preoperative and postoperative imaging studies for improved decision making and outcomes. Avoid complications with pearls and pitfalls from the authors for every technique. Access the entire text online and download all the images at www.expertconsult.com.

Dr. Kahaleh's expertise as the Chief of Advanced Endoscopy at Weill Cornell Medical Center has allowed him to gather top experts to write state-of-the art reviews devoted to therapeutic ERCP. Articles address therapeutic ERCP and instrumentation; advanced cannulation technique and precut; stone burden in the bile and pancreatic duct; the available platforms for choledochopancreatoscopy; ERCP and Biliary Imaging; ERCP for sampling and tissues acquisition; ERCP and Intraductal ablation therapies; ERCP for distal malignant stricture; management of benign biliary stricture; treatment of common bile duct injuries after surgery; EUS guided ERCP; prevention of post-ERCP pancreatitis, and legal Matters related to ERCP.

A comprehensive review of bariatric and metabolic surgery for the general surgery Topics include: The obesity epidemic/economic impact and diabetes epidemic/economic impact, physiology of obesity/diabetes, physiology of weight loss surgery, history of bariatric surgery, laparoscopic adjustable gastric banding, sleeve gastrectomy, biliopancreatic diversion/duodenal switch, laparoscopic gastric bypass, complications of laparoscopic adjustable gastric binding, complications of laparoscopic gastric bypass, outcomes/comparative effectiveness studies, co-morbidity reduction data, economic impact of bariatric surgery, adolescent bariatric surgery, revisional bariatric surgery, the future of bariatric surgery, and more

Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.

A comprehensive review on gastric surgery Topics include: gastric acid and digestive physiology, emergency ulcer surgery, anti reflux and hiatal hernia Surgery, GIST surgery and adjuvant surgery, achalasia surgery, gastric adenocarcinoma surgery and adjuvant therapy, gastric motility physiology and surgical intervention, postgastrectomy, minimally invasive gastric surgery, and more

This book provides a unique and comprehensive overview of minimally invasive (MI) surgical options for the treatment of pancreatic diseases. The opening chapters present the state of the art of MI pancreatic resection according to the 2016 IHPBA Conference, offer information on the safe dissemination of MI pancreatic surgical techniques, and discuss preoperative evaluations protocols and surgical planning options. The book subsequently investigates the full range of currently available minimally invasive techniques, which includes: biliary and gastric bypass, ampullectomy, central and distal pancreatectomy, laparoscopic and robotic pancreatoduodenectomy, and robotic pancreas transplantation. Combining the acknowledged expertise of the Italian school in pancreatic surgery and the contributions of many leading international experts, the book offers a valuable guide for all surgeons who perform this complex surgery, as well as for residents and fellows-in-training.

In this issue of Surgical Clinics of North America, a spectrum of liver surgery topics is summarized, bringing the reader up-to-date with the era of modern hepatic resection surgery.? The basics of liver anatomy and history are reviewed, along with articles on hepatic cysts and liver abscess, imaging and work-up of incidental liver mass, management of benign liver lesions, hepatic resection nomenclature and techniques, laparoscopic liver resection, robotic liver surgery, emergency hepatic resection for liver trauma, repair of laparoscopic cholecystectomy injury, current approach to HCC, intra-hepatic cholangiocarcinoma, resection of metastatic colorectal cancer, neuroendocrine cancer metastases, hepatic ablation procedures, fulminant hepatic failure and when to transplant, and the current role of shunts versus TIPS for portal HTN.

This issue of the Surgical Clinics of North America covers a broad spectrum of anorectal disease such as basic anatomy, physiology, and testing of the anorectal region, as well as the most current diagnostic and management strategies for many of the common anorectal conditions encountered by surgeons including hemorrhoids, anal fissures, abscess and fistula.? Also presented are new techniques in the management of pilonidal disease, perianal infections including HIV and condyloma, pruritis ani, and anal stenosis--difficult conditions that often are frustrating for patient and surgeon alike.? Two articles are dedicated to the current management of anorectal Crohn's disease and rectovaginal fistulas, including the evolving multidisciplinary approach.? In addition, advances in the evaluation and current management of retrorectal tumors and anal neoplasms including the role of local excision and transanal endoscopic microsurgery for selected rectal tumors are covered.? Rounding out this issue are approaches to the difficult situation of anorectal trauma including foreign body management, as well as two articles dedicated to the evaluation of pelvic floor disorders and fecal incontinence.