Gastroenterology Books

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Book SynopsisThis book presents and describes the various uses of gastric bypass in bariatric and metabolic surgery and outlines the different techniques currently available. Furthermore, the possible complications with the procedure and ways to avoid them are also discussed. The use of the gastric bypass for the treatment of diabetes is emphasized and the new indications for the operative treatment of diabetes are featured in detail. Endoscopic uses concerning the gastric bypass are also addressed, covering preoperative evaluation, complications treatment, weight regain treatment and endoscopic treatment of obesity. The most advanced techniques and new technologies available for performing gastric bypass surgeries are presented in the most didactic possible way, making use of value-added learning features throughout the text.Gastric Bypass - Bariatric and Metabolic Surgery Perspectives is intended as a practical guide for all those interested and involved with bariatric surgery, including general surgeons, bariatric surgeons, GI surgeons and surgery residents.Trade ReviewTable of ContentsPart I – Introduction1. History of the gastric bypass2. Gastric bypass - Mechanisms of functioning3. Rationale for gastric bypassPart II – Bariatric SurgerySection A – General concepts4. Morbid obesity5. Obesity and related diseases6. Obesity and cancer7. Systemic inflammation in the morbidly obese patient8. Metabolic syndrome9. Non-Alcoholic fatty liver disease – NAFLDSection B – Preoperative concerns10. The bariatric team11. Bariatric clinic/hospital infrastructure12. Patient selection13. Preparing the patient for gastric bypass14. Tests and exams15. Preoperative endoscopy16. Informed consent17. Nutritional issues18. Psychological and psychiatric issues19. Sleep apnea management20. Preoperative weight loss21. The superobese patient Section C – Anaesthesia22. Airway evaluation and management23. Positioning the patient before the procedure24. Monitoring the morbidly obese25. Methods of anaesthesia26. Perioperative anaesthesia27. Postoperative Analgesia Section D – Techniques for Gastric bypass28. Instruments and materials29. Anatomic considerations30. Open Roux-en Y gastric bypass31. Developing the laparoscopic gastric bypass32. Robotic Roux-en Y gastric bypass33. Roux-en-Y Gastric Bypass Learning curve34. Ante colic Roux-en-Y gastric bypass35. Retro colic Roux-en Y gastric by-pass36. Fobi Roux-en Y gastric bypass37. Capella Roux-en Y gastric bypass38. Roux-en-Y gastric bypass hand sewn39. Roux-en-Y gastric bypass – gastrojejunostomy with Trans-oral circular stapling40. Roux-en-Y gastric bypass – gastrojejunostomy with circular stapler via transabdominal41. Roux-en-Y gastric bypass – gastrojejunostomy with linear stapler42. Mini gastric bypass – Technique43. Staged gastric bypass for high risk patients44. Roux-en Y gastric bypass in adolescents45. Conversion of sleeve gastrectomy to gastric bypass46. Conversion of gastric banding to gastric bypass47. Conversion of vertical banded gastroplasty48. Gastric bypass reoperation for weight regain49. Banding the gastric bypass due to weight regain50. Pancreatic neoplasm after gastric bypass51. Gastric Bypass Leaning Curve – Laparoscopic & Robotic Section E – Technical issues52. Staple lines reinforcement53. Drainage54. Gastrojejunostomy testing55. Closing the gaps56. Preventing complications Section F – Postoperative care57. ICU for the gastric bypass patient58. Preventing thromboembolism59. Physiotherapy60. Vitamins and minerals61. Nutrition62. Psicological assistance Section G – Complications63. Intraoperative complications64. Leaks65. Infection - diagnosis and treatment66. Bleeding67. Bowel obstruction68. Internal hernias69. Stenosis70. Ulcer disease71. Reflux72. Dumping syndrome73. Thromboembolism74. Rhabdomyolisis75. Weight regain76. Depression, suicide and alcoholism77. Eating disorders78. Gallbladder stones79. Bacterial overgrowth80. The rebel patient81. Therapeutic endoscopy Section H – Endoscopy82. Preoperative intragastric balloon83. Endoscopic treatment of obesity84. Endoscopic treatment of complications85. Endoscopic treatment of weight regain Section I – Miscellaneous86. Plastic surgery after gastric bypass87. Malpractice and medico-legal issues88. Pregnancy89. Bariatric surgeon training90. Re-operative bariatric surgery91. Quality of life before and after gastric bypass92. Radiographic evaluation93. Cost and economics of gastric bypass94. Gastric bypass outcomes in bariatric surgery Part III – Metabolic surgery / Type 2 diabetes95. Type 2 diabetes96. Type 2 diabetes and the foregut97. Mechanisms of control of diabetes 2 with gastric bypass98. Experimental studies99. Tests and exams100. Endocrinology point of view101. Selecting patients102. Preoperative care103. Gastric bypass in patients with metabolic syndrome104. Gastric bypass for type 2 diabetes BMI > 35kg/m2105. Gastric bypass for type 2 diabetes BMI < 35kg/m2106. Postoperative care107. Complications108. Gastric bypass outcomes in patients with type 2 diabetes109. Selected articles

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Book SynopsisThis book provides extensive information on the duodenal switch and all of its derivatives. The number of procedures performed is progressively increasing, as cases of obesity are on the rise and patients’ body mass index (BMI) is getting higher. It discusses all the techniques involved in the duodenal switch procedure and its derivatives used in the primary and revision situations. Readers will learn what the procedure can offer not only in terms of weight loss, but also its potential with regard to metabolic diseases, since some data indicates that the duodenal switch may lead to rapid resolution of diabetes and other comorbidities. The work is divided into three parts, the first of which provides an overview of the duodenal switch, its history, mechanisms of action and reasons for performing it. Part II covers patient selection, risk assessment, complications and different techniques regarding weight loss surgery. In addition, there are chapters on nutrition and psychological aspects. Lastly, the chapters in Part III address patient selection and preoperative and postoperative care in metabolic and diabetes type 2 surgeries. The most important information on the duodenal switch is gathered in a single volume and includes its benefits for metabolic diseases. This book will give healthcare professionals new confidence with regard to this procedure and may serve as a reference guide not only for the bariatric community (surgeons, PA, ARNP, nutritionists) but also for teaching new residents and fellows.Table of ContentsPart I – Introduction 1. A Brief History of the Duodenal Switch 2. Duodenal Switch. Mechanisms of functioning 3. Duodenal Switch and Its Derivatives 4. Primary Single Anastomosis Duodenal Switch: Perspective from a Lengthy Experience 5. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery Part II - Weight Loss Surgery 6. Pathophysiology of the cardiometabolic alterations in obesity 7. Pathophysiology of bile acid regulation 8. Nonalcoholic steatohepatitis (NASH) 9. Patient Selection 10. Psychological and Psychiatric Work Up 11. Nutritional, Behavioral, and Support for Duodenal Switch 12. Preoperative endoscopy 13. Postoperative care 14. Preoperative Testing and Counseling 15. Risk Assessment and Reduction 16. Airway Evaluation and Management 17. Patient Positioning and Positioning for Bariatric Surgery 18. Intraoperative Monitoring Of The Morbidly Obese Patient 19. Method of anesthesia: gas selection and adjunct medications 20. Regional Anesthesia in Bariatric Surgery 21. Multimodal Analgesia in Bariatric Surgery 22. Anatomical Considerations 23. Robotic Duodenal Switch and SADI-S: Technical Aspects 24. Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical technique 25. SADIS - Technical details 26. Technical Aspects of Single Anastomosis Duodenal Switch-SIPS Version 27. Duodenal Bipartition or Side-to-Side Duodeno-Ileostomy. Rationale and Technical Details 28. Duodenoileal anastomosis with handsewn tehcnique 29. Circular Anastomosis in Duodenal Switch 30. Duodenoileal anastomosis with linear stapler technique 31. Staged Duodenal Switch for High-Risk Patients 32. Duodenal Switch, SADI and SIPS in Adolescent 33. Duodenal Switch (DS), Single Anastomosis Duodeno-Ileal bypass (SADI) and Stomach Intestinal Pylorus-Sparing (SIPS) Surgery in the Elderly 34. Right Gastric Artery Ligation: The Brazilian Results 35. Surgery Failure: what are the options? 36. Causes of Weight Regain After Duodenal Switch and its Derivatives 37. Revisional Surgery for Weight Regain 38. Conversion of Sleeve Gastrectomy to Duodenal Switch and SADI-S 39. Gastric Band Revision to Duodenal Switch 40. Endoscopic Treatment of Weight Regain in Duodenal Switch 41. Conversion of Gastric Bypass to Duodenal Switch 42. Management of Duodenal Stump blowout 43. Duodenoileal anastomosis testing 44. Closing the mesenteric defects 45. Preventing Surgical Complications 46. Malabsorbative complications 47. Postoperative Psychological Assistance 48. Surgical Management of Leaks 49. Internal Hernias and Bowell Obstruction 50. Management of Portal Vein Thrombosis Following Bariatric Surgery 51. Gallstones and Choledocholithiasis 52. Hyperinsulinemic postprandial hypoglycemia after duodenal switch 53. Diarrhea after Duodenal Switch: Medical and Surgical Management 54. Endoscopic Treatment of Complications 55. Global analyisis of our experience with hypoabsortive tecnique: > 500 cases DS vs SADI-S 56. Body Contouring after Duodenal Switch 57. Bariatric Surgery Population in the ICU 58. Bariatric Emergencies For The General Surgeon 59. Robotic bariatric surgeon training Part III - Metabolic and Diabetes Type 2 Surgery 60. Mechanisms of control of diabetes 2 with duodenal switch 61. The Evolution of Single anastomosis Duodenal Switch 62. Metabolic Syndrome Control and the influence of hormonal changes post-Duodenal Switch (DS) 63. Staged Duodenal Switch for High-Risk Patients 64. Duodenal Switch in Patients with Metabolic Syndrome 65. Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease 66. Postoperative care 67. Metabolic Syndrome and the Influence of Bile Acids

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Book Synopsis

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Book Synopsis

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Book Synopsis

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Book SynopsisBereits zum dritten Mal traf sich in diesem Frühjahr eine Expertenrunde, um die aktuellen Standards sowie potenzielle neue Optionen in der Therapie der chronisch-entzündlichen Darmerkrankungen zu diskutieren. Der Schwerpunkt der Vorträge und Diskussionen lag diesmal insbesondere in der Bewertung der aktuellen therapeutischen Standards in der Therapie der chronisch-entzündlichen Darmerkrankungen unter Berücksichtigung evidenzbasierter Therapieempfehlungen und möglicher für die Zukunft relevanter Therapieverfahren, deren Stellenwert derzeit noch als nicht ausreichend etabliert einzuordnen ist. Der hierzu erschienene dritte Band befasst sich mit neuen Zytokintherapien, der Optimierung bereits etablierter Immunsuppressiva, dem Einsatz neuer Techniken wie z. B. der Leukozytenapherese sowie dem Stellenwert alternativer Therapieansätze.Table of ContentsTElL I Alternative Therapieansätze bei CED.- 1 Weihrauch.- 2 Anthroposophische Medizin.- 3 Leukozytenapherese.- 4 Ernährungstherapie bei CED-Effektivität und Wirkungsweise.- 5 Probiotika bei chronisch entzündlichen Darmerkrankungen.- TElL II PräEvention intestinaler Dysplasien und Neoplasien.- 6 Bewährte und neue diagnostische Strategien zur Früherkennung intestinaler Dysplasien und Neoplasien.- 7 Chemoprävention des kolitisassoziierten kolorektalen Karzinoms mit Mesalazin.- 8 Folsäure und Ursodesoxycholsäure.- TElL III Immunmodulierende Therapien.- 9 Bewährte und neue Therapiestrategien bei entzündlichen Darmerkrankungen.- 10 Cyclosporin A und Tacrolimus.- 11 Methotrexat als Therapiestrategie.- 12 Therapiealternativen in der Immunsuppression — Mycophenolat-Mofetil und 6-Thioguanin.- 13 Infliximab.- 14 Thalidomid und Morbus Crohn.- 15 Was bringen neue Zytokine und Antizytokine bei chronisch entzündlichen Darmerkrankungen?.

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Book SynopsisMyrna Chandler Goldstein, MA, has been a freelance writer and independent scholar for more than 30 years. She is the coauthor of Treatments for Anxiety: Fact versus Fiction (Bloomsbury, 2024), Pain Management: Fact versus Fiction (Greenwood, 2022), and Dietary Supplements: Fact versus Fiction (Greenwood, 2020), among others.Mark A. Goldstein, MD, is the founding chief emeritus of the Division of Adolescent and Young Adult Medicine at Massachusetts General Hospital and Associate Professor of Pediatrics at Harvard Medical School, USA. He is also the editor in chief of Current Pediatrics Reports.

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Book Synopsis* Condensed, unified format for this very key topic. * Content tailored to the needs of the practicing clinician and the requirements of GI board examinations.Trade Review“This is an outstanding, succinct paperback text of the normal physiology of the digestive system written by an authoritative team of experts that is likely to become the standard reading for introductory courses to digestive system physiology. It is also a quick read for practicing gastroenterologists, surgeons, or internists who appreciate the value of understanding the cutting edge of physiologic principles of our field.” (Gastroenterology, 1 June 2015) Table of ContentsContributors, vi Preface, ix About the companion website, x 1 Structure and innervation of hollow viscera, 1Laura D. Wood & Elizabeth A. Montgomery 2 Gastrointestinal hormones in the regulation of gut function in health and disease, 15John Del Valle 3 Gastrointestinal motility, 33Ikuo Hirano & Darren Brenner 4 Gastrointestinal immunology and ecology, 46Shehzad Z. Sheikh & Scott E. Plevy 5 Gastric physiology, 58Mitchell L. Schubert 6 Structure and function of the exocrine pancreas, 78James H. Grendell 7 Absorption and secretion of fluid and electrolytes, 92Lawrence R. Schiller 8 Absorption of nutrients, 108Lawrence R. Schiller 9 Hepatic structure and function, 129Michelle T. Long & Lawrence S. Friedman 10 The splanchnic circulation, 149Peter R. Kvietys & D. Neil Granger 11 Composition and circulation of the bile, 164Allan W. Wolkoff 12 Bilirubin metabolism, 173Allan W. Wolkoff Index, 183

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Book SynopsisGastroenterology and Hepatology Lecture Notes is a comprehensive yet easy-to-read overview of luminal gastroenterology and hepatology. Covering the epidemiology, causes, clinical features, investigation, treatment and prognosis of all the main gut and liver conditions, it is ideal for both exam preparation and fact finding.Table of ContentsPreface to the second edition vii Preface to the first edition viii About the companion website ix Part I Clinical Basics 1 Approach to the patient with abdominal pain 3 2 Approach to the patient with liver disease 13 3 Approach to the patient with luminal disease 20 4 Nutrition 34 5 Gastrointestinal infections 46 6 Gastrointestinal investigations 53 Part II Gastrointestinal Emergencies 7 Acute gastrointestinal bleeding 63 8 Acute upper and lower gastrointestinal emergencies 67 9 Acute liver failure 75 10 Pancreatobiliary emergencies 81 Part III Regional Gastroenterology 11 Oral cavity 91 12 Oesophagus 93 13 Stomach and duodenum 101 14 Small intestine 107 15 Small and large bowel disorders 115 16 Colon 128 17 Anorectum 135 18 Pancreatic diseases 141 19 Biliary diseases 149 20 Consequences of chronic liver disease 160 21 Liver transplantation 174 22 Alcoholic liver disease 182 23 Non‐alcoholic fatty liver disease 186 24 Viral hepatitides 190 25 Drug‐induced liver injury 204 26 Autoimmune hepatitis 209 27 Liver tumours and lesions 212 28 Vascular liver diseases 218 29 Pregnancy‐related liver disease 229 30 Hereditary and congenital liver diseases 233 Part IV Study Aids and Revision Gastrointestinal history check-list 255 Abdominal examination routine 257 Rectal examination routine 259 Common OSCE cases 260 Surgical sieve 261 Part V Self‐Assessment: Answers Self-assessment: Answers 265 Index 271

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Book SynopsisThis revised and updated second edition of the popular and comprehensive guide to the study of gastroenterology The revised second edition of Essentials of Gastroenterology provides a highly practical and concise guide to gastroenterology. The text covers every major disorder likely to be encountered during both GI training and in clinical practice. It also offers a handbook for preparing for Board examinations (e.g., USMLE and Internal Medicine Board examinations) as well as a handy clinical consultation tool. Fully updated to reflect the latest scientific information and practice guidelines, each section of the book covers a specific area of the gastroenterology tract and follows a standard outline: general information, normal physiology, etiology and pathophysiology, clinical presentation, diagnosis, differential diagnosis, complications, prognosis, and treatment. The text provides easy-to-assimilate information on each disorder and includes the key faTable of ContentsContributor List xi Foreword xv Preface xvii Acknowledgments xix Tribute to Shanthi V. Sitaraman xxi Luminal Gastrointestinal Tract 1Shreya Raja and Melanie S. Harrison 1 Gastroesophageal Reflux Disease 3Shani Woolard and Jennifer Christie 2 Dysphagia 19Emad Qayed and Shanthi Srinivasan 3 Peptic Ulcer Disease 35Meena A. Prasad and Lawrence S. Friedman 4 Common Upper Gastrointestinal Surgeries 49Rebecca G. Lopez and Edward Lin 5 Acute Diarrhea 71Jan]Michael A. Klapproth 6 Chronic Diarrhea 89Sonali S. Sakaria and Robin E. Rutherford 7 Irritable Bowel Syndrome 105Kavya M. Sebastian 8 Inflammatory Bowel Disease 113Jan]Michael A. Klapproth 9 Constipation 133Shreya Raja and Shanthi Srinivasan 10 Colorectal Neoplasms 149Pruthvi Patel and Vincent W. Yang Liver 165JP Norvell 11 Liver Anatomy and Histopathology 167Joel P. Wedd 12 Liver Biochemical Tests 179Nader Dbouk and Samir Parekh 13 Viral Hepatitis 195Anjana A. Pillai and Lawrence S. Friedman 14 Alcoholic Liver Disease and Nonalcoholic Fatty Liver Disease 211Stephen H. Berger and Ryan M. Ford 15 Chronic Liver Disease 227Preeti A. Reshamwala 16 Portal Hypertension 245JP Norvell Pancreas and Biliary System 269Stephan Goebel and Lisa Cassani 17 Pancreatic Anatomy and Function 271Field F. Willingham 18 Acute Pancreatitis 283Steven Keilin 19 Chronic Pancreatitis 301Anthony M. Gamboa and Qiang Cai 20 Bile Acid Metabolism 315Nicole M. Griglione and Field F. Willingham 21 Gallstones and Complications 325Julia Massaad Common Problems in Gastroenterology 339Emad Qayed and Meena A. Prasad 22 Acute Gastrointestinal Bleeding 341Tanvi Dhere 23 Abdominal Pain 359Kamil Obideen 24 Jaundice 367Nader Dbouk and Preeti A. Reshamwala 25 Abdominal Emergencies 381Stephan Goebel Picture Gallery 399Sonali S. Sakaria and Saurabh Chawla 26 Classic Skin Manifestations 401Melanie S. Harrison, Robert A. Swerlick, and Zakiya P. Rice 27 Classic Images 413Pardeep K. Mittal, Courtney C. Moreno, William C. Small, and Saurabh Chawla 28 Classic Pathology 443Sujaata R. Dwadasi, Mary M. Flynn, Stephen K. Lau, and Meena A. Prasad Index 471

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Book SynopsisYAMADA''S Handbook of Gastroenterology The GI doctor's classic portable, clinically-focused and authoritative reference, revised and updated The revised and updated fourth edition of Yamada's Handbook of Gastroenterology focuses on the clinical aspects of patients presenting with gastrointestinal and liver disease. The book is a portable, quick reference tool designed to assist trainees and practicing gastroenterologists in the practical assessment and clinical management of patients. The Handbook is divided into two parts; the first is symptom focused and the second highlights diseases. Each chapter features key practice points, essentials of diagnosis, potential pitfalls and case studies. In addition, the book includes multiple choice questions and answers to enhance understanding. The fourth edition includes updated clinical practice guidelines from National Societies (American Gastroenterological Association, American Society for GastrointestinTable of ContentsColor Plates List vii Preface ix List of Abbreviations xi Part 1 Approach to Patients with Gastrointestinal Symptoms or Signs 1 The Patient with Dysphagia or Odynophagia 3 2 The Patient with Heartburn or Chest Pain 13 3 The Patient with Gastrointestinal Bleeding 23 4 The Patient with Unexplained Weight Loss 37 5 The Patient with Nausea and Vomiting 47 6 The Patient with Abdominal Pain 57 7 The Patient with Gas and Bloating 69 8 The Patient with Ileus or Obstruction 79 9 The Patient with Constipation 89 10 The Patient with Diarrhea 99 11 The Patient with an Abdominal Mass 115 12 The Patient with Jaundice or Abnormal Liver Biochemical Tests 125 13 The Patient with Ascites 143 14 The Patient Requiring Nutritional Support 157 15 The Patient Requiring Endoscopic Procedures 171 Part 2 Specific Gastrointestinal Diseases 16 Motor Disorders of the Esophagus 187 17 Gastroesophageal Reflux Disease and Eosinophilic Esophagitis 197 18 Esophageal Neoplasia 207 19 Disorders of Gastric Emptying 217 20 Acid Peptic Disorders 229 21 Functional Dyspepsia 239 22 Gastric Neoplasia 245 23 Celiac Disease 255 24 Short Bowel Syndrome 265 25 Small Intestinal Neoplasia 273 26 Diverticular Disease of the Colon 281 27 Irritable Bowel Syndrome 289 28 Inflammatory Bowel Disease 299 29 Colonic Neoplasia 317 30 Anorectal Diseases 327 31 Pancreatitis 335 32 Pancreatic Neoplasia 349 33 Biliary Tract Stones and Cysts 359 34 Viral Hepatitis 369 35 Genetic and Metabolic Diseases of the Liver 383 36 Cholestatic Liver Diseases 391 37 Alcoholic Liver Disease 401 38 Autoimmune Hepatitis 407 39 Complications of Cirrhosis 413 40 Primary Hepatic Neoplasms 423 41 Infections of the Gastrointestinal Tract 431 42 Gastrointestinal Vascular Lesions 447 43 Medical, Surgical, and Endoscopic Treatment of Obesity 457 44 Questions and Answers 463 Index 517

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Book SynopsisTable of ContentsPreface Section 1 Introduction 1 Liver Tests Section 2 Take-Home Primers: Managing The Patient with Unexplained Abnormal Liver Tests 2 Primary Care Section 3 Take-Home Primers: Managing The Patient With Unexplained Abnormal Serum Liver Tests In Secondary Care 3 Global Perspective 4 Intensive Care 5 Infections Affecting The Liver In Immuno 6 The Post-Operative Patient 7 Pregnancy 8 Endocrinology And Metabolic Diseases (Including Diabetes) 9 Abnormal Serum Liver Tests In Cardiac Disease 10 Respiratory Disease 11 Gastroenterology 12 Renal medicine 13 Dermatology 14 Oncology 15 Haematology 16 Mental health & Neurology 17 Non-alcoholic Fatty Liver Disease (NAFLD) Section 4 Practical Issues In Patients With Liver Abnormalities 18 Prescribing In Patients With Abnormal Liver Tests Or Liver Disease - A Pragmatic Approach 19 Invasive Procedures In Those With Liver Disease 20 Diagnosing Drug Induced Liver Injury Index

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Book SynopsisThere have been significant developments in the fields of gastroenterology and hepatology since the previous edition and this new edition has been entirely revised, updated and considerably expanded. The format and layout have also been updated to include key points at the start of each chapter, bulleted lists and text boxes for tips and warnings. A new author team - which, for the first time, is international - has brought a new global perspective to this book. This is still the leading book for trainees/fellows in gastroenterology and hepatology, as well as junior doctors and general medicine interns. The series title is ''Pocket Consultant'' - and that''s exactly what the reader gets - the advice and guidance of a consultant on hand when and where they need it.Trade Review"This is a very accessible book: the style is didactic, all problems are expressed in a very pragmatic manner [...] all information sought can be found easily (the index is close to perfection); [the book] will stay very visible on my desk in the ward for everyday needs of invaluable information from an up-to-date and sound source." Digestive and Liver Disease "Overall I would strongly recommend this book as a starter text for senior SHOs and junior registrars. Those more experienced will also find it a useful revision tool." Dr Kate Evans SpR Gastroenterology "This is a fantastic book for newly appointed gastroenterology registrars/fellows and other professionals with an interest in the field." TiGs "This is a welcome third edition of a well known book for a wide audience. Dr Simon Travis has enlisted the help of gastroenterology experts from a larger field giving the book a more global appeal." MRCP Gastroenterology Specialist Registrar On previous editions ... "The 'Pocket Consultants' are a popular series of books aimed at doctors in training, both under- and post-graduate. Thus this is akin to carrying around a consultant-like opinion and font of knowledge in your pocket, and acting as an aid to making your opinion comparable to that of a senior colleague. It is also like having a slice out of one of the bigger textbooks, but being able to carry it around, and maybe, surreptitiously look up a topic." Gastroenterology Today "This little book is valuable support for junior hospital staff and general practitioners." Scandinavian Journal of GastroenterologyTable of ContentsPreface vii Acknowledgements ix 1 Alimentary Emergencies 1 2 Oesophagus 49 3 Stomach and Duodenum 75 4 Pancreas 111 5 Liver 133 6 Gall Bladder and Biliary Tree 185 7 Small Intestine 205 8 Inflammatory Bowel Disease 243 9 Large Intestine 285 10 Irritable Bowel Syndrome 333 11 Gastrointestinal Infections 347 12 Nutrition 369 13 The Gut in Systemic Disorders 395 14 Procedures and Investigations 409 Appendices 1 Useful addresses 435 2 Further reading 442 3 Height and weight charts 450 4 Diagnostic dilemmas 455 Index 457

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Book SynopsisFatty Liver Diseases: NASH and Related Disorders is an unusual book: it combines a practical approach for students and physicians concerned with the problem with a clear overview on the causative mechanisms. It appeals to doctors and other health care workers who encounter this problem, as well as to pathologists and investigators interested in the field of liver disease. It will improve your diagnostic acumen for people with abnormal liver tests, advance your knowledge about this important subject and help with your specialist or undergraduate exams, and management of a common disorder.Trade Review"A superb updated review of a topic of dramatically increasing importance, written by leading authorities in the field. The book is well organised and balanced with excellent homogeneity" "A comprehensive book of invaluable help in diagnosing and managing NAFLD/NASH. Again, an outstanding source of current data concerning this epidemiologically important problem" Digestive and Liver Disease "Fatty Liver Disease is a state-of-the-art textbook coauthored by a number of top-notch experts and should be viewed as an invaluable contribution to the proper management of fatty liver diseases and all its coexisting conditions." New England Journal of Medicine, 353;20 November 2005Table of ContentsContributors. Preface. 1 Overview: an introduction to NASH and related fatty liver disorders. 2 Pathology of hepatic steatosis, NASH and related conditions. 3 The epidemiology and risk factors of NASH. 4 Insulin resistance in NAFLD: potential mechanisms and therapies. 5 NASH as part of the metabolic (insulin resistance) syndrome. 6 NASH is a genetically determined disease. 7 The pathogenesis of NASH: human studies. 8 Animal models of steatohepatitis. 9 Fatty acid metabolism and lipotoxicity in the pathogenesis of NAFLD/NASH. 10 Cytokines and inflammatory recruitment in NASH: experimental and human studies. 11 Mitochondrial injury and NASH. 12 Cell biology of NASH: fibrosis and cell proliferation. 13 Clinical manifestations and diagnosis of NAFLD. 14 The clinical outcome of NAFLD including cryptogenic cirrhosis. 15 Practical approach to the diagnosis and management of people with fatty liver diseases. 16 Management of NASH: current and future perspectives on treatment. 17 NAFLD, NASH and orthotopic liver transplantation. 18 NAFLD/NASH is not just a ‘Western’ problem: some perspectives on NAFLD/NASH from the East. 19 NAFLD/NASH in children. 20 Steatohepatitis resulting from intestinal bypass. 21 Specific disorders associated with NAFLD. 22 Hepatocellular carcinoma in NAFLD. 23 Does NASH or NAFLD contribute to comorbidity of other liver diseases?. 24 Recent advances. Index

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Book SynopsisThe latest guidance on challenging and controversial aspects of colorectal cancer Colorectal cancer is one of the most common forms of cancer in the US and Europe. Thousands of people are diagnosed with the disease every year and nearly half of these die as a result. As colorectal cancer is curable when detected early, a significant proportion of these deaths could be prevented by earlier diagnosis. Much has changed since the publication of the first edition of this book in 2001: introduction of screening programs, improved diagnosis and surgery for rectal cancer, and advances in adjuvant and palliative medical therapy to name but a few. Challenges in Colorectal Cancer provides the most up-to-date information on the new and emerging treatments. The second edition looks at the total patient management of this condition and is aimed at the entire medical team caring for those with colorectal cancer. It also contains the latest guidelines on epiTrade Review"The text is extremely well references and well illustrated and provides a worthwhile edition to the library of all workers in the field." Colorectal Disease, 2007 "A good book looking at the total management of patients with this condition and aimed at the entire medical team caring fro those with colorectal cancer." Digestive and Liver Disease, 2007 From a review of the first edition: “More knowledge of molecular biology, better definition of risk groups, better screening, further development of risk- oriented combination therapy, and more meticulous surgery may yield much higher cure rates for colon and rectal cancer. Scholefield’s book is one of the best starting points for a journey through the world of established, new, and evolving treatments for these diseases.” New England Journal of Medicine, September 2000"Robert W Beart, Jr., states in the foreword that this book provides an "up-to-date record of the rapidly evolving alternatives" in chapters which span the gamut from prevention through palliation. It is written for subspecialist physicians, nurses, and other members of the medical team. The emphasis throughout is providing this team with concrete, useful information. Although the authors are predominantly from the U.K., European and American issues are identified throughout." (Carol Scott-Conner, MD, PhD, MBA, @Doody's Review Service)Table of ContentsList of contributors. Foreword. 1 Richard Nelson. Does lifestyle cause colorectal cancer?. 2 Robert Steele. Screening for colorectal cancer – who, when, and how?. 3 Phil Quirke. What can the pathologist tell the multidisciplinary team about rectal cancer resection?. 4 Brendan Morgan and John H. Scholefield. MRI-directed rectal cancer surgery. 5 Pierre J. Guillou. Minimally invasive surgery – where are we? Laparoscopic surgery for cancer of the colon and rectum. 6 Theodore J. Saclarides. Minimally invasive surgery – where are we? Is there a role for TEM?. 7 Seung-Yong Jeong, David Chessin, Susan Ritchie, John H. Scholefield, and Jose G. Guillem. What is the best strategy for the management of hereditary colorectal cancer?. 8 Rachel Cooper and David Sebag-Montefiore. Adjuvant radiotherapy and chemoradiotherapy in the treatment of rectal cancer. 9 George P. Kim and Axel Grothey. Current challenges in the adjuvant therapy of colon cancer. 10 Jill Dean. The role of the colorectal nurse specialist in the management of colorectal cancer. 11 Julia Jessop and Ian Daniels. The role of the multidisciplinary team in the management of colorectal cancer. 12 John Northover and Chris Byrne. Follow-up after colorectal cancer resection: Is it worthwhile?. 13 Axel Grothey. Chemotherapy of advanced colorectal cancer. 14 Timothy G. John and Myrddin Rees. Surgery for metastatic disease in colorectal cancer. 15 Melanie Jefferson and Ilora Finlay. Palliative care of the colorectal cancer patient. 16 Anthony E l–Khoueiry and Heinz-Josef Lenz. Future directions in the oncological treatment of colorectal cancer. Index

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Book SynopsisIntestinal failure is a challenging, emerging field that has been the subject of much research and debate in recent years and has only recently become widely accepted as a distinct clinical syndrome. This comprehensive book provides an in-depth review of scientific theory and clinical practice relating to intestinal failure with specific emphasis on assessment and management as part of a multidisciplinary team. Compiled by an internationally recognised editorial team, the book provides a practical how-to guide to the management of adult and pediatric patients with intestinal failure, focusing on quality-of-life issues that are at the heart of patient care. World experts from centers of excellence share their clinical experience and expertise, offering the first ever authoritative resource on intestinal failure All aspects of patient management are covered, from diagnosis and medical and surgical manageTrade Review“This is a useful, comprehensive, practical guide to modern assessment and management of complex intestinal failure cases. The book was compiled by experienced clinicians resulting in an authoritative, novel resource on intestinal failure.” (Doody's Reviews, March 2009) “A comprehensive overview of the far-reaching effects of loss of the gut. It is a good update on state-of-the-art treatment of patients … and the authors also go behind the scenes to discuss aspects of care … .Intestinal Failure gives insight into recent progress in the understanding of intestinal failure, covers the most important topics that the clinician working in this area will face … .Despite major improvements in the survival of patients with severe intestinal failure, the treatment of patients with poor gut function remains an exciting and challenging area of medicine, and this book enables the reader to have a good overview and understanding of the topic.” (New England Journal of Medicine, November 2008) Table of ContentsList of Contributors. Foreword. Preface. Abbreviations. Part 1 Introduction. 1 The History of Intestinal Failure and Transplantation: Alan N. Langnas (University of Nebraska Medical Center). Part 2 Intestinal Physiology and Immunology. 2 Intestinal Morphology, Intestinal Regeneration and the Promise of Tissue Engineering: David A.J. Lloyd (St Mark’s Hospital Harrow) and Simon M. Gabe (St Mark’s Hospital Harrow). 3 Basic Physiology of Motility, Absorption and Secretion: Greger Lindberg (Karolinska Institutet). 4 Immunology of the Small Intestine: Liam O’Mahony (University College Cork). 5 Intestinal Adaptation: The Biology of the Intestinal Response to Resection and Disease: Marc S. Levin (St Louis VA Medical Center) and Deborah C. Rubin (Washington University School of Medicine). Part 3 Intestinal Failure: Definition and Pathophysiology. 6 Intestinal Failure: Definitions and Classifications: Dominique M. Jan (Columbia University). 7 Causes of Intestinal Failure in the Newborn: Yigael Finkel (Karolinska Institutet). 8 Congenital Enteropathies Causing Permanent Intestinal Failure: Olivier Goulet (University of Paris-Descartes). 9 Causes of Intestinal Failure in the Adult: Harry C. Sax (The Warren Alpert Medical School of Brown University). 10 Intestinal Failure Related to Bariatric Surgery: Jon S. Thompson (University of Nebraska Medical Center). 11 Inflammatory Bowel Disease and the Short Bowel Syndrome: Ramsey K. Umar (Feinberg School of Medicine) and Alan L. Buchman (Feinberg School of Medicine). 12 Motility Disorders: Hayat Mousa (Center for Advanced Research in Neuromuscular Gastrointestinal Disorders (C.A.R.I.N.G)) and Carlo Di Lorenzo (The Ohio State University and Columbus Children’s Hospital). Part 4 Assessment and General Management of Intestinal Failure. 13 Assessment of Intestinal Failure Patients: Clarivet Torres (Georgetown University Hospital). 14 Guidelines for Home Parenteral Nutrition Support in Chronic Intestinal Failure Patients: Bernard Messing (Reference Centre for Rare Digestive Diseases), Francisca Joly (Reference Centre for Rare Digestive Diseases) and Virginie Colomb (Reference Centre for Rare Digestive Diseases). 15 Home Parenteral Nutrition: Complications, Survival, Costs and Quality of Life: John K. DiBaise (Mayo Clinic). 16 Vascular Access, Including Complications: Sanja Kolaček (Children’s Hospital Zagreb) and Julije Meštrović(Spit University Hospital). 17 Enteral Support for Children with Intestinal Failure: Daniel S. Kamin (Children’s Hospital, Boston) and Christopher Duggan (Children’s Hospital, Boston). 18 The Use of Enteral Nutrition in the Adult with Intestinal Failure: Khursheed N. Jeejeebhoy (University of Toronto). 19 The Enteric Flora in Intestinal Failure: Small Intestinal Bacterial Overgrowth and Gut-Derived Sepsis: Eamonn M.M. Quigley (National University of Ireland, Cork), Rodrigo Quera (Hospital Clinico Universidad de Chile) and Ahmed Abu-Shanab (National University of Ireland, Cork). 20 Management of Complex Fluid and Electrolyte Disturbances: Stuart S. Kaufman (Georgetown University Transplant Institute and Children’s National Medical Center) and Erin M. Fennelly (Georgetown University Transplant Institute). 21 Intestinal Failure-Associated Liver Disease: Sue V. Beath (Birmingham Children’s Hospital) and Jeremy M. Woodward (Addenbrooke’s Hospital). 22 Psychiatric Issues in the Assessment of the Patient with Intestinal Failure: James H. Sorrell (Nebraska Medical Center). 23 Munchausen Syndrome by Proxy: Paul E. Hyman (University of Kansas School of Medicine) and Brenda Bursch (David Geffen School of Medicine at UCLA). Part 5 Pharmacological Approaches to Intestinal Failure. 24 Luminal Nutrient Factors in Intestinal Adaptation and Their Use in Therapy: Jon A. Vanderhoof (Children’s Hospital, Boston) and Rosemary J. Young (Boys Town National Research Hospital). 25 The Role of Humoral Factors in Intestinal Adaptation: Jennifer N. Woodard (University of Illinois at Urbana-Champaign) and Kelly A. Tappenden (University of Illinois at Urbana-Champaign). Part 6 Autologous Reconstruction of the GI Tract. 26 Autologous Reconstruction of the GI Tract: Debra Sudan (University of Nebraska). Part 7 Organ Replacement Therapy for Intestinal Failure. 27 Intestinal Transplantation: Indications and Patient Selection: Kareem M. Abu-Elmagd (University of Pittsburgh Medical Center). 28 Isolated Small Bowel Transplantation and Combined Liver-Small Bowel Transplantation: Douglas G. Farmer (Dumont-UCLA Transplant Center). 29 Living Donor Intestinal Transplantation: Enrico Benedetti (University of Illinois at Chicago), Fabrizio Panaro (University of Illinois at Chicago) and Giuliano Testa (University of Chicago Medical Center). 30 Isolated Liver Transplantation for Intestinal Failure-Associated Liver Disease: Jean F. Botha (University of Nebraska Medical Center) and Alan N. Langnas (University of Nebraska Medical Center). 31 Preservation of the Intestine: Vincent B. Nieuwenhuijs (University Medical Center Groningen), Mihai Oltean (Sahlgrenska University Hospital), Henri G. Leuvenink (University of Groningen) and Rutger J. Ploeg (University Medical Center Groningen). 32 Immediate Postoperative Care of the Intestinal Transplant Recipient: Gabriel J. Hauser (Georgetown University Children’s Medical Center), Jeffrey S. Plotkin (Georgetown University Hospital) and Thomas Fishbein (Georgetown University Hospital). 33 Surgical Complications of Intestinal Transplantation: Wendy J. Grant (University of Nebraska Medical Center). 34 Infections in Small Bowel Transplant Recipients: Alison Freifeld (University of Nebraska Medical Center) and Andre Kalil (University of Nebraska Medical Center). 35 Immunosuppression after Intestinal Transplantation: Raquel Garcia-Roca (University of Minnesota) and Rainer Gruessner (University of Arizona). 36 Immunology of Intestinal Allograft Rejection: Kenneth A. Newell (Emory University) and Jonathan P. Fryer (Feinberg School of Medicine). 37 Histopathology of Intestinal Transplantation: Tong Wu (University of Pittsburgh Medical Center) and Anthony J. Demetris (University of Pittsburgh Medical Center). 38 Long-Term Management of Intestinal Transplant Recipients: Frances R. Malone (Children’s Hospital and Regional Medical Center Seattle) and Simon P. Horslen (Children’s Hospital and Regional Medical Center Seattle). 39 Management of Posttransplant Lymphoproliferative Disease: Thomas G. Gross (The Ohio State University). 40 Results of Intestinal Transplantation: David R. Grant (University of Toronto) and Shimul A. Shah (University of Massachusetts Memorial Medical Center). 41 Psychosocial Assessment and Management of the Transplant Patient/Family in Intestinal Transplantation: Jodi Gentleman (The Nebraska Medical Center), Leonard W. Penkoski (University of Nebraska Medical Center). and James H. Sorrell (Nebraska Medical Center). 42 Financial, Economic and Insurance Issues Pertaining to Intestinal Transplantation: When Is Too Much Not Enough?: Roger W. Evans (Consultant in Health Care Rochester). Index

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Book SynopsisThe Evidence-based Practice Workbook is an ideal tool for use by GPs, medical specialists and other healthcare professionals to learn the concepts of evidence-based practice (EBP). Practical and interactive, this workbook provides simple methods to help health professionals find and use the best evidence to answer clinical questions, developing their skills in: asking clinical questions searching for answers discriminating good from poor information and research using the answers to make clinical decisions. This attractive, colour workbook provides a clear explanation of EBP skills and concepts. Written by internationally respected authors, this expanded and updated edition has been developed from evidence-based practice workshops run by the Centre for Evidence-Based Medicine at the University of Queensland and Oxford, and contains information and exercises to help health professionals learn how to use EBP in their clinicaTable of ContentsNote from the authors iv Acknowledgements iv Introduction to this workbook v How to use this workbook vi Part 1: Introduction to evidence-based practice 1 What is evidence-based practice? 3 Some evidence-based cases 14 Part 2: The steps in evidence-based practice 19 EBP Step 1: Formulate an answerable question 21 EBP Step 2: Track down the best evidence 39 EBP Step 3: Critically appraise the evidence 71 EBP Step 4: Apply the evidence 133 Part 3: Further critical appraisal exercises 141 Critical appraisal of studies for a prognosis question 143 Critical appraisal of studies for a diagnostic test accuracy question 161 Part 4: Reflections and further information 175 How am I doing? Diary of a reflective practitioner 177 Useful sources of evidence 182 Further reading 185 Glossary 186 Answers to quizzes and appraisals 191 Endpiece 198 Index 199

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Book SynopsisGastroenterology is a critically important specialty in medicine, encompassing the GI tract and two vital organs - the pancreas and the liver. Gastroenterology: Clinical Cases Uncovered includes reference to the new JCHMT curriculum for acute and internal medicine concerning gastroenterology and hepatology and presents real-life patient cases and outcomes as seen on the wards and in exams leading students through a practical approach to recognize, understand, investigate and manage gastroenterological and hepatological disorders and conditions. Following a question-answer approach, with self-assessment MCQs, EMQs and SAQs, and a ''refresher'' section on basic science, Gastroenterology: Clinical Cases Uncovered features investigations and the treatment options available for patients with upper and lower GI disorders, liver disease, biliary and pancreatic disease, and problems of nutrition. Gastroenterology: Clinical Cases Uncovered is ideal for medical stTable of ContentsPreface, vii How to use this book, viii List of abbreviations, ix Part 1 Basics, 1 Basic science, 1 Approach to the patient, 14 Part 2 Cases, 29 Upper gastrointestinal Case 1 A 61-year-old woman with progressive dysphagia, 29 Case 2 A 52-year-old man with atypical chest pain, 34 Case 3 A 57-year-old woman with upper abdominal discomfort, 40 Case 4 A 36-year-old man with upper abdominal discomfort and heartburn, 45 Case 5 A 27-year-old woman with nausea and vomiting, 51 Case 6 A 73-year-old man with haematemesis and melaena, 56 Case 7 A 68-year-old woman with fatigue, weight loss and altered bowel habit, 63 Lower gastrointestinal Case 8 A 23-year-old woman with constipation, 69 Case 9 A 24-year-old woman with chronic diarrhoea, 74 Case 10 A 51-year-old woman with acute nausea, vomiting and diarrhoea, 80 Case 11 A 79-year-old woman with altered bowel habit and weight loss, 85 Case 12 A 54-year-old man with rectal bleeding, 90 Case 13 A 66-year-old woman with anaemia, 95 Liver disease Case 14 A 64-year-old man with abnormal liver function tests, 100 Case 15 A 45-year-old man with acute jaundice, 109 Case 16 A 53-year-old woman with jaundice and abnormal liver tests, 115 Case 17 A 53-year-old man with abdominal swelling, 120 Case 18 A 36-year-old man who drinks alcohol, 125 Biliary and pancreatic disease Case 19 A 79-year-old man with right upper quadrant colicky abdominal discomfort, 131 Case 20 A 19-year-old man with acute abdominal pain, 136 Nutrition Case 21 A 35-year-old woman with anorexia, 143 Case 22 A 48-year-old man with an increased body mass index, 148 Functional disorders Case 23 A 21-year-old student with chronic abdominal pain, 153 Part 3 Self-assessment, 159 MCQs, 159 EMQs, 162 SAQs, 166 Answers, 167 Further reading, 173 Index of cases by diagnosis, 175 Index, 177 The colour plate section can be found facing p.54.

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Book SynopsisColorectal cancer is a common cause of morbidity and mortality in which prevention, screening and early detection are vital. Beginning with the patient perspective and following the patient pathway, this new second edition covers epidemiology and prevention, screening programmes, decision support networks, the role of primary care, and supportive care for patients with colorectal cancer. The ABC of Colorectal Cancer provides the core knowledge on clinical genetics, diagnosis, imaging, therapy and surgery options and the latest evidence based guidelines for treating and managing colorectal cancer patients within the multidisciplinary team. Highly illustrated and accessible, it covers the full spectrum of the disease to provide the basis to make a real difference to clinical management. This is an invaluable practical guide for the non-specialist on all aspects of colorectal cancer, and is ideal for general practitioners, junior doctors, nurses and allied health professTrade Review“This short clinical review book of CRC strikes an excellent balance being both concise but with thorough and up-to-date coverage of the subject matter. The chapters based on their size, layout, and supporting figures are very approachable and I would suspect the book to be very useful to its intended audience of general practitioners and physicians in training. The text would seem to be most useful to those practicing clinical medicine, but could also serve as supplemental reading for those preparing for board-type examinations.” (Gastroenterology, 1 August 2012) “The information in the ABC of Colorectal Cancer is very well presented and the coverage is more than a GP would need in clinical practice.” (Australian Family Physician, 4 April 2012)Table of ContentsContributors vii Preface ix 1 The Patient Perspective 1 Kevin Bond 2 Epidemiology and Prevention 4 Peter Boyle, Patrick Mullie, Maria Paula Curado and David Zaridze 3 Pathways of Carcinogenesis 8 Michael Christie and Oliver Sieber 4 Clinical Genetics in the Management of Colon Cancer 13 Kai Ren Ong, Vicky Bowyer and Trevor Cole 5 Screening for Colorectal Cancer 19 Julietta Patnick and Wendy S. Atkin 6 Decision Support Networks 22 Matthew Kelly, Mark Austin and Sir Michael Brady 7 Pathology of Colorectal Cancer 26 Mohammad Ilyas 8 Imaging of Colorectal Cancer 31 Andrew Slater 9 The Role of Primary Care 36 Sue Wilson and Richard Hobbs 10 Radiotherapy for Rectal Cancer 40 Andrew Weaver 11 Surgical Interventions 44 Shazad Ashraf and Neil Mortensen 12 Adjuvant Therapy 48 Zenia Saridaki-Zoras and David Kerr 13 Treatment of Advanced Disease 52 David Watkins and David Cunningham 14 Innovative Treatment for Colorectal Cancer 58 Joanne L. Brady and David Kerr 15 Supportive Care for Patients with Colorectal Cancer 63 Pauline McCulloch and Annie Young 16 Follow-up 69 John Primrose Index 74

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Book SynopsisIBS, which affects almost one in six Americans, is characterized by abdominal pain, bloating, gas, and diarrhea or constipation. Drawing on his many years of experience treating people who have symptoms of IBS, the author explains normal digestion, the causes of IBS, how IBS is diagnosed, and what to expect with treatment.Trade ReviewAnybody who has symptoms or a diagnosis of IBS and clinincal staff who may encounter patients with the disease, should read this fascinating book. -- Ibadete Fetahu Nursing TimesTable of ContentsPrefaceAcknowledgmentsList of AbbreviationsPart I: Irritable Bowel Syndrome: The Basics1. Overview of IBS2. What Is IBS?3. Why Do I Have IBS?4. How Common Is IBS?5. What Is My Prognosis?6. The Anatomy of DigestionPart II: Diagnosing Irritable Bowel Syndrome7. How Is IBS Diagnosed?8. Diagnostic Tests and What They Mean9. IBS and Other Medical Disorders10. IBS and Diet11. IBS and Small Intestine Bacterial Overgrowth (SIBO)12. IBS versus IBDPart III: Treating Irritable Bowel Syndrome13. Treatment Basics14. Lifestyle Modifications15. Diet Modifications16. Treatment Options for IBS with Constipation17. Treatment Options for IBS with Diarrhea18. Medications for Abdominal Pain Associated with IBS19. Treatments for Gas and Bloating20. Probiotics and Antibiotics: Frequently Asked Questions21. Complementary and Alternative Medicine22. Psychological, Hypnotherapeutic, and PsychiatricTherapies23. The Ingredients of an Effective Doctor's AppointmentPart IV: Other Issues24. IBS and Children25. What Does the Future Hold?Appendix: About Clinical Trials and Scientific ResearchPatient ResourcesGlossaryReferencesIndex

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Book SynopsisThe second edition of Clinical Dilemmas in Inflammatory Bowel Disease: New Challenges, is a practical, up-to-date handbook providing expert guidance on specific clinical dilemmas and areas of difficulty that the gastroenterologist regularly faces in day-to-day practice. In this new edition, 75% of the dilemmas are brand new dilemmas facing the IBD specialist concerning emerging treatment therapies, such as the use of cannabinoids and Viagra for Crohn's disease. The remaining 25% of the dilemmas are fully updated from the previous edition, incorporating the latest clinical thinking. Each of the 57 evidence-based chapters contains clear learning points, addresses different topics, and provides sound guidance on subjects ranging from optimizing current management through to special management problems and novel treatments. This book is suitable for all medical professionals involved in the care of patients with IBD: established and trainee gastroenterologists, colTrade Review“Bottom Line: Clinical Dilemmas in Inflammatory Bowel Disease: New Challengestargets the IBD clinician and is a practical, well-written, easy-to-use text that will be invaluable to all involved in the care of IBD patients, including gastroenterologists, nurses, colorectal surgeons, and dieticians. Trainee gastroenterologists will find this text useful both in IBD management and as a source for IBD clinical presentations. I highly recommend this text for anyone who is engaged in the day-to-day clinical care of patients with IBD.” (Gastroenterology, 1 December 2012) "This is a timely update and expanded second edition that examines many newer clinical dilemmas in IBD. The short chapters are easy to absorb and key opinion leaders offer interesting insights. It certainly justifies replacing the previous edition." (Doody's, 24 February 2012)Table of ContentsList of Contributors. Preface. Part 1: Genes and Phenotype in IBD. 1 Which will take us further in IBD – study of coding variation or epigenetics? (Miles Parkes). 2 IBD in different ethnic groups: same or different? (Rupert W.L. Leong, Dorothy K.L. Chow and Christian P. Selinger). Part 2: Bugs and IBD – good, bad or indifferent? 3 How does the risk of infection influence management of IBD around the world? (Kiran K. Peddi and Ian Craig Lawrance). 4 Travelling with IBD (Ing Shian Soon and Gilaad Kaplan). 5 What to do about hepatitis B and hepatitis C in patients with IBD (Morven Cunningham and Graham R. Foster). 6 CMV in IBD – passenger or pathogen? (Ahmed Kandiel & Bret Lashner). 7 Clostridium difficile in IBD: Impact, Prevention and Treatment (Ashwin N. Ananthakrishnan and David G. Binion). 8 Pre- and synbiotics: placebo or panacea (James O. Lindsay). 9 Worms – light at the end of their burrow? (John Leung and Joel V. Weinstock). 10 Do we really need to vaccinate all patients with IBD? (Gauree Gupta and Gil Y. Melmed). Part 3: Investigating IBD. 11 Biomarkers in IBD: myth or marvel? (Richard B. Gearry, Andrew S. Day). 12 Radiation exposure in IBD: how do we minimize the dangers? (Owen J O'Connor, Alan N. Desmond, Fergus Shanahan and Michael M. Maher). 13 Surveillance colonoscopy in UC – what’s the best way to do it? (Matt Rutter). Part 4: Medical therapy. 5-ASA. 14 New 5ASAs: a tiny step or giant stride forward? (L. Campbell Levy). 15 Do 5ASAs prevent cancer? (Richard Logan and Venkataraman Subramanian). 16 Why do we still use 5-ASAs in Crohns disease? (Stephen Hanauer, Henit Yanai, Emma Calabrese). Steroids. 17 Steroids in Crohn's disease: do the benefits outweigh the dangers? (A. Hillary Steinhart). Immunomodulators. 18 Thioguanine nucleotide measurement: Non-adherent, shunter, under-dosed or resistant? (Miles Sparrow). 19 Thiopurines and the sun: what should be done? (Conal M. Perrett, Jane M. McGregor, Catherine A. Harwood). 20 Do thiopurines worsen risk and prognosis of cervical neoplasia? (Jeremy D. Sanderson and Melissa A. Smith). 21 Optimising use of methotrexate (Anna Foley and Peter R. Gibson). 22 Which calcineurin inhibitor and when? (A. Barney Hawthorne). Biologics. 23 Are all anti-TNF agents the same? (Jennifer L. Jones). 24 One drug or two: Do patients on biologics need concurrent immunomodulation? (Glen A. Doherty and Adam S. Cheifetz). 25 How do we identify patients needing early aggressive therapy and what should we use? (Marc Ferrante and Séverine Vermeire). 26 What is the role of biologics in UC? (Joanna K. Law and Brian Bressler). 27 What can we do with Crohn's patients refractory to antiTNF therapy? (David T. Rubin). 28 Which EIMs respond to biologics? (Tina A. Mehta and CS Probert). 29 Use and abuse of biologics in pregnancy (Marla C. Dubinsky). 30 Is anti-TNF therapy safe to use in people with a history of malignancy? (Mark Lust and Simon Travis). 31 What and how should we tell patients about the risks of immunomodulators and biologics? (Corey A Siegel). 32 When, how and in whom should we stop biologics? (Edouard Louis, Jacques Belaiche, Catherine Reenaers). Part 5: Other treatments. 33 Avoiding drug interactions (Tim Elliott and Peter M. Irving). 34 Is there still a role for ursodeoxycholic acid treatment in patients with inflammatory bowel disease associated with primary sclerosing cholangitis? (Emmanouil Sinakos & Keith Lindor). 35 Stem cell transplantation for Crohn's: what's the risk-benefit ratio? (Venkataraman Subramanian and Christopher J Hawkey). 36 Complementary Therapy: Is There a Needle in the Haystack? (Shane M. Devlin). Part 6: Surgical Dilemmas in IBD. 37 Optimising IBD patients for surgery and recovery (Jonathan Wilson and Alastair Windsor). 38 Is surgery the best initial treatment for limited ileocaecal Crohn's disease? (Tom Øresland). 39 Laparoscopic or open surgery for IBD? (Donna Appleton and Michael Hershman). 40 Perianal Crohn's disease – optimal management (David A. Schwartz and Norman R. Clark III). 41 Does anti-TNF therapy increase the risk of Complications of surgery? (Ming Valerie Lin, Wojciech Blonski and Gary R. Lichtenstein). 42 Pouches for Indeterminate Colitis and Crohn's Disease: Act Now, Pay Later? (Phillip Fleshner). 43 Dealing with pouchitis (Bo Shen and Simon McLaughlin). Part 7: Unsolved issues in IBD. 44 Mucosal healing in IBD – does it matter? (Geert D'Haens). 45 Vitamin D in IBD: from genetics to bone health via cancer and immunology (Helen M. Pappa and Richard J. Grand). 46 Got Milk? Medication Use and Nursing in Women with IBD (Sunanda Kane). 47 Does stress matter? (Robert Maunder). 48 IBS is common in IBD: fact or fallacy? (James Goodhand & David Rampton). 49 So where is all the cancer? (Judith E. Baars & C. Janneke van der Woude). Part 8: Nutrition in IBD. 50 What should patients with IBD eat? (Emile Richman, Keith Leiper, Jonathan Rhodes). 51 Enteral Nutrition in Crohn's - Who for, When, How and Which Formula? (R. Shamir and Ernest G. Seidman). 52 Optimizing treatment of iron deficiency anemia (Hermann Schulze and Axel Dignass). Part 9: Management process. 53 IBD Standards: will they enhance patient care? (Michael D. Kappelman). 54 Your treatment won’t work if the patient doesn't take it (Rob Horne). 55 Inflammatory Bowel Disease: What to tell your ED team (Louise Langmead). 56 Transitioning from pediatric to adult care (Elizabeth J. Hait and Laurie N. Fishman). 57 Medicolegal Pitfalls in Inflammatory Bowel Disease (IBD) Care (William J. Tremaine).

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Book SynopsisInflammatory bowel disease (IBD), which encompasses both Crohn's disease and ulcerative colitis, is a chronically relapsing intestinal disorder that is characterized by diarrhea and abdominal pain. The incidence of IBD is increasing worldwide. Although some major advances have been made in recent years, the pathogenesis of the disease still remains obscure. As currently understood, a combination of genetic alterations and immunological disturbances causing an interaction of the enteric microflora with the underlying mucosa and a disrupted barrier function may be crucial for the development of disease. Despite substantial new data that have been obtained over the last several years, it has become increasingly difficult to accommodate these into a unifying disease model. Identification of pro- and anti-inflammatory cytokines has introduced "biologic therapies," but treatment of IBD is still based mainly on broad-spectrum immunosuppressive drugs such as steroids and azathioprine. In this volume, the most relevant pathogenetic aspects are stressed: genetic alterations, disrupted epithelial barrier function, immunological disturbances, and the role of the enteric microflora. NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit www.blackwellpublishing.com/nyas. ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit http://www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member.Table of ContentsIntroduction: Current Limitations of IBD Treatment. Where Do We Go From Here?: S.R. Targan. Part I: Genetics of Inflammatory Bowel Disease –NOD/CARD Proteins: Diagnostic and Therapeutic Consequences?:. 1. Microbial Signaling Through NOD Proteins: D. Philpott. 2. NOD2/CARD Mutations in Crohn’s Disease: J.P. Hugot. 3. Functional Relevance of NOD2 On Cellular Signalling in Crohn's Disease: G. Nunez. 4. Do Genetic Mutations Provide New Insights for Therapy?: J. Cho. Part II: Immunologic Abnormalities in IBD – What Can We Learn From Animal Models?:. 5. Role of TGFβ in Mucosal Inflammation: W. Strober. 6. TNF/TNFR-Pathways in Chronic Inflammation: G. Kollias. 7. Lessons From Enteric Infections: L. Eckmann. 8. New Insights From Studies of Regulatory T Cell Populations: A. O'Garra. 9. the Commensal Microbial Flora: Relevance for Intestinal Inflammation: C.O. Elson. Part III: Immunologic Disturbances in Human IBD – Defining and Manipulating the Key Pathways:. 10. Chemokines and Cell Trafficking Within the Inflamed Mucosa -- Inhibition of Chemokine Receptors or Ligands as a Potential Approach for Treatment?: I.R. Williams. 11. Life and Death – the Role of Apoptosis: T. Kucharzik. 12. Cytokines – Who Are the Key Plays and the Role for Cytokine Treatment: R.S. Blumberg. 13. Novel Signal Transduction Pathways – Relevance for Future Therapies?: M.F. Neurath. 14. NF-Kappa-B Signaling –the Pros and Cons of Altering NF-κB as a Therapeutic Approach: M. Karin. 15. Intracellular Targets: a Role for Inhibition of MAP-Kinases in Therapy?: S.J. Deventer. 16. Leucocyte Adhesion Molecules – Are They Relevant as Target for IBD Treatment?: D.B. Binion. Part IV: Intestinal Epithelial Cells in IBD - An Active Barrier?:. 17. Tight Junction Function and the Modulation of Paracellular Permeability During IBD: a. Nusrat. 18. Epithelial Transport Under Inflammatory Conditions – Can It Be Regulated?: M.C. Berin. 19. Imbalance of Epithelial Electrolyte Homeostasis – Role in the Pathophysiology of IBD: U. Seidler. 20. Neutrophil Transepithelial Migration and Epithelial Barrier Function in IBD – Potential Targets for Inhibiting Neutrophil Trafficking: C.A. Parkos. Part V: GALT – Relevant for Regulation of Inflammation?:. 21. Collaboration of Epithelial Cells With Organized Lymphoid Tissue: M.J. Kraehenbuhl. 22. Role of Lymphotoxins in the Development of PP and MLN – Relevance to Intestinal Inflammation and Treatment: T.W. Spahn. 23. Trafficking and Function of Mucosal Dendritic Cells: A. Iwasaki. 24. Intraepithelial T-Cells – Implication for Intestinal Inflammation: M. Kronenberg. Part VI: Relevance of Microbial Factors – Additive Or Causative for IBD?:. 25. Microbial – Epithelial Cell Crosstalk During Inflammation: The Host Response: M. Kagnoff. 26. Role of Toll-Like Receptors in Orchestrating the Innate Immune Response – Potential Targets for Treatment?: D. Podolsky. 27. Host-Bacterial Interactions in the Gut: Signalling by Commensal Flora: J. Gordon. 28. Immunostimulatory DNA- Potential Therapeutics for Treatment of Enteric Inflammatory Disease?: E. Raz. 29. Probiotics – Their Role in Controlling Intestinal Inflammation?: J.F. Colombel. 30. Inflammatory Bowel Disease – Pandora's Box, Present and Future: J. Schölmerich. Index of Contributors

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Book SynopsisComprehensively covers the rich spectrum of radiologic digestive disease interventions Greater understanding of gastrointestinal disease has resulted in an evolving array of minimally invasive and noninvasive techniques. Significant advances have maximized patient comfort, improved clinical outcomes, and minimized morbidity. Interventional radiologists are integral to the management of patients with a wide range of digestive disorders, often providing a critical or sole therapeutic option. The field has evolved from a procedure-based radiology subspecialty to a patient-based, clinical specialty working in concert with internists, gastroenterologists, oncologists, and surgeons. Digestive Disease Interventions edited by Baljendra Kapoor and Jonathan Lorenz fills an unmet need for a comprehensive resource covering interventional approaches. Throughout 30 succinct yet comprehensive chapters, top experts detail image-guided gastrointestinal interventions. A full spectrum of pathologies are encompassed — from benign refractory ascites and biliary strictures, to hepatocellular carcinoma, cholangiocarcinoma, pancreatic cancer, and more. Key Features Management and treatment of portal hypertension including disease knowledge, the use of shunts, and cutting-edge obliteration techniques Updates on recent advances and future directions such as obesity and bariatric embolization and islet cell transplantation State-of-the-art management of liver cancer: GI imaging, staging, ablation and embolization, liver transplants, and Y-90 Treatment of acute cholecystitis, cholelithiasis, and choledocholithiasis 640 high quality illustrations and halftones elucidate techniques This remarkable book is an invaluable resource for fellows, residents, and practitioners in the field of interventional radiology. It will also benefit other medical and surgical subspecialists who treat patients with digestive disorders. Table of Contents1 Intraprocedural Imaging and Navigational Tools in Digestive Disease Interventions 2 Imaging of Gastrointestinal Hemorrhage and Acute Mesenteric Ischemia 3 Portal Hypertension 4 Management of Complications of Portal Hypertension: Transjugular Intrahepatic Portosystemic Shunt (TIPS) 5 Management of Complications of Portal Hypertension: Special Considerations 6 Management of Complications of Portal Hypertension: Balloon-Occluded Retrograde Transvenous Obliteration, Plug-Assisted Retrograde Transvenous Obliteration, Coil-Assisted Retrograde Transvenous Obliteration, and Balloon-Assisted Antegrade Transvenous Obliteration 7 Nonvariceal Upper Gastrointestinal Hemorrhage 8 Transcatheter Management of Nonvariceal Lower Gastrointestinal Hemorrhage 9 Interventional Management of Benign Refractory Ascites 10 Mesenteric Ischemia 11 Benign Biliary Strictures 12 Malignant Obstructive Jaundice 13 Acute Cholecystitis, Cholelithiasis, and Choledocholithiasis 14 Imaging of Liver Tumors 15 Hepatocellular Carcinoma: Staging and Clinical Management 16 Management of Locally Advanced Hepatocellular Carcinoma 17 Management of Liver Metastases 18 Cholangiocarcinoma 19 Portal Vein Embolization 20 Ablation of Malignant Liver Tumors 21 Pancreatic Cancer 22 Embolization of Liver Tumors: Technical Challenges and Anatomic Considerations 23 Yttrium-90 Radioembolization of Malignant Liver Tumors 24 Liver Transplant Complications: Diagnosis and Management 25 Islet Cell Transplantation 26 Percutaneous Enteral Access 27 Image-Guided Colorectal Obstruction Management 28 Obesity and Bariatric Embolization 29 Intra-Abdominal Fluid Collections 30 Pediatric Gastrointestinal Interventions

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Book SynopsisEssential gastroenterology cases and board-type Q&A review to help you pass your exam! RadCases Gastrointestinal Imaging Second Edition by Stephen Thomas and Jonathan Lorenz expands on the rich study experience that has been tried, tested, and popularized by radiology residents around the world. The new edition includes important variations on prior cases, updated diagnostic and management strategies, and new pathological entities. One hundred new, carefully selected GI cases are focused on helping radiology residents navigate and assimilate a daunting volume of digestive-related information. For maximum ease of self-assessment, each case begins with the clinical presentation on the right-hand page; study that and then turn the page for imaging findings, differential diagnoses with the definitive diagnosis, essential facts, pearls and pitfalls, and more. Key Highlights More than 550 high-resolution multimodality images, including computed tomography, MRI, fluoroscopic studies, positron emission tomography, and ultrasound, visually guide readers through the cases. New to this edition, a question-and-answer section for each case reinforces key concepts. Easy-to-read bulleted formatting and concise presentation of common and uncommon gastrointestinal tract diagnoses impacting the esophagus, stomach, liver, spleen, gallbladder, pancreas, intestines, appendix, and colon. Thieme's RadCases means cases selected to simulate what you will see on your exams, rounds, and rotations. RadCases helps you to identify the correct differential diagnosis for each case, including the most critical. The series comprehensively covers the following specialties: Breast Imaging · Cardiac Imaging · Emergency Imaging · Gastrointestinal Imaging · Genitourinary Imaging · Head and Neck Imaging · Interventional Radiology · Musculoskeletal Radiology · Neuro Imaging · Nuclear Medicine · Pediatric Imaging · Thoracic Imaging · Ultrasound Imaging This RadCases book comes with a code providing access to additional online cases: 100 from this book plus 250 more cases and interactive Q&A. Master your cases, pass your exams, and diagnose with confidence: RadCases! This print book includes complimentary access to a digital copy on https://medone.thieme.com. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.Table of Contents100 Radiology Cases

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Book SynopsisThe quintessential study prep for the gastrointestinal section on the ABR core exam Preparing for the American Board of Radiology core exam can be stressful and at times overwhelming, given the magnitude of current review material. The gastrointestinal imaging section is especially challenging because the examinee must be well acquainted with the aging modality of fluoroscopy, as well as much newer body MRI techniques. Gastrointestinal Imaging Q&A for the Radiology Boards by renowned educator and radiologist Humaira Chaudhry and esteemed colleagues Li-Hsiang Yen, Abdul-Kareem Beidas, and John C. Sabatino, presents 100 high-yield GI cases. The cases are organized in six sections: the liver, biliary system, pancreas, spleen, GI tract, and peritoneum that cover the most common pathologies, as well as more esoteric ones. Key Highlights Reflects first-hand experience from the primary author who has provided board review in gastrointestinal imaging to hundreds of residents throughout the country Covers all body imaging modalities including CT, MRI, radiographs, fluoroscopy, and ultrasound Each case is supplemented by multiple choice questions color-coded by easy, medium, and hard that challenge readers to assess different levels of knowledge and think beyond the diagnosis Detailed explanations of correct and incorrect answers enhance learning This high-yield study guide will provide radiology residents with a better understanding of gastrointestinal imaging and the knowledge to face the core exam with less trepidation. This print book includes complimentary access to a digital copy on https://medone.thieme.com.Table of ContentsChapter 1. Liver (Cases 1-20) Chapter 2. Biliary System (Cases 21-32) Chapter 3. Pancreas (Cases 33-45) Chapter 4. Spleen (Cases 46-55) Chapter 5. GI Tract (Cases 56-90) Chapter 6. Peritoneum (Cases 91-100)

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Book SynopsisAs this field of surgery evolves, the educational needs of nurses specialising in this area continue to grow. This innovative text, a collaboration between specialists in the UK and the USA, and the first textbook written specifically for nurses, covers these exciting developments and also examines those factors that are driving the changes in the range and delivery of services offered to patients with colorectal disease.Table of ContentsAnatomy and physiology of the colon, rectum and anus. Extended nursing practice. Investigation and examination of a patient with colorectal problems. Common anal conditions. Colorectal cancer. Inflammatory bowel disease. Familial adenomatous polyposis. Stomas. Diverticular disease. Constipation. Irritable bowel disease. Laparascopic colorectal surgery. Faecal incontinence. Sexually transmitted diseases and AIDS. Colorectal conditions in paediatric patients. Infectious collidities.

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Book SynopsisDiverticular 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.Trade Review“This slim volume is easy to read, with useful information for nurses who wish to update and revise their knowledge….”. (Nursing Standard, 18 May 2005)Table of ContentsForeword. Preface. Acknowledgements. The History of Diverticular disease. Anatomy and Physiology. Investigations. Uncomplicated Diverticular disease. Complicated Diverticular Disease. Case Histories. Surgery. Stoma Care. Cultural Issues. Gender and Age. Food Management. Alternative Treatments. Current Thinking. Glossary. Information and Support. References. Index.

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Book SynopsisThis volume provides a concise yet comprehensive overview of advanced techniques in interventional endoscopy beyond ERCP and EUS. Comprised of sections on endoscopic resection (including EMR, ESD, STER and EFTR), bariatric endoscopy, endoscopic myotomy (POEM, GPOEM, ZPOEM and PREM), endoscopic anti-reflux therapies, endoscopic tissue apposition, and advances in interventional EUS, the text highlights indications and technical details, assesses safety and efficacy, and provides quality metrics and training pathways for these endoscopic procedures. The book is also accompanied by multiple photos and videos illustrating these endoscopic techniques. Written by world renowned experts in the field, Gastrointestinal Interventional Endoscopy: Advanced Techniques is a valuable resource for gastroenterologists and surgeons interested in the latest advances in interventional endoscopy.Table of ContentsPart I Endoscopic Resection1 Endoscopic Lesion Recognition and Advanced Imaging ModalitiesJorge D. Machicado, Jennifer Kolb, Sachin B. Wani2 Endoscopic Mucosal Resection of the EsophagusSamuel Han, Hazem Hammad3 Gastric and Duodenal Endoscopic Mucosal ResectionRommel Romano, Pradermchai Kongkam4 A Pragmatic Approach to Complex Colon PolypsMichael X. Ma, Michael J. Bourke5 Endoscopic Tools and Accessories for ESD Calvin J. Koh, Dennis Yang, Peter V. Draganov6 Esophageal ESD Lady Katherine Mejía Pérez, Seiichiro Abe, Raja Siva, John Vargo, Amit Bhatt7 Gastric ESDTakuji Gotoda8 Colonic ESDVikneswaran Namasivayam, Yutaka Saito9 Endoscopic Full Thickness Resection (EFTR) and Submucosal Endoscopic Resection (STER)Mingyan Cai, Marie Ooi, Pinghong Zhou10 EMR Versus ESD: Pros and ConsVijay Kanakadandi, Mojtaba Olyaee, Amit Rastogi 11 Training and Competency in Endoscopic ResectionDaniel S. Strand, Andrew Y. WangPart II Bariatric Endoscopy12 Intra-gastric Balloons and Aspiration TherapyChetan Mittal, Shelby Sullivan13 Endoscopic Sleeve Gastroplasty (ESG)Gontrand Lopez-Nava, Inmaculada Bautista-Castaño14 Emerging Endoscopic Therapies for Weight Loss Thomas J. Wang, Marvin Ryou15 Endoscopic Therapy of Post-Bariatric Surgery Strictures, Leaks and FistulasFilippo Filicori, Lee L. Swanström16 Endoscopic Management of Weight RegainEric J. Vargas, Andrew C. Storm, Fateh Bazerbachi, Barham K. Abu DayyehPart III Endoscopic Myotomy17 POEM: Pre-procedural work-up and IndicationsJoseph Rayfield Triggs, John E. Pandolfino18 Peroral Endoscopic Myotomy: Endoscopic TechniquesChetan Mittal, Mihir S. Wagh19 POEM: Efficacy, Safety, Training and Competency Juergen Hochberger, Volker Meves20 Endoscopic Myotomy for Zenker’s Diverticulum (Z-POEM) Alessandro Fugazza, Roberta Maselli, Alessandro Repici21 Per-oral Endoscopic Pyloromyotomy (G-POEM) and Per-rectal Endoscopic Myotomy (PREM) Amol Bapaye, Amit MaydeoPart IV Endoscopic Anti-Reflux Therapies22 History of Endoscopic Anti-reflux Therapies - Lessons Learned Zaheer Nabi, D. Nageshwar Reddy 23 Transoral Fundoplication for Treatment of Gastroesophageal Reflux DiseasePier Alberto Testoni, Sabrina Gloria Giulia Testoni, Giorgia Mazzoleni, Lorella Fanti24 Radiofrequency Ablation and Anti-Reflux Mucosectomy for Gastroesophageal Reflux DiseaseBryan Brimhall, Amit Maydeo, Mihir S. Wagh, Hazem HammadPart V Endoscopic Tissue Apposition25 Techniques for Endoscopic SuturingOlaya I. Brewer Gutierrez, Stuart K. Amateau26 Endoscopic Clips and GluesRoupen Djinbachian, Daniel von RentelnPart VI Advances in Interventional EUS27 Interventional EUS: PancreasVinay Dhir, Ankit Dalal, Carmen Chu 28 Interventional EUS: Bile Duct and GallbladderAnthony Yuen Bun Teoh, Kenjiro Yamamoto, Takao Itoi29 Interventional Vascular EUSJason B. Samarasena, Kyle J. Fortinsky, Kenneth J. Chang

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Book SynopsisHighly Commended by the BMA Medical Book Awards for Internal Medicine! Written and edited by internationally renowned specialists, the third edition of Gastroenterological Endoscopy covers the entire spectrum of diagnostic and therapeutic procedures for the upper and lower GI tract while providing the latest overview of GI disorders. A great wealth of high-resolution photographs provides the visual information needed to confidently assess and diagnose mucosal lesions of the entire digestive tract. Significant advances in the field—both medical and technical—since the last edition are covered in comprehensive detail. Key Features: New panel of top international editors, continuing the tradition of excellence, depth, and breadth as originated by founding editors Classen, Tytgat, and Lightdale; list of contributing authors is a "who's who" of GI endoscopy Coverage of newest, advanced tools and techniques: gastric-POEMS, submucosal tunnel endoscopic resection (STER), lumen-apposing metal stents, "over-the-scope" clips, and much more More than 750 exquisite images Gastroenterological Endoscopy, third edition, surely deserves a prominent place in any complete endoscopy reference collection.Table of ContentsI Introduction to Endoscopy 1 Education and Training in Endoscopy 2 The Value of Clinical Research II The Patient and Endoscopy 3 Informed Consent for Gastrointestinal Endoscopy 4 Patient Preparation and Sedation for Endoscopy 5 Design of the Endoscopy Suite 6 Cleaning and Disinfection in Endoscopy 7 Electrosurgical Principles for Endoscopy 8 Antibiotic Prophylaxis in Endoscopy 9 Quality Assurance in Endoscopy 10 Endoscopic Complications 11 Anticoagulation and Endoscopy III General Diagnostic and Therapeutic Procedures and Techniques 12 Upper Gastrointestinal Endoscopy 13 Enteroscopy Techniques 14 Wireless Video Capsule Endoscopy 15 Colonoscopy: Preparation, Instrumentation, and Technique 16 Endoscopic Retrograde Cholangiopancreatography 17 Cholangioscopy 18 Advanced Imaging Methods 19 The Contribution of Histopathology to Endoscopy 20 Endoscopic Ultrasonography 21 Hybrid, Natural Orifice, and Laparoscopy-Assisted Endoscopy: New Paradigms in Minimally Invasive Therapy IV Upper Gastrointestinal Tract Disease 22 Gastroesophageal Reflux Disease and Infectious Esophagitis 23 Barrett's Esophagus and Early Neoplasia 24 Squamous Neoplasia of the Esophagus 25 Benign Esophageal Strictures and Esophageal Narrowing Including Eosinophilic Esophagitis 26 Achalasia 27 Advanced Esophageal Cancer 28 Peptic Ulcer Disease and Bleeding, Including Duodenal Ulcer 29 Gastric Cancer Including Early Neoplasia and Preneoplastic Conditions 30 Obesity: Endoscopic Approaches 31 Small Intestinal Diseases Beyond the Duodenum 32 Sporadic Neoplastic Polyps of the Duodenum and Ampulla 33 Malabsorption and Food Allergy/Intolerance 34 Portal Hypertension, Varices, Gastropathy, and Gastric Antral Vascular Ectasia V Lower Gastrointestinal Tract Disease 35 Colorectal Polyps and Cancer Screening/Prevention 36 Advanced Colorectal Polyps and Early Cancer Resection 37 Inheritable Cancer Syndromes 38 Inflammatory Bowel Disease and Microscopic Colitis 39 Lower Intestinal Bleeding Disorders 40 Anorectal Diseases VI Biliopancreatic, Hepatic, and Peritoneal Diseases 41 Benign Biliary Disorders 42 Malignant Biliary Disease 43 Acute and Chronic Pancreatitis 44 Pancreatic Cancers and Cystic Neoplasms 45 Subepithelial Tumors of the Gastrointestinal Tract 46 Gastrointestinal Foreign Bodies

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Book SynopsisThe Atlas of Peripheral Regional Anesthesia: Anatomy and Techniques, Third Edition is a comprehensively revised reference that provides readers with essential anatomical knowledge along with step-by-step instructions on how to perform even the most complex regional anesthesia procedures with particular focus on ultrasound-guided techniques. This new edition is enhanced with over 700 full-color illustrations as well as an extensive selection of videos on Thieme's MediaCenter.Key Features of the Third Edition: More than 250 new and updated figures, anatomical illustrations, and cadaver dissection photos which demonstrate the techniques New section describing the general aspects of ultrasound imaging in performing peripheral nerve blocks New section on pediatric regional anesthesia Online access to more than 250 video films of the techniques This new edition is an invaluable resource for all anesthesiologists, orthopedists, and pain management physicians involved in the administration of regional anesthesia.Table of ContentsPart I General Aspects of Ultrasound-Guided Peripheral Region Anesthesia 1 General Principles of Ultrasound-Guided Peripheral Nerve Blocks Part II Upper Limb 2 General Overview 3 Interscalene Techniques of Brachial Plexus Block 4 Supraclavicular and Infraclavicular Techniques of Brachial Plexus Block 5 Suprascapular Nerve Block 6 Axillary Block 7 Selective Block of Individual Nerves in the Upper Arm, at the Elbow, and Wrist Part III Lower Limb 8 General Overview 9 Psoas Block 10 Inguinal Perivascular Lumbar Plexus Anesthesia (Femoral Nerve Block) 11 Proximal Sciatic Nerve Block 12 Blocks at the Knee 13 Peripheral Block (Conduction Block) of Individual Nerves of the Lower Limb 14 Peripheral Nerve Blocks at the Ankle Part IV Peripheral Regional Anesthesia in Pediatrics 15 General Overview 16 Upper Limb 17 Lower Limb 18 Abdominal Wall Part V General Aspects of Peripheral Nerve Blocks of the Extremities 19 Special Features of Peripheral Nerve Blocks 20 Complications and General Contraindications of Peripheral Blocks 21 General Principles for Performing Peripheral Blocks 22 Continuous Peripheral Nerve Blocks

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Book SynopsisDer Band aus der dreibändigen Reihe „Praxis der Viszeralchirurgie“ liefert eine umfassende Wissensbasis und praxisnahe Entscheidungshilfen für den Chirurgen sowie für seine Partner: Alle chirurgisch relevanten benignen Erkrankungen der gastrointestinalen Organe sind fundiert und detailliert beschrieben. Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begründete Empfehlungen zu Diagnostik und Therapie. Die Neuauflage wurde an den aktuellen wissenschaftlichen Stand angepasst.Table of ContentsI. Spezielle diagnostische Techniken 1. Diagnostische Sonographie 2. Interventionelle Sonographie 3. Allgemeine radiologische Diagnostik des Magen-Darm-Traktes und der Gallenwege einschließlich Computer- und Magnetresonanztomographie 4. Radiologische Interventionen im Gastrointestinaltrakt 5. Nuklearmedizinische Verfahren 6. Motilitätstests des Gastrointestinaltraktes (inkl. Langzeit-pH-Metrie) 7. Resorptionstests 8. Spezielle Labordiagnostik II. Allgemeine Viszeralchirurgie 9. Therapeutische Endoskopie 10. Prinzipien der Laparoskopie 11. Präoperative Risikoabschätzung 12. Prinzipien der Laparotomie 13. Die chirurgische Naht 14. Drainage der Bauchhöhle 15. Allgemeine Transplantationsmedizin 16. Postoperativer Verlauf und seine Störungen – Chirurgische Intensivmedizin i.d. Viszeralchirurgie 17. Ambulante Chirurgie 18. Blutung, Blutersatz, Blutgerinnung 19. Antibiotikatherapie 20. Allgemeine chirurgische Prinzipien beim akuten Abdomen 21. Abdominelle Sepsis und Peritonitisbehandlung 22. Spezielle chirurgische Prinzipien in der Behandlung des traumatischen Abdomens 23. Allgemeine chirurgische Prinzipien in der Behandlung des Ileus III. Therapieindikationen und Durchführung der Therapie 24. Gutartige Erkrankungen von Ösophagus und Kardia 25. Hiatushernien und andere Erkrankungen des Zwerchfells 26. Verletzungen von Ösophagus und Magen 27. Gutartige Erkrankungen von Magen und Duodenum 28. Chirurgische Behandlung der morbiden Adipositas 29. Erkrankungen des Dünndarms (außer Morbus Crohn) 30. Gefäßerkrankungen des Dünndarms und des Kolons 31. Dünndarmtransplantation 32. Morbus Crohn 33. Gutartige Erkrankungen von Dickdarm und Rektum 34. Appendizitis 35. Proktologie 36. Erkrankungen der Gallenwege 37. Erkrankungen der Leber 38. Portale Hypertension 39. Lebertransplantation 40. Pankreas 41. Milz 42. Chirurgie des großen Netzes 43. Hernien 44. Kindliche Hernien 45. Spezielle gastroenterologische Probleme in der Kinderchirurgie Sachverzeichnis

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Book SynopsisChronischer Beckenbodenschmerz (CPPS) ist ein vorwiegend in der Urologie beheimatetes Krankheitsbild, das aber häufig auch interdisziplinär auftreten kann und dann fachübergreifend diagnostiziert und behandelt werden muss. Walter Merkle betrachtet in diesem Überblick vor allem die urologischen Erscheinungsformen, arbeitet jedoch die interdisziplinären Zusammenhänge ein. Er plädiert an die Ärzteschaft, das Krankheitsbild des CPPS verstärkt zu beachten, da dieses oft unzureichend diagnostiziert und behandelt wird. Essentiell ist dabei, sich von der alleinigen Sichtweise aus dem Fachgebiet der Urologie zu lösen und sich unbedingt interdisziplinär auf Empathie, Psychosomatik und Osteopathie sowie Biofeedbacktherapie einzulassen, um erfolgreich diagnostizieren und behandeln zu können.Der Autor: Dr. Walter Merkle war im Fachbereich Urologie der Deutschen Klinik für Diagnostik GmbH in Wiesbaden tätig.Table of ContentsPathophysiologie und Grundlagen.- Symptomatiken des CPPS.- Anamneseerhebung, Befunde und erprobte Therapiemaßnahmen.- Fallbeispiele.

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Book SynopsisUnser tägliches Brot ist in Verruf geraten. Getreide soll uns fett, dumm und krank machen. Angesichts der Schwemme an Publikationen und Ratschlägen herrschen inzwischen bei Verbrauchern und Patienten ebenso wie bei Ärzten und anderen in Gesundheitsberufen Tätigen allgemeine Orientierungs- und Ratlosigkeit. Der weltweit führende Wissenschaftler und Arzt auf dem Gebiet der Getreideunverträglichkeiten und seine Koautorin schaffen hier Klarheit und geben einen Überblick über die getreidebedingten Erkrankungen: Zöliakie, typische und untypische Getreideallergien sowie ATI-Sensitivität. Sowohl die untypischen Getreideallergien als auch die ATI-Sensitivität werden hier erstmals einer breiten Öffentlichkeit vorgestellt. Allein von diesen Krankheitsbildern sind 3 bis 10% der Bevölkerung betroffen. Typische Fallbeispiele von Patienten aus der Spezialambulanz des Autors und Hinweise für Verbraucher und Patienten runden das Buch ab. Es richtet sich sowohl an medizinische Experten als auch an Betroffene und interessierte Laien.Trade Review“... Ein origineller Ansatz, der auf Psychotherapie und modernste Psychologie zurückgreift, wird hier prägnant und einleuchtend beschrieben.” (Dr. Claudia Wilimzig, in: Coaching-Magazin, coaching-magazin.de, 21. November 2018)“... Erläuterte Schaubilder dienen dabei der Übersicht und dem besseren Verständnis. Ein kommentiertes Literaturverzeichnis ist ein besonderer Service für den Leser. ... Ein lesenswertes, in die Tiefe gehendes Buch, geeignet für Ernährungsexperten, Mediziner und mit Vorbehalt, aufgrund der unvermeidlich vielen Fachbegriffe, auch für Laien ...” (KnackPunkt, Heft 5, 2018)“… Von Grundlagenforschung auf molekularer und zellulärer Ebene bis zum klinischen Erscheinungsbild werden weizenbedingte Erkrankungen erklärt und anhand konkreter Patientenbeispiele verdeutlicht. Neben einer ausführlichen Darstellung von Zöliakie und klassischer Weizenallergie stellen die Autoren zwei neue Krankheitsbilder vor: die ATI-Sensitivität und die atypische Weizenallergie.” (Der niedergelassene Artzt, Heft 5, 22. Mai 2018)Table of ContentsVorwort.- 1. Einleitung.- 2. Weizen, Gluten, ATI: Eine Einführung.- 3. Getreidebedingte Unverträglichkeiten: Einführung in die Immunologie des Darms.- 4. Zöliakie.- 5. ATI-Sensivität.- 6.: Laktose-, Fruktose- und Histamin-Intoleranz: überdiagnostiziert und von Patienten überbewertet.- 7. Klassische und atypische Nahrungsmittelallergien.- 8. Nicht immer ist es der Weizen.- 9. Innovative Versorgungsform: unsere Sprechstunde für nahrungsmittelbedingte Erkrankungen.-

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Book SynopsisWer kennt es nicht – man ist mitten im Medizinstudium, hat zwar schon einiges, aber längst noch nicht alles gelernt und fühlt sich in Sachen Diagnosestellung alles andere als sattelfest. Und dann kommt sie, die unvermeidliche Frage auf der nächsten Familienfeier: „Du, sag mal, Du studierst doch Medizin, kannst Du mir sagen, was das hier ist?“ – und ehe man sich versieht, wird man mit veränderten Hautstellen, geschwollenen Mandeln und weiteren Symptomen konfrontiert, die man gar nicht unbedingt von seiner näheren Bekannt- und Verwandtschaft sehen und wissen wollte. Einerseits schlägt da stolz das Herz in der Brust, andererseits aber nur so lange, wie man mit den Symptomen auch etwas anfangen kann. Was, wenn die Frage zur schuppenden Hautstelle vor dem Semester kommt, in dem die Dermatologie dran ist? Und wenn man auch nicht aus dem eigenen Erfahrungsfundus schöpfen kann? Was, wenn man zwar dunkel ahnt, was Besenreiser sind, aber keine Antwort auf die Frage parat hat, ob man etwas dagegen machen muss? Diese Buchreihe soll auf eine leicht verständliche Art helfen, die meisten und gängigsten Alltagszipperlein zu erklären und zu erkennen. Welche Fragen sollten Sie anderen oder sich stellen, um auf die richtige Fährte zu kommen und Mögliches von Unwahrscheinlichem abzugrenzen?Table of Contents1. Niedriger Blutdruck (…wieso mir so oft schwarz vor den Augen wird?).- 2. Eisenmangelanämie (…wieso ich blass, schwach und vergesslich bin?).- 3. Diabetes mellitus (…warum ich ständig Durst habe und Schwierigkeiten beim Sehen habe?).- 4. Hyperventilationssyndrom (…warum mir die Luft wegbleibt, wenn ich mich aufrege?).- 5. Herzstolpern (…warum sich das manchmal anfühlt, als würde mein Herz einen Purzelbaum machen?).- 6. Bronchitis (…wieso dieser Husten so hartnäckig ist und einfach nicht weggeht?).- 7. Schilddrüsenüberfunktion (…warum ich immer Hummeln im Hintern habe und nicht mehr vernünftig schlafen kann?).- 8. Brustenge (…warum ich bei Belastung plötzlich so ein Engegefühl hier oben habe?).- 9. Asthma (…wieso meine Tochter immer zur gleichen Zeit im Jahr schwerer Luft kriegt?).- 10. Endokarditis (…warum meine Oma nach der Zahnbehandlung nicht mehr auf die Beine kommt?).- 11. Schilddrüsenunterfunktion (…wie es dazu kommt, dass ich mich so schlapp fühle, ständig friere und meine Haare ganz stumpf sind?.- 12. Gicht (…warum ich mitten in der Nacht vor lauter Schmerzen nicht mehr zur Ruhe komme?).- 13. Lipidstoffwechselstörung ( …warum ich an den Fingern und Augen diese Schwellungen habe?).- Schlafapnoe-Syndrom (…wieso ich morgens total gerädert aufwache und im Stehen bei der Arbeit einschlafen könnte?).

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Book SynopsisThis book covers all aspects of small intestinal disease with the aim of providing an up-to-date reference of the highest quality that will assist in everyday clinical practice. After introductory chapters on anatomy, pathophysiology, epidemiology, and signs and symptoms, the roles of different imaging modalities in the diagnosis of small intestinal disease are clearly explained, focusing particularly on capsule endoscopy, device-assisted enteroscopy, CT and MR enterography, and nuclear medicine techniques. A series of chapters then address each of the diseases and conditions that may be encountered. The coverage is wide ranging, including, for example, obscure gastrointestinal bleeding, Crohn’s disease and other inflammatory conditions, celiac disease, Behçet’s disease, Meckel’s diverticulum, intestinal tuberculosis, and various malignancies. Numerous informative clinical cases are presented to identify characteristic imaging findings and assist in treatment decision making. Small intestinal disease continues to represent a significant challenge. The scope and detail of this book will make it an invaluable asset for gastroenterologists and other clinicians.Table of Contents1. Anatomy and physiology of small intestine.- 2. Epidemiology of small intestinal disease.- 3. Symptoms and signs of small intestinal disease.- 4. Diagnostic modalities for small intestinal disease.- 5. Capsule endoscopy.- 6. Device assisted small bowel endoscopy.- 7. Radiology (CT/MR enteroscopy).- 8. Nuclear medicine and others.- 9. Clinical manifestations of small intestinal disease.- 10. Obscure GI bleeding.- 11. Vascular lesions.- 12. Crohn’s disease.- 13. Other inflammatory lesions.- 14. NSAID enteropathy.- 15. Intestinal tuberculosis.- 16. Behcet’ disease.- 17. Meckel’s diverticulum.- 18. Cryptogenic Multifocal Ulcerous Stenosing Enteritis.- 19. Celiac disease.- 20. Peutz-Jeghers syndrome.- 21. Adenocarcinoma.- 22. Lymphoma.- 23. GIST.- 24. Primary lymphangiectasia.

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Book Synopsis

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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