Author: Massimiliano Mutignani
Publisher: Springer Nature
ISBN: 303042569X
Category : Medical
Languages : en
Pages : 604
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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:
Publisher:
ISBN: 9783030425708
Category : Biliary tract
Languages : en
Pages :
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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
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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: Linda S. Lee
Publisher: Springer
ISBN: 149392320X
Category : Medical
Languages : en
Pages : 587
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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: Osvaldo Chiara
Publisher: Springer Nature
ISBN: 3030731553
Category : Medical
Languages : en
Pages : 262
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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: Juan Enrique Dominguez-Munoz
Publisher: John Wiley & Sons
ISBN: 111957014X
Category : Medical
Languages : en
Pages : 752
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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: Ninh T. Nguyen
Publisher: Springer Nature
ISBN: 3030270211
Category : Medical
Languages : en
Pages : 649
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Book Description
The fully updated 2nd edition of this textbook continues to serve as a comprehensive guide for information dealing with the ever-evolving field of bariatric surgery. The chapters are written by experts in the field and include the most up-to-date information, including new sections on quality in bariatric surgery, endoscopic surgery, and management of bariatric complications. This new edition continues to cover the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities, and improvement in quality of life. Other special emphasis is given to the topics of metabolic surgery and surgery for patients with lower BMI. In addition, new endoscopic bariatric procedures including the gastric balloons, endoscopic revisional procedures, and newer pharmacotherapy for obesity are reviewed. The ASMBS Textbook of Bariatric Surgery Second Edition will continue to be a leading source of scientific information for surgeons, physicians, residents, students, and integrated health members today and for years to come.
Author: Savio George Barreto
Publisher:
ISBN: 9789811087561
Category : MEDICAL
Languages : en
Pages :
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Book Description
This book provides an evidence-based approach to the diagnosis and surgical management of the diseases of the pancreas and biliary tree, highlighting the most recent findings. The chapters are designed to accompany the reader on a step-by-step approach to the patient, providing the latest evidence to justify each recommendation. Wherever feasible and indicated, emphasis is placed on the use of tables and algorithms to simplify decision-making. The information contained in this well-referenced book is thus relevant not only to practicing pancreatobiliary and general surgeons, but also offers valuable guidance for surgical trainees. This book covers 14 diseases of the pancreas and biliary tree, from the more common gallstones and common bile duct stones, acute and chronic pancreatitis, to more complex benign conditions such as biliary fistulae and strictures, as well as cystic tumors of the pancreas, and finally the major malignancies include gallbladder cancer, pancreatic cancer and hilar cholangiocarcinoma. .
Author: Shyam Menon
Publisher: Springer Nature
ISBN: 3030272613
Category : Medical
Languages : en
Pages : 77
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Book Description
This book presents the latest approaches to cholangioscopy and covers recent innovations in single-operator cholangioscopy platforms, which have evolved from fibre-optic technology to digital endoscopes and have significantly advanced the management of biliary disease. The first part presents the development of cholangioscopy and hepatobiliary anatomy and then goes on to discuss the indications for this technique. With dedicated chapters on each stage of the technique, the book subsequently covers patient preparation and nursing issues, set-up, and different types of cholangioscopy. This book offers a highly topical resource, and addresses the technical challenges related to the procedure, including the different systems available. Accompanied by an extensive library of videos and images, it represents a unique and novel resource for all advanced biliary endoscopists.
Author: Peter B. Cotton
Publisher: John Wiley & Sons
ISBN: 1119601096
Category : Medical
Languages : en
Pages : 426
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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.
