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Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases is a practical handbook that focuses on the diagnosis and management of the most commonly encountered digestive diseases.Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases is portable enough to keep in a lab coat or briefcase, yet informative enough for day-to-day patient care. Written and edited by Dr. Esrailian and over 50 contributing experts, the language throughout is clear and concise enough for application at the office, or at the bedside. Gut Instincts combines knowledge, experience, and evidence, helping providers of all levels to deliver the highest quality patient care. However, the chapters are concise and designed to be used as quick reference even during patient visits.Unique Benefits and Features Include: A “Gut Instincts” sidebar in each chapter with important clinical pearls for patient care Addresses the most frequently encountered clinical problems in digestive diseases Focuses primarily on diagnosis and management More than 50 algorithms, tables, and figures throughout the book Uses a coherent format while distributing high-yield information Some Chapter Topics Include: Barrett's esophagus Pancreatic diseases Colon polyps Non alcoholic fatty liver disease Complications of portal hypertension Gut Instincts combines knowledge, experience, and evidence and is the ideal resource for practicing gastroenterologists and fellows, residents and medical students, nurse practitioners and physician assistants, and all primary care providers and trainees on the “front line” of patient care.

Over the last two decades, there have been major advances in imaging, endoscopy, and laparoscopy in the field of Gastrointestinal (GI) surgery. GI surgery is the newest sub-specialty branch of general surgery, where enhanced expertise and high-volume centres have made a difference in the outcomes of complex operations. Surgeons can now do difficult procedures with low morbidity and mortality rates, and greatly improved overall results. This volume provides detailed and up-to-date information on diseases of the appendix, colon, and rectum. It covers the anatomy, surgical and non-surgical approaches to different conditions, dedicated chapters on rectal and colon cancer, plus current and future surgical techniques. Written and edited by experts in the field, this book will be a valuable resource for specialist surgeons and trainees, general surgeons, researchers, and medical students.

This book is an essential guide for practicing surgeons, equipping them with the necessary skills and expertise to lead medical practices and healthcare organizations. Acting as a roadmap, it engages surgeons in leadership development, enabling them to acquire the knowledge needed to advance within healthcare leadership. Specifically designed for surgeons interested in healthcare leadership, the book addresses a critical gap in the development of surgical professionals into influential and effective surgical leaders. This manual will prepare the surgeon for all aspects of surgical leadership; it prepares surgeons to excel in areas such as practice development, national reputation building, organizational leadership, and fostering a culture of positive change within institutions. In a field where relevant resources are scarce, this book provides a clear path for practicing surgeons to acquire the necessary skills and expertise for effective leadership. The text begins by focusing on self-leadership, covering topics such as defining one's practice type, navigating promotions across systems, and determining the scope of practice. The subsequent section delves into leading others, addressing critical areas like managing work environments, policy formulation, administration, and consensus-building. Finally, the book explores leading systems, emphasizing the importance of understanding local contexts, building efficient organizational structures, and optimizing healthcare delivery processes.

Over past several decades, an increasing number of cases of diverticulitis of colon have been reported making it a major health problem particularly in western countries. The distribution of the disease varies geographically with western population having prevalence rates of 5-45% and Asian population having prevalence rates of 13-25%. Although elderly people are more likely to develop diverticulitis, younger patients may also develop diverticular disease. In fact, it has been reported that disease in younger patients is more aggressive with higher rates of complication and recurrence. According to latest statistical reports acute diverticulitis accounts to nearly 200000 hospital admissions putting a burden of 2.7 billion dollars on healthcare system in America. Diverticular disease can cause significant symptoms, impair quality of life and can prove fatal if left untreated and is considered as the fifth most costly gastrointestinal disorder in the Western world. The book entitled, Diverticulitis; Diagnosis and Treatment, presents an up to date review of the medical and surgical management of diverticulitis. The book comprises of various topics discussing the background, epidemiology, etiology, pathogenesis, presentation, treatment both medical and surgical, and recent advances in the management of diverticulitis. The book will be academic interest for surgeons, physicians, gastroenterologists and Coloproctologists. The book can be used as a reference book by teachers, professionals and students. The main benefit of reading this book is that since this disease entity is common all over the world and its incidence is increasing and is a significant contributor of health care costs, all the relevant and latest information regarding this disease has been published in a comprehensive form which will be helpful to the students, academicians, researchers and professionals dealing with medical healthcare.

This is the first comprehensive book exclusively dedicated to anorectal physiology and the importance of diagnostic tools in guiding the evaluation and treatment of anorectal dysfunction. Functional disorders, and specifically fecal incontinence and evacuatory disorders, are prevalent in the general population, affecting up to 20% of individuals. As many of these conditions have extremely complex mechanisms, a thorough understanding of anorectal physiology is a crucial element in the surgeon's “arsenal'to ensure accurate evaluation and to inform treatment.At this time, there is no other title that specifically addresses all aspects of anorectal physiology, as well as anorectal and pelvic floor disorders, including fecal incontinence and defecation disorders. Specifically, the book provides detailed descriptions of diagnostic methods and treatment algorithms for a range of anorectal conditions, including modern treatment modalities such as sacral neuromodulation.A unique and comprehensive reference covering all aspects of the evaluation and treatment of anorectal disorders, Anorectal Physiology – A Clinical and Surgical Perspective will be of significant interest to proctologists and coloproctologists, gastroenterologists, colorectal surgeons, gynecologists and all other professionals interested in anorectal physiology.

This volume provides an overview of the current evidence-based medical and surgical practice in emergency conditions in colorectal cancer patients. It offers a multidisciplinary perspective, taking into account the specific characteristics of colorectal cancer patients, the necessary pre-operative assessment, the endoscopic and radiological management, and the surgical treatments. Each chapter is supplemented with tables, figures, key-point boxes, schematic representations, and decision-making trees that serve as easy-to-use tools to apply in the different scenarios requiring acute care. Recommendations for best practice and the main reference articles are included for each topic, as well as numerous illustrated clinical cases with cilnical and empirical evidence regarding the surgical management of colorectal cancer. Specific technical aspects of the different surgical interventions and approaches (e.g., open surgery, laparoscopy, and robotics) are also detailed. This book is intended for residents and emergency surgeons, as well as all practictioners who treat colorectal cancer patients, such as gastroenterologists, oncologists, and radiologists.

The most comprehensive and authoritative reference available today on colorectal surgeryThis revised fourth edition of Gordon and Nivatvongs'Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions'reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts.Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine,'wait and watch'principles, outpatient management of anorectal surgery, and large bowel obstruction.Key HighlightsThirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesionsA multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocolsThe use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodelingSuperb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and managementAs the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.

This book describes the various procedures, including surgery through the abdominal wall, through a transanal access or by the union of both, using an open, laparoscopic, or robotic approach. Worldwide pioneers for each technique are invited as authors and portray in step-by-step detail about each procedure. Of the 32 chapters, 23 are dedicated only for the surgical procedures. Each chapter is enriched by numerous figures, which complement the text, permitting the understanding of each surgical technique from its beginning until the last step. Eight additional chapters are dedicated to the clinical and anatomical aspects of rectal cancer.In the last decade there has been an impressive evolution in the treatment of patients with rectal cancer, with a focus not only on the preservation of a cancer-free life, but the quality of that life. This book has been written to be useful for everyone involved in rectal cancer management. From internists, gastroenterologists, endoscopists,oncologists, radiotherapists and radiologists involved in the treatment of rectal cancer during their daily practice, to surgeons specialized in colorectal surgery, to junior faculty to trainees, all interested in new and innovative techniques.

Dr. Robert Gore (co-editor of Textbook of Gastrointestinal Radiology) has assembled an expert panel of authors on the topic of The Acute Abdomen. Articles will include: Evaluating the patient with right upper quadrant pain; Evaluating the patient with left upper quadrant pain; Evaluating the patient with right lower quadrant pain; Evaluating the patient with left lower quadrant pain; Acute pancreatitis; Acute disorders of the abdominal aorta; Bowel obstruction; Bowel ischemia; Acute infectious and inflammatory enterocolitides; Acute urinary tract disorders; Acute gynecologic disorders; Evaluating the acute abdomen in the pregnant patient; MR evaluation of the acute, non-traumatic abdomen in adolescents and adults; and more!

This book provides a concise yet comprehensive summary of the current status of the field that guides patient management and stimulate investigative efforts. It is an easy reference for day-to-day anorectal pathology. The text reviews new testing procedures for anorectal diseases and provides new treatment options about anorectal disease both benign and malignant. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. The text includes highly practical presentations of typical patients seen in the clinical practice of proctology in the form of case presentations with expert analysis and commentary. Example cases would include common but challenging cases such as an anal tumor, chronic anal pain and anal discharge.Anorectal Disease: Contemporary Management is a comprehensive, state-of-the-art review of this field and serves as a valuable resource for residents, clinicians, surgeons and researchers with aninterest anorectal disease.

In this book, pioneers and distinguished masters of surgery describe novel minimally invasive colo- and anorectal procedures that have been developed in Asia but are of international applicability. The presented techniques are wide ranging in nature and relate to colon surgery, rectal surgery and the treatment of hemorrhoids, fistulas and chronic constipation. Each procedure is carefully described with the aid of high-quality color photographs and illustrations, drawing attention to many practical tips and tricks. In addition to the techniques themselves, state of the art technology is introduced that is now being applied clinically in China, Hong Kong, Asia-Pacific, and beyond. The book will enable readers both to grasp the concepts underlying these important new approaches and advances and to reproduce the techniques in their own surgical practice.

Modern Management of Cancer of the Rectum is intended to provide a comprehensive overview of all aspects of rectal neoplasms. It addresses epidemiology, biology, screening and chemoprevention, the role of imaging in diagnosis, staging and prognosis, radiation therapy, medical and surgical treatment, as well as new modalities of therapy, including laparoscopy, and transanal endoscopic surgery. A greater understanding of prognostic factors, patterns of spread and natural history has occurred during the past decade; together with new diagnostic modalities this has led to significant changes in the management of patients with rectal cancer. This book will be invaluable for all those who treat rectal cancer.

Reduced port laparoscopic surgery is a fast-developing topic for the laparoscopic surgeon, with the emergence of a number of new techniques as well as new instruments.Edited by surgeons who have pioneered the single-incision approach, this volume provides extensive information for the beginning surgeon, examining different operation techniques and covering the advantages and pitfalls of reduced port laparoscopic surgery. In addition, the text provides the foundation for new ideas to further develop skills for the advanced laparoscopic surgeon.

Single Incision Laparoscopic and Transanal Colorectal Surgery provide a comprehensive and state-of-the art review of single incision laparoscopic and transanal colorectal surgery. The text concentrates on surgical techniques and tricks in single incision laparoscopic and transanal surgery with detailed descriptions of the techniques, as well as indications and limitations of the procedures. The newly available evidence on these procedures is emphasized and all procedures are richly illustrated with diagrams and photos.Written by experts in their fields, Single Incision Laparoscopic and Transanal Colorectal Surgery is valuable resource for general surgeons, colon and rectal surgeons, laparoscopic GI surgeons, surgical residents and fellows in training interested in these two rapidly developing fields in colorectal surgery.

This issue provides important updates on the management of disorders of the anorectum and pelvic floor. Expert authors provide information on hemorrhoidal issues, anorectal anatomy and imaging techniques, fissure and anal stenosis, rectal prolapse, and anal abscess and fistula. Other articles are devoted to sexually transmitted and infectious diseases, treatment of radiation proctitis, and pruiritis ani. Readers will come away with a full understanding of the current strategies for diagnosis and management of these disorders.

This atlas presents an extensive collection of single-incision laparoscopic operations in general surgery performed from 2008 to 2013 in Shengjing Hospital of China Medical University. 2000 operations are reported in it. All the figures in it were collected using real time recordings of the operations which will be particularly interesting to the readers. In each specific surgery, authors provide its key surgical steps, complications and management and contraindication. This atlas is intended for clinical surgeons who can evolve these operations soon after reading about them. Patients will also benefit from this book because of the combination of minimal invasiveness and cosmetic effect of single-incision laparoscopic surgery.

Whereas other textbooks mix a clinical approach with large amounts of the basic science of gastroenterology, this book concentrates on providing practicing gastroenterologists with 100% clinically focused, evidence-based chapters on how to correctly diagnosis and treat all disorders of the digestive tract. Once again, the book is divided into 4 clear parts: Symptoms, Syndromes and Scenarios; Diseases of the Gut and Liver; Primer of Diagnostic Methods; and Primer of Treatments. An accompanying website contains more than 85 high-definition surgical videos of diagnostic and therapeutic endoscopic procedures, 300 MCQs written to mirror the American College of Gastroenterology postgraduate course exams, more than 35 management protocol charts for different diseases, and 850+ illustrations for use in scientific presentations.

Developed in conjunction with the American Society of Colon and Rectal Surgeons, this comprehensive textbook provides readers with the full scope of surgical practice for patients with diseases of the colon and rectum. Expert surgeons, all active both as educators and with busy clinical practices, have written concise and practical chapters on the most commonly done procedures while providing much-needed insight on less frequently presentations, as well.The ASCRS Textbook is designed to meet the needs not only of colorectal specialists, but also the general surgeon in practice whose caseload includes patients with disorders and diseases of the colon, rectum and anus. Residents and fellows will also find a wealth of hands-on guidance and practical tips and tricks. The ASCRS Practice Parameters are incorporated in the book along with an appendix providing the most up-to-the minute access to best practice guidelines. Patient care and safety are addressed in each chapter.'[The ASCRS Textbook of Colon and Rectal Surgery] is a long awaited textbook for those in the field and it does not disappoint. It is brief and to the point, but does not lack the necessary detail expected from a society-produced publication. [It has an] easy-to-read quality that enhances comprehension for the trainee. It is by no means just a student textbook. The inclusion of'hot'current topics, like the anal fistula plug, makes it fresh and useful for experienced surgeons. This is an excellent addition to the colorectal library.'(Doody's Review)

This state-of-the-art Gastrointestinal title in the brand-new High-Yield Imaging series is ideally designed to let you quickly look up a diagnosis, confirm your suspicion, and move on to the next case. Renowned authorities, Drs. Gore and Levine, present 350 GI diagnoses, 1,200 optimally sized multi-modality clinical images, and at-a-glance bulleted text, to help you efficiently and accurately diagnose any GI disorder. A full-color design along with a consistent organization makes reference a snap.Covers 350 GI diagnoses allowing you to diagnose a broader spectrum of conditions.Offers all the information necessary to provide referring physicians with the complete, actionable reports they need. Presents more than 1,200 optimally sized multi-modality clinical images to help you recognize the characteristic appearance of both common and uncommon GI disorders.Structures every chapter consistently to include Findings, Imaging Modalities, Clinical Presentation, Pathology, Incidence/Prevalence and Epidemiology, What the Referring Physician Needs to Know, Suggested Readings, and Selected Images to make reference fast and easy.

Colorectal cancer is the second-leading cause of cancer-related death in the Western World. This Second Edition analyzes the genetics, mechanisms, and development of colorectal carcinoma and supplies the latest research and recommendations on the detection, treatment, and prevention of malignancies of the colon, rectum, and anus.

Covers endocopic procedures and common surgical operations of the gastrointestinal tract and liver!Contains an overview of nutrition for normal and sick pediatric patients!Examines the supply, digestion, absorption, and metabolic utilization of lipids and their importance for growth, body composition, health, and well-being!

Among inflammatory bowel diseases, Crohn's disease and ulcerative colitis are of particular importance to gastroenterologists treating both children and adults. Although the etiology of these diseases is still largely unknown, knowledge of their immunopathology is increasing. Typically, proinflammatory cytokine production is abnormal, and particularly in Crohn's disease, the consequent inflammation is responsive to nutritional intervention or anticytokine therapy. The contributions in this volume focus on nutritional therapy, which is important for both the repletion of associated protein-energy malnutrition and for modulation of the inflammatory response. Highlights include the growing role of enteral nutrition as primary therapy in pediatric practice and investigations into the ideal diet composition, including type of formula (polymeric, protein hydrolysate or amino acid). Furthermore, the pro- and anti-inflammatory effects of omega-6 and omega-3 fatty acids, respectively, and their impact on clinical response receive special attention. This publication offers a wealth of information for gastroenterologists dealing with both adults and children, as well as for clinical and research nutritionists, clinical immunologists and others interested in dietetic therapy.