Gastrointestinal Endoscopy Clinics of North America. Minimizing, Recognizing, and Managing Endoscopic Adverse Events PDF Download

Author: Uzma D. Siddiqui
Publisher: Elsevier Health Sciences
ISBN: 0323341926
Category : Medical
Languages : en
Pages : 185

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Book Description
This issue would review a broad range of endoscopic complications throughout the entire GI tract and include complications related to almost all types of endoscopic procedures. Typically, articles and endoscopy courses only briefly mention specific types of complications related to one or two endoscopic procedures. To date, this would be the only issue whose sole focus is on endoscopic complications and their management and will prove a useful resource for the gastroenterologist. The authors will be expert endoscopists from around the country whose knowledge of this topic should be far ranging and include use of new devices.

Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Author: Martin L. Freeman
Publisher: Saunders
ISBN: 9781416050742
Category : Endoscopic surgery
Languages : en
Pages : 0

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Book Description
There is a broad spectrum of clinical problems that demand urgent attention and intervention by gastroenterologists. With recent expansion of armamentarium of devices and techniques for therapeutic endoscopy, there has been significant evolution of practices in this area. The focus of this issue will be on the endoscopic aspects of these emergencies, but will include clinical evaluation, and related medical and surgical management as well. We have assembled a world-class group of authors with expertise in individual areas. Dr Peter Stevens will cover triage and endoscopic management of acute nonvariceal hemorrhage, with emphasis on newer techniques of endoscopic hemostasis including clips as well as traditional thermal and injection therapies. Dr Arun Sanyal will review the medical and therapeutic endoscopic aspects of portal hypertensive bleeding. Dr Brenna Bounds will detail the emerging techniques and current approach to acute lower GI hemorrhage, including role of urgent colonoscopy, and adaptation of newer techniques for endoscopic hemostasis including clips and band ligation. Dr Todd Baron will cover management of acute colonic obstruction with particular emphasis on placement of colonic stents. Dr Michael Saunders will discuss medical and endoscopic management of colonic pseudoobstruction with emphasis on medical management of role of colonoscopic decompression. In the area of pancreaticobiliary emergencies, the role of endoscopic intervention for acute biliary and other forms of pancreatitis will be detailed by Dr Paul Tarnasky. Acute cholangitis and the role of ERCP will be discussed by Dr Tim Kinney. Dr XX (works with Dr Roy Wong) will discuss management of foreign body and food impaction, with emphasis on some of the newer devices and overtubes to facilitate safe extraction. Dr David Greenwald will cover the management of endoscopically-induced complications such as bleeding and perforation. Finally, the particulars of the pediatric approach to endoscopic emergencies in children and infants, and the approach to caustic ingestions will be reviewed by Dr Khalid Khan.

Author: Adam Slivka
Publisher: Elsevier Health Sciences
ISBN: 032340085X
Category : Medical
Languages : en
Pages : 233

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Book Description
The Guest Editors have assembled key opinion leaders to provide state of the art articles on this important update on ERCP. A chapter on cannulation techniques and sphincterotomy will highlight recent literature on wire-guided cannulation, use of papillotomes, when and if to precut for entry and the use of smart circuitry for papillotomy. A chapter on surgically altered anatomy will highlight the increasing occurrence of biliary tract disease in patient’s s/p gastric bypass for obesity along with other surgery and the use of balloon enteroscopes, overtubes and intraoperative procedures A chapter on EUS assisted biliary and pancreatic access will highlight the growing experience with these combine techniques. There is growing literature on preventing post-ercp pancreatitis which is changing the standard of care and Joe Elmunzer is the best person to highlight this. Stu Sherman will review advances in the management of bile duct stones and when to intervene in gallstone pancreatitis. Peter Cotton just published a landmark study on SOD that will change the standard of care and will review the state of the science on this disease as it relates to both biliary tract and pancreatic disease. The management of benign biliary strictures and leaks is evolving with the introduction of covered metal stents and Jacques Deviere is at the forefront. Amrita Sethi will discuss diagnosis of biliary malignancy highlighting the use of FISH, molecular markers and enhanced imaging such as pCLE. Michele Kahaleh will review recent experience with biliary tumor ablation using RFA probes and PDT. Alan Barkun helps endoscopists determine when to use plastic stents, metal stents, and covered stents and when to drain one, two or three segments of liver in patients with malignant biliary obstruction. George Papachristo and Dhiraj Yadav will review most recent data on endoscopic therapy for acute recurrent and smoldering acute pancreatitis. Nagy Reddy will provide on update on endotherapy for painful chronic pancreatitis. Finally, Raj Shah will update on advances in pancreatoscopy and cholangioscopy including the use of ultra slim per-oral scopes and new digital mother/baby scopes.

Author: John R. Saltzman
Publisher: Elsevier Health Sciences
ISBN: 0323390994
Category : Medical
Languages : en
Pages : 225

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Book Description
Upper gastrointestinal bleeding is the leading emergency leading to hospitalization and urgent endoscopy. The field of gastrointestinal bleeding is rapidly evolving. The epidemiology is changing with more complex older patients on anticoagulant and antithrombotic agents presenting with upper gastrointestinal bleeding. The initial management has rapidly evolved with new transfusion thresholds, the use of risk stratification scores and no more nasogastric tubes. There is new data and recommendations on optimal timing of endoscopy. Medical therapies have also evolved with changes in proton pump inhibitor administration and the use of prokinetics to improve endoscopic visualization. Many modifications in endoscopic therapy have recently been advanced including the use of endoscopic ultrasound guided angiotherapy, topical sprays (i.e. Hemospray) and over-the-scope clips. In order to give optimal care to patients, it is critical that practicing gastroenterologists are aware of the many recent advances in management of patients with upper gastrointestinal bleeding.

Author: Costin Teodor Streba
Publisher: BoD – Books on Demand
ISBN: 1789851254
Category : Medical
Languages : en
Pages : 152

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Book Description
Endoscopic techniques are widely used for screening, diagnostic and therapeutic maneuvers in all groups of patients and for a large spectrum of complaints. The availability of basic iterations of endoscopic techniques made screening programs for various diseases viable in most parts of the world, while the advent of modern techniques opens new perspectives for rapid and correct diagnosis. Going beyond normal human vision, innovative techniques opened the prospect of in-situ pathology. Endoscopic ultrasound has made incredible progress in recent years. Reaching the smaller orifices by endoscopy was a major step forward in the surveillance of previously inaccessible lesions. Investigatory techniques were complemented by advances in therapy, with novel applications in many major areas of medicine.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176689
Category : Medical
Languages : en
Pages : 254

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Book Description
Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.

Author: Richard Kozarek
Publisher: Springer
ISBN: 3319110772
Category : Medical
Languages : en
Pages : 337

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

Author: John Vargo
Publisher: Elsevier Health Sciences
ISBN: 032344864X
Category : Medical
Languages : en
Pages : 177

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Book Description
In this issue an impressive group of contributors at the forefront of sedation research has been assembled to provide endoscopists and dedicated nursing personnel alike a comprehensive review of important topics in the field sedation and analgesia. A discussion on the pharmacology and agents used to provide moderate and deep sedation provides the basic framework that is a crucial element in determining the driving force behind the developments in sedation and analgesia. An evidence-based approach on the use of unsedated endoscopy is also provided. Other topics included the use of propofol, patient-controlled sedation and analgesia, extended physiologic monitoring, risk management, and quality assurance as they apply to the spectrum of sedation in the endoscopy suite. Sedation and analgesia in the pediatric patient is also addressed.

Author: Jenifer R. Lightdale
Publisher: Elsevier Health Sciences
ISBN: 0323414524
Category : Medical
Languages : en
Pages : 241

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Book Description
Over a short few decades, the field of pediatric endoscopy has matured from the exploratory to the routine. Performance of endoscopic procedures in children is now a fundamental aspect of the practice of more than 2000 pediatric gastroenterologists in North America, and endoscopic instruments are increasingly being developed with an eye to their pediatric applications. Ensuring safe and effective endoscopy in children requires specific medical knowledge and technical competency, in addition to appropriately designed equipment and settings. Obtaining consent from parents, as well as assent from patients, for the purposes of performing diagnostic and therapeutic gastrointestinal procedures begins with a deep understanding of risks and benefits that endoscopy affords and is typically gained through formal training in the field. Diagnostic endoscopy may help to confirm common pediatric conditions including eosinophilic esophagitis and inflammatory bowel disease, while therapeutic procedures to treat strictures in the GI tract may help children avoid more invasive surgeries. Using endoscopy in children to achieve hemostasis or to remove commonly swallowed foreign bodies, such as lithium batteries or high-powered magnets, can be lifesaving, and the insertion of feeding tubes can help medically complex patients to thrive. In short, pediatric endoscopy is an integral component of healthcare for children, and gaining and understanding of its best practices may help all clinicians to better recognize its role in pediatric disease outcomes.