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Atlas of Endoscopic Ultrasonography Atlas of Endoscopic Ultrasonography, Second Edition offers an outstanding visual guide to this very common diagnostic and therapeutic endoscopic tool. With contributions from noted experts in the field, the Atlas contains 400 high-quality color and black and white images obtained from real cases, each accompanied by detailed annotation to aid readers in their understanding of this popular technical procedure. In addition, there is a companion website featuring 50 video clips of real-life procedures in action, as well as the entire collection of images from within the book. Updated throughout to include the most recent advances in interventional Endoscopic Ultrasound (EUS) guided therapies Contains a large collection of color images obtained from both diagnostic and therapeutic procedures, also available on the companion website image bank Provides a highly integrated and accessible multimedia introduction to endoscopic ultrasonography Includes a companion website offering insightful videos Written for gastroenterologists, students, residents, and radiologists, Atlas of Endoscopic Ultrasonography, Second Edition is an essential introduction to endoscopic ultrasonography.

An innovative guide to the practice of pelvic exenterative surgery for the management of advanced pelvic neoplasms Exenterative surgery plays an important role in the management of advanced pelvic cancer. However, while a large body of evidence regarding outcomes following pelvic exenteration now exists, practical strategies and management options remain unclear. Surgical Management of Advanced Pelvic Cancer addresses this problem by assembling world-leaders in the field to provide insights into the latest techniques and best practices. It includes detailed coverage of: Surgical anatomy Operative approaches and exenterative techniques Reconstruction options Current evidence on survival and quality of life outcomes Featuring essential information for those managing patients with advanced pelvic neoplasms, Surgical Management of Advanced Pelvic Cancer consolidates the latest data and practical advice in one indispensable guide.

Treating Digestive Disorders from an Endobiogenic Perspective introduces and explains with clarity the concepts, philosophy and practical applications of endobiogenic medicine - a patient-centred diagnostic approach to treatment that originated in France and is now taught across the globe.It explores how a variety of digestive disorders including IBS, Crohn's disease, ulcerative colitis, GERD and dysbiosis, can be resolved with this ground-breaking system. Using in-depth case studies, Paul Michael gives us detailed treatment plans including specific diets, manual therapy and the use of targeted plants and supplements. He alsooffers new insights into the mechanism behind the autoimmune process seen in Crohn's disease and ulcerative colitis from the endobiogenic perspective.

Clinical Imaging of the Small Intestine offers a complete review of small bowel radiology and its applications. With contributions from leading international authorities, the book provides the reader with the pertinent aspects of gastrointestinal radiology, specifically the problems of technique and interpretation that confront radiologists.The second edition was revised to include: - CT and MRI of the small bowel; - Sonography of the small bowel; - Assessing the activity of Crohn's disease with MRI; - Vascular disorders and small bowel obstructions; - Immune deficiency diseases; - Differential diagnosis based on both pathologic and radiologic findings; - New Figures and expanded index.The comprehensive scope of coverage makes this book a highly specialized but nonetheless state-of-the-art reference for those practitioners who have an interest in learning more about intestinal imaging, including radiologists, gastroenterologists and surgeons.

Support your immunity and fuel your metabolism with this revolutionary guide to gut health, including 50 fiber-packed recipes to nourish your microbiome—from the award-winning Gut Health Doctor (@TheGutHealthDoctor) and author of the forthcoming How to Eat More Plants Publisher's Note: Love Your Gut was previously published in the UK under the title Eat Yourself Healthy. The path to health and happiness is inside you—literally. It's your gut! When you eat well, you feed the helpful gut microbes that nourish your metabolism, your immunity, and even your mood. But your microbiome is as unique as you are, so how to eat well varies from person to person. There's more to it than one‑size-fits-all advice like “Take probiotics” and “Eat more fermented foods”—in Love Your Gut, Dr. Megan Rossi cuts through the noise. You'll learn what your gut actually needs, how it works, and, most importantly, what to do when it's not loving you back. Gauge your gut health with 11 interactive questionnaires: How happy is your microbiome? Could you have a hidden food intolerance? Are your fruit and veggie choices stuck in a rut? You'll answer these questions and many more!Craft a personal action plan and treat common problems: Learn to manage IBS, bloating, constipation, heartburn, SIBO, and stress—with evidence-based diet strategies, gut-directed yoga flows, sleep hygiene protocols, bowel massage techniques, and more.Enjoy 50 plant-forward, fiber-filled recipes, including Banana, Fig, and Zucchini Breakfast Loaf, Sautéed Brussels Sprouts and Broccolini with Pesto and Wild Rice, Prebiotic Chocolate Bark, and more! Get ready to discover your happiest, healthiest self. Love your gut!

Successful Training in Gastrointestinal Endoscopy Teaches trainee gastroenterologists the endoscopic skills needed to meet the medical training requirements to practice gastroenterology and helps clinical specialists refresh their skills to pass their recertification This book provides all gastroenterologists with the exact set of skills required to perform endoscopy at the highest level. Featuring contributions from internationally recognized leaders in endoscopy education and an endorsement by the World Organization of Digestive Endoscopy, it examines the specific skill sets and procedure-related tasks that must be mastered when learning a particular technique, including: specific descriptions of accessories required; standard training methods for the procedure; optimal utilization of novel learning modalities such as simulators; quality measures and objective parameters for competency; and available tools for assessing competency once training has been completed. Successful Training in Gastrointestinal Endoscopy, Second Edition features 400 high-quality, outstanding color photos to assist with comprehension. It is also complemented by a website containing over 130 annotated teaching videos of both actual procedures and ex-vivo animal model simulations. These videos illustrate, step by step, the proper techniques to be followed, highlighting clinical pearls of wisdom from the experts and the most common mistakes to avoid. Offers comprehensive and practical training guidelines in all the endoscopy procedures and techniques trainee gastroenterologists are required to learn Provides trainees with the skills required to perform endoscopy to the level required by the ACGME in order to practice gastroenterology Presents seasoned gastroenterologists with an outstanding tool to brush up their endoscopy skills and to familiarize them with new trends in safety and competence Includes website with video clips visually demonstrating all the endoscopic procedures step-by-step highlighting common mistakes Endorsed by the World Organization of Digestive Endoscopy Successful Training in Gastrointestinal Endoscopy, Second Edition is an excellent book for all trainee gastroenterologists (particularly endoscopists and colonoscopists) training for board exams. It will also greatly benefit gastroenterology specialists (especially those training for re-certification), as well as internal medicine physicians and trainees.

It is argued that a critical approach to health studies with an eye of social sciences,particularly benefited from the fields of economics, law, and politics, contributes tothe literature on health studies. This edited book comprises seven parts which containchapters on the field of health studies from the perspectives of economics, law,and politics in Turkey. In this said framework, chapters are organized under seventhematic parts as “economic and public policy perspective in the health sector”, “theimpact of Europeanization in health law and policy”, “gender in health policies andlaw”, “legal and public policy perspective to vaccination application”, “reflectionsof covid-19 in law and economics”, “current thematic discussions in health studies”,and “noticeable issues in health law”. The book contributes to the literature by illustratingdiscussions and cases from Turkey.

This book provides a comprehensive and up-to-date overview of current endoscopic ultrasound use in all aspects of pancreatology, from diagnosis to therapy, i.e., from tissue acquisition, with standard fine-needle aspiration and the newer biopsy needles, to less invasive techniques such as contrast-enhanced ultrasound and elastography. It also covers novel therapeutic strategies, with a particular focus on ablative treatments and lumen-apposing stents, and describes techniques developed by the editors, in particular combined celiac plexus neurolysis with pancreatic tumor ethanol ablation and elastography-guided fine-needle aspiration. All topics are developed by pursuing an evidence-based approach and several recent meta-analyses, the majority of which were published by the authors. Due to several recent advances in the field, endoscopic ultrasound has taken on a pivotal role in the diagnosis, staging, and treatment of pancreatic lesions; as such, the present volume offers an invaluable tool for staying abreast of the state-of-the-art in this field.

PRACTICAL PEDIATRIC GASTROINTESTINAL ENDOSCOPY The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy – trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike. Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete “how to” manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field. Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include: GI pathology Subtleties of diagnostic technique specific to children Application of therapeutic endoscopy to specifically pediatric scenarios Anesthesia and sedation Training and skill maintenance Sophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.

The new edition of The Best of Five MCQS for the European Specialty Examination in Gastroenterology and Hepatology is a question book designed to assist in preparations for the European Specialty Examination in Gastroenterology and Hepatology (ESEGH). The book has been fully updated to reflect the new examination introduced in 2018 and the most recent guidelines. Containing a foreword by Sir Ian Gilmore, former president of both the British Society for Gastroenterology and the Royal College of Physicians, the book adopts the same Best of Five question format used in the ESEGH and covers the breadth of the curriculum. It has been designed to exactly match the relative proportion of questions on each topic area found in the examination. Each of the 300 questions contained in the book is accompanied by an answer, a set of three succinct bullet points of key'take-home'messages, and a short summary of the relevant background, evidence-base and up-to-date European guidelines. The book ends with a chapter of 50 questions, which again matches the proportions of topic areas found in the ESEGH, and is designed to act as a mock-examination for use in the final stages of preparation.

【第8版・C型肝炎治療ガイドライン対応】 肝炎診療の必携書籍「肝炎診療バイブル」の改訂5版がついに刊行。第8版・C型肝炎治療ガイドラインの最新情報、第3.4版・B型肝炎治療ガイドラインをいち早く収載し、各種ガイドラインに準拠した必須知識もさらにパワーアップ。消化器内科を目指す研修医・レジデント必携の一冊！

This book reviews recent knowledge of the role of gut microbiome in health and disease. It covers extensive topics for several diseases, including metabolic-related diseases, allergies, gastrointestinal diseases, psychiatric diseases, and cancer, while also discussing therapeutic approaches by microbiota modification. Comprehensive and cutting-edge, Gut Microbiome-Related Diseases and Therapies deepens a reader's theoretical expertise in gut microbiome.Graduate and postdoctoral students, medical doctors, and biomedical researchers will benefit from this book.

This book provides a comprehensive overview of the diagnosis and management of diseases of the biliary tree. Topics covered include: congenital biliary abnormalities, genetic cholangiopathies, autoimmune cholangiopathies, inflammatory and drug-related cholangiopathies, and cholangiocarcinoma. Given their particular importance (even for clinicians working with adults), pediatric conditions are also examined. In addition, a special section is devoted to pregnancy and diseases of the biliary tree, and to transplants and diseases of the biliary tree. Each chapter offers up-to-date information on the management of the diseases discussed. Moreover, the book addresses new treatments for autoimmune cholestatic liver diseases, reflecting the new therapeutic targets that have recently been discovered. Examples include farnesoid X receptor (FXR) and peroxisome proliferator-activated receptor (PPAR)-agonists, together with new drugs that affect the composition of bile flow. Given its scope, the book offers a valuable guide for a broad range of practitioners.

This book is a comprehensive, state-of-the art, definitive reference for the surgical management of Neuroendocrine Tumors (NETs). It provides a practical, clinically useful guide that prioritizes the diagnostic work-up, indications for surgery, surgical principles, and perioperative care of patients with NETs in the context of multi-disciplinary care. Most textbooks on NETs have traditionally focused on patients with advanced disease, highlighting systemic therapies and emerging treatment options. In contrast, this book provides a concise yet comprehensive summary of the surgical management of NETs and serves as an invaluable resource for physicians, fellows, and residents who treat this difficult disease by providing helpful guidelines and up-to-date information on clinical management. Written by experts in the field, Neuroendocrine Tumors includes the most up-to-date clinical information from national and international leaders in their respective disciplines. It not only serves as an invaluable resource for many as they seek to provide the best possible surgical and multidisciplinary cancer care, but also an opportunity to identify new avenues of scientific discovery that may lead to significant advances in the diagnosis and management of NETs.

This book presents a new, multi- and interdisciplinary approach to gastroesophageal reflux disease (GERD) and Barrett's esophagus that reflects the latest advances in understanding of the disease. The role of each of the available diagnostic techniques, including endoscopy, histopathology, esophageal manometry, reflux monitoring, and EndoFLIP assessment, is carefully explained. The use of endoscopy for the purposes of mucosal ablation (radiofrequency ablation, cryoablation) and mucosal resection is described, and all aspects of anti-reflux surgery are covered, with detailed explanation of indications and techniques for standard fundoplication, endoscopic fundoplication, and surgical procedures using the LINX system and the EndoStim device. To assist the reader further, a novel interdisciplinary algorithm is presented for GERD diagnosis and treatment. In addition, the latest diagnostic and therapeutic approaches (including endoscopic and surgical resection and chemoradiation) are also presented for esophageal cancer and cancer palliation. A key feature of the book is its recognition of the contribution of different specialties in the management of GERD, and it will accordingly appeal to a wide range of practitioners.

In recent years, epidemiological studies have shown a significant increase of incidences regarding ulcerative colitis (UC) in most regions of the world. At present, a common therapeutic modality for inflammatory bowel disorders is the use of anti-inflammatory agents, including sulfasalazine and acetylsalicylic acid, steroid hormone, and other immunosuppressive agents. Most of these treatments are symptomatic and palliative because the etiology of the disease is not yet established. As a result of no proper drug available to treat UC, patients with UC are at a high risk of developing colitis-associated cancer (CAC). It is necessary to understand the genetic and molecular mechanisms involved in the pathogenesis of UC and CAC that lead to the path of new drug discoveries. Diagnostic and Treatment Methods for Ulcerative Colitis and Colitis-Associated Cancer provides innovative insights that describe the fundamental understanding of UC and CAC and the molecular mechanisms behind the etiology as well as modern diagnostic methods that are employed in UC and CAC. Current prevention and therapeutic strategies practiced in the pre-clinical level are also discussed. The content within this publication examines alternative medicine and dietary intervention and drug delivery techniques. It is designed for healthcare professionals, physicians, academicians, researchers, R&D organizations, and medical students involved in drug discovery and clinical and therapeutic research.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth's and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

A practical handbook on fecal microbiota transplantation (FMT) for physicians, nurses, physician assistants, students, residents, and fellows, The 6 Ds of Fecal Microbiota Transplantation: A Primer from Decision to Discharge and Beyond provides a clinical framework to understand and administer this treatment as safely and effectively as possible. FMT has emerged as a promising treatment for C. difficile infection (CDI), and there is a major need for educational resources on the topic. Drs. Jessica Allegretti, Zain Kassam, and their expert contributors are leaders in the field and have collectively cared for thousands of patients suffering from recurrent CDI who have benefitted from FMT. This guide provides practical tools, clinical pearls, and answers to frequently asked questions. Beginning with introductory information on the microbiome and exploring the history of FMT, The 6 Ds of Fecal Microbiota Transplantation outlines a step-by-step checklist for administering FMT: Decision: Who is the right CDI patient to receive FMT? What clinical questions should you ask patients in your FMT clinical assessment? Donor: How do you select and screen a donor for FMT? Discussion: What are the risks, benefits, and alternatives that need to be discussed with patients? Delivery: What is the best delivery method for FMT—colonoscopy, nasogastric tube, enema, or capsules? Discharge and follow-up: What is the ideal post-FMT care? How should you council patients following FMT? Discovery: What are the most promising emerging clinical applications for FMT? What is the evidence for FMT in obesity, autism, irritable bowel syndrome, inflammatory bowel disease, antibiotic resistant bacteria, and liver disease? Arming healthcare professionals with the ability to answer questions from patients regarding FMT and the microbiome, The 6 Ds of Fecal Microbiota Transplantationprovides a pragmatic guide for this exciting treatment.

This comprehensive book provides the reader a perspective of the current evidence-based management of Laparoscopic Colorectal Surgery. It covers sections on benign surgery for IBD, diverticulitis, rectal prolapse etc. along with the procedures for colon and rectal cancers, including laparoscopic TME. The accompanying videos complement the text imparting specific operative skills of exposure, retraction, countertraction, dissection, vascular control, hemostasis, laparoscopic Stapling, anastomosis, specimen extraction and stoma formation. This book aims to help surgeons to learn, standardize, practice and master the complex skills of Laparoscopic colorectal surgery. Key Features Provides step by step solution to the difficulties encountered by the beginners by covering a section on bugbears. Caters to General, GI, Oncology and Colorectal surgeons who have the adequate basic laparoscopic skills and have already been doing some advanced laparoscopic surgery in form of laparoscopic Upper GI and bowel surgery and would want to start laparoscopic colorectal surgery. Covers a section on Robotic and single incision laparoscopic surgery providing the contemporary knowledge in this emerging field, whereas a section on trans-anal surgery provides a futuristic dimension to this field.

A comprehensive guide, Women's Health in IBD: The Spectrum of Care From Birth to Adulthood will help providers approach the specific issues that women with inflammatory bowel disease (IBD) face throughout their lifetimes. This book will better equip providers to counsel and support women of all ages with IBD.In Women's Health in IBD, Drs. Bincy P. Abraham, Sunanda V. Kane, and Kerri L. Glassner focus on the unique aspects of care for women with IBD. Half of the IBD patient population is female. As we understand more about gender and sex differences in terms of genetics, physiology, and medical care, it is important to consider these factors between men and women to personalize their care.This book encompasses the entire life span of the female IBD patient through birth, adolescence, pregnancy, menopause, and older adult years. Each chapter includes discussions of medications, treatment plans, and common questions or controversies on important topics in IBD such as: Transitioning from pediatric to adult care Diet and nutrition Mental health Health maintenance Family planning Pregnancy and breastfeeding Menopause Concomitant irritable bowel syndrome Women's Health in IBD: The Spectrum of Care From Birth to Adulthood is an essential text that will help anyone who treats women with IBD, offering practical tools and takeaways for point of care and beyond.

This volume highlights and broadens our understanding of the correct use and the possible contraindications of contrast agents applied in radiology. Written by experts in the field, it not only focuses on the chemistry, physiochemical properties and pharmacokinetics of both iodinated and gadolinium-containing contrast agents, but also on the relevant safety issues such as frequency of their short- and long-term side effects and ways to avoid them nephrotoxicity risk related to the iodinated contrast agents NSF (nephrogenic systemic fibrosis) accumulation of gadolinium in the brain use of contrast agents in pediatric patients and pregnancy It also includes essential data on the use of contrast agents, such as scanning protocols, in the context of various clinical conditions. This comprehensive manual addresses all professionals involved in radiological imaging and is an invaluable tool for radiologists and technologists, as well as for residents and clinicians.

THE ESOPHAGUS The Esophagus investigates the anatomy, physiology, and pathology of the esophagus. This sixth edition, revised and updated throughout, also explores the diagnosis and treatment of various esophageal conditions. It includes treatment guidelines approved by the two largest gastroenterology societies, the ACG and AGA, as befits a work co-edited by two former presidents of those organizations. Advancements in diagnostics are presented, as are developments in the surgical and drug therapies.Presented in full colour, and boasting an unrivalled team of editors and contributing authors, The Esophagus Sixth Edition will find a home wherever the anatomy, physiology, and pathology of the esophagus are studied and taught.This book is accompanied by a website containing all the figures from the book in PowerPoint format.www.wiley.com/go/richter/esophagus6ePraise for the Fifth Edition:“There is absolutely no doubt that this edition of the textbook will maintain its status as the go-to reference for esophageal conditions, and will remain a highly utilized and clinically useful resource for novice and experienced physicians and surgeons alike.” (Gastroenterology, 1 July 2013)

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.

Explore this practical and step-by-step guide to managing liver transplant patients from leading international clinicians in Hepatology The newly revised Second Edition of Liver Transplantation: Clinical Assessment and Management delivers expert clinical guidance on best practices in managing the care of liver transplant patients. Authors are all experts in their field and cover a world-wide perspective. Organized in an accessible, stepwise fashion and packed with text features such as key points, the book covers all critical areas of each stage of the liver transplant journey, from assessment, to management on the list, to long term care. Readers will learn when to refer a patient for liver transplantation, how to assess a potential liver transplant recipient, learn the principles of the procedure and the long term management of the transplant recipient. Liver Transplantation provides the entire hepatology and surgical team the information required for a sound understanding of the entire procedure, from pre- to post-operative care and management. Clinically oriented and management-focused, the book is far more accessible than the liver transplant sections in traditional hepatology textbooks. Readers will also enjoy: A thorough discussion of when to refer a patient for liver transplantation, including general considerations and the use and abuse of prognostic models An exploration of the selection, assessment, and management of patients on the transplant list, including how to manage a patient with chronic liver disease while on the waiting list A treatment of liver transplantation for acute liver failure (ALF), including assessment and management of ALF patients on the transplant waiting list A discussion of care of the liver transplant recipient after the procedure in the short and long term Perfect for gastroenterologists, hepatologists, and surgeons and other health care professionals managing patients with liver disease who are awaiting, undergoing and following liver transplantation, Liver Transplantation: Clinical Assessment and Management will also earn a place in the libraries of medical students, residents, internal medicine physicians, and GI/Hepatology trainees and all health care professionals providing clinical care to people with liver disease, before, during and after transplantation.

This book provides a practical guide for managing a variety of problems encountered by the clinician in managing patients with systemic sclerosis. Chapters take a problem-orientated approach to help the reader cut through potential barriers that can arise when working with different medical specialities. Management strategies for a broad range of conditions, including pericardial and pleural effusion, sicca syndrome, calcinosis and watermelon stomach, are presented. ​Practical Management of Systemic Sclerosis in Clinical Practice describes a range of problems and clinical items encountered by a variety of medical professionals who encounter these patients. It is a valuable resource for rheumatologists, immunologists, specialist nurses and primary care professionals.

Medical nutrition therapy plays a central role in the management of diseases including reducing disease risk, slowing disease progression, and monitoring nutritional status. Though a nutrition care process has been implemented in some countries, many do not have a national standard for nutrition and dietetic practices for different diseases including the scope of gastrointestinal disorders. Moreover, there is no guidance to dietetic practice by most of the governing bodies of the world. Cases on Medical Nutrition Therapy for Gastrointestinal Disorders presents real-world case studies on nutrition assessment, diagnosis, intervention, monitoring, and evaluation standards and practices. Moreover, the cases provide critical updates on the use of medical nutrition therapy for gastrointestinal disorders that include but are not limited to Celiac Disease, Crohn's Disease, Irritable Bowel Syndrome, constipation, and bowel obstructions and discusses strategies for the prevention and management of these disorders. Registered dietitians, dietetic interns, nutritionists, healthcare professionals, researchers, academicians, and students will benefit from the scenarios presented within this book.

Newly updated with the latest information on inflammatory bowel disease, Curbside Consultation in IBD: 49 Clinical Questions, Third Edition contains brief, practical, and evidence-based answers to the most frequently asked questions that are posed during a “curbside consultation” between surgical colleagues. Drs. David T. Rubin, Sonia Friedman, and Francis A. Farraye are joined by an expert group of contributors, offering advice, preferences, and opinions on tough clinical questions commonly associated with IBD. With a unique Q&A format, this text provides quick access to current information. Numerous images, diagrams, and references are included to better illustrate IBD.Some of the questions answered inside the Third Edition include: What are the new approaches to using and minimizing steroids? What is the evolving role of calcineurin inhibitors in IBD? Where should anti-IL-23 therapy be placed in the therapeutic algorithm for Crohn's disease and ulcerative colitis? What should the clinicians and patients know about biosimilars? What are JAK inhibitors? And when should they be used in IBD? What is the approach to loss of response to biological therapy? How should we screen our patients with IBD for depression and anxiety? With information basic enough for trainees and expert practical advice that even high-volume clinicians will appreciate, Curbside Consultation in IBD: 49 Clinical Questions, Third Edition is a must-have. Gastroenterologists, surgeons, IBD nurses and advanced practice providers, and medical and surgical trainees at all levels will benefit from the user-friendly format and up-to-date advice for complicated cases.

Laparoscopic cholecystectomy is a straightforward abdominal surgery performed worldwide, which can occasionally be mired with life-threatening complications when the safety principles are flouted. The tips and tricks of safety given in this book provide a complete insight into the variability of biliary anatomy, the nuances, and the technique of addressing the safety issues during routine and complicated procedures. Additionally, the book also explores the reasons for complications in real-life situations and suggests means for their avoidance. Using high-resolution video grabs, appropriately edited, an attempt has been made to explain all critical issues during laparoscopic cholecystectomy.Key Features Explains the Do's & Don'ts of laparoscopic cholecystectomy in a concise and focused atlas form. Serves as an illustrated reference to perform a safe uncomplicated cholecystectomy for postgraduate students in general surgery, surgeons practicing minimally invasive surgery and hepatobiliary surgeons. Uses high quality operative videos to provide a detailed understanding of real-life situations and means to comply with safety measures.

•14 chapters summarising important recent advances in the field of gastroenterology. •Includes advances in Gl medicine, and liver topics including hepatitis C, nonalcoholic fatty liver disease (NAFLD) and the impact of COVID-19 on gastroenterology. •Facilitated by an eminent international team of experts ensuring authoritative and accurate content.

This book addresses practical issues that reflect the current landscape of GI pathology practice and is organized in such a way that fits the fast-pacing daily life of practicing pathologists. It contains more than 540 questions that address difficult, prevailing and controversial issues in GI pathology that are frequently encountered in daily practice and consult service. For most questions, answers are straightforward with ample literature support. However, true diagnostic controversies and clinical dilemma cannot be easily resolved with current knowledge and available information. To such challenges, an expert approach regarding how to synthesize complicated topics and clearly communicate the thinking process is valuable to readers and can help guide clinicians making optimal treatment plans for their patients. The latter types of answers are highly enriched throughout the book. Distinct from other existing GI pathology textbooks, this book is primarily organized according to disease entities and pathological processes instead of specific organs and anatomic locations. Guided by chapter titles and listed questions, readers should be able to look up a disease or a pathological feature and find the most important and relevant diagnostic criteria and pertinent differential diagnoses. Written by experts in the field, Practical Gastrointestinal Pathology provides easy and quick access to concise, evidence-based and up-to-date information to aid accurate diagnosis and serves as a useful resource for practicing pathologists, pathology trainees and GI clinicians as well as allied health professionals who frequently deal with GI pathology.

Wohl kaum einem anderen Fach steht die Ernährungsmedizin näher als der Gastroenterologie, die sich seit je her mit den Verdauungs- und Stoffwechselkrankheiten befasst. Die moderne Ernährungsmedizin hat sich von der heute angestaubt anmutenden Diätetik zum wissenschaftlich begründeten „metabolic management'entwickelt. In diesem Sinne ist sie integraler Bestandteil im Verständnis und in der Behandlung vieler gastroenterologischer Erkrankungen.

This clinical casebook provides a comprehensive yet concise state-of-the-art review of gluten-associated disorders. Presented in a case-based format, the casebook reviews the overall management of celiac disease (from seronegative through classical to refractory disease) as well as non-celiac gluten/wheat sensitivity, with an emphasis on gastrointestinal and extra-intestinal manifestations of these disorders. Specific topics presented in these cases include, for instance, dermatitis herpetiformis, celiac disease and the liver, non-responsive celiac disease, celiac crisis, overlap with functional gastrointestinal disorders, and fructan intolerance. Two chapters written by expert dieticians share their experience in managing celiac disease and gluten/wheat sensitivity. Written by international experts in the field, Diagnosis and Management of Gluten-Associated Disorders: A Clinical Casebook is a valuable resource for both adult and pediatric gastroenterologists, hepatologists, primary care physicians, dermatologists, registered dieticians, trainees, and researchers interested in gluten-associated disorders.

Endoscopy in Early Gastrointestinal Cancers, Volume 1: Diagnosis provides detailed information of the technique of novel endoscopic diagnostic tools including magnifying endoscopy, narrow band imaging system (NBI), autofluorescence endoscopy (AFI), endocytoscopy, FICE and confocal endomicroscopy. Carcinoma of the gastrointestinal tract remained a major health issue worldwide, which is, however notoriously difficult to treat. One of the major reasons for such a poor result is that these cancers are diagnosed at advanced stage. There is a recent increase in the number of gastrointestinal cancers diagnosed at early stage. This is attributed to an increasing recognition of these early stage cancers through a recent development in the technology of endoscopy. This book on the endoscopic diagnosis of early GI neoplasia, containing lots of illustrations, artwork and numerous short video clips, serves as a bridge between the recent development in endoscopy and the knowledge of gastroenterologist, endoscopist and surgeons.

Endoscopy in Early Gastrointestinal Cancers, Volume 2: Treatment covers the detailed information of the indications, techniques and perioperative management of endoscopic resection including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Carcinoma of the gastrointestinal tract remained a major health issue worldwide, which is, however notoriously difficult to treat. Endoscopic resection for early neoplasia of the gastrointestinal tract had been developed for more than 25 years. Endoscopic submucosal dissection (ESD) is a recently developed technique pioneer by Japanese endoscopists. The principle of ESD is to achieve a complete resection of gastrointestinal neoplasia limited to mucosa with adequate circumferential margins. This novel endoscopic technique not only allows the achievement of en-bloc resection for early GI cancers, it also conveys a significantly lower rate of local recurrence as compared to EMR for early gastric cancers. There isan urge for the knowledge in applying these novel technologies for the treatment of early GI neoplasia worldwide. This book on the endoscopic treatment of early GI neoplasia, containing lots of illustrations, artwork and numerous short video clips, serves as a bridge between the recent development in endoscopy and the knowledge of gastroenterologist, endoscopist and surgeons.

Probiotics are live microorganisms that, when consumed, can provide health benefits, generally by improving or restoring the gut flora. As probiotics have become increasingly popular in recent years, it is important for consumers and clinicians to understand the details of the potential health effects of these supplements. Chapter 1 focuses on the relationship between different types of milk, the growth of probiotics, and relevant characteristics regarding viability, the quality of the dairy product, and the production of undesirable components. Chapter 2 summarizes studies on the probiotic impact of functional foods on the immune system and analyzes the future of the probiotic functional food market. Chapter 3 describes pathways and mechanisms through which probiotics may improve hypothyroidism and its complications. Chapter 4 presents a literature review of intestinal microbiota and bone health and discusses the effectiveness of probiotics in the treatment and prevention of osteoporosis. Chapter 5 presents an FTIR analysis of protein/peptide-based biopolymers used for probiotic encapsulation. Lastly, Chapter 6 collates experimental studies on probiotics with ameliorative effects on arsenic toxicity.

This book offers a comprehensive overview of the latest standard medical procedures and surgical techniques for biliary atresia (BA), as well as the perioperative care, long-term follow-up and transitions. Experts on pediatrics in such fields as hepatology, surgery, pathology, and liver transplantation present their research findings and analyses of this rare and intractable disease of unknown etiology. In Japan, shared experience and sound understanding based on conferences and guidelines have led to standardization of management and clinical care and, as a result, better outcomes. Providing insights into improving surgical outcomes, and including special chapters focusing on social support systems for patients and families as well as recent advances in early diagnosis, this book a valuable resource for medical professionals around the globe who are involved in treating biliary atresia. It is especially useful for pediatric hepatologists, pediatric surgeons and transplant surgeons.

This book provides up-to-date information on all aspects of radiotherapy for liver cancer, from the basic science to clinical practice. While demand for radiotherapy of liver cancer has been increasing, the guidance available to clinicians has remained limited. Radiotherapy of Liver Cancer aims to address this deficit on the basis of the best available evidence. The first two sections explain the relevant basic science and present detailed information on the available technologies and techniques, including the most recent advances. The radiotherapy strategies appropriate in different patient groups are then fully described, covering the use of ablative, adjuvant, neoadjuvant, and definitive radiotherapy, radiotherapy as a bridge to liver transplantation, and palliative radiotherapy. The final section addresses a range of specific issues of concern to the clinician. Radiotherapy of Liver Cancer will be an ideal reference for clinical radiation oncologists, radiation oncology residents, oncologists, and hepatologists.

This book provides a concise, state-of-the-art overview of occult GI bleeding. The text reviews the epidemiology, screening and detection methods for localization, and prominent treatment strategies for occult GI bleeding. It also features a dedicated section on special patient populations including children, premenopausal women, older adults, and patients with other predisposing, and complicating medical conditions. This volume is supplemented with numerous color illustrations, photographs, and table, and is one of the few dedicated resources on occult GI bleeding. Written by experts in the field, Management of Occult GI Bleeding: A Clinical Guide is a valuable resource for clinicians, practitioners, and students who are involved in the treatment of patients with occult GI bleeding.

This book highlights the work of pioneers in this field, in order to inspire their peers, healthcare leaders and an interested audience. Prior to the respective care practices, the authors describe the core of personalized care and illustrate its connections to value-driven care and evidence-based medicine. The last part of the book addresses organizational and other conditions under which personalized care can thrive.In the Netherlands, substantial work is being done on value-driven care and more is currently being discussed. This book focuses on the benefits of value-driven care for patients and healthcare providers alike. To do so, it explores a range of representative cases and scenarios, such as: Scenario 1: You are able to surgically remove the most difficult tumors and find out one day that you don't need to do so in all indicated patients. Later you can find out how to recognize when surgery isn't the best treatment for certain patients. And now your team hasa fixed routine to find the optimal choice together with the patient. Scenario 2: You consider yourself to be a patient-centered doctor who is really in touch with their patients – until you ask them to report for themselves on how they are doing. In the'patient-reported outcomes'you see that you have completely missed an important aspect. Later, you can structurally integrate this into your outpatient clinic. Scenario 3: In line with the planning principles of your hospital, you see chronic patients once a year – and of course also'as needed'– until your data shows you that you see patients too early or too late, but rarely when it would be most helpful. Later you can discover how to offer your consultation exactly on time – based on early signals and often even before the patient calls the clinic. This is what value-driven care is all about: care is of more significance to the patient when it is tailored to his or her unique situation. Recognizingthe patient's needs, preferences and values, and structurally adapting care accordingly – that is the noble profession of value-driven care, which takes us an important step closer to the ideal of personalized care.

Lack of exposure and patient management during undergraduate and early postgraduate training often means both students and junior doctors can have difficulty managing acute medical and surgical situations. This pocketbook provides comprehensive coverage of the common medical and surgical emergencies encountered by medical students and junior doctors. It outlines possible symptoms, signs, differentials, investigations and management in a succinct, easy to comprehend format. By focusing on evidence-based practice, the guide provides the most up-to-date and clinically relevant guide for today's practice, ideal for quick reference on the wards.

This textbook provides a practically applicable resource for understanding the surgical oncology management of pancreatic cancer. It discusses relevant aspects of anatomy and pathophysiology along with the latest diagnostic techniques. Insightful descriptions are then provided detailing how to perform critical surgical procedures when treating these patients. Relevant perioperative management strategies and emerging themes in cancer biology critical to understanding and treating the disease are also described. The need for cross-discipline collaboration to facilitate and enhance innovation within the discipline is reinforced throughout the text. Each chapter presents the relevant current clinical standards along with areas of controversy in both research and clinical practice within “pearls and pitfalls” sections. Textbook of Pancreatic Cancer: Principles and Practice of Surgical Oncology is a detailed work covering the basic material important to trainees as well as advanced curriculum for established specialists in the field from a multi-disciplinary perspective. Therefore, it is crucial resource for all practicing and trainee professionals who encounter these patients in their day-to-day clinical practice.

This extensive and yet easy-to-read book covers technical aspects of the management of difficult acute cholecystitis. It discusses diagnostic evaluation, treatment, and strategies for avoiding and managing complications based on both evidence-based data and the experiences of the editor and the international contributors. Further, it analyses the latest guidelines to find the best clinical applications. Each chapter describes the current diagnostic and management strategies, focusing on a possible risk stratification by scores proposed in literature. Lastly, the book describes the relevant technical considerations and tips and tricks, explaining them in full. Illustrated throughout and including line graphs depicting fundamental anatomic and technical principles, making it easy-to understand, it is a useful toolkit for all residents, fellows and general surgeons needing a guide to the treatment of difficult acute cholecystits.

The only handbook to cover both endoscopic and non-endoscopic GI procedures, Handbook of Gastroenterologic Procedures, 5th Edition, has been extensively revised and reorganized to be even more useful as a quick reference in your practice. New editors, 20 new chapters, and a concise, pocket-sized format make it a must-have resource for clinicians involved in any aspect of gastroenterologic procedures. This is the tablet version which does not include access to the videos mentioned in the text.

This book offers a comprehensive overview of liver failure including Epidemiology, mechanism of the disease, and its clinical manifestations. The diagnosis of numerous types of liver disease leading to liver failure; with specific emphasis on the current and future treatment modalities including up-to-date and extensive information on liver transplantation. It provides the most up-to-date information on liver failure for clinicians, practitioners including GPs, scientists/researchers, postgraduates and allied health professionals. It features an overview of the relevant classification and epidemiologic aspects of acute liver failure along with a thorough review of the mechanisms associated with acute liver failure and multisystemic involvement. Detailed guidance is also provided on the latest treatment techniques including those available for liver transplantation and potential future approaches, enabling the reader to develop a detailed understanding of the topic. Liver Failure: Acute and Acute on Chronic provides a practically applicable guide to the epidemiology and management of liver failure. It features contributions from an outstanding panel of experts in hepatology, gastroenterology and surgery making it a vital up-to-date reference for trainee and practicing medical professionals in a variety of disciplines who encounter these patients.

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.

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 low-FODMAP cookbook vegetarians have been waiting for. It's tough when the foods you love don't love you back. If you're dealing with digestive issues, cutting out high-FODMAP foods can bring relief—but it's hard to say goodbye to wheat, dairy, and many fruits and veggies. And if you're vegetarian or vegan and going low-FODMAP? It can be even harder to fill your plate! Georgia McDermott comes to the rescue in FODMAP Friendly, with 95 vegetarian, vegan-friendly, and gluten-free recipes for the digestively challenged. Her delicious, low- to no-FODMAP fare covers all the bases: Lighter meals and breakfasts, like Grain-Free Olive Oil Granola and Roasted Pepper and Halloumi ShakshukaHearty dinners, from Tempeh Chili to Pepper, Pesto, and Goat Cheese GaletteDelectable desserts—Pavlova with Roasted Lemony Strawberries, anyone?Festive food and drinks for a crowd, including Salted Honey and Sage Baked Camembert and Passion Fruit Caipirinhas FODMAP sensitivity varies from person to person, so Georgia includes a wealth of suggestions for exploring what does and doesn't work for you. Onion and garlic don't bother you? Add them! The thought of tomatoes turns you off? Don't eat them! Living with IBS, Crohn's disease, colitis, SIBO—you name it—shouldn't mean needlessly missing out on the flavors you crave. This is low-FODMAP eating—made friendly for everyone.

A practical guide to autoimmune liver diseases through pathogenesis, diagnosis, and management In Autoimmune Liver Disease Management and Clinical Practice, practitioners will learn about the current state of autoimmune liver disease and how to focus on their diagnosis and treatment. The four-part book begins with a thorough investigation of current immunological thinking as it relates to the autoimmunity of the liver. It also covers the four major hepatic autoimmune liver diseases in both adults and children, their management and the role of liver transplantation, and learned approaches to patient management and empowerment. Expert authors in the field have come together to provide a thorough examination of autoimmune liver disease to help support clinicians assisting patients. The text provides an in-depth look at topics including: ● The four major hepatic autoimmune liver diseases, their diagnosis, and potential disease management ● The use (and misuse) of autoantibodies in diagnosis and treatment ● The role and timing of liver transplantation and the impact of recurrent autoimmune liver disease as well as de novo autoimmune hepatitis ● Optimal approaches to managing patients and keeping care personalised With breadth, depth and current-day relevance, Autoimmune Liver Disease sheds light on recent developments in management of liver disease for practitioners, nurses, and health care professionals.

This book provides a state-of-the-art overview of dysphagia. The text reviews current evidence behind the diagnosis, evaluation, and management of esophageal disorders that cause dysphagia, including GERD, eosinophilic esophagitis, achalasia, and spastic motor disorders. The book also focuses on the different variants of dysphagia, from oropharyngeal dysphagia to functional dysphagia, highlights advances in testing for dysphagia, and features evidence-based algorithms. Written by experts in the field, Evaluation and Management of Dysphagia: An Evidence-Based Approach is a valuable resource for gastroenterologists, otolaryngologists, and other clinicians and practitioners who treat patients afflicted with dysphagia.