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Author: Massimiliano Mutignani Publisher: Springer Nature ISBN: 303042569X Category : Medical Languages : en Pages : 604
Book Description
This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS. In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them. Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms – both based on scientific evidence and expert findings – are illustrated and compared to alternative treatments.
Author: Massimiliano Mutignani Publisher: Springer Nature ISBN: 303042569X Category : Medical Languages : en Pages : 604
Book Description
This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS. In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them. Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms – both based on scientific evidence and expert findings – are illustrated and compared to alternative treatments.
Author: Kwok-Hung Lai Publisher: Springer ISBN: 9811043671 Category : Medical Languages : en Pages : 252
Book Description
This book aims to provide the basic technology and recent advances in biliopancreatic endoscopy. The method of Endoscopic retrograde cholangiopancreatography (ERCP) is popularly applied to enlarge the papillary orifice for removal of biliary and pancreatic stones, to relieve obstruction of distal bile duct or pancreatic duct by nasobiliary / nasopancreatic drainage or stenting, and to remove the premalignant tumor of papilla in recent four decades. The diagnostic role of ERCP is already replaced by the noninvasive images such as abdominal sonography, computed tomography, magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasonography (EUS). This book will be contributed by the senior members of the Digestive Endoscopy Society of Taiwan (DEST) who are the leading ERCPists of the medical centers and teaching hospitals in Taiwan. There are 21 chapters, including the various techniques of therapeutic ERCP and EUS, how to approach the difficult cases and prevent complications. Recently, many new facilities and techniques develop to solve the difficult problems, but those new methods may have potential hazard to the patients, particularly in the inexperienced hands. We will share our clinical experience and comments on the recent literatures, to illustrate the standard operative procedures of biliopancreatic endoscopy, and focus on the patients’ safety as well as efficacy. We hope this book will be helpful for the readers in clinical application and facilitate the junior doctors to choose the cost-effective and safe procedure to help their patients in the future.
Author: Todd H. Baron Publisher: Elsevier Health Sciences ISBN: 0323933858 Category : Medical Languages : en Pages : 764
Book Description
Recent years have brought major shifts in the way endoscopic retrograde cholangiopancreatography is used in everyday practice, including the incorporation of endoscopic ultrasound (EUS) techniques with ERCP. The 4th Edition of this practical reference helps you make the most of today’s ERCP in your practice, with authoritative, highly illustrated guidance on every aspect of this complex tool, including coverage of the latest techniques both in print and on video. Provides detailed, full-color illustrations and in-depth instructions for performing all procedures. Depicts each procedure in dozens of step-by-step videos that clearly show ERCP techniques and imaging interpretation, including many new or recently improved procedures. Covers recent advancements in balloon assisted endoscopy, and provides guidance on performing ERCP on patients with surgically altered anatomy. Includes new chapters on endoscopic disinfection to address antibiotic resistant bacterial infections traced back to duodenoscopes; the environmental implications of ERCP; and magnetic biliary anastomosis. Contains clear therapeutic guidelines that help you determine when and when not to perform ERCP. Any additional digital ancillary content may publish up to 6 weeks following the publication date.
Author: Linda S. Lee Publisher: Springer ISBN: 149392320X Category : Medical Languages : en Pages : 587
Book Description
This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research.
Author: Juan Enrique Dominguez-Munoz Publisher: John Wiley & Sons ISBN: 111957014X Category : Medical Languages : en Pages : 752
Book Description
Clinical Pancreatology Since the book Clinical Pancreatology for Practising Gastroenterologists and Surgeons was first published sixteen years ago, the knowledge and clinical management of pancreatic diseases have developed markedly. Thanks to the development of the translational research and the from bench to bedside concept, much progress from the lab has been applied to clinical practice. In addition, several highly relevant clinical trials published over the last years have resulted in the update and optimisation of clinical guidelines. A new and validated classification of severity and complications of acute pancreatitis is firmly rooted in clinical practice and has been the basis for the development of minimally invasive approaches to pancreatic necrosis. The etiopathogenic knowledge of chronic pancreatitis and other pancreatopaties, like that associated with diabetes mellitus, has developed significantly. Especially important has been the development of the field of cystic pancreatic tumours, which has been reflected in the publication of several guidelines and consensus reports over the last few years. Most research efforts have focused on pancreatic cancer, which have led and will further lead to a significant increase in the therapeutic armamentarium against this devastating disease. Finally, many newly published studies have changed the concept, causes, clinical relevance, diagnosis and treatment of exocrine pancreatic insufficiency. This new edition of Clinical Pancreatology for Practising Gastroenterologists and Surgeons has enjoyed the collaboration of the world’s leading experts in each of the areas of clinical pancreatology with the aim of facilitating gastroenterologists, surgeons, oncologists, internists, nutritionists, diabetologists, paediatricians, radiologists, pathologists and other specialists in their decision making when facing patients with pancreatic diseases in their daily clinical practice. All in all, this book supplies an indispensable update of the relevant aspects of clinical pancreatology.
Author: Peter B. Cotton Publisher: John Wiley & Sons ISBN: 1119601061 Category : Medical Languages : en Pages : 432
Book Description
Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this “how-to” guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering “tips and tricks” and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on “getting prepared,” including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers “what can be done,” describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on “what should be done,” clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP—highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.
Author: Harland S. Winter Publisher: PMPH-USA ISBN: 9781550092233 Category : CD-ROMs Languages : en Pages : 312
Book Description
Atlas of Pediatric Gastrointestinal Endoscopy focuses on practical diagnostic and therapeutic endoscopy in children. The combining of pediatric endoscopic images with a practical guide to the performance of pediatric gastrointestinal endoscopy makes this volume a unique reference source. The extensive use of black and white line diagrams, color illustrations of endoscopic appearances, and complementary histopathology creates a definitive reference resource for pediatric gastroenterologists and pediatric surgeons. The combined medical and surgical expertise of the authors, garnered from renowned pediatric gastroenterology centers, incorporates both a North American and European perspective. The result is a work that is an integration of clinical gastrointestinal endoscopy with expert pathology. SPECIAL FEATURES * Provides the only reference source of pediatric endoscopic images combined with a practical guide * Includes a thorough selection of endoscopic images, histopathology, and specific radiology images * Features the contributions of leading authors from international pediatric gastroenterology centers
Author: Jeffrey M. Marks Publisher: Springer Science & Business Media ISBN: 1461463300 Category : Medical Languages : en Pages : 290
Book Description
Written entirely by surgical endoscopists, Principles of Flexible Endoscopy for Surgeons presents a comprehensive overview of past, present, and future flexible gastrointestinal endoscopic techniques, with a focus on educating surgeons who may or may not already have the skills to perform flexible endoscopy. In addition to the endoscopic management of surgical issues, the volume describes the role of surgery in the management of endoscopic complications. Basic as well as advanced flexible endoscopic techniques are presented in both a didactic and visual mode, with representative endoscopic images and video clips. Recent endoscopic advancements which are not routinely a core component of surgical training programs are also covered in detail. Extensively illustrated with endoscopic images and accompanied by a DVD, Principles of Flexible Endoscopy for Surgeons is a valuable resource for surgeons on all facets of flexible endoscopy.
Author: Osvaldo Chiara Publisher: Springer Nature ISBN: 3030731553 Category : Medical Languages : en Pages : 262
Book Description
This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.
Author: Chris E. Forsmark Publisher: Springer Science & Business Media ISBN: 1592598153 Category : Medical Languages : en Pages : 340
Book Description
Diseases of the pancreas have been extremely difficult to study. Until relatively recently, the pancreas was viewed by surgeons as an organ to be avoided, given its deep retroperitoneal location and the sometimes severe consequences of manipulation. Similar difficulties have plagued careful study of the pancreas. In humans, only inf- quently have we had the opportunity to evaluate the evolution of d- eases of the pancreas; instead, we are confronted with end-stage chronic pancreatitis or acute pancreatitis with extensive necrosis of the gland. Within the past decade, revolutionary techniques in molecular biology, genetics, and animal models have begun to give us dramatic new insights into pancreatic disease. Coupled with these advances has been a slow but steady progress in the development of our clinical tools for diagnosing and treating pancreatic diseases. These advances place us on the threshold of a much more complete understanding of pancreatic diseases, opening up new opportunities for novel therapies and preventive measures. Pancreatitis and Its Complications brings together many of the world’s experts in pancreatic diseases. These “pancreatologists” include basic scientists, endoscopists, gastroenterologists, and surgeons. The ch- ters have been organized to provide a comprehensive discussion of acute and chronic pancreatitis, with up-to-date discussions of pat- physiology, epidemiology, diagnostic strategies, treatment, and c- plications of disease. It is hoped that this text will serve as a useful reference for clinicians as well as provide a clinical background for scientists with an interest in pancreatic or related diseases.