Endoanal and endorectal ultrasound represents considerable progress in the field of anorectal imaging. Its importance in the staging of rectal and anal cancer, in identifying perianasto- motic neoplastic recurrences, in defining acute and chronic suppurative disease and in assessing sphincteral anatomical integrity, is now a confirmed reality. The evidence provided by endoanal and endorectal ultrasonography guides the colorectal surgeon in his choice among the various therapeutic approaches and helps in assessing the effects of the treatments applied. The great flexibility and high degree of reliability make this exploratory method an indispensable tool at all stages of the clinical course in the majority of patients with anorectal problems, including the fundamental follow-up stage. The publication of this excellent volume on intraanal and intrarectal ultrasonog- raphy is therefore to be appreciated, especially since it is in the form of an atlas. As we are dealing with imaging, it is particularly appropriate that it is the images that tell the story. Like all important things, this volume does not come out of nothing. It is the result of many years of skilled work by Drs. G.A. Santoro and G. Di Falco and is based on the experience of internationally renowned professional experts. The ten sections of the atlas begin with general information on ultrasonography, gradually progressing to the technical problems of the method and the aspects rela- tive to anorectal tumors.This last section leads to a review of traditional and mod- ern therapeutic possibilities.

A new revision guide designed to help candidates prepare for the first part of the FRCS general surgery exam. Due to a lack of preparatory resources for the exam, this book bridges the gap, offering updated guidelines and information which will help candidates succeed. It acts as a supportive revision guide which will enrich other FRCS exam resources. This resource provides an updated approach to the FRCS exam. Using questions written by practicing surgeons, the book offers more contemporary revision materials, touching on topics not widely covered in other FRCS revision aids. Readers will gain a familiarity with the style of the FRCS exam, as Higher FRCS uses a style reflective of the exam to enhance the candidate's knowledge, confidence, and preparation. The audience for this book includes general surgery trainees who are preparing for their higher exams (including FRCS), alongside surgical trainees taking the MRCS. It is also a beneficial resource for students in other medical courses studying for surgical exams.

Core Concepts in Colonoscopy covers all aspects of diagnostic and therapeutic colonoscopy, emphasizing overarching concepts that gastroenterology fellows and physicians must know to achieve success in both the technical and cognitive aspects of the procedure. In this comprehensive resource, Dr. Douglas G. Adler and his contributors provides a straightforward and practical review of colonoscopy. Core Concepts in Colonoscopy aims to address and convey the core concepts of colonoscopy: from the structure and function of the colonoscope itself, to insertion techniques, loop formation and reduction, polypectomy techniques for any situation, the avoidance and management of perforations and other adverse events, as well as advanced techniques including (but not limited to) endoscopic mucosal resection and colonic stenting. Each chapter inside Core Concepts in Colonoscopy is lavishly illustrated with multiple key images to accentuate and enhance the written text, as well as a plethora of tips, tricks, and accumulated points of wisdom in each chapter on all facets of colonoscopy. Additional Website Component! Core Concepts in Colonoscopy is accompanied by a video website with specific videos connected to individual chapters that will illustrate basic and advanced colonoscopic techniques from many leading experts and will further enhance the learning process. The addition of the video website allows for a more robust learning experience and allows the reader to watch, listen, view repeatedly, and reinforces the techniques presented in the written text. GI fellows, junior gastroenterologists, and even advanced physicians will appreciate Core Concepts in Colonoscopy because of the user-friendly and efficient structure that allows for the material to be quickly read, as well as easily absorb the wealth of key practical knowledge found inside.

Crohn's disease is an inflammatory bowel disease, whose symptoms are similar to other intestinal disorders, such as irritable bowel syndrome and ulcerative colitis; it can therefore be difficult to diagnose. Its knowledge and understanding have increased considerably in the last years; new advances in genetics, medical and surgical management offer today new possibilities for patients suffering from an inflammatory bowel disease. However, Crohn's disease remains a difficult disease to deal with, both from a research and clinical point of view. This book provides general practitioners with a basic knowledge of the disease, offering in the same time an update on new facts about Crohn's disease to specialists. It can also be useful for residents willing to develop a deeper knowledge of inflammatory bowel diseases.

The world of inflammatory bowel disease (IBD) knowledge is vast. Within that world is a sub-set of knowledge that is especially important for everyday clinical care. And a sub-set of that is testable for the Board exam. The testable material includes time-honoured, locked-in-stone, mostly uncontroversial facts that have withstood the test of time. The answer to your study questions (and reduction of your study time!) can be found inside Acing the IBD Questions on the GI Board Exam: The Ultimate Crunch-Time Resource. Until now, there has been no single, slim, but high-yield volume that summarises the IBD you really need to know for the board exams, preparing for rounds, or just plain read. The authors have collected every pearl of wisdom, high-yield factlet, IBD ""Board buzzword"", micrograph, and classic imaging study they could muster, all while keeping Acing the IBD Questions on the GI Board Exam: The Ultimate Crunch-Time Resource a manageable size. In today's fast-paced world it is hard to keep up with the burgeoning IBD literature. Traditional textbooks usually feature long and detailed discussions that don't directly address board and recertification exams. On the flip side, many board review manuals provide lists and bullet points lacking sufficient background and context. Acing the IBD Questions on the GI Board Exam by Drs. Brennan Spiegel and Hetal Karsan, fills the unmet need in board review by presenting time-tested and high-yield information in a rational, useful, and contextually appropriate format. With its focus on pearl after pearl, emphasis on images, and attention to high-yield "tough stuff" vignettes you don't know the answers to (yet), Acing the IBD Questions on the GI Board Exam: The Ultimate Crunch-Time Resource will help you ace the GI and recertifying examinations, look good on clerkship rounds, simply challenge you with interesting and entertaining vignettes, and take optimal care of your IBD patients in clinical practice.

This textbook addresses the best way of evaluating patients with rectal prolapse, the underlying pathophysiology, the different surgical approaches, the expected functional results after surgery and the management of complex clinical conditions associated with this condition. It is an essential book that attempts to draw together material that could be of vital importance to surgeons around the world. The pathophysiology of rectal prolapse is still uncertain and its clinical and instrumental diagnostic assessment needs to be clarified.

Pancreatic diseases are a crucial issue not only because of their epidemiological significance, and their anatomical and metabolic complexity, but also because of the different treatment options available and their implications for surgery. Due to the slow but steady increase in the incidence of pancreatitis and pancreatic cancer, these diseases are today a real challenge for the surgeon. This volume presents the state of the art of surgery in the treatment of inflammatory and neoplastic pancreatic diseases, describing in detail the different approaches and their most relevant technical aspects. Also described are conventional and interventional radiology, operative endoscopy and endoscopic ultrasonography (which has recently acquired a diagnostic role), and adjuvant and neoadjuvant therapy for treatment or palliation: for only a multidisciplinary approach can produce a global vision, a winning strategy for the optimization of results. Along with the texts, all written by experts, the volume includes color images and drawings. It will prove itself a very useful tool in clinical practice.

Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient's condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.

A complex disease entity, intestinal failure (IF) has only recently become accepted as a distinct clinical syndrome. Improvements across a wide range of disciplines-including critical care and organ transplantation as well as surgical, medical, and nutritional therapies-have led to a steady rise in survival and quality of life for patients with IF. Taking a current, multidisciplinary approach to their care, Clinical Management of Intestinal Failure offers intensive discussion of medical and nutritional issues in adults and children with intestinal failure. It addresses all facets of IF, including epidemiology, clinical presentation, intestinal rehabilitation, and transplantation. Topics covered include: Etiology and epidemiology Pathophysiology and clinical assessment Medical and surgical management Prevention and treatment of complications Nursing management Emerging diagnostic and therapeutic methods Long-term care Reflecting the diverse nature of IF clinical care and research, this book is written by a group of expert clinician scientists that includes gastroenterologists, surgeons, nurses, pharmacists, dietitians, social workers, and patients. They show how a multidisciplinary approach to patient care is instrumental in achieving optimal patient outcomes through more efficient lines of communication, improved monitoring of medications and their effects, detailed evaluation of growth parameters, and facilitation of the creative process that can lead to research breakthroughs. Advancing the discipline of IF, this book summarizes the current state of the art of patient management as well as new developments in the science of tissue engineering, medical and surgical therapy, and transplantation.

Incisional hernia surgery has witnessed important advances over recent years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. This book provides an update on incisional hernia surgical techniques. It includes chapters on synthetic prostheses, biomaterials and robotics. Surgeons, surgical residents, and medical students will find the information in this volume very useful in their daily practice.

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?

The Royal College of Surgeons' of England two-day "definitive surgical trauma skills course" is run by the authors. The course began in 1997 but a new syllabus has recently been put in place.The focus is on thoracic ,abdominal and vascular injuries, caused by both penetrating trauma, such as a knife, and ballistic trauma caused by guns.This Manual accompanies the course and it's aim is to "demystify the body" and show how to control massive blood loss. Interventions, whether they be military or civilian, are descrbed in full, and techniques derived from the battlefield and world-wide hotspots in trauma -are exemplified within this book.

Abdominal organ transplantation, specifically liver, kidney and pancreatic transplantation, has experienced a tremendous growth over the last two decades. With this growth comes a need for a general, standardized introduction for those healthcare professionals involved with this branch of medicine. This manual is a readily-available, concise reference for the professional involved in the field of abdominal organ transplantation as well as the lay person.

The Practical Manual of Abdominal Organ Transplantation covers the latest developments in organ procurement and transplantation as well as newer approaches to the organ shortage and the increasing use of liver donation. This practical manual serves as an invaluable tool for those in the medical profession, whether a student, resident or practitioner, working with abdominal organ transplantation and its effects on their patients.

This manual includes concise and directed topics covering:

- end-stage abdominal organ disease;

Completely revised and expanded to include the most recent technological advances, the Second Edition illustrates key anatomical structures, examination procedures, and surgical techniques for proper diagnosis, management, and treatment of patients with colorectal disorders-providing unequaled coverage of various methods in preoperative preparation and assessment, pain management, sedation, and wound care for conditions such as ulcerative colitis, Crohn's disease, diverticulitis, and colorectal carcinoma.

The field of colorectal surgery has undergone tremendous developments in recent decades. Surgery has become less invasive, new perspectives and insights have improved perioperative management and novel outcome measures have been defined. At the same time, the limits of surgical technique and perioperative care are being challenged by more complex patients. In order to realize the immense potential for excellent outcomes in colorectal surgery, coordinated multifaceted care must be delivered within a context of limited resources. Accordingly, there is a pressing need to streamline processes and heighten clinical productivity. Excellent communication and collaboration are required, with constant attention to detail and precision within an environment of learning, research and innovation. This book discusses in depth the transdisciplinary integration of different components of care in colorectal surgery. Pertinent background information on the complexities of current management in colorectal surgery is first provided, followed by discussion of the role of design thinking in care integration. Subsequent chapters focus on a range of issues associated with surgical and perioperative care in patients undergoing colorectal surgery, with emphasis on how the multiple facets of care can be integrated through a transdisciplinary approach. Each chapter provides helpful take-home messages in bullet point form and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, oncologists, nurses, and allied health professionals with extensive experience in the field.

This new handbook teaches and explains the key principles in the management of complex pediatric colorectal diagnoses. By using case-based presentations, radiographic images, operative images with Multiple Choice Questions to test knowledge, this book serves as an invaluable educational tool. 'Learning Points' are included and the text includes comprehensive explanatory chapters. The 60 cases included encompass the full range of pediatric conditions, and the additional learning material completes this unique handbook. The e-book further enhances the learning experience for all clinicians involved in the treatment of children suffering from colorectal disorders.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

Over the last two decades, there have been major advances in imaging, endoscopy, and laparoscopy in the field of gastrointestinal (GI) surgery. GI surgery is the newest sub-specialty branch of general surgery, where enhanced expertise and high-volume centres have made a difference in the outcomes of complex operations. Surgeons can now perform difficult procedures with low morbidity and mortality rates, and greatly improved overall results. This volume provides detailed and up-to-date information on diseases of the duodenum and small intestine. It covers anatomy and physiology, paediatric and adult disease, benign, infectious and neoplastic disease, and surgical techniques. Written and edited by international experts in the field, this book will be a valuable resource for duodenum and small intestine surgeons and trainees, general surgeons, researchers, and medical students.

Unparalleled in scope and content, Surgical Pathology of the GI Tract, Liver, Biliary Tract and Pancreas provides the most relevant and up-to-date clinical, etiologic, molecular, and therapeutic management information for surgical pathologists in training and in practice. The fully revised 4th Edition of this award-winning title offers a wealth of information in this fast-changing field, including recent advances in molecular biology and immunohistochemistry, in a clearly written, well-structured manner that is easy to read and navigate. This one-stop reference for the entire gastrointestinal system enables you to improve turnaround time when diagnosing a specimen and to clearly report on the prognosis and therapeutic management options to surgical and medical colleagues. Covers the latest developments in molecular technologies and immunohistochemical markers to provide useful diagnostic and prognostic information and inform therapeutic decisions.  Provides all the necessary tools to make a comprehensive diagnostic workup, including data from ancillary techniques and molecular findings whenever appropriate.  Incorporates more than 3000 high-quality color illustrations to help you recognize and diagnose any tissue sample under the microscope.  Reviews next-generation sequencing (NGS) to help identify targetable mutations in gastrointestinal tract tumors and provide more accurate classification and precision therapies.  Features extensive tables, graphs, and flowcharts to help you effectively grasp complex topics and streamline your decision-making.  Helps you avoid diagnostic errors with practical advice on pitfalls in differential diagnosis.  Incorporates the latest WHO guidelines throughout.  Winner of the 2015 BMA Medical Book Awards First Prize Award in Pathology.  Enhanced eBook version included with purchase. Your enhanced eBook allows you to access an image bank, as well as all of the text, figures, and references from the book on a variety of devices.

Acing the GI Board Exam: The Ultimate Crunch-Time Resource has been updated into a Second Edition. The Second Edition contains new vignettes, a discussion on Maintenance of Certification Exam (MOC), and discussion on test relevancy for residency rotations! In today's fast-paced world, gastroenterology and hepatology residents and fellows struggle to find the time to study for the board exams, prepare for the recertification exam, prepare for teaching rounds, or just plain read. What is the best way to effectively prepare and study, if reading multiple resources can't seem to fit into your daily schedule? The answer to your study questions (and study time!) can be found inside the newly updated Second Edition of Acing the GI Board Exam: The Ultimate Crunch-Time Resource! Why You Will Need to Read Acing the GI Board Exam, Second Edition: New! 41 new and carefully vetted board-style vignettes with color images New! Brief discussion on the Maintenance of Certification Exam (MOC) New! Discussion on test relevancy for residency rotations 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 Rapid-fire, crunch-time exam with 195 classic one-liners Dr. Brennan M. R. Spiegel has collected every pearl of wisdom, high-yield factlet, ""Board buzzword,"" micrograph, and classic imaging study he could muster, all while keeping Acing the GI Board Exam: The Ultimate Crunch-Time Resource, Second Edition a manageable size. Acing the GI Board Exam, Second Edition fills the unmet need in board review by presenting time-tested and high-yield information in a rational, useful, and contextually appropriate format suitable studying for the board exams and preparing for the recertification exam. Chapters Include: A compilation of general lessons learned from past test-takers "Tough Stuff" board review vignettes Board review "Clinical Threshold Values" "Crunch-Time" Self-Test and Answer Guide-time to get your game on! With its focus on pearl after pearl, emphasis on images, and attention to high-yield "tough stuff" vignettes you don't know the answers to (yet), Acing the GI Board Exam, Second Edition is truly the ultimate crunch-time resource for acing the GI and Hepatology examination, taking recertifying examinations, looking good on clerkship rounds, or for just challenging yourself with interesting and entertaining vignettes.

Bariatric surgery has led to improved health outcomes including significant weight loss and reduction in co-morbidities among patients with obesity. Clinical practice guidelines recommend that patients considering bariatric surgery undergo a comprehensive nutritional assessment. Nutrition and Bariatric Surgery is the first comprehensive book that uniquely addresses the dietary and nutritional care of the bariatric surgery patient. This book reviews the nutritional and physiological changes imposed by surgical revision of the gastrointestinal tract. Also discussed are nutritional assessment of the bariatric surgical patient as well as pre- and postoperative dietary management recommendations. Other clinical topics covered include nutritional anemia, metabolic bone disease, neurological disorders, and protein-calorie malnutrition. Nutrition and Bariatric Surgery examines eating behaviors before and after bariatric surgery as well as psychological issues, mood disorders, and nutritional concerns associated with weight regain. The book also addresses nutritional needs of special populations undergoing bariatric surgery including adolescents, pregnant or lactating women, and severely obese ICU patients. The book is an authoritative guide for health care professionals caring for the bariatric patient including physicians, dietitians, physician assistants, nurses, and nurse practitioners.

This is the only guide you need to pass the MRCS Part B OSCE examination. This unique two-volume set includes comprehensive revision notes on all the areas covered in the exam; numerous practice scenarios with model answers in the format they would be encountered in the exam; and essential exam technique tips. Written by a team of editors and authors with extensive experience of the exam and all the recent changes, it broaches topics that can often trip up the candidate, including communication and history-taking skills. Revision is aided by over 130 images and illustrations, as well as boxes highlighting clinical tips and exam hints.
Volume 2 addresses the stations that exam the four specialty areas: Trunk and Torso; Limbs and Spine; Head and Neck, and Neuroscience. It covers the anatomy, physiology and pathology in each of these four speciality areas along with detailed clinical exam scenarios and a bank of likely clinical questions and model answers.