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It is a well-known fact that children's growth depends on the quality of their nutrition. However, the mechanisms of fetal and child growth and their interactions with nutrition have not yet been fully elucidated and still pose a challenge to those engaged in the field. Exchanging concepts and knowledge among professionals of various disciplines thus remains very important. This second'Yearbook'provides an update on the research published between 2013 and 2015. An international team of experts presents papers that shed light on the mechanisms of interaction between nutrition and growth, and provide insight to the readers. Each paper is briefly summarized and supplemented with editorial comments which evaluate the clinical importance of each article and discuss its application.This'Yearbook'is an important tool for practicing physicians, including pediatricians, subspecialists in pediatric gastroenterology, metabolism and nutrition, and endocrinology. Nutritionists and dieticians, as well as other health professionals involved in the care of children, will also find this to be a useful resource.

This highly informative monograph offers a comprehensive and interdisciplinary reference guide for the management and treatment of the whole spectrum of painful tears in the anus and anal canal. Based upon a systematic review of all relevant papers on the topic since 1865, it addresses primary, acute and chronic anal fissures – providing a new definition of the last form – and secondary anal fissures in detail, particularly their medical history, etiology, signs and symptoms, medical findings, therapy and its evaluation, and differential diagnosis. The book also covers all available evidence-based therapeutic strategies. As such, it will appeal to a wide readership, from proctologists and surgeons to gynecologists, urologists, dermatologists and gastroenterologists.

Adequate nutrition is a crucial component for child growth. Under- or malnutrition may not only affect present and future growth, but also a child's ability to develop skills. Tremendous efforts are being made to try and understand the mechanisms leading to stunted growth, proper diet composition, and an appropriate rehabilitation diet for children suffering from under- or malnutrition in all age groups during the growth period. In this publication, specialists in nutrition and growth present some of the best studies from peer-reviewed journals published between July 2015 and June 2016. Each paper is briefly summarized and supplemented with editorial comments which evaluate the clinical importance of each article and discuss its application. This'Yearbook'is an important tool for practicing physicians, including pediatricians, subspecialists in pediatric gastroenterology, metabolism and nutrition, and endocrinology. Nutritionists and dieticians, as well as other health professionals involved in the care of children, will also find this to be a useful resource.

​This book describes the causes and clinical management of functional gastrointestinal disorders in a readily understandable way, with the aid of many clear illustrations. The concrete and practical advice provided will be most helpful in the clinical practice of both the general practitioner and the medical specialist. Functional disorders of the gastrointestinal tract, such as gastroesophageal reflux disease, functional dyspepsia, and irritable bowel syndrome, are very common and chronic conditions. Despite the recent publication of many scientific papers on their diagnosis and treatment, much remains unclear, and management is still considered challenging. This practice-oriented book will be an ideal source of reliable up-to-date guidance for all who care for these patients.

Using a case-based approach, Colorectal Surgery: Clinical Care and Management provides practical, clinical and expert guidance to illustrate the best care and clinical management of patients requiring colorectal surgery for colorectal disease. Real-life cases illustrate the entire syllabus of GI/colorectal surgery, being specially selected to highlight topical or controversial aspects of colorectal care. Cases have a consistent approach throughout and as well as outlining the actual management of each individual case, also offer an honest appraisal of the chosen management route, its successes and areas that could have been managed differently. Pedagogic features such as learning and decision points boxes aid rapid understanding/learning, enabling the reader to improve their patient management. In full colour and containing over 100 outstanding clinical photos and slides to support the cases, each section also covers recent developments/ landmark papers/ scoring systems and a thorough discussion of clinical management based on the major society guidelines from NICE, ASCRS and ECCO. Reliable, well-written and perfect for consultation in the clinical setting, Colorectal Surgery: Modern Clinical Care and Management is the perfect tool for all members of the multi-disciplinary team managing patients suffering from colorectal disease, specifically GI surgeons, gastroenterologists, oncologists and general surgeons.

Psychosomatik spielt in der Gastroenterologie und Hepatologie eine immer noch zu wenig beachtete Rolle. Ausgehend vom Begriff des Bauchhirns (Brain-Gut-Axis) werden die psychosomatischen Aspekte sämtlicher Erkrankungen des Magen-Darm-Traktes ausführlich besprochen. In dieser aktualisierten und erweiterten Neuauflage kommen Expertinnen und Experten zu Wort, die die Psychosomatik als wichtigen Bestandteil Ihrer Patientenbetreuung integrieren. Die Bedeutung der Arzt-Patient-Beziehung wird praxisnah in diesem Buch vermittelt und durch Berichte von Betroffenen ergänzt. In weiterer Folge werden psychische Aspekte bei der endoskopischen Untersuchung und anderen diagnostischen Verfahren vorgestellt. Die psychopharmakologische Therapie psychischer Störungen im gastroenterologischen Alltag wird Raum gegeben und Modelle einer integrierten psychosomatischen Versorgung beispielhaft dargestellt. Im Sinne der evidenzbasierten Medizin bietet es den in Ausbildung stehenden Medizinern einen umfassenden Überblick über die aktuellen Entwicklungen der psychosomatischen Forschung des Verdauungstraktes.

Obesity is an epidemic - more than 40% of the United States population suffers from obesity and, as such, it has a high burden of weight-related conditions and diseases. Metabolic and bariatric surgery has proven to be the most effective and durable treatment of severe obesity. Technological advances including applications of laparoscopy, robotics and endoluminal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and, as providers, we have a wide spectrum of therapeutic options to treat patients. As techniques and outcomes change rapidly, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The third edition of this manual is designed to present a comprehensive and state-of the-art approach to the current and future status of metabolic and bariatric surgery. Sections will address the evolution in specific treatments available to patients, initial evaluation, and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.

This atlas provides high-quality images of surgical inflammatory bowel diseases (IBD). The treatment of IBD continues to be developed and updated surgical imaging of IBD is critical to the care of patients with IBD. To better aid readers, chapters are organized by breaking down different diseases, including: Crohn's disease with Jejunoileitis, Crohn's disease with Ileocolitis, Crohn's disease with granulomatous colitis, Recurrent ileitis, Ulcerative Colitis, Indeterminate Colitis, Colorectal Cancer in Ulcerative Colitis, and Intestinal Cancer in Crohn's disease. Emphasizing core surgical images of IBD, this atlas will be of interest to all physicians who care for patients with IBD, including gastroenterologists, surgeons, internists and even ancillary personnel such as nurses and nutritionists.

This book offers a practical, evidence-based casebook on abdominal imaging. As imaging is increasingly being used for most clinical scenarios, referring physicians rely on radiologists to provide evidence-based interpretation for the incidental and indication related findings seen on the imaging studies. While imagers are trained in identifying the findings, what makes a report more clinically relevant is the accurate assessment and a more focused differential based on knowing the pertinent evidence-based data that supports one diagnosis over the other or favors benign over malignant etiology. Imagers typically don't have this information readily available to them to provide and make a more informed impression of the findings seen. For example, if a hyperdense renal lesion with attenuation of 80 HU is seen on the noncontrast stone protocol CT, it is important to know what is the likelihood this lesion is worrisome and if any further investigation is needed. While this information is available, it is scattered and one needs to acquire, synthesize, and collate this from the web. This casebook overcomes this void by providing this information in a simplified, case-based template that any reader can then quickly reference and use in their day-to-day work. In addition, template language for dictation where relevant will be provided. Cases are organized around major abdominal areas, including bowel, genitourinary tract, and pancreas. Each case also includes a table of pearls and pitfalls to be learned and applied to everyday practice. This is an ideal guide for residents, fellows, and staff from radiology, as a day to day resource or board review book. Given the lack of a comprehensive text, this will be useful to all cadres of radiologists.

Ulcerative Colitis: The Complete Guide to Medical Management serves as the definitive source for medical management of ulcerative colitis (UC).Dr. Gary R. Lichtenstein, along with Dr. Ellen J. Scherl, have collaborated with over 60 experts from around the world to provide gastroenterologists and those in training with the necessary information to successfully manage the patient with ulcerative colitis. Sections Include:• Generalo The role of the FDA in drug development; pediatric considerations; disease modifiers; and more• Medicationso Antibiotic use in treatment of UC; oral novel biological therapies for UC; calcineurin inhibitors use in UC; novel biologic and non-biologic therapy for UC; and more• Specific Clinical Presentationso Medical management of toxic megacolon; management of extraintestinal manifestations; medical therapy of left-sided UC; use of prebiotics and probiotics; maintenance of remission; and moreFeatures:• Color images, graphs, and tables• Extensive index that includes cross-referencing to Crohn's Disease: The Complete Guide to Medical Management• Comprehensive references at the end of each chapterOrganized into an easy-to-reference format, Ulcerative Colitis: The Complete Guide to Medical Management threads theory into practice and provides gastroenterology professionals with the most comprehensive information available. The other side of inflammatory bowel disease is covered in Drs. Gary R. Lichtenstein and Ellen J. Scherl's Crohn's Disease: The Complete Guide to Medical Management. All gastroenterologists will find both books to be essential for future practice in the treatment and care of their patients with either Crohn's disease or ulcerative colitis, as well as in the overall management of those with inflammatory bowel disease.

This book discusses in detail the pathological aspects associated with alterations in the gut microbiota and the pathogenesis of different disorders related to dysbiosis. The volume describes the impact of dysbiosis on organs other than the gut and brain, such as metabolic diseases, cancer, gynecologic disorders, aging, or pediatric pathologies. Additionally, it associates the mechanisms and metabolic signaling pathways related to gut microbiota homeostasis and alterations with their clinical impact, highlighting the importance of translational research on dysbiosis.The volume is divided into 12 chapters: the first two chapters present diagnostic methods and therapeutic options, including prebiotics and probiotics. The remaining ten chapters specifically focus on diseases of different organs. Moreover, the relevance of these findings to precision medicine will be discussed. The book provides biomedical professionals, basic researchers, and clinical practitioners, especially those specialized in Precision Medicine and Integrative Medicine, with information about the effects of dysbiosis on the physiopathology of various diseases. It also includes updated evidence on the impact of dysbiosis on numerous pathologies, such as metabolic diseases, cancer, gynecologic disorders, aging, or pediatric pathologies, going beyond gastrointestinal and central nervous system diseases typically covered in many publications.Furthermore, the book addresses the translational aspect of dysbiosis. It starts with the basic research knowledge on dysbiosis and disease and aims to provide a translational approach applicable to clinical practice. By combining the fundamental knowledge of biomedical researchers with the clinical applicability of healthcare practitioners, this book bridges the gap between theory and practice.

This volume presents information regarding the mechanisms of protein absorption under normal and pathologic conditions, in addition to reviewing changes that occur at various stages of life. General modifiers of intestinal absorption, such as the processing of foods, the nutritional status of the individual, and disease, are explored with reference to both proteins and minerals. Inorganic macronutrients, namely calcium, magnesium and phosphorus, are discussed in relation to protein ingestion. The book also explores the concept of essential trace elements (e.g., iron, zinc, copper, and iodine) and their link to protein sufficiency. The relationship of ultratrace elements with the content of proteins in food is examined, and the book offers a fresh view of the role of certain elements, particularly zinc, on the conformation of proteins linked to DNA, hormone receptors, and gene products. Protein Nutrition and Mineral Absorption is packed with 2,300 references, 100 figures and graphs, plus 25 tables. Nutritionists and physicians will find this book to be an invaluable reference source for rationalizing nutritional interventions and diet modifications for their patients.

There is a very large body of literature on Necrotising Enterocolitis (NEC), much of it is confusing and contradictory. This book consolidates all the relevant aspects to provide clinicians and especially trainees with an overview of this condition which informs clinical practice and aids critical appraisal of new research in this area. The topic of NEC is often a single chapter in a paediatric surgical or neonatology text. This book is an invaluable guide for anyone caring for neonates.

This book is broadly focused on recent developments in nanotechnology and artificial intelligence-based drug delivery systems, diagnosis, and the role of various nanomaterials in the management of gastrointestinal diseases, such as abdominal pain, bowel obstruction, diarrhoea, pancreatitis, celiac disease, intestinal tuberculosis and stomach cancer. It's hoped that this work will provide a comprehensive resource for clinicians, scientists, and researchers in a variety of fields such as gastroenterology, biotechnology, nanotechnology, pharmaceutical biotechnology, pharmacology, pharmaceuticals, nanomedicine, tissue engineering and biomaterials. Key Features: Book will explain how the most recent advances in applications of novel biomaterials, nanotechnology and artificial intelligence have paved the way for new breakthroughs in drug delivery related to gastrointestinal diseases. It will cover in detail how AI and nanotechnology are working together to solve real-world clinical issues in gastroenterology. Covers how nanotechnology is enhancing the specificity of detection and reducing the toxicity of drugs in the diagnosis and treatment of GI diseases. Explores the emerging technology of AI in endoscopic analysis of inflammatory lesions and stomach cancer. Explains how AI based nanomedicine can control molecules to make devices with pre-programmed functionality for more accurate drug delivery.

This book is an all-in-one resource on providing and establishing high quality care in clinical gastroenterology. The text provides an in-depth analysis of not just guideline-based care, which is usually covered in shorter articles, but a combination of guidelines, quality metrics, and general standard of care in all areas of clinical practice and endoscopy. The book also covers high quality care for specific gastrointestinal disease states, such as inflammatory bowel disease, motility disorders, and pancreatic diseases, reviewing the appropriate timing of procedures for those conditions. Each chapter features a table of key quality measures for easy use and access. The chapters also discuss avoiding overuse of procedures, as well as instances where it may not be indicated to perform procedures. In addition, this volume combines the standards put forth by many different societies and groups into a single source for providers to use as a blueprint for standards of high quality care. Quality in Gastroenterology summarizes everything a practicing clinician needs for providing high quality care in one convenient place.

This book describes multiple effects of four stomach derived hormones (acylated and unacylated ghrelin, obestatin and nesfatin-1) collectively known as ghrelin family peptides (GFPs). The first part of the book focuses on known actions of GFPs under normal physiological conditions. Subsequent chapters describe the role of dysregulation in the production and action of these peptides in the complex network involved in numerous chronic diseases, musculoskeletal health, osteoporosis, falls and, consequently, osteoporotic fractures. The emerging data on the potential diagnostic and therapeutic benefits of GFPs in different disorders and implications on clinical practice is presented, and an extensive bibliography is provided.

Albumin is one of the most used human products worldwide. It is produced in the liver and has multiple functions all over the body. Therefore, if the liver is diseased albumin synthesis and quality declines. It is intuitive to say that if there is a deficiency we can supply - however this is not as easy as it appears. Use of albumin in patients with liver disease has been studied over the last decades with recent studies widening our understanding of this drug. This book focuses on the use of abdomen and liver cirrhosis, the mechanisms and part of physiology behind it as well as the dos and don'ts of clinical practice and current guidelines. Worldwide experts of liver cirrhosis and use of albumin have contributed to the book and reflected the current recommendations.

Pocket Guide to IBD, Second Edition is designed to provide quick clinical information for gastroenterologists, primary care physicians, physician assistants, and nurse practitioners who need to review symptoms, medications, and disease management, in order to decide effective diagnoses and treatments for their patients with IBD.Some of the topics covered are: Special populations, including pregnancy and children Vaccinations in the patient with IBD Treatment of the infliximab refractory patient Diagnosis and treatment of perianal disease Care of the post operative patient Dr. Marla Dubinsky and Dr. Sonia Friedman have created this go-to reference for one of the most popular topics among practicing gastroenterologists and other GI and primary care providers.Features: Comprehensive chapters in quick reference format Symptom-based guide for diagnosis and treatment Tables highlighting the full array of IBD medications Charts and figures detailing complete treatment algorithms The Pocket Guide to IBD, Second Edition is unique in its size, accessibility of information, thoroughness, and clarity of content. This clinical guide will be the quick reference to turn to when treating patients with IBD.

There is a tremendous interest in information on stents in the world of gastrointestinal endoscopy. Many physicians did not train in an era where these stents were available, but are now being called upon to place them. Self-Expanding Stents in Gastrointestinal Endoscopy looks to provide physicians with the necessary and unique all-in-one resource on stents.Self-Expanding Stents in Gastrointestinal Endoscopy by Dr. Douglas G. Adler covers the use of self-expanding stents. This book will cover the use of all available devices in all clinical contexts, with step-by-step instructions from experts in the field on how to use them and, just as importantly, what not to do when using these devices. Self-Expanding Stents in Gastrointestinal Endoscopy is illustrated with more than 150 color photographs, as well as many tables and diagrams.Benefits and Features: Soup-to-nuts format covers the use of all devices available on the market in all clinical situations All chapters authored by recognized experts in the world of stents who have independently published extensive research in gastrointestinal endoscopy Over 150 color photographs to guide readers from start to finish through all steps of learning about the procedures Self-Expanding Stents in Gastrointestinal Endoscopy brings attention to the use of self-expanding stents in benign and malignant diseases, the avoidance and management of complications, and the future of these devices.Self-Expanding Stents in Gastrointestinal Endoscopy is the perfect go-to book for all practicing gastroenterologists, fellows, and general and colorectal surgeons.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional GERD references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation in GERD: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues.Dr. Philip Katz has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with GERD. The unique Q&A format provides quick access to current information related to GERD with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of GERD patients.Curbside Consultation in GERD: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: Can medical therapy alter the natural history of Barrett's esophagus? Can antireflux surgery alter the natural history of Barrett's esophagus? How does pregnancy affect GERD? Is GERD in pregnancy a risk for long-term reflux? What is the association of obesity and GERD? What are the so-called extraesophageal manifestations of GERD? Is there a gender difference in reflux disease? Does this affect treatment?

Dr. Anthony Kalloo and Dr. Jonathan M. Buscaglia have taken years of experience at Johns Hopkins Hospital and created a collection of unique and interesting cases revolving around gastrointestinal and liver diseases.Complicated Cases in GI follows patient-physician interactions and includes over 50 cases that are complex in their nature, interesting in their presentations, or a representation of a unique therapeutic challenge. Each chapter case includes: • A detailed summary of a particular patient presentation • Associated pathology slides, radiology films, or endoscopy photographs • A brief evidence-based discussion focusing on the main learning objectives • Three to five key learning points listed to highlight the most important featuresComplicated Cases in GI also includes 150 board review-like questions taken directly from the cases themselves. The questions highlight the salient aspects and are meant to reinforce the learning objectives involved in each case. They will also serve as a useful study aid for anyone preparing for an examination in general medicine, gastroenterology or hepatology.Complicated Cases in GI is ideal for residents, fellows, practicing physicians preparing for recertification, nurses, and students looking for a quick reference text that can be read and absorbed over time—one case at a time.

The gold standard in gastrointestinal pathology textbooks returns More than 34 million Americans suffer from pathologies of the digestive system, with over 20 million of these disorders chronic. Treatment of these patients is a complex multidisciplinary area of clinical medicine, drawing upon expertise not only from specialist gastroenterologists but also pathologists, immunologists, endoscopists, and more. Morson & Dawson's Gastrointestinal Pathology has long set the standard for pathology textbooks, with its distinctive balance of clinical gastroenterology and pathology. Now fully updated to reflect the latest research in this vital field of medicine, it promises to bring this subject to a new generation of clinicians and pathologists worldwide. Readers of the sixth edition of Morson and Dawson's Gastrointestinal Pathology will also find: Contemporary recommendations and guidelines for getting the most out of every pathology specimen and producing the best possible report for managing the patientDiscussions of the evolving applications of immunohistochemistry and in situ hybridisationA completely new chapter on lymphoid and other tumours of the large intestine Morson & Dawson's Gastrointestinal Pathology is ideal for gastrointestinal pathologists, general pathologists, gastroenterologists, and any clinicians who work with or in gastrointestinal practice.

This fully updated second edition demonstrates the major impact that the gut microbiota has on human gastrointestinal health, with a special focus on children. The book also explores the potential use of probiotic microorganisms to protect or improve gastrointestinal health in children. Humans are not a single organism: We are a multi-organic structure composed of ourselves and our microbiota, living in close symbiosis since birth and even before. The enormous impact that the billions of microscopic cells in our gut have on our gastrointestinal and systemic health cannot be overstated. The tremendous progress that has been made in the last decade in our still very incomplete understanding of the gut microbiota opens the door to potential applications in human health that were simply unthinkable before. One of the most interesting aspects of this new scientific horizon is the fact that we can identify (or even create in the lab) many of these'friendly bacteria'and use themto protect or improve our health. Thus, strains of probiotic microorganisms are being identified and studied in a variety of clinical scenarios. One of the most studied areas for probiotics is pediatric gastrointestinal health. Topics covered in this book range from the development of the intestinal microbiota in the fetus and neonate to current and potential applications in various conditions such as necrotizing enterocolitis or infectious or inflammatory diseases of the child. Written by an international group of preeminent experts in these fields in a rigorous, evidence-based manner, the book is intended for pediatric gastroenterologists, pediatricians, and medical scientists alike.

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.

A fully up-to-date edition of the essential introduction to Endoscopic Ultrasonography Endoscopic ultrasonography, or EUS, has evolved over more than three decades of use to become an indispensable technique not only for diagnosing and staging a range of gastrointestinal conditions, but also for performing interventional endoscopic procedures. It has become a ubiquitous resource at hospitals across the globe. Endoscopic Ultrasonography has long been an essential resource for gastrointestinal endoscopists and other medical professionals looking to incorporate EUS into their programs of care. Now fully updated to reflect the latest research and technological development, it promises to continue in the pioneering tradition of EUS training. Readers of the fourth edition of Endoscopic Ultrasonography will also find: A team of contributors which includes the pioneers of endosonography and their immediate successors New chapters dedicated to therapeutic procedures using lumen apposing metal stents A practical, hands-on approach to learning EUS Endoscopic Ultrasonography, 4th Edition is ideal for all GI endoscopists and other medical professionals working with gastrointestinal pathologies.

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.

This book now published in its fully updated second edition comprehensively summarizes the current state of knowledge on malignancies of the gastrointestinal tract and highlights the latest efforts in multimodality treatment options before and after surgery, important ongoing trials as well as future areas of investigation. Dedicated organ-based chapters evaluate current treatments and management and provide information on incidence, etiology and biological characteristics. The state of the art in the radiologic and endoscopic staging of gastrointestinal malignancies is described, and guidance is offered on the role of interventional radiology and interventional gastroenterology in the treatment of these challenging tumors. In addition, the book explores novel and evolving treatments, including Immunotherapy, personalized systemic therapy and minimally invasive surgical and radiology techniques, and addresses patient-reported outcomes and survivorship challenges. It will be of benefit to all surgeons, oncologists and other specialists who treat these malignancies, as well as to trainees looking to increase their understanding of the field.

The ASCRS Executive Council has authorized production of an updated historical text to commemorate the 125th Anniversary of the Society (2024), a sequel of sorts to From Mathews to the Millennium - A Century of Achievement: A History of the American Society of Colon and Rectal Surgeons 1899-1999. Featuring personal and professional contributions from experienced members of the ASCRS, The Legacy Continues highlights the achievements, advancements and accomplishments of the ASCRS and affiliated societies over last 25 years (2000-2024), including educational efforts and meetings, noteworthy publications, important advances in surgical practice, board administration, research activities, training programs, and surgical leadership. It is an interesting and thought-provoking text not only for ASCRS members but colorectal surgeons worldwide with an interest in the growth and expansion of the field.

This book covers the diagnosis and treatment of various types of gastric cancer, and details the clinical process of gastric cancer treatment. Authors collects 37 clinical cases, which are typical gastric cancer cases with complicated disease or metastasis. In each case, the patient's gastroscopic results, abdominal CT images, pathological results and treatment process were analysed in detail. Combined with the expert's precise comments, the surgical treatment method and postoperative radiotherapy and chemotherapy and other treatment schemes of each case were clearly explained in an orderly manner.

Common Liver Diseases and Transplantation: An Algorithmic Approach to Work Up and Management provides a review of liver diseases and transplantation that is comprehensive enough to provide an intellectual basis for the data, yet simple enough to be read and assimilate into clinical practice rapidly. Common Liver Diseases and Transplantation by Dr. Robert S. Brown Jr is written with an intended flow and structure. The early chapters are summaries on topics such as early and late liver disease, workup and diagnosis, and pre- and post-transplant problems. The chapters that follow are liver disease-specific and cover the liver diseases physicians will encounter in their patients. The in-depth chapters provide disease-specific epidemiology and outcomes, as well as diagnostic tables and more detailed algorithms and management approaches. With two decades worth of teaching liver disease both formally as well as in rounds and informal “chalk talks” with residents and fellows, Dr. Robert S. Brown Jr presents a way to think about clinical liver problems with a simple algorithmic method.Common Liver Diseases and Transplantation: An Algorithmic Approach to Work Up and Management will serve as a useful resource for gastroenterologists, fellows, medical students, internists, and internal medicine residents.

Although the incidence of Helicobacter infection has been declining for the past decades, it is still one of the most common infectious disease all over the world. Over 50,000 research articles have been published so far and lots of studies are on-going. Most of previously published books dealt with so many issues and it is somewhat hard for the reader to apply in real world clinical practice. Since clinicians do not have enough time to read the book from head to the end, this book presents algorithms, tables, and figures at the end of each chapter to provide a brief summary for clinicians, so that they can use this book as a reference in a short time in clinical practice. Readers will find up-to-date information and guidance on diagnosis and different types of treatments.

This treatment manual provides cognitive behavioral therapists with the inflammatory bowel disease (IBD) specific knowledge and content they need to work with this patient population.Understanding the very real challenges of living with an IBD, and what sorts of catastrophic thoughts and maladaptive avoidance behaviors patients might have, can make therapy more focused, efficient, and effective. This manual encourages flexible, modular deployment of numerous empirically supported principles, techniques, and interventions, and includes five treatment protocols with hypothetical patients.This book is essential for therapists with training in cognitive behavioral therapy who are interested in expanding their practice competence to work with patients with GI disorders, including inflammatory bowel disease.

A Endoscopia Digestiva avança a largos passos, acompanhando não somente o desenvolvimento de equipamentos e acessórios, mas também o melhor entendimento das principais afecções que acometem o aparelho digestório. Em consonância com seus princípios, a Sociedade Brasileira de Endoscopia Digestiva (SOBED) lança este novo livro, que traz, de forma atualizada e bem ilustrada, temas fundamentais da área, de grande interesse a todos aqueles que atuam na especialidade.

Mayo Clinic Gastroenterology and Hepatology Board Review, Sixth Edition, has been thoroughly revised to review the core essential knowledge in gastroenterology, hepatology, and relevant related areas of radiology, pathology, endoscopy, and nutrition for physicians, trainees, gastroenterology fellows in training, medical residents, medical students, gastrointestinal assistants, nurses, allied health care personnel, and other persons caring for patients. This edition has been edited by a new team of Mayo Clinic gastroenterologists and hepatologists, under the stewardship of Dr. Stephen C. Hauser, the editor-in-chief of the previous fifth edition. The faculty who authored this edition are all Mayo Clinic physicians who spend their time caring for patients and teaching in an academic medical center. Accordingly, the emphasis of this edition is on clinical knowledge to enhance patient management. Case-based presentations and numerous board examination-type, single best-answer questions with annotated answers facilitate self-testing and studying. New to This Edition · New chapters on complications after Roux-en-Y surgery and endoscopy for the gastroenterology board examination · Features such as key facts and key definitions are included in each chapter · More figures and tables to support the text

Bringing together international experts in psychological and behavioural treatments for pediatric gastrointestinal symptoms, this book provides detailed, evidence-based protocols targeting gastrointestinal distress and associated mental health concerns for patients and their families. The first consolidated resource on the topic, Pediatric Psychogastroenterology gives mental health professionals access to the most up to date clinical knowledge and practice. Taking a holistic approach, it guides the reader on the treatment and care of pediatric gastrointestinal patients, as well as how to work with and support children's parents and families. The book is structured around symptom presentation and common challenges, enabling the reader to focus quickly on the area of need. Each chapter includes clinical pearls of wisdom and 62 developmentally appropriate worksheets for patients and their families to facilitate treatment, available for download.This practical, authoritative guide is an essential resource for mental health professionals who work directly with pediatric cohorts, as well as postgraduate students in health psychology, behavioral medicine, or social work.

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.

In the past 30 years, gastroesophageal and reflux disease (GERD) has become an important area of clinical medicine. GERD has gradually become associated with other common but unexplained disorders. These conditions have been designated as the extraesophageal manifestations of GERD.Dr. Anthony J. DiMarino, Jr. and Dr. Sidney Cohen and their contributors have written Extraesophageal Manifestations of GERD with the purpose to identify associations with conditions like hoarseness, laryngeal cancer, sleep disorders, and dental caries, and to explore possible causation and mechanisms of disease or possible noncausal relationships. The extraesophageal disorders have become widely accepted in clinical practice. The evidence supporting the pathogenesis of these conditions falls into three major categories: guilt by association, observed mechanistic studies, and therapeutic response to treatment.Inside the pages of Extraesophageal Manifestations of GERD the reader will find recognition and balance in treating patients with common symptom-based disorders. Final resolution of some of the controversies inherent in these associations may require advanced diagnostic tools and advanced pharmacological therapies.With chapters written by experts in the fields of medicine, pediatrics, otolaryngology, and dentistry, Extraesophageal Manifestations of GERD will be a must have for gastroenterologists, internal medicine residents, surgeons, otolaryngologists, and pediatricians.

GI and Liver Disease During Pregnancy: A Practical Approach by Drs. Kim Isaacs and Millie D. Long is a unique handbook focusing on common gastrointestinal symptoms and diseases seen in pregnant patients. Each chapter addresses the diseases or symptoms and focuses on key questions to ask the patient and key points regarding diagnosis and management.This handbook is organized to have each chapter focus on a common complaint or discrete disease, making it easy to find exact information in a ready reference. Also provided are tables of drug safety during pregnancy and breast feeding. Unique features also include a section on alternative therapies and a chapter on care in post bariatric surgery patients.Each Chapter Covers: Epidemiology Pathology Presentation and Evaluation Management Summary Key Points Pocket-sized and easy to read, GI and Liver Disease During Pregnancy: A Practical Approach is a convenient and accessible reference for gastroenterology fellows, OB/GYN fellows and residents, and practicing gastroenterologists.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional pancreatic disease references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation of the Pancreas: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues.Dr. Scott Tenner, Dr. Alphonso Brown, and Dr. Frank Gress have designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with pancreatic disease. The unique Q&A format provides quick access to current information related to pancreatic disease with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of pancreatic disease patients.Curbside Consultation of the Pancreas: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: How do I determine the amount of fluids to provide to patients with acute pancreatitis? When should antibiotics be used in acute pancreatitis? How do I determine the timing of re-feeding patients with acute pancreatitis? What is the best way to treat pain in patients with chronic pancreatitis? How should I define the best approach to a pseudocyst?

Are you looking for concise, practical answers to questions that are often left unanswered by traditional liver references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation of the Liver: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues.Dr. Mitchell Shiffman has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the liver. The unique Q&A format provides quick access to current information related to the liver with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of the liver.Curbside Consultation of the Liver: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows, residents in training, and medical students will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: How often should I follow a patient who had chronic hepatitis C after they achieved a sustained virologic response? Should I stop the HIV medications in a patient who has developed an elevation in serum liver transaminases? What should I tell my patient who is a carrier for alpha-1-antitrypsin deficiency? Which patients with fatty liver disease on an ultrasound examination require a liver biopsy? Which patients with chronic liver disease should I screen for hepatocellular carcinoma? How much ascites is safe to remove at any time?

Are you looking for concise, practical answers to questions that are often left unanswered by traditional medical searches? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation of the Colon: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues. Dr. Brooks D. Cash has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the colon. The unique Q&A format provides quick access to current information related to the colon with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of the colon.Curbside Consultation of the Colon: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: What is the appropriate evaluation for fecal incontinence? What colonic infections are associated with AIDS? What are the current colorectal cancer screening and surveillance recommendations? What is the best way to manage chronic constipation? Where do probiotics fit into the management of IBS? How should diverticulitis be managed? What is colonic pseudo-obstruction and how is it managed?

Physicians treating patients with Inflammatory Bowel Disease (IBD) often face challenges due to the disease itself, associated conditions, and systemic effects. Recently, new medications have been introduced that allow for more aggressive and effective treatment of IBD. With these medications come the risks of adverse side effects, and physicians must vigilantly monitor for any complications. Drs. Miguel D. Regueiro and Jason Swoger have created a unique, user-friendly book that describes how to prevent, recognize, and manage complications encountered in the care of patients with IBD. Clinical Challenges and Complications of IBD aims to provide practical and clinically oriented information to assist physicians with commonly encountered complications of the natural history of IBD, extraintestinal manifestations of IBD, general health and metabolic complications of IBD, and complications arising from both the medical and surgical treatments of IBD. Formatted to allow for quick access of the information, Clinical Challenges and Complications of IBD is organized into sections that allow physicians to both identify potential pitfalls in treatment, as well as focus on health maintenance and specific challenges, including pregnancy, nutrition, and psychological issues. Clinical pearls will be emphasized and each chapter will provide a bulleted summary, along with suggestions for future reading.Clinical Challenges and Complications of IBD is an invaluable guide for gastroenterologists, nurse practitioners, physician assistants, and gastroenterology trainees as it is a one-of-a-kind resource for recognizing and dealing with the challenges and complications in patients with IBD.

Crohn's Disease: The Complete Guide to Medical Management serves as the definitive source for medical management of Crohn's Disease (CD).Dr. Gary R. Lichtenstein, along with Dr. Ellen J. Scherl, have collaborated with over 60 experts from around the world to provide gastroenterologists and those in training with the necessary information to successfully manage the patient with Crohn's disease.Sections Include: General The role of the FDA in drug development; pediatric considerations; disease modifiers; and more Medications Antibiotic use in treatment of CD; oral budesonide; infliximab; novel biological and non biologic therapies for CD; and more Specific Clinical Scenarios Management of steroid unresponsive CD; management of enteric fistulae; use of pre- and probiotics; medical management of short bowel syndrome; maintenance therapy of CD; and more Features: Color images, graphs, and tables Extensive index that includes cross-referencing to Ulcerative Colitis: The Complete Guide to Medical Management An appendix on Infliximab treatment Comprehensive references at the end of each chapter Organized into an easy-to-reference format, Crohn's Disease: The Complete Guide to Medical Management threads theory into practice and provides Gastroenterology professionals with the most comprehensive information available on this disease state.The other side of inflammatory bowel disease is covered in Drs. Gary R. Lichtenstein and Ellen J. Scherl's Ulcerative Colitis: The Complete Guide to Medical Management. All gastroenterologists will find both books to be essential for future practice in the treatment and care of their patients with either Crohn's disease or ulcerative colitis, as well as in the overall management of those with inflammatory bowel disease.

GI Emergencies: A Quick Reference Guide contains practical information regarding the diagnosis and management of common gastrointestinal emergencies. Each chapter is written by a fellow or resident with an experienced clinician. This offers the perspective of a trainee, who has many basic questions about how to handle a given situation, combined with the experience of a seasoned practitioner who can guide the work-up and treatment of each clinical case. The result is a reference that provides the clinical acumen of a trained gastroenterologist in an easy-to-use format for physicians to approach GI emergencies efficiently and thoroughly. The dual-perspectives blend perfectly together to create a practical, evidence-based read for the learning physician.In GI Emergencies: A Quick Reference Guide, Dr. Robert C. Lowe and Dr. Francis A. Farraye, along with 20 contributors, help physicians deal with problems as they occur in a “real-time” format. Some Topics Include: • Evaluation and management of acute liver failure• Caustic ingestions, foreign bodies, and food impaction• Nonvariceal upper GI hemorrhage• Acute pancreatitis• Complications of endoscopyThe case-based format is less formal than that of a typical textbook, making it enjoyable without losing the educational value and evidence-based recommendations needed to provide excellent patient care. With succinct key teaching points, GI Emergencies: A Quick Reference Guide assists physicians who are training interns, residents, and medical students in training, making it an all-around reference for those in the gastroenterology field.

​Das Buch vermittelt in knapper und verständlicher Form die Grundlagen und Besonderheiten der Ernährungsmedizin, wobei dieses breit angelegte Fach nahezu alle klinischen Disziplinen betrifft. Das besondere Kennzeichen des Buches ist sein handlungs- und lösungsorientierter Ansatz. Als Orientierungshilfe ist es nicht nur wissensvermittelnd, sondern kann für viele Fragestellungen als praktisches Nachschlagewerk für den beruflichen Alltag dienen. Die Inhalte orientieren sich an dem aktualisierten (Muster)-Kursbuch der BÄK für die Zusatz-Weiterbildung „Ernährungsmedizin“. Es werden physiologische und biochemische Grundlagen von Ernährung, Verdauung und Stoffwechsel sowie ernährungsmedizinische Probleme bei verschiedenen Krankheitsbildern einschließlich von enteraler und parenteraler Ernährung beschrieben. Die Strategien von Prävention und Therapie werden gleichwertig dargestellt, sodass auch Public Health Themen nicht zu kurz kommen.Das Buch eignet sich hervorragend zur Prüfungsvorbereitung, ist aber auch aufgrund der vielen praktischen Hinweise ein wertvoller Begleiter für alle ernährungsmedizinisch tätigen Ärzte..

This book provides crucial insights into the most recent advancements in understanding pathophysiology of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), and presents innovative treatment approaches. The emerging areas of study and potential avenues for further investigation are discussed in chapters. Additionally, the latest information on diagnostic tools, lifestyle interventions, and pharmacological treatments is also presented. With the worldwide prevalence of MASLD on the rise, it helps to equip medical professionals (hepatologists, gastroenterologists, endocrinologists, cardiologists, nephrologists, internists, and surgeons), researchers, and patients with up-to-date knowledge to effectively combat this multifaceted condition.

Ten years have elapsed since the printing of the second edition of this book. Since then there's been a veritable explosion of information coming mainly from the field of molecular diagnostics, which bear particular importance in the classification and treatment of Infantile enteropathies, disorders associated with immunodeficiencies, the classification of intestinal polyps and polyposis syndromes in childhood, cholestatic and metabolic disorders of childhood, liver tumors and transplantation pathology, all of which were major subjects explored in our previous editions. In this updated third edition, most of the chapters have been extensively revised to incorporate updated understanding in pathogenesis and terminology. For example, the widespread use of genetic panels and next generation sequencing in the diagnosis of cholestatic disorders of infancy and childhood, not widely available when the last edition was being prepared, prompted the writing of an entirely new chapter reflecting these advances by a new set of authors. Similarly, progress in diagnosis and classification of liver tumors justified an entirely new chapter on liver tumors that incorporates newer patient stratification in treatment protocols and reflects the new WHO classification of liver tumors. Pathology of Pediatric Gastrointestinal and Liver Disease 3rd Edition provides the pediatric pathologist, the GI or general pathologist, and the pediatric gastroenterologist with the most complete and current reference on the subject. It includes in-depth discussions on disorders and issues that are frequently encountered but for which up-to-date information is often not readily available, as well as infrequent disorders unique or specific to children that are not covered in standard texts.

A guide examining one of the most important, yet often most neglected, organ systems in the body — from the mouth, to the stomach, to the pancreas and liver — and how to keep it healthy with herbal medicine and natural healing Digestive complaints account for around 30% of health consultations, and more than 40% of unrelated consultations end up being connected to the gut. An unhealthy gut, as well as causing gastrointestinal disorders, contributes to most other chronic health issues, ranging from neurological issues to chronic fatigue to mental health issues, as well as many more. And although a functioning digestive system is imperative for energy, intelligence, happiness and survival, it is often one of the most poorly understood and mistreated systems in the human body. In her twenty five years of herbal practice, Christine Herbert has treated a plethora of patients, whose issues more often than not stemmed from problems with digestion. In Digestion, the Key to Good Health Herbert condenses this wisdom into a pioneering guide on how to maintain a normal, healthy gut. The book sets out discussing the whole digestive process, from top to bottom, exploring all the organs and tissues involved. It moves on to discuss symptoms to be aware of that something is amiss with digestion and the gut, addressing a range of specific conditions such as reflux and GORD, mouth ulcers, IBS, leaky gut, haemorrhoids and many more. Herbert concludes Digestion, the Key to Good Health by exploring herbs that assist healthy digestion, condensed into a materia medica for ease of reference, along with other natural ways to help digestion. Digestion, the Key to Good Health is an essential guide for all herbalists, naturopaths and nutritionists to assist with their diagnosis and treatment of both digestive issues and the wider impact of the digestive system on chronic illnesses. The clear and accessible prose will also appeal to anyone looking to maintain a healthier digestive system and understand the functioning of their own body more deeply.

A succinct account of various routinely experienced pathologies and suitable images has been presented as approximately162 case studies. The cases are structured into thematic chapters with an integrated approach to basic learning. Each case study follows a similar format with a brief clinical presentation, relevant imaging findings, discussion with differential diagnosis, management, and suggested readings. This book focuses on the pointwise description of cases routinely encountered in abdominopelvic imaging that help students, trainees and radiologists to write certificate examinations. Key Features: Presents chapters in the form of case studies, along with a brief illustrative description of normal anatomy and abnormal findings. Uses image-based quizzes for easy comprehension for trainees, residents, and practicing radiologists. Incorporates pivotal cases from the hepatobiliary, pancreatic, genitourinary, and gastrointestinal systems in a single book.