This comprehensive treatise on cutting edge tools and research provides a fascinating insight into the rapidly evolving field of diagnostic and therapeutic endoscopy. Accomplished international researchers and clinicians discuss the latest endoscopic advances in diverse areas including obesity and associated metabolic syndromes, management of peripancreatic fluid collections, endoluminal suturing techniques, fistula closure, management of Barrett's epithelium, cholangioscopy, chromoendoscopy, high resolution manometry and endoscopic ultrasonography. Gastrointestinal Endoscopy: New Technologies and Changing Paradigms is a valuable resource on the evolving role of endoscopic management of gastrointestinal diseases and is a tremendous resource for gastroenterologists, endoscopists, GI surgeons, and medical residents.

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.

This book conjoins the latest advances on the use of endoscopy to diagnose, monitor, and treat patients with inflammatory bowel disease. Chapters include the historical use of rigid sigmoidoscopy, non-interventional imaging procedures, and the correlation of pathology and endoscopic visualization. This is the first book to include individual chapters in gastroenterology, colorectal surgery, and IBD texts, the preeminent role of endoscopic imaging in the management of chronic ulcerative colitis, and Crohn's disease. It also includes chapters on capsule endoscopy and balloon and overtube-assisted enteroscopy to define the presence and activity of Crohn's enteritis and additional chapters defining the use of random biopsies versus chromoendoscopy, and computer enhanced imaging to define possible dysplasia development. The book also includes access to online videos, making it the ultimate verbal and visual tool for all medical professionals interested in the advances in the field over the last several decades. Endoscopy in Inflammatory Bowel Disease is a concise text that is of great value to practicing endoscopists, gastroenterologists, general or colorectal surgeons, physicians in training, and all medical professionals caring for patients with inflammatory bowel disease.

This edition is devoted to benign gastrointestinal diseases and provides an in-depth discussion of many lesions, both common and uncommon. It is, for the most part, organised by category of disease rather than by anatomic site. This approach allows for comprehensive coverage of each entity and avoids redundant descriptions of lesions that occur in multiple regions of the gastrointestinal tract. Each disease entity is discussed from the point of view of its demographics, pathophysiology, clinical features, gross and microscopic pathology, and treatment. The text is heavily illustrated with diagrams and gross and microscopic photographs. Because of the extreme importance of clinical and endoscopic correlation with interpretation of gastrointestinal pathologic specimens, a practising gastroenterologist has been included among the authors. He has added endoscopic pictures and provides clinical insights critical to the understanding of gastrointestinal diseases. In many areas, the authors refer to animal models of disease since these have become powerful tools for understanding gastrointestinal diseases. They also discuss some of the molecular alterations that are present as these provide an understanding of the pathophysiology of the disease. Finally, the authors discuss the genetic predispositions to gastrointestinal diseases that occur as a result of genetic loss, mutation, overexpression of genes, or genetic polymorphisms.

Colorectal cancer is the second-leading cause of cancer-related death in the Western World. This Second Edition analyzes the genetics, mechanisms, and development of colorectal carcinoma and supplies the latest research and recommendations on the detection, treatment, and prevention of malignancies of the colon, rectum, and anus.

Written by world authorities on the subject, this reference comprehensively covers every aspect of colorectal cancer. Addressing the molecular mechanisms, genetics, identification, and therapy of disease, this guide covers new pharmaceutical developments, current screening protocols, and modern methods of disease management by specialists at renowned institutions such as the Royal Marsden Hospital, the Memorial Sloan Kettering Cancer Center, and the Vanderbilt-Ingram Cancer Center.

This book is a beginner's guide to stoma care, which will enable students and newly qualified staff in hospitals and in the community to provide effective care of patients with stoma devices and ensure continuity of care. It explores the rationale for stoma formation, immediate post-operative care, the choice of the most appropriate appliance, and long term management, exploring lifestyle changes including diet, the effects of chemotherapy on stoma care and the psychological impact of stoma formation.

This book is both a lively introduction and a guidebook to those pioneers, most of them surgeons, who attempted to help their patients by extending the boundaries of their own knowledge and experience. In the 16 chapters of the book, an international group of authors have provided something of value to all those with an interest in surgical gastroenterology. Medical students and young trainees will come to understand the principles behind modern gastrointestinal surgery. Researchers will find insights and inspiration for their work and publications. Established surgeons and physicians will be rewarded with information that adds colour to their teaching, either on ward rounds or during formal lectures. Great care has been taken in choosing appropriate portraits and illustrations to bring these remarkable pioneers to life for the reader.

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.

This book indicates the technique and fine points of the mini- and one-anastomosis gastric bypass, and looks at the means of revising other operations related to it. The chapters discuss postoperative complications, treatment and requirements, postoperative diet and medications, the remarkable effects on the co-morbidities of morbid obesity, and the durability of the weight loss, as well as the improvement in the quality of life. Essentials of Mini - One Anastomosis Gastric Bypass aims to help surgeons manage the difficulties encountered within this procedure and to help create improved practice.

Intraperitoneal Cancer Therapy: Principles and Practice is one of the first books to combine the latest clinical developments in the treatment of patients with peritoneal surface disease and the scientific principles that underlie the concept of intraperitoneal cancer therapy. The book covers basic concepts such as anatomy, physiology, pharmacology, and mathematical models of drug transport as well as practical clinical applications, highlighted with results from clinical trials and promising novel preclinical developments. The book is a state-of-the-art reference for surgical and medical oncologists interested in the treatment of carcinomatosis. It also establishes and promotes basic and translational research interest in the field of intraperitoneal drug delivery, which has the potential to improve the outcome for this dreaded condition. Edited by two renowned surgical oncologists, it represents the definitive reference in the field of intraperitoneal cancer therapy.

This book examines the considerations, drawbacks, and advancements minimally invasive techniques have provided in the evaluation, management, and outcomes across a broad range of colorectal disease and procedures. For some readers of this book, a minimally invasive approach to colorectal disease may add a new dimension to the management of these patients. For others, it is the opportunity to learn helpful tips, specifics about a certain procedure, or to fine tune what has already become a routine part of their practice. Even if you have successfully overcome many of the technical challenges of minimally invasive surgery, the preoperative evaluation, perioperative decision-making, and management of postoperative complications can be demanding and consuming. Wherever you may be on this spectrum, Robotic Approaches to Colorectal Surgery is a useful resource to surgeons.

Behandlung von Patienten mit inkurablen Tumorerkrankungen im multiprofessionellen Team Kriterien fur individuelle, patientenorientierte Therapieentscheidungen Symptom- und organbezogene Empfehlungen zum operativen und interventionellen Vorgehen

This complete, comprehensive, and current compendium presents diagnosis and treatment of the entire spectrum of anorectal diseases. The focus is almost exclusively on anorectal conditions, leaving colonic diseases to other texts. This emphasis is necessary as anorectal pathology is often more complex and challenging than colonic pathology, for the surgeon. The text reviews anorectal anatomy, physiology, and embryology as a foundation to a detailed description of preoperative, intraoperative and postoperative patient management. All surgical procedures are shown in step-by-step detail by world-renowned surgeons and gastroenterologists.

This book explains clearly the nature of colon polyps and their relationship with colorectal cancer, which is among the three most common cancers in both men and women. Up-to-date information is provided on anatomy, pathology, types of polyp and their treatment, and the performance of colonoscopy. Particular attention is devoted to the risk factors for development of colorectal cancer, with detailed guidance on its prevention and early diagnosis and treatment. While the book is primarily intended for medical specialists and students, a deliberate and consistent effort has been made to use plain language that will enable other interested persons, including patients, to understand all aspects of the subject.

This program is part of a series of multimedia surgical teaching tools edited by Dr. James C. Rosser, Jr., of Yale University School of Medicine. Laparoscopic Cholecystectomy provides interactive, hands-on training in Cholecystectomy from a laparoscopic perspective. Each CD-ROM in the series features engaging interactive design, incorporating 3-D images and animation, video and audio, creating a virtual operating room for the user. Detailed video/still images of anatomical structures familiarize the user with the stepped procedures of each stage of operation. Room Set-up is re-enacted demonstrating correct orientation of surgical/visualization equipment and surgical personnel. Procedure section walks the user through all phases of the operation. Users can exit one phase, and jump to another out of sequence, allowing for independent review. Indications/Contraindications are discussed, as well as Complications.

Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions is an update of the current standards and newest skills in diagnostic endoscopy for neoplastic lesions of the upper and lower gastrointestinal tract. The volume defines strategies for detection and endoscopic assessment of small and minute early cancers and precursor lesions, including the endoscopic and endosonographic criteria for submucosal invasiveness. The book provides the knowledge in novel magnifying endoscopic analysis of early neoplasias fundamental to differential indication on snare mucosectomy, endoscopic submucosal dissection, or surgical/laparoscopic full-wall resection. Differential indications and contraindications for each technique are also specified. Comprehensive and authored by internationally renowned experts in the field, Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions is a valuable resource that will improve the diagnostic skills of beginners as well as experienced endoscopists in endoscopic submucosal dissection.

For more than 25 years clinicians and scientists have been trying to improve the treatment of acute hepatic failure. Several devices were developed and hemodialysis procedures were refined. The treatment of fulminant hepatic failure and end-stage liver cirrhosis by liver transplantation became a standard procedure. However, for the successful management of critical situations before and after liver surgery, artificial liver support is still needed.

This book is the proceedings of the Falk Symposium No. 145 on a ~Artificial Liver Supporta (TM), held on 27--28 January 2005 in Ulm, Germany, and provides an overview of the possibilities and limitations of the existing procedures and devices available for artificial liver support.

The results achieved with albumin dialysis (MARS System), the Prometheus System, and dialysis and hemofiltration or plasma exchange as well as modular extracorporeal liver support (MELS) and the Amsterdam bioartificial liver are discussed in detail regarding their effects in different clinical situations.

In the second half of the book, the remaining problems and expectations for the future of clinical hepatocyte transplantation and stem cell therapy are elucidated.

Leading experts in the fields of artificial devices, bioartificial devices, hepatocyte transplantation and stem cells present the latest data on these topics. Their experience and their data are summarized in this volume, thus providing an exceptional overview of the problems and future perspectives in the field of artificial liver support.

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 text atlas presents gastrointestinal surgery of the upper GI tract at its best. Each surgical procedure is briefly introduced as to why it is selected. The surgical technique is then described step by step, each major step presented by an illustration & a short concise text, without sacrificing scientific accuracy. The procedure is concluded with a short overview on outcome & possible difficulties. Top international experts present internationally accepted standards.

This book gives in depth information of the pre and post operative management of patients undergoing gastrointestinal surgery, with emphasis on the care required to lessen the potential complications post operation. Patients having undergone surgery face a 10 per cent risk of adverse reaction to the treatment and certain gastrointestinal operations have a 50 per cent risk of postoperative complications, particularly among cancer patients. Consequently preventing complications from arising is of paramount importance. That's what this book sets out to do.

Ce livre expose de maniA]re dA(c)taillA(c)e les caractA(c)ristiques de la pathologie hA(c)morroidaire ainsi que les modalitA(c)s thA(c)rapeutiques mA(c)dicales ou chirurgicales. Il pose clairement les indications thA(c)rapeutiques. Quand faut-il opA(c)rer? Quel type d'intervention faut-il envisager? Quels sont les divers traitements mA(c)dicaux et instrumentaux?
Chaque thA(c)rapeutique est dA(c)crite avec ses avantages, ses effets secondaires et ses indications.
Pour chaque situation clinique, un traitement vous est proposA(c), que la pathologie hA(c)morroidaire soit isolA(c)e ou associA(c)e d'autres tares (MICI, anticoagulants...).

Overall, gastric cancer is the number 2 cancer death cause in the world. However, there is a great regional difference in incidence, the highest rate being found in men in northeast Asia (Japan, Korea and China). Just as incidence varies, there are also differences in screening programs and treatment strategies between Eastern and Western countries. In this publication, experts in the field of gastric cancer from both the East and the West impart their evidence-based view as well as express their expert opinion on topics that are still being discussed. These include lymph node dissection, sentinel node navigation surgery, adjuvant and neoadjuvant therapies, laparoscopic gastrectomy, various methods of gastric cancer staging, underlying molecular mechanisms, and palliative treatment.