Upper Gastrointestinal Bleeding, An issue of Gastroenterology Clinics of North America

Upper Gastrointestinal Bleeding, An issue of Gastroenterology Clinics of North America

Author: Ian M. Gralnek

Publisher: Elsevier Health Sciences

Published: 2014-11-07

Total Pages: 208

ISBN-13: 032332651X

DOWNLOAD EBOOK

This issue of Gastroenterology Clinics of North America is all about acute upper GI bleeding and is divided into two distinct sections: section I is devoted to nonvariceal upper GI bleeding and section II is devoted to variceal upper GI bleeding. Acute nonvariceal upper GI bleeding may originate from the esophagus, stomach, or duodenum, essentially anywhere proximal to the Ligament of Treitz. In Section I, Dr Gianluca Rotondano, Hospital Maresca, Torre del Greco, Italy, begins with a review of the epidemiology and diagnosis of acute nonvariceal upper GI bleeding. We then turn to patient presentation, risk stratification, and how to initially medically manage these bleeding patients. I am pleased to have one of our emergency medicine colleagues, Dr Andrew Meltzer, Department of Emergency Medicine, George Washington University, contribute this important article and provide a unique viewpoint from the emergency department where most of these patients initially present. As we all know, endoscopic hemostasis is the accepted standard of care for patients with acute nonvariceal upper GI bleeding. Moreover, peptic ulcer bleeding is the most common nonvariceal cause of acute upper GI bleeding; thus, Drs Yidan Lu, Yen-I Chen, and Alan Barkun from McGill University, Montreal, Canada, provide an in-depth review of the endoscopic management of peptic ulcer bleeding. Drs Eric Tjwa, I. Lisanne Holster, and Ernst Kuipers from the Erasmus Medical Center University Hospital, Rotterdam, The Netherlands, review the endoscopic management of all other causes of acute nonvariceal upper GI bleeding, and in addition, Drs Louis Wong Kee Song and Michael Levy from the Mayo Clinic, Rochester, Minnesota discuss emerging endoscopic hemostasis treatments, such as topical sprays and over-the-scope clipping devices. Although endoscopic hemostasis is very highly effective, there are unfortunately cases where bleeding is unable to be controlled or when significant rebleeding occurs that is not amenable to endoscopic therapy. Therefore, I have included two articles that provide insight into the question...what if endoscopic hemostasis fails? The first article, written by Drs Philip Wai Yan Chiu and James Yun Wong Lau, from Prince of Wales Hospital, The Chinese University of Hong Kong, focuses on tried and true surgical treatment options. The second article, by Dr Sujal Nanavati, University of California at San Francisco, Department of Radiology and Biomedical Imaging, addresses the alternative treatment strategy of angiographic embolization, which has now emerged as the often preferred salvage treatment strategy.


Acute Gastrointestinal Bleeding

Acute Gastrointestinal Bleeding

Author: Karen E. Kim

Publisher: Springer Science & Business Media

Published: 2003-01-03

Total Pages: 243

ISBN-13: 1592592996

DOWNLOAD EBOOK

Leading experts in the fields of gastroenterology, surgery, and radiology comprehensively review the pathophysiology, diagnosis, management, and treatment of acute bleeding disorders of the GI tract. The authors break down acute bleeding into upper and lower GI tract sources and provide a differential diagnosis for each disease, evidence-based algorithms for clinical practice, treatment modalities for its management, and standards of care. The authors outline the many dilemmas faced by physicians in their approach to their patients, such as localization of the bleeding source (upper vs lower), the need and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgery.


Upper Gastrointestinal Bleeding Management, An Issue of Gastrointestinal Endoscopy Clinics

Upper Gastrointestinal Bleeding Management, An Issue of Gastrointestinal Endoscopy Clinics

Author: John R. Saltzman

Publisher: Elsevier Health Sciences

Published: 2015-07-24

Total Pages: 225

ISBN-13: 0323390994

DOWNLOAD EBOOK

Upper gastrointestinal bleeding is the leading emergency leading to hospitalization and urgent endoscopy. The field of gastrointestinal bleeding is rapidly evolving. The epidemiology is changing with more complex older patients on anticoagulant and antithrombotic agents presenting with upper gastrointestinal bleeding. The initial management has rapidly evolved with new transfusion thresholds, the use of risk stratification scores and no more nasogastric tubes. There is new data and recommendations on optimal timing of endoscopy. Medical therapies have also evolved with changes in proton pump inhibitor administration and the use of prokinetics to improve endoscopic visualization. Many modifications in endoscopic therapy have recently been advanced including the use of endoscopic ultrasound guided angiotherapy, topical sprays (i.e. Hemospray) and over-the-scope clips. In order to give optimal care to patients, it is critical that practicing gastroenterologists are aware of the many recent advances in management of patients with upper gastrointestinal bleeding.


Advances in Endoscopy, An Issue of Gastroenterology Clinics of North America

Advances in Endoscopy, An Issue of Gastroenterology Clinics of North America

Author: John A Martin

Publisher: Elsevier Health Sciences

Published: 2024-11-06

Total Pages: 368

ISBN-13: 0443296936

DOWNLOAD EBOOK

In this issue of Gastroenterology Clinics, guest editor Dr. John A. Martin brings his considerable expertise to the topic of Advances in Endoscopy. Endoscopy has forever changed the fundamental nature of the clinical gastroenterologist's practice, from one that was originally predominantly clinic-based, to one that, today, is largely driven by endoscopy. In this issue, top experts explore and celebrate the now numerous facets of diagnostic and therapeutic endoscopy that markedly benefit patients today and continually advance to empower the gastrointestinal endoscopist more and more, year by year. - Contains 14 relevant, practice-oriented topics including pediatric endoscopy; ERCP: biliary and pancreatic endoscopy; endoscopic ultrasound; advanced esophageal endoscopy; artificial intelligence in endoscopy; and more. - Provides in-depth clinical reviews on 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.


Diagnosis and Treatment of Gastrointestinal Cancers, An Issue of Gastroenterology Clinics of North America, E-Book

Diagnosis and Treatment of Gastrointestinal Cancers, An Issue of Gastroenterology Clinics of North America, E-Book

Author: Marta Davila

Publisher: Elsevier Health Sciences

Published: 2022-09-25

Total Pages: 241

ISBN-13: 032385012X

DOWNLOAD EBOOK

In this issue of Diagnosis and Treatment of Gastrointestinal Cancers, guest editors Drs. Marta Davila and Raquel E. Davila bring their considerable expertise to the topic of Diagnosis and Treatment of Gastrointestinal Cancers. The early detection, diagnosis, and accurate staging of GI cancers, along with enhanced imaging techniques, new therapies, and a greater understanding of GI tumors at the molecular level, has revolutionized the approach to GI cancer patients in recent years. In this issue, distinguished authors recognized internationally as leading authorities in the field provide an exhaustive review of the latest topics in GI cancer. - Contains 13 practice-oriented topics including management of Barrett's esophagus and early esophageal adenocarcinoma; familial pancreatic cancer; colorectal cancer: screening and early detection; the microbiome in gastrointestinal cancers; and more. - Provides in-depth clinical reviews on diagnosis and treatment of gastrointestinal cancers, 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.


Gastrointestinal, Hepatic, and Pancreatic Manifestations of COVID-19 Infection, An Issue of Gastroenterology Clinics of North America, E-Book

Gastrointestinal, Hepatic, and Pancreatic Manifestations of COVID-19 Infection, An Issue of Gastroenterology Clinics of North America, E-Book

Author: Mitchell S Cappell

Publisher: Elsevier Health Sciences

Published: 2023-02-23

Total Pages: 289

ISBN-13: 0443182175

DOWNLOAD EBOOK

In this issue, guest editors bring their considerable expertise to this important topic.Provides in-depth reviews on the latest updates in the field, providing 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 these timely topic-based reviews.


Helicobacter Pylori Therapies, An Issue of Gastroenterology Clinics of North America

Helicobacter Pylori Therapies, An Issue of Gastroenterology Clinics of North America

Author: Akiko Shiotani

Publisher: Elsevier Health Sciences

Published: 2015-09-03

Total Pages: 209

ISBN-13: 032339566X

DOWNLOAD EBOOK

Helicobacter pylori (H. pylori) infection is a worldwide disease with a significant morbidity and mortality; it is the leading cause of non-ulcer dyspepsia, peptic ulcers and gastric tumors, including low-grade mucosa-associated lymphoid tissue-lymphoma and adenocarcinoma. In addition, it has also been recognized that the interaction between H. pylori and non-steroidal, anti-inflammatory drugs is damaging to the gastroduodenal mucosa. H. pylori treatment still remains a challenge for physicians, since no current first-line therapy is able to cure the infection in all treated patients. This issue will serve to update gastroenterologists on current therapies, evaluation and management of disease progression, and the future of management of H. pylori infection.


Gastrointestinal Imaging, An Issue of Gastroenterology Clinics of North America

Gastrointestinal Imaging, An Issue of Gastroenterology Clinics of North America

Author: Perry J. Pickhardt

Publisher: Elsevier Health Sciences

Published: 2018-08-19

Total Pages: 289

ISBN-13: 0323642349

DOWNLOAD EBOOK

With collaboration of Dr. Alan Buchman, Consulting Editor, Dr. Perry J. Pickhardt has created a comprehensive issue of Gastroenterology Clinics that looks at imaging techniques for gastrointestinal diseases. Experts in their respective fields have contributed clinical reviews in the following areas: Evaluation of Dysphagia: The Role of Barium Fluoroscopy; CT and MR Small Bowel Enterography: Current Status and Future Trends; Radiologic Assessment of Gastrointestinal Bleeding; CT Colonography: Implementation for Screening; Rectal MR for Cancer Staging and Surveillance; Defecography (fluoro vs MR); Noninvasive Imaging Techniques for Staging Liver Fibrosis; HCC Screening: Comparison of US, CT, and MR Approaches; Pancreatic Cystic Lesions; Overview of biliary imaging; Splenomegaly: Clinico-Radiologic Approach to the Differential Diagnosis; MR for Non-Traumatic Acute Abdominal Pain: Comparison with CT and US; and PET/MR: Current Clinical Status and Future Prospects. Gastroenterologists will come away with the knowledge they need to understand the latest imaging modalities for diagnosis and assessment of gastrointestinal diseases and disorders.


Bowel Imaging, An Issue of Radiologic Clinics of North America

Bowel Imaging, An Issue of Radiologic Clinics of North America

Author: Perry J. Pickhardt

Publisher: Elsevier Health Sciences

Published: 2013-01-28

Total Pages: 455

ISBN-13: 1455773530

DOWNLOAD EBOOK

This issue provides a completely updated review of bowel imaging across the modalities. Topics include CT enterography, CT evaluation of small bowel obstruction, CT evaluation of GI bleeding and mesentecric ischemia, CT colonography: Pitfalls in interpretation, MR enterography, MR colonography, Transabdominal ultrasound for bowel evaluation, MR for rectal cancer staging, Enteroclysis: fluoroscopic and CT techniques and Endoscopic techniques for small bowel imaging. Readers will be thoroughly up to date on bowel imaging techniques and pitfalls after reading this issue.


Practical Gastroenterology

Practical Gastroenterology

Author: Stuart Bloom

Publisher: CRC Press

Published: 2003-08-27

Total Pages: 688

ISBN-13: 9781135416317

DOWNLOAD EBOOK

Practical Gastroenterology is aimed at the specialist trainee and new consultant in practice. Focusing primarily on day-to-day management issues, it is structured to reflect the way the problems present and are managed in the hospital, such as whether patients are seen as inpatients or outpatients. Its approach is clinically-orientated. An introductory section provides a refresher course on the "basics" as well as advice on how to deal with referrals and the most common emergencies. This is followed by condition-specific chapters, split into the management of acute problems associated with inpatients and then a problem-based approach to the more chronic cases seen in outpatients. Finally, contraindications and complications of procedures and investigations are highlighted.