Endoscopy in the Diagnosis and Management of Acute and Chronic Pancreatitis, An Issue of Gastrointestinal Endoscopy Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032322718X
Total Pages : 216 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Endoscopy in the Diagnosis and Management of Acute and Chronic Pancreatitis, An Issue of Gastrointestinal Endoscopy Clinics by : Martin L Freeman

Download or read book Endoscopy in the Diagnosis and Management of Acute and Chronic Pancreatitis, An Issue of Gastrointestinal Endoscopy Clinics written by Martin L Freeman and published by Elsevier Health Sciences. This book was released on 2013-10-15 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Freeman has organized his issue address the continuum between acute and chronic pancreatitis, necrosis and pseudocysts, and the expanding role of endoscopic diagnosis and therapy. As a result, there are comprehensive articles devoted to: Role of EUS in the diagnosis of acute and chronic pancreatitis; ERCP for acute biliary pancreatitis;Prevention of post ERCP pancreatitis; Endoscopic therapy of necrotizing pancreatitis and pseudocysts; Endoscopic therapy for acute recurrent pancreatitis; Endoscopic therapy for chronic pancreatitis; ERCP for biliary strictures associated with chronic pancreatitis; EUS for pancreatic ductal access and drainage; Endoscopic therapy for pancreatic duct leaks and disruptions; autoimmune pancreatitis; role of endoscopy in diagnosis and treatment; and Palliation of pancreatic ductal obstruction in pancreatic cancer.

Management of Benign Pancreatic Disease, An Issue of Gastrointestinal Endoscopy Clinics E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323642268
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Management of Benign Pancreatic Disease, An Issue of Gastrointestinal Endoscopy Clinics E-Book by : John Poneros

Download or read book Management of Benign Pancreatic Disease, An Issue of Gastrointestinal Endoscopy Clinics E-Book written by John Poneros and published by Elsevier Health Sciences. This book was released on 2018-09-22 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: With consultation of Dr. Charles J. Lightdale, Consulting Editor, Dr. Poneros has created created a state-of-the-art look at endoscopy for pancreatic disease. Top authors have contributed clinical reviews in the following areas: Acute Pancreatitis: Evidence Based Management Decisions ; Endoscopic Cyst Gastrostomy; ERCP for Recurrent Acute Pancreatitis ; Autoimmune Pancreatitis; Total Pancreatectomy with Autologous Islet Cell Transplantation; Pancreatic Insufficiency: What is the Gold Standard?; Current Guideline Controversies in the Management of Pancreatic Cystic Neoplasms; How to Manage Incidentally Found Pancreatic Neuroendocrine Tumors; Update in Celiac Block; The Use of Biomarkers in Risk Stratification of Cystic Neoplasms; Interventional EUS in the Pancreas; How to Avoid Post-ERCP Pancreatitis; and The Role of Genetic in Pancreatitis. Readers will come away with the clinical information they need to utilize endoscopic procedures in the treatment and management of pancreatic disease.

Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics

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Publisher : Elsevier Health Sciences
ISBN 13 : 032340085X
Total Pages : 233 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics by : Adam Slivka

Download or read book Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics written by Adam Slivka and published by Elsevier Health Sciences. This book was released on 2016-01-07 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Guest Editors have assembled key opinion leaders to provide state of the art articles on this important update on ERCP. A chapter on cannulation techniques and sphincterotomy will highlight recent literature on wire-guided cannulation, use of papillotomes, when and if to precut for entry and the use of smart circuitry for papillotomy. A chapter on surgically altered anatomy will highlight the increasing occurrence of biliary tract disease in patient’s s/p gastric bypass for obesity along with other surgery and the use of balloon enteroscopes, overtubes and intraoperative procedures A chapter on EUS assisted biliary and pancreatic access will highlight the growing experience with these combine techniques. There is growing literature on preventing post-ercp pancreatitis which is changing the standard of care and Joe Elmunzer is the best person to highlight this. Stu Sherman will review advances in the management of bile duct stones and when to intervene in gallstone pancreatitis. Peter Cotton just published a landmark study on SOD that will change the standard of care and will review the state of the science on this disease as it relates to both biliary tract and pancreatic disease. The management of benign biliary strictures and leaks is evolving with the introduction of covered metal stents and Jacques Deviere is at the forefront. Amrita Sethi will discuss diagnosis of biliary malignancy highlighting the use of FISH, molecular markers and enhanced imaging such as pCLE. Michele Kahaleh will review recent experience with biliary tumor ablation using RFA probes and PDT. Alan Barkun helps endoscopists determine when to use plastic stents, metal stents, and covered stents and when to drain one, two or three segments of liver in patients with malignant biliary obstruction. George Papachristo and Dhiraj Yadav will review most recent data on endoscopic therapy for acute recurrent and smoldering acute pancreatitis. Nagy Reddy will provide on update on endotherapy for painful chronic pancreatitis. Finally, Raj Shah will update on advances in pancreatoscopy and cholangioscopy including the use of ultra slim per-oral scopes and new digital mother/baby scopes.

Modern Management of Benign and Malignant Pancreatic Disease, An Issue of Gastroenterology Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455742805
Total Pages : 285 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Modern Management of Benign and Malignant Pancreatic Disease, An Issue of Gastroenterology Clinics by : Jacques Van Dam

Download or read book Modern Management of Benign and Malignant Pancreatic Disease, An Issue of Gastroenterology Clinics written by Jacques Van Dam and published by Elsevier Health Sciences. This book was released on 2012-03-28 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Van Dam is an internationally recognized leader in gastroenterology and has been a leader in advances in intervedntional endoscopy. He brings this expertise to the topic of management of benign and malignant pancreatic disease and has selected top experts in the field to provide state-of-the-art clinical information to gastroenterologists. The modern management treatise of each article addresses current diagnostics as well as medical management. Seven articles are devoted to pancreatic cancer and span medical management, surgial mangament, radiologic imaging, endoscopic diagnosis, palliation, and screening. Other important topics addressed are pancreatic transplantation, pancreatic cystic neoplasms, acute and chronic pancreatitis, and autoimmune pancreatitis.

Multidisciplinary Management of Acute and Chronic Pancreatitis

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 1803561580
Total Pages : 208 pages
Book Rating : 4.8/5 (35 download)

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Book Synopsis Multidisciplinary Management of Acute and Chronic Pancreatitis by : Marco Massani

Download or read book Multidisciplinary Management of Acute and Chronic Pancreatitis written by Marco Massani and published by BoD – Books on Demand. This book was released on 2023-03-01 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pancreatitis is a common disease of the digestive system with a high mortality and complication rate. The successful management of patients requires a multidisciplinary team of gastroenterologists, surgeons, interventional radiologists, and specialists in critical care medicine and nutrition. The odyssey in managing pancreatitis is a notable example of how evidence-based knowledge leads to improvement in patient care. In the last decades, operative treatment has moved towards minimally invasive techniques such as laparoscopy and endoscopic or percutaneous retroperitoneal approaches. New insights into nutritional and anesthesiology management have further improved the treatment and outcomes of pancreatitis. This book provides a comprehensive overview of this condition with chapters on physiology and pathophysiology, surgical and endoscopic management, enteral and parenteral nutritional interventions, and much more.

Management of Pancreatic Diseases, An Issue of Gastroenterology Clinics of North America

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323416470
Total Pages : 193 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Management of Pancreatic Diseases, An Issue of Gastroenterology Clinics of North America by : Nuzhat A. Ahmad

Download or read book Management of Pancreatic Diseases, An Issue of Gastroenterology Clinics of North America written by Nuzhat A. Ahmad and published by Elsevier Health Sciences. This book was released on 2016-02-19 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue details the latest knowledge of early diagnosis, risk factors, limited surgical treatments, and novel therapies for pancreatic diseases. Clinicians will learn the most prognostic scoring systems for acute pancreatitis, review the basics for early management of the disease, and see how current practice guidelines have evolved. Advances in radiological imaging when applied to the pancreas have resulted in enhanced staging and improved selection for surgical intervention. Endoscopy of the pancreas via both ERCP and endoscopic ultrasound has led to unprecedented access and potential for non-operative intervention. Pancreatic surgery now takes advantage of both minimally invasive approaches and techniques learned from organ transplantation. These latest advances are addressed in this issue by key opinion leaders.

Interventional Pancreaticobiliary Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0443129509
Total Pages : 217 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Interventional Pancreaticobiliary Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book by : Todd H. Baron

Download or read book Interventional Pancreaticobiliary Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book written by Todd H. Baron and published by Elsevier Health Sciences. This book was released on 2024-05-29 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Todd H. Baron brings his considerable expertise to the topic of Interventional Pancreaticobiliary Endoscopy. Top experts in the field discuss many of the latest gastroenterologic interventions for pancreaticobiliary disorders, representing significant advances in non-surgical, non-percutaneous treatments. Contains 12 relevant, practice-oriented topics including pancreatoscopy-guided endotherapies for pancreatic disease; endoscopic management of pain due to chronic pancreatitis; EUS-guided ablation of pancreatic cystic neoplasms; and more. Provides in-depth clinical reviews on interventional pancreaticobiliary endoscopy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Endoscopic Submucosal Dissection, An Issue of Gastrointestinal Endoscopy Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323294839
Total Pages : 185 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Endoscopic Submucosal Dissection, An Issue of Gastrointestinal Endoscopy Clinics by : Norio Fukami

Download or read book Endoscopic Submucosal Dissection, An Issue of Gastrointestinal Endoscopy Clinics written by Norio Fukami and published by Elsevier Health Sciences. This book was released on 2014-04-28 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Gastrointestinal Endoscopy Clinics of North America, we invited pioneers and experts in this field to share recent advancements and expansions of ESD and its technical aspects in different organ systems. In addition, this issue covers the associated techniques of per oral endoscopic myotomy (POEM) and natural orifice transluminal endoscopic surgery (NOTES) to further advance understanding of the latest breakthroughs in endoscopic therapy. Current trends surrounding ESD around the world—in Asia, Europe, and the United States—are addressed as well. Some articles include videos for readers to watch ESD procedures in action, performed by experts, for easier understanding of ESD techniques. The Guest Editors expect that this issue will inspire more physicians to explore the expanding possibilities of endoscopic therapy such as ESD and POEM and to advocate minimally invasive treatment for patients.

EUS-Guided Tissue Acquisition, An Issue of Gastrointestinal Endoscopy Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323263917
Total Pages : 177 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis EUS-Guided Tissue Acquisition, An Issue of Gastrointestinal Endoscopy Clinics by : Shyam Varadarajulu

Download or read book EUS-Guided Tissue Acquisition, An Issue of Gastrointestinal Endoscopy Clinics written by Shyam Varadarajulu and published by Elsevier Health Sciences. This book was released on 2014-01-28 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue should serve as a primer to endoscopists who are seeking state-of-the-art clinical guidance on endoscopic ultrasound tissue acquisition. Authors address the changing paradigm in EUS-guided tissue acquisition and when does the oncologist require core tissue? Articles offer a comprehensive look at the core topics, including definitions in tissue acquisition, selection of FNA needles, and techniques for EUS-guides FNA and FNB. Expert authors also give their recommendations for overcoming technical challenges in EUS-guided tissue acquisition and what the pitfalls are. Readers will have a full understanding of EUS-guided tissue acquisition as well as the future directions

Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323939155
Total Pages : 297 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book by : Catharine M. Walsh

Download or read book Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics, E-Book written by Catharine M. Walsh and published by Elsevier Health Sciences. This book was released on 2023-03-26 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Catharine M. Walsh brings her considerable expertise to the topic of Pediatric Endoscopy. Since its inception in the early 1980s, pediatric endoscopy has seen dramatic innovations in both diagnostic procedures and advanced procedures that are increasingly being performed by pediatric trained endoscopists. In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. Contains 14 practice-oriented topics including pediatric unsedated transnasal endoscopy; tools for improving quality in pediatric endoscopy; artificial intelligence in pediatric endoscopy; advances in endoscopy for pediatric inflammatory bowel disease; and more. Provides in-depth clinical reviews on pediatric endoscopy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Nonpolypoid Colorectal Neoplasms in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323311814
Total Pages : 217 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Nonpolypoid Colorectal Neoplasms in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics by : Tonya Kaltenbach

Download or read book Nonpolypoid Colorectal Neoplasms in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics written by Tonya Kaltenbach and published by Elsevier Health Sciences. This book was released on 2014-07-28 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr Roy Soetikno and Dr Tonya Kaltenbach are the editors for this issue of Gastrointestinal Endoscopy Clinics of North America, which is devoted to the improved detection and management of early neoplasia in inflammatory bowel disease. An important aspect of Dr Soetikno’s outstanding career has been the bridging of endoscopic methods between Japan and the United States. Endoscopists in Japan have a better record of detecting subtle flat GI lesions. From the earliest days of endoscopy, it is fair to say that Japanese endoscopists have emphasized visual identification, analysis, and photo documentation of small GI lesions. The colon has been no exception. Dr Soetikno has incorporated these techniques, which have become increasingly feasible with steady improvement in modern digital endoscopes. Identifying small flat premalignant lesions and early cancers in patients with colitis can be lifesaving. Dr Soetikno and Dr Kaltenbach have edited an extraordinary issue of the Gastrointestinal Endoscopy Clinics of North America devoted to teaching and promulgating these methods, including an extensive photo atlas, which should be an invaluable resource for all academic specialists and practicing gastroenterologists.

Pancreatitis

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Publisher : BoD – Books on Demand
ISBN 13 : 1839681497
Total Pages : 96 pages
Book Rating : 4.8/5 (396 download)

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Book Synopsis Pancreatitis by : Dmitry Garbuzenko

Download or read book Pancreatitis written by Dmitry Garbuzenko and published by BoD – Books on Demand. This book was released on 2019-12-11 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book "Pancreatitis" is devoted to the actual and, in some cases, controversial and unresolved problems associated with acute and chronic pancreatitis. The material presented in it will be of interest to anyone who considers pancreatology their specialty.

Endoscopic Ultrasound Management of Pancreatic Lesions

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Author :
Publisher : Springer Nature
ISBN 13 : 3030719375
Total Pages : 235 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Endoscopic Ultrasound Management of Pancreatic Lesions by : Antonio Facciorusso

Download or read book Endoscopic Ultrasound Management of Pancreatic Lesions written by Antonio Facciorusso and published by Springer Nature. This book was released on 2021-05-20 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Modern Management of Benign and Malignant Pancreatic Disease

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Author :
Publisher : Clinics: Internal Medicine
ISBN 13 : 9781455738632
Total Pages : 0 pages
Book Rating : 4.7/5 (386 download)

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Book Synopsis Modern Management of Benign and Malignant Pancreatic Disease by : Jacques Van Dam

Download or read book Modern Management of Benign and Malignant Pancreatic Disease written by Jacques Van Dam and published by Clinics: Internal Medicine. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Van Dam is an internationally recognized leader in gastroenterology and has been a leader in advances in intervedntional endoscopy. He brings this expertise to the topic of management of benign and malignant pancreatic disease and has selected top experts in the field to provide state-of-the-art clinical information to gastroenterologists. The modern management treatise of each article addresses current diagnostics as well as medical management. Seven articles are devoted to pancreatic cancer and span medical management, surgial mangament, radiologic imaging, endoscopic diagnosis, palliation, and screening. Other important topics addressed are pancreatic transplantation, pancreatic cystic neoplasms, acute and chronic pancreatitis, and autoimmune pancreatitis.

Gastrointestinal Endoscopy Clinics of North America

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Author :
Publisher : Saunders
ISBN 13 : 9781416050742
Total Pages : 0 pages
Book Rating : 4.0/5 (57 download)

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Book Synopsis Gastrointestinal Endoscopy Clinics of North America by : Martin L. Freeman

Download or read book Gastrointestinal Endoscopy Clinics of North America written by Martin L. Freeman and published by Saunders. This book was released on 2007-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a broad spectrum of clinical problems that demand urgent attention and intervention by gastroenterologists. With recent expansion of armamentarium of devices and techniques for therapeutic endoscopy, there has been significant evolution of practices in this area. The focus of this issue will be on the endoscopic aspects of these emergencies, but will include clinical evaluation, and related medical and surgical management as well. We have assembled a world-class group of authors with expertise in individual areas. Dr Peter Stevens will cover triage and endoscopic management of acute nonvariceal hemorrhage, with emphasis on newer techniques of endoscopic hemostasis including clips as well as traditional thermal and injection therapies. Dr Arun Sanyal will review the medical and therapeutic endoscopic aspects of portal hypertensive bleeding. Dr Brenna Bounds will detail the emerging techniques and current approach to acute lower GI hemorrhage, including role of urgent colonoscopy, and adaptation of newer techniques for endoscopic hemostasis including clips and band ligation. Dr Todd Baron will cover management of acute colonic obstruction with particular emphasis on placement of colonic stents. Dr Michael Saunders will discuss medical and endoscopic management of colonic pseudoobstruction with emphasis on medical management of role of colonoscopic decompression. In the area of pancreaticobiliary emergencies, the role of endoscopic intervention for acute biliary and other forms of pancreatitis will be detailed by Dr Paul Tarnasky. Acute cholangitis and the role of ERCP will be discussed by Dr Tim Kinney. Dr XX (works with Dr Roy Wong) will discuss management of foreign body and food impaction, with emphasis on some of the newer devices and overtubes to facilitate safe extraction. Dr David Greenwald will cover the management of endoscopically-induced complications such as bleeding and perforation. Finally, the particulars of the pediatric approach to endoscopic emergencies in children and infants, and the approach to caustic ingestions will be reviewed by Dr Khalid Khan.

Diagnosis and Therapy of Acute and Chronic Pancreatitis

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Author :
Publisher :
ISBN 13 :
Total Pages : 54 pages
Book Rating : 4.:/5 (664 download)

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Book Synopsis Diagnosis and Therapy of Acute and Chronic Pancreatitis by : Christopher E. Forsmark

Download or read book Diagnosis and Therapy of Acute and Chronic Pancreatitis written by Christopher E. Forsmark and published by . This book was released on 2004 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Endoscopic Management of Gastrointestinal Bleeding, An Issue of Gastrointestinal Endoscopy Clinics, E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032361065X
Total Pages : 185 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Endoscopic Management of Gastrointestinal Bleeding, An Issue of Gastrointestinal Endoscopy Clinics, E-Book by : Ian M. Gralnek

Download or read book Endoscopic Management of Gastrointestinal Bleeding, An Issue of Gastrointestinal Endoscopy Clinics, E-Book written by Ian M. Gralnek and published by Elsevier Health Sciences. This book was released on 2018-06-23 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Gralnek is considered an authority on GI bleeding, and he has invited experts in their respective fields to contribute to this issue. The content is divided up between Acute Non-Variceal Upper GI Hemorrhage and Acute Lower Gastrointestinal Hemorrhage. Articles are devoted to the follow topics: Initial assessment, risk stratification and early management; Endotherapy of peptic ulcer bleeding; Endoscopic hemostasis of non-variceal, non-ulcer UGIH; Emerging endoscopic treatments for NVUGIH; The cutting edge: doppler ultrasound in guiding endoscopic hemostasis; The role of interventional radiology in NVUGIH; Managing antithrombotic agents in the setting of acute GI bleeding; Patient presentation, risk stratification and initial management; Colonoscopy: Diagnosis, timing and bowel preparation; The role of endoscopic hemostasis therapy; and Prevention of recurrent lower GI hemorrhage. Readers will come away with the most current clinical infomration on how to manage and prevent GI bleeding.