Gastroenterology

The second edition of this atlas has been extensively revised to provide an up-to-date and comprehensive overview of therapeutic gastrointestinal endoscopy for upper and lower gastrointestinal diseases. The coverage ranges from basic but highly effective procedures like cold snare polypectomy and variceal ligation to sophisticated procedures such as peroral endoscopic myotomy and endoscopic submucosal dissection. New instruments, for example over-the-scope clips and various stents, are introduced in the relevant chapters. Furthermore, several chapters have been added to cover cutting-edge technologies for endoscopic treatment of complex conditions, including refractory gastroesophageal reflux disease and duodenal neoplasia. Many pictures have been exchanged for newer ones, most of them high-definition endoscopy photos, and schematic illustrations are used to ensure clear understanding of complex therapeutic procedures. As in the first edition, special tips of practical value are highlighted and potential pitfalls are identified, but in addition instructive cases have been added at the end of chapters. The second edition of Therapeutic Gastrointestinal Endoscopy will be an essential resource for all therapeutic endoscopists.

The second edition of this well-received book provides a comprehensive and up-to-date description of the diagnosis and management of dysphagia, including oral, pharyngeal, and esophageal dysfunction. All aspects of dysphagia are covered, with detailed consideration of anatomy, physiology, and pathology. In addition to a variety of benign and malignant disease entities, signs and symptoms, and treatment approaches, many other relevant topics are addressed, including endoscopy, manometry, malnutrition, dehydration, oral care, dementia, ethics, and the social and psychologic impacts of dysphagia. Specific aspects of importance in pediatric and geriatric patients are highlighted. This edition features a number of completely new chapters focusing on, among other subjects, dysphagia in further disease contexts and following laryngectomy and radiation therapy. The authors are without exception world-leading experts in their fields. The book will be of value for practitioners in all specialties involved in the evaluation and treatment of dysphagia. It is therefore a truly multidisciplinary project.

This book discusses the management of variceal bleeding in liver cirrhosis, covering a wide range of topics, including epidemiology, mechanism, diagnosis and monitoring, prophylaxis, treatment, and prognostic assessment. It also presents the latest research in the field, such as non-invasive approaches, self-expanding metal stents, hemostatic powder, and early TIPS. The book is a valuable resource for physicians wanting to establish standard treatment strategies, researchers launching innovative clinical and experimental studies, and also for patients and their relatives wishing to gain a better understanding of this disease.

Short Bowel Syndrome: Practical Approach to Management is the first reference exclusively about the issues experienced by patients with a short bowel. It covers all aspects of normal and abnormal physiology, the presenting features, and outcomes, including metabolic problems, gallstones, and renal stones. It discusses both medical and surgical treatments, including intestinal transplantation.

This pocket handbook provides a concise yet comprehensive overview of esophageal disorders. The text covers every prominent esophageal disorder and syndrome, with an emphasis on pathophysiology, diagnosis, treatment/management strategies, and complications for each disorder or syndrome. Major aspects of the field covered include dysphagia, esophageal motility disorders, esophageal malignancy, GERD, and eosinophilic esophagitis. The handbook is also presented in an easy to read format for quick reference and ease of use.

Oesophagogastric Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

This book is a state-of-the art review for clinicians and dieticians with an interest in nutrition and inflammatory bowel diseases (Crohn’s disease, ulcerative colitis). The volume covers new data about dietary risk factors for Crohn’s disease and ulcerative colitis, examines the association between diet and microbiome, describes the various diets in the management of these diseases, and discusses macro- and micronutrient deficiency that occurs in such patients. The book also examines the management of patients on total parenteral nutrition, and management of the short gut syndrome with TPN and novel pharmacologic therapies. Written by experts in their fields, Nutritional Management of Inflammatory Bowel Diseases: A Comprehensive Guide is a valuable and uniquely specialized resource for gastroenterologists, nutritionists, primary care physicians, and other health care providers and researchers dealing with the management of these complex illnesses.

This book focuses on immune reactions and interactions of humans with Helicobacter pylori - a human pathogen connected to gastritis, peptic ulcers and even gastric cancer. With nearly half of the world’s population colonized, it has been characterized as one of the most successful pathogens for more than 100,000 years of co-evolution with its host. The respective chapters discuss not only how H. pylori infection is considered a paradigm for persistent bacterial infection and chronic inflammation, but also how the infection might be connected to host protection against gastro-esophageal diseases, asthma, and other allergic disease manifestations. Readers will gain essential insights into the roles of specific factors in the immune response and learn about the impact of genetic polymorphisms on the risk of gastric carcinogenesis. In addition, the book discusses the strategies used by this bacterium, which allow it to colonize specific sites in the stomach, interact with the microbiome, evade immune surveillance and undermine the resolution of inflammation during persistent infection.

This book provides a comprehensive state-of-the-art overview on the established knowledge in the field of gastroesophageal reflux disease (GERD) as well as a current insight into new algorithms involving new diagnostic tools and new endoscopic and surgical techniques. The integration of these new findings in updated therapeutic decision making is demonstrated. The book reviews the latest literature on new diagnostic findings to better discriminate between different benign disorders of the esophagus and stomach. It describes the decision making to establish indications for the variety of established and new therapeutic options in the management of the disease. It also describes in detail new therapeutic techniques, which provides excellent back-up information for every clinician in daily practice.

This book provides the most comprehensive and up-to-date knowledge of lymph node micrometastasis (LMM) and sentinel node navigation surgery (SNNS) in gastrointestinal cancers. Lymph node metastasis is a critically important prognostic factor in gastrointestinal tract cancers such as tumors of the esophagus, stomach, and colorectum. An understanding of the basic aspects of lymphatics and lymph nodes, including anatomy, histology, physiology, immunology, and molecular biology, is fundamental for physicians who are involved in cancer treatment. Furthermore, owing to the development of molecular and biological methodology, the precise recognition of LMM and its clinical significance have been clarified recently.