Author: Jenifer R. Lightdale
Publisher: Elsevier Health Sciences
ISBN: 0323414524
Category : Medical
Languages : en
Pages : 241
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.
Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics of North America
Author: Jenifer R. Lightdale
Publisher: Elsevier Health Sciences
ISBN: 0323414524
Category : Medical
Languages : en
Pages : 241
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.
Publisher: Elsevier Health Sciences
ISBN: 0323414524
Category : Medical
Languages : en
Pages : 241
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.
Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book
Author: Catharine M. Walsh
Publisher: Elsevier Health Sciences
ISBN: 0323939155
Category : Medical
Languages : en
Pages : 297
Book Description
In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Catharine M. Walsh brings her considerable expertise to the topic of Pediatric Endoscopy. Since its inception in the early 1980s, pediatric endoscopy has seen dramatic innovations in both diagnostic procedures and advanced procedures that are increasingly being performed by pediatric trained endoscopists. In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. - Contains 14 practice-oriented topics including pediatric unsedated transnasal endoscopy; tools for improving quality in pediatric endoscopy; artificial intelligence in pediatric endoscopy; advances in endoscopy for pediatric inflammatory bowel disease; and more. - Provides in-depth clinical reviews on pediatric endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0323939155
Category : Medical
Languages : en
Pages : 297
Book Description
In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Catharine M. Walsh brings her considerable expertise to the topic of Pediatric Endoscopy. Since its inception in the early 1980s, pediatric endoscopy has seen dramatic innovations in both diagnostic procedures and advanced procedures that are increasingly being performed by pediatric trained endoscopists. In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. - Contains 14 practice-oriented topics including pediatric unsedated transnasal endoscopy; tools for improving quality in pediatric endoscopy; artificial intelligence in pediatric endoscopy; advances in endoscopy for pediatric inflammatory bowel disease; and more. - Provides in-depth clinical reviews on pediatric endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
The New NOTES, An Issue of Gastrointestinal Endoscopy Clinics of North America
Author: Stavros N. Stavropoulos
Publisher: Elsevier Health Sciences
ISBN: 0323417558
Category : Medical
Languages : en
Pages : 233
Book Description
The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.
Publisher: Elsevier Health Sciences
ISBN: 0323417558
Category : Medical
Languages : en
Pages : 233
Book Description
The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.
Practical Pediatric Gastrointestinal Endoscopy
Author: George Gershman
Publisher: John Wiley & Sons
ISBN: 1444336495
Category : Medical
Languages : en
Pages : 255
Book Description
This practical step-by-step guide to performing GI endoscopy safely and effectively in children covers the use of endoscopy as both a diagnostic and a therapeutic modality. Now with an entirely new section focusing on advanced endoscopic techniques, such as such as pancreatic cysto-gastrostomy, confocal endo microscopy, and single balloon enteroscopy, the new edition gives trainees and practitioners access to the most recent, as well as the most dependable, information.
Publisher: John Wiley & Sons
ISBN: 1444336495
Category : Medical
Languages : en
Pages : 255
Book Description
This practical step-by-step guide to performing GI endoscopy safely and effectively in children covers the use of endoscopy as both a diagnostic and a therapeutic modality. Now with an entirely new section focusing on advanced endoscopic techniques, such as such as pancreatic cysto-gastrostomy, confocal endo microscopy, and single balloon enteroscopy, the new edition gives trainees and practitioners access to the most recent, as well as the most dependable, information.
Successful Training in Gastrointestinal Endoscopy
Author: Jonathan Cohen
Publisher: John Wiley & Sons
ISBN: 1119529689
Category : Medical
Languages : en
Pages : 500
Book Description
Successful Training in Gastrointestinal Endoscopy Teaches trainee gastroenterologists the endoscopic skills needed to meet the medical training requirements to practice gastroenterology and helps clinical specialists refresh their skills to pass their recertification This book provides all gastroenterologists with the exact set of skills required to perform endoscopy at the highest level. Featuring contributions from internationally recognized leaders in endoscopy education and an endorsement by the World Organization of Digestive Endoscopy, it examines the specific skill sets and procedure-related tasks that must be mastered when learning a particular technique, including: specific descriptions of accessories required; standard training methods for the procedure; optimal utilization of novel learning modalities such as simulators; quality measures and objective parameters for competency; and available tools for assessing competency once training has been completed. Successful Training in Gastrointestinal Endoscopy, Second Edition features 400 high-quality, outstanding color photos to assist with comprehension. It is also complemented by a website containing over 130 annotated teaching videos of both actual procedures and ex-vivo animal model simulations. These videos illustrate, step by step, the proper techniques to be followed, highlighting clinical pearls of wisdom from the experts and the most common mistakes to avoid. Offers comprehensive and practical training guidelines in all the endoscopy procedures and techniques trainee gastroenterologists are required to learn Provides trainees with the skills required to perform endoscopy to the level required by the ACGME in order to practice gastroenterology Presents seasoned gastroenterologists with an outstanding tool to brush up their endoscopy skills and to familiarize them with new trends in safety and competence Includes website with video clips visually demonstrating all the endoscopic procedures step-by-step highlighting common mistakes Endorsed by the World Organization of Digestive Endoscopy Successful Training in Gastrointestinal Endoscopy, Second Edition is an excellent book for all trainee gastroenterologists (particularly endoscopists and colonoscopists) training for board exams. It will also greatly benefit gastroenterology specialists (especially those training for re-certification), as well as internal medicine physicians and trainees.
Publisher: John Wiley & Sons
ISBN: 1119529689
Category : Medical
Languages : en
Pages : 500
Book Description
Successful Training in Gastrointestinal Endoscopy Teaches trainee gastroenterologists the endoscopic skills needed to meet the medical training requirements to practice gastroenterology and helps clinical specialists refresh their skills to pass their recertification This book provides all gastroenterologists with the exact set of skills required to perform endoscopy at the highest level. Featuring contributions from internationally recognized leaders in endoscopy education and an endorsement by the World Organization of Digestive Endoscopy, it examines the specific skill sets and procedure-related tasks that must be mastered when learning a particular technique, including: specific descriptions of accessories required; standard training methods for the procedure; optimal utilization of novel learning modalities such as simulators; quality measures and objective parameters for competency; and available tools for assessing competency once training has been completed. Successful Training in Gastrointestinal Endoscopy, Second Edition features 400 high-quality, outstanding color photos to assist with comprehension. It is also complemented by a website containing over 130 annotated teaching videos of both actual procedures and ex-vivo animal model simulations. These videos illustrate, step by step, the proper techniques to be followed, highlighting clinical pearls of wisdom from the experts and the most common mistakes to avoid. Offers comprehensive and practical training guidelines in all the endoscopy procedures and techniques trainee gastroenterologists are required to learn Provides trainees with the skills required to perform endoscopy to the level required by the ACGME in order to practice gastroenterology Presents seasoned gastroenterologists with an outstanding tool to brush up their endoscopy skills and to familiarize them with new trends in safety and competence Includes website with video clips visually demonstrating all the endoscopic procedures step-by-step highlighting common mistakes Endorsed by the World Organization of Digestive Endoscopy Successful Training in Gastrointestinal Endoscopy, Second Edition is an excellent book for all trainee gastroenterologists (particularly endoscopists and colonoscopists) training for board exams. It will also greatly benefit gastroenterology specialists (especially those training for re-certification), as well as internal medicine physicians and trainees.
Upper Gastrointestinal Bleeding Management, An Issue of Gastrointestinal Endoscopy Clinics
Author: John R. Saltzman
Publisher: Elsevier Health Sciences
ISBN: 0323390994
Category : Medical
Languages : en
Pages : 225
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.
Publisher: Elsevier Health Sciences
ISBN: 0323390994
Category : Medical
Languages : en
Pages : 225
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.
Submucosal and Third Space Endoscopy , An Issue of Gastrointestinal Endoscopy Clinics, E-Book
Author: Amrita Sethi
Publisher: Elsevier Health Sciences
ISBN: 0323960863
Category : Medical
Languages : en
Pages : 233
Book Description
In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Amrita Sethi brings her considerable expertise to the topic of Submucosal and Third Space Endoscopy. Endoscopic submucosal dissection (ESD) is now recognized as one of the preferred treatment modalities for premalignant gastrointestinal epithelial lesions and early gastric cancer without lymph node metastasis. ESD techniques require advanced skills, and this issue brings together top experts in the field who provide the information endoscopists need to improve these skills. - Contains 15 practice-oriented topics including building the toolbox of devices to optimize a practice in submucosal endoscopy; understanding the principles of electrocautery for submucosal endoscopy; endoscopic submucosal dissection in the colon and rectum; techniques for peroral endoscopic myotomy, from mouth to anus; management of adverse events of submucosal endoscopy; and more. - Provides in-depth clinical reviews on submucosal and third space endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0323960863
Category : Medical
Languages : en
Pages : 233
Book Description
In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Amrita Sethi brings her considerable expertise to the topic of Submucosal and Third Space Endoscopy. Endoscopic submucosal dissection (ESD) is now recognized as one of the preferred treatment modalities for premalignant gastrointestinal epithelial lesions and early gastric cancer without lymph node metastasis. ESD techniques require advanced skills, and this issue brings together top experts in the field who provide the information endoscopists need to improve these skills. - Contains 15 practice-oriented topics including building the toolbox of devices to optimize a practice in submucosal endoscopy; understanding the principles of electrocautery for submucosal endoscopy; endoscopic submucosal dissection in the colon and rectum; techniques for peroral endoscopic myotomy, from mouth to anus; management of adverse events of submucosal endoscopy; and more. - Provides in-depth clinical reviews on submucosal and third space endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics
Author: Adam Slivka
Publisher: Elsevier Health Sciences
ISBN: 032340085X
Category : Medical
Languages : en
Pages : 233
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.
Publisher: Elsevier Health Sciences
ISBN: 032340085X
Category : Medical
Languages : en
Pages : 233
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.
Sedation and Monitoring in Gastrointestinal Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics of North America
Author: John Vargo
Publisher: Elsevier Health Sciences
ISBN: 032344864X
Category : Medical
Languages : en
Pages : 177
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.
Publisher: Elsevier Health Sciences
ISBN: 032344864X
Category : Medical
Languages : en
Pages : 177
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.
Practical Gastrointestinal Endoscopy
Author: Peter B. Cotton
Publisher: John Wiley & Sons
ISBN: 1405140682
Category : Medical
Languages : en
Pages : 224
Book Description
Gastrointestinal endoscopy is now mainstream and the focus is nowchanging from developing new techniques to enhancing the efficiencyand quality of fundamental techniques. There are three elements tothis agenda: initial training, continuous quality improvement andpatient empowerment. For the first time, the book is accompanied by two CD-ROMs -featuring video and animation of how to perform the techniques. Thefirst CD-ROM covers the upper GI tract and consists of twosections: (1) the background to instruments and how to get set up,and (2) how to perform diagnostic techniques. The second CD-ROMcovers diagnostic and therapeutic procedures in colonoscopy. Cotton and Williams' book has evolved with each new edition toreflect developments in the field of endoscopy over the last 20years. This fifth edition draws on the vast experience of the authorsand heralds current changes in both endoscopy and publishing. The emerging 'back to basics' attitude of endoscopy opinionformers with regard to the teaching of endoscopy has resulted in amore focused table of contents specifically targeted at newcomersto this specialty.
Publisher: John Wiley & Sons
ISBN: 1405140682
Category : Medical
Languages : en
Pages : 224
Book Description
Gastrointestinal endoscopy is now mainstream and the focus is nowchanging from developing new techniques to enhancing the efficiencyand quality of fundamental techniques. There are three elements tothis agenda: initial training, continuous quality improvement andpatient empowerment. For the first time, the book is accompanied by two CD-ROMs -featuring video and animation of how to perform the techniques. Thefirst CD-ROM covers the upper GI tract and consists of twosections: (1) the background to instruments and how to get set up,and (2) how to perform diagnostic techniques. The second CD-ROMcovers diagnostic and therapeutic procedures in colonoscopy. Cotton and Williams' book has evolved with each new edition toreflect developments in the field of endoscopy over the last 20years. This fifth edition draws on the vast experience of the authorsand heralds current changes in both endoscopy and publishing. The emerging 'back to basics' attitude of endoscopy opinionformers with regard to the teaching of endoscopy has resulted in amore focused table of contents specifically targeted at newcomersto this specialty.