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Esophageal and gastric pathology are challenging, and the underlying physiology is complex. Advanced diagnostic testing is extensive, and the results can often be difficult to interpret. The impact of these findings on tailored treatment modalities has evolved as a result. This manual is therefore designed to present a comprehensive review of the various esophageal and gastric functional pathologies, diagnostic modalities and treatment options. Chapters included here focus on challenging functional pathologies encountered by both gastroenterologists and surgeons. Diagnostic modalities that are currently available are discussed, with accompanying deep analysis of the potential results. Within each chapter, clinical scenarios, testing/treatment options and a review of the literature for each option are included. Chapters will also focus on how to collaborate between specialties and develop a complex GI motility center, as well as the effect of common prior procedures on subsequent physiologic findings.No comprehensive resource currently exists that discusses the physiologic evaluation of foregut diseases, and none present an algorithmic approach to the management of these scenarios. This unique manual addresses and provides guidance to the approach, geared towards both gastroenterologists and surgeons.

This book provides a comprehensive and up-to-date overview of current polypectomy techniques and describes new perspectives in the field. A wide variety of topics are covered, including classification of colon polyps, established polypectomy techniques and related controversies, advanced endoscopic resection, endoscopic submucosal dissection, the use of submucosal injection solutions, management of complications, management of anticoagulant and antiplatelet medications, and post-polypectomy endoscopic surveillance. Information is also provided on a novel risk calculation score for adenoma recurrence after polypectomy, developed by the editors of the book and their colleagues. In acquainting readers with the state of the art in the field, Colon Polypectomy will serve as a valuable reference and practical tool for all who perform the procedure, which is of ever-increasing importance given the recent success of colon cancer screening campaigns in leading to earlier detection ofcolon polyps.

This thoroughly revised second edition reflects the exponential growth in the complex field of decision making in colorectal surgery, since the first edition published in 2017. Recommendations are based on newly published data and this book has 30% new additions with 58% chapters completely rewritten by new authors. The chapters in each volume adhere to a specific format. This approach provides uniformity to the presentations, making it possible to identify useful material at a glance.Covering new technology, brief chapters are multi-authored, and each devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. Physicians from nonsurgical specialties give alternative and competing therapies for what was once the exclusive province of the surgeon.

​This book explains clearly the nature of colon polyps and their relationship with colorectal cancer, which is among the three most common cancers in both men and women. Up-to-date information is provided on anatomy, pathology, types of polyp and their treatment, and the performance of colonoscopy. Particular attention is devoted to the risk factors for development of colorectal cancer, with detailed guidance on its prevention and early diagnosis and treatment. While the book is primarily intended for medical specialists and students, a deliberate and consistent effort has been made to use plain language that will enable other interested persons, including patients, to understand all aspects of the subject.

Alle benignen Erkrankungen der gastrointestinalen Organe, die für den Chirurgen relevant sind, sind fundiert und detailliert in diesem Band beschrieben: - umfassende Wissensbasis und praxisnahe Entscheidungshilfe zugleich für den Chirurgen und seine interdisziplinären Partner, - spezifische diagnostische und therapeutische Techniken, - systematische Beschreibung der Krankheitsbilder und ihrer Behandlung Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begründete Empfehlungen zu Diagnostik und Therapie, die in der Neuauflage dem aktuellen Stand angepasst wurden.

Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more'evidence-based'treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.

Oncology: An Evidence-Based Approach is a textbook designed to reflect the principles and current practice of oncology with contributors from the fields of medical, surgical, and radiation oncology. The textbook will incorporate an evidence-based approach, enabling the reader to make decisions on the basis of concrete data. Sections on solid tumors, hematologic malignancies and the practice of oncology address the natural history and therapy for the full spectrum of neoplastic diseases in the adult. Further sections present fundamentals of supportive care of the cancer patient, the management of oncologic emergencies and acute toxicities of therapy, as well as care of metastatic disease and the terminally-ill patient. Breaking new ground, the textbook features thoughtful, in-depth sections on cancer prevention and control, cancer surviorship, the economics of cancer care, and cancer informatics. Cancer imaging is covered with an organ system-based approach, with an additional chapter on the especially intriguing potential of PET. Furthermore, a comprehensive section on translational basic science reviews the fundamentals of molecular biology, the cell cycle and signal transduction, carcinogenesis, cancer genetics, the biology of invations and metastasis, and tumor immunology.

Auf fahrende Züge aufzuspringen, zählt nicht zu den charaktervollsten Formen der Fortbewegung. Und dennoch gibt es Angebote, die man nicht ausschlagen kann, weil sie einfach zu verlockend sind. Die Nachfolge von Felix Harder bei diesem Standardwerk anzutreten, war gleichermaßen ehrenvoll und verpflichtend. Standards, die Felix Harder zusammen mit den beiden anderen Herausgebern gesetzt hatte, galt es zu halten, Gutes sollte bewahrt, Bewährtes gegebenenfalls verbessert werden. Ergänzungen waren gewünscht (so die komplette Hernienchirurgie), aber der Umfang des Bandes durfte nicht - nehmen, wohl aber die Qualität eines ohnehin schon sehr guten Werkes. Diese Aufgabe war verlockend, aber eigentlich kaum lösbar, und nun liegt der fertige Band vor uns. Dass dies möglich war, verdanke ich vor allem den bisherigen Autoren, die ohne Murren ihre Beiträge großzügig auf das Essenzielle gekürzt und auf den aktuellen Kenntnisstand ausgerichtet haben. Aber auch allen neuen Autoren ist zu danken, dass sie sich in dieses Konzept eingebunden und uns mit ihren Ausführungen bereichert haben. Insbesondere danke ich meinen Mitarbeitern und hier vor allem in erster Linie Herrn Kollegen Priv. -Doz. Dr. Marc Jansen für die straffe Hand bei der Realisation in de- bar kurzer Zeit. Ohne das jetzige und frühere Aachener Team wäre diese Aufgabe nicht zu lösen ge- sen, hierfür danke ich allen Beteiligten. Ganz besonderer Dank gilt aber auch Herrn Dr. Fritz Kraemer vom Springer Verlag für seine unermüdliche Betreuung und meiner wissenschaftlichen Sekretärin Frau Martina Schmitt für die mühevolle redaktionelle Umsetzung in allen Schritten.