Clinical Gastrointestinal Endoscopy

Author: Ginsberg> Gregory G.  

Publisher: Elsevier Health Sciences‎

Publication year: 2011

E-ISBN: 9781437735703

P-ISBN(Paperback): 9781437715293

Subject: R4 Clinical Medicine

Keyword: 临床医学

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

Clinical Gastrointestinal Endoscopy, 2nd Edition, by Drs. Gregory G. Ginsberg, Michael L. Kochman, Ian D. Norton, and Christopher J. Gostout, helps you master the latest endoscopic techniques and achieve optimal outcomes. See how to perform key nuances with procedural videos at www.expertconsult.com in addition to 1,000 photographs, upgraded endoscopic images, and anatomical drawings both in print and online. Written by some of today's most prestigious specialists and with many new and fully updated chapters, this resource equips you to diagnose and treat the full range of GI disorders with state-of-the-art coverage of bariatric surgery, therapeutic EUS, device-assisted enteroscopy, image-guided therapy, intramural endotherapy, and much more. Get comprehensive details on a wide breadth of topics including anatomy, pathophysiology, and therapeutic management options in addition to the latest GI procedures and technologies. Advance your knowledge on the rapidly evolving state of clinical gastrointestinal endoscopy with expert multimedia guidance from some of today's most prestigious specialists. Master new procedures with updates on the endoscopic management of bariatric surgery; EUS as a tool to direct endoscopic therapies; device-assisted enteroscopy for deep exploration of the small intestine; image-guided therapy to help detect cancer earlier; intramural endotherapy including the new POEM procedure; and much more. Keep current with both new and emerging technologies includ

Chapter

Chapter 1: The History of Gastrointestinal Endoscopy

Introduction

Early Efforts

Rigid Gastrointestinal Endoscopes

Semiflexible Gastroscopes

Biopsy

Fiberoptics

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Photography

Sigmoidoscopy and Colonoscopy

Digital Endoscopy (Videoendoscopy)

Endoscopic Ultrasonography (EUS)

Capsule Endoscopy (Wireless Endoscopy)

Enteroscopy

Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Summary

Chapter 2: Setting Up an Endoscopy Facility

Introduction

Exploring Possibilities

Planning

Staffing and Scheduling

Documentation and Information Technology

Quality Measurement and Improvement

Summary

Acknowledgments

Chapter 3: How Endoscopes Work

Overview

Insertion Tube

Air, Water, and Suction Systems

Illumination System

Solid-State Image Capture

Reading the Image Created on the Charge-Coupled Device

Interline Charge-Coupled Device

Image Resolution

Reproduction of Color

Endoscopic Ultrasound Instrumentation

Factors to Consider When Evaluating a Video Image Endoscope

Capsule Endoscopy

Chapter 4: Cleaning and Disinfecting Gastrointestinal Endoscopic Equipment

Introduction

Principles of Disinfection

Liquid Chemical Germicides

Automatic Endoscope Reprocessors

Cleaning and Disinfecting Endoscopes

Disinfection Procedure Compliance

Reprocessing Personnel

Novel Infectious Agents

General Infection Control Practices

Chapter 5: Tissue Sampling, Specimen Handling, and Chromoendoscopy

Biopsy

Brush Cytology

Endoscopist-Pathologist and Pathologist-Endoscopist Communication to Optimize the Diagnostic Yield for Patient Care

Chromoendoscopy

Chapter 6: Electrosurgery in Therapeutic Endoscopy

Introduction

Electricity and Tissue

Endoscopic Thermal Modalities

Principles of Electrosurgery

Endoscopic Electrosurgical Techniques

Summary

Chapter 7: Sedation and Monitoring in Endoscopy

Introduction

Patient Evaluation and Preparation

Procedural Monitoring

Intravenous Access

Sedation and Consent

Staffing Levels and Training

Postprocedural Monitoring

Drugs for Sedation

Propofol and Deep Sedation

Pharyngeal Anesthesia in Sedation

Management of Oversedation

Unsedated Endoscopy

Review of Specific Drugs

Chapter 8: Patient Preparation and Pharmacotherapeutic Considerations

Introduction

Informed Consent

General Information about Patient Preparation

Preparation for Endoscopy and Enteroscopy

Preparation for Endoscopic Retrograde Cholangiopancreatography

Preparation for Colonoscopy

Preparation for Flexible Sigmoidoscopy

Preparation for Endoscopic Ultrasound

Preparation for Capsule Endoscopy

Preparation for Endoscopic Procedures in Patients with Diabetes

Special Circumstances

Antibiotic Prophylaxis

Chapter 9: Reporting, Documentation, and Risk Management

Introduction

Relationship of Medical Practice to Litigation

Claims against Gastroenterologists

Legal Principles in Medical Practice

Documentation

Risk Management

Quality Agenda in Endoscopy

Medicolegal Consultation

Chapter 10: Small-Caliber Endoscopy

Introduction

Small-Caliber Endoscopy Insertion Techniques

Unsedated Small-Caliber Upper Endoscopy

Therapeutic Applications for Small-Caliber Endoscopy

Conclusion

Chapter 11: Postsurgical Endoscopic Anatomy

Introduction

Antireflux Procedures

Operations without Alteration of the Pancreaticobiliary Anatomy

Operations with Alteration of the Pancreaticobiliary Anatomy

Chapter 12: Nonvariceal Upper Gastrointestinal Bleeding

Introduction

Clinical Presentation

Initial Evaluation

Nasogastric Aspirate

Laboratory Data

Risk Stratification

Timing of Endoscopy

Preparation and Place for Endoscopy

Etiology of Nonvariceal Upper Gastrointestinal Bleeding

Available Modalities for Endoscopic Therapy

Role of Medical Therapy

Second-Look Endoscopy

Recurrent Bleeding

Complications of Endoscopic Therapy

Failure of Endoscopic Therapy

Prevention of Recurrent Bleed

Dieulafoy’s Lesion

Mallory-Weiss Tear

Future Directions for Endoscopic Therapy

Chapter 13: Portal Hypertensive Bleeding

Introduction

Etiopathogenesis

Clinical Presentation

Diagnosis

Management

Summary

Chapter 14: Lower Gastrointestinal Bleeding

Introduction

Epidemiology

Initial Approach to a Patient with Severe Hematochezia

Diagnostic Options

Etiology and Pathogenesis of Severe Lower Gastrointestinal Bleeding

Summary

Chapter 15: Obscure Gastrointestinal Bleeding

Introduction

Etiology of Obscure Gastrointestinal Bleeding

Investigating Obscure Gastrointestinal Bleeding

Diagnostic Investigations

Proposed Diagnostic Strategy

Pharmacologic Therapy

Chapter 16: Chronic Gastrointestinal Bleeding

Introduction

Angiodysplasia of the Gastrointestinal Tract

Hereditary Hemorrhagic Telangiectasia

Gastric Vascular Lesions in Patients with Cirrhosis

Portal Colopathy

Hemangiomas

Blue Rubber Bleb Nevus Syndrome

Klippel-Trénaunay-Weber Syndrome

Radiation Injury of the Gastrointestinal Tract

Cameron Ulcers and Erosions

Chapter 17: Benign Strictures

Introduction

Esophageal Strictures

Esophageal Rings and Webs

Gastric, Pyloric, and Small Bowel Strictures

Benign Colonic and Ileocolonic Strictures

Chapter 18: Achalasia

Introduction

Etiology

Diagnosis

Treatment

Achalasia and Cancer

Chapter 19: Ingested Foreign Objects and Food Bolus Impactions

Introduction

Epidemiology

Pathophysiology and Pathogenesis

Clinical Features: History and Physical Examination

Diagnosis

Treatment

Postoperative Care

Complications

Future Trends

Chapter 20: Zenker’s Diverticula

Introduction

Epidemiology

Pathogenesis

Clinical Features

Pathology

Differential Diagnosis

Treatment

Future Trends

Chapter 21: Inflammatory Bowel Disease

Introduction

Normal Appearance of the Bowel

Early Lesions of Inflammatory Bowel Disease

Importance of Assessing Extent of Disease

Assessing Disease Severity

Preparation of Patients for Gastrointestinal Endoscopy

Indications for Gastrointestinal Endoscopy in Inflammatory Bowel Disease

Crohn’s Disease

Ulcerative Colitis

Strictures and Mass Lesions

Differential Diagnosis

Cancer in Inflammatory Bowel Disease

Pouchitis

Intraoperative Endoscopy

Endoscopy and Ileostomy

Capsule Endoscopy

Endoscopic Retrograde Cholangiopancreatography

Conclusions

Chapter 22: Infections of the Luminal Digestive Tract

Introduction

Epidemiology

Pathogenesis

Clinical and Endoscopic Features

Pathology

Differential Diagnosis

Treatment

Future Trends

Chapter 23: Techniques in Enteral Access

Introduction

How to Establish an Endoscopy Service for Enteral Access

Endoscopic Nasoenteric Tubes

Percutaneous Endoscopic Gastrostomy

Percutaneous Endoscopic Gastrojejunostomy

Direct Percutaneous Endoscopic Jejunostomy

Postprocedure Care

Endoscopic Nasoenteric Tube Complications

Percutaneous Endoscopic Gastrostomy Complications

Percutaneous Endoscopic Gastrojejunostomy and Direct Percutaneous Endoscopic Jejunostomy Complications

Conclusion

Chapter 24: Acute Colonic Pseudo-obstruction

Introduction

Epidemiology

Pathogenesis

Clinical Features

Differential Diagnosis

Treatment

Future Trends

Chapter 25: Diagnosis and Staging of Esophageal Carcinoma

Introduction

Epidemiology

Clinical Features

Diagnosis

Staging of Esophageal Carcinoma

Future Trends

Chapter 26: Diagnosis and Surveillance of Barrett’s Esophagus

Introduction

Epidemiology

Pathogenesis

Clinical Features

Pathology

Differential Diagnosis

Barrett’s Esophagus and Esophageal Adenocarcinoma

Cancer Biology

Screening and Surveillance Strategies for Barrett’s Esophagus

Treatment

Conclusions and Future Trends

Chapter 27: Endoscopic Treatment of Superficial Esophageal Cancers

Introduction

Biology of Early Esophageal Cancer

Staging of Early Esophageal Cancer

Methods of Endoscopic Treatment of Esophageal Cancer

Acknowledgments

Chapter 28: Endoscopic Palliation of Malignant Dysphagia and Esophageal Fistulas

Introduction

Epidemiology

Pathogenesis

Clinical Features

Pathology

Differential Diagnosis

Treatment

Quality of Life

Future Trends

Chapter 29: Nonepithelial Tumors of the Esophagus and Stomach

Introduction

Epidemiology

Clinical Features

Pathology

Differential Diagnosis

Treatment

Future Trends

Chapter 30: Screening for Esophageal Squamous Cell Carcinoma and Its Precursor Lesions

Introduction

Precursor Lesions of Esophageal Squamous Cell Carcinoma

Nonendoscopic Screening Techniques

Endoscopic Screening Techniques

Endoscopic Morphology

Clinical Application of Screening and Treatment for Early Esophageal Squamous Cell Carcinoma and Its Precursor Lesions

Summary

Chapter 31: Extraintestinal Endosonography (including Celiac Block)

Introduction

Lung Cancer

Techniques for Staging Non–Small Cell Lung Cancer with Endoscopic Ultrasound

Technique for Performing Endoscopic Ultrasound–Guided Fine Needle Aspiration

Endoscopic Ultrasound–Guided Celiac Plexus Block and Celiac Plexus Neurolysis

Conclusion

Chapter 32: Evaluation of Gastric Polyps and Thickened Gastric Folds

Introduction

Epithelial Gastric Polyps

Subepithelial Gastric Polyps

Endoscopic Techniques and Management

Endoscopic Techniques and Considerations

Thickened Folds

Conclusion

Chapter 33: Endoscopic Therapy for Gastric Neoplasms

Introduction

Gastric Cancer

Other Gastric Neoplasms

Future Trends

Chapter 34: Endoscopic Management of Upper Gastrointestinal Familial Adenomatous Polyposis Syndrome and Ampullary Tumors

Introduction

Endoscopic Management of Periampullary Adenoma

Surgical Therapy

Pharmacologic Treatment

Summary

Acknowledgment

Chapter 35: Colorectal Cancer Screening and Surveillance

Introduction

Epidemiology of Colorectal Cancer

Pathogenesis

High-Risk Groups

Screening Strategies for Average-Risk Individuals

Early Cancer Detection Tests

Surveillance after Detection of Neoplasia

Complications of Screening and Surveillance

Controversies in Screening and Surveillance

Conclusion

Chapter 36: Colonoscopic Polypectomy, Mucosal Resection, and Submucosal Dissection

Introduction

Differential Diagnosis

Clinical Features and Pathology

Indications and Contraindications

Instruments

Techniques

Management and Surveillance after Polypectomy

Complications

Future Trends

Chapter 37: Diagnostic Cholangiography

Introduction

Endoscopic Retrograde Cholangiopancreatography

Summary

Chapter 38: Diagnostic Pancreatography

Indications

Preparation

Technique

Complications of Pancreatography

Normal Pancreatic Ductal Anatomy

Pancreatic Duct Variants

Periampullary Pathology Related to Pancreatic Disease

Pathologic Patterns Seen during Pancreatography

Pancreatic Neoplasia

Pancreatography in Acute Pancreatitis

Pancreatography in Chronic Pancreatitis

Miscellaneous Settings

Magnetic Resonance Pancreatography

Chapter 39: Difficult Cannulation and Sphincterotomy

Introduction

Proper Endoscope

Locating the Papilla

Cannulation

Catheter versus Sphincterotome Cannulation

Wire-Guided Cannulation

Biliary and Pancreatic Standard Sphincterotomy

Juxtapapillary and Periampullary Diverticula

Precut Sphincterotomy

Billroth II Resection

Roux-en-Y Anastomosis and Double-Balloon or Single-Balloon Enteroscopy for Endoscopic Retrograde Cholangiopancreatography

Cannulation and Sphincterotomy of the Minor Papilla

Complications

Pancreatic Stents for Prevention of Pancreatitis following Endoscopic Retrograde Cholangiopancreatography

Chapter 40: Endoscopic Retrograde Cholangiopancreatography Tissue Sampling Techniques

Introduction

History

Pathogenesis

Techniques of Tissue Sampling

Fine Needle Aspiration Cytology

Forceps Biopsy

Combining Multiple Sampling Techniques

Other Methods of Endoscopic Retrograde Cholangiopancreatography Tissue Sampling

Specimen Handling and Analysis

Future Trends

Summary

Chapter 41: Endoscopic Ultrasound of Pancreatic and Biliary Diseases

Introduction

Gallbladder Stones, Sludge, and Polyps

Bile Duct Stones

Bile Duct Strictures and Cholangiocarcinoma

Ampulla of Vater

Acute Pancreatitis

Chronic Pancreatitis

Solid Pancreatic Neoplasms

Intraductal Papillary Mucinous Neoplasm

Pancreas Cysts and Fluid Collections

Interventional Endoscopic Ultrasound of the Biliary Tree and Pancreas

Chapter 42: Endoscopic Ultrasound–Guided Fine Needle Aspiration of Pancreaticobiliary Lesions

Introduction

Endoscopic Ultrasound–Guided Fine Needle Aspiration in the Diagnosis of Pancreatic Tumors

Endoscopic Ultrasound–Guided Fine Needle Aspiration in the Staging of Pancreatic Cancer

Endoscopic Ultrasound–Guided Fine Needle Aspiration in Biliary Lesions

Endoscopic Ultrasound–Guided Therapy for Pancreaticobiliary Lesions

Technical Considerations

Conclusions

Chapter 43: Choledocholithiasis

Introduction

Clinical Features and Diagnosis

Treatment

Indications and Contraindications

Preoperative History and Considerations

Therapeutic Techniques

Unusual Situations

Postoperative Care

Complications

Chapter 44: Benign Biliary Strictures and Leaks

Introduction

Epidemiology

Pathogenesis

Clinical Features

Differential Diagnosis

Treatment

Description of Technique

Complications

Future Trends

Chapter 45: Infections of the Biliary Tract

Introduction

Endoscopic Retrograde Cholangiopancreatography

Cholangitis

Recurrent Pyogenic Cholangitis

Parasitic Cholangitis

Acquired Immunodeficiency Syndrome Cholangiopathy

Cholecystitis

Chapter 46: Sphincter of Oddi Dysfunction

Introduction

Definitions

Anatomy, Physiology, and Pathophysiology

Epidemiology

Clinical Presentation

Clinical Evaluation

Therapy for Sphincter of Oddi Dysfunction

Failure to Achieve Symptomatic Improvement after Biliary Sphincterotomy

Sphincter of Oddi Dysfunction in Recurrent Pancreatitis

Conclusion

Chapter 47: Acute Pancreatitis and Peripancreatic Fluid Collections

Introduction

Presentation and Classification of Acute Pancreatitis

Management of Mild Acute Pancreatitis (Interstitial-Edematous)

Identification and Clinical Importance of Pancreatic Necrosis

Infection in Acute Necrotizing Pancreatitis

Role of Endoscopic Retrograde Cholangiopancreatography in Severe Acute Gallstone Pancreatitis

Nutritional Support for Acute Necrotizing Pancreatitis

Interventions for Pancreatic Necrosis

Long-Term Sequelae of Acute Necrotizing Pancreatitis

Pancreatic and Peripancreatic Fluid Collections

Conclusion

Chapter 48: Acute Relapsing Pancreatitis

Introduction

Work-up of Acute Relapsing Pancreatitis

Pancreas Divisum

Biliary Microlithiasis

Sphincter of Oddi Dysfunction

Ampullary and Pancreatic Malignancies

Choledochocysts

Periampullary Duodenal Diverticula

Annular Pancreas

Genetic Causes

Acknowledgments

Chapter 49: Chronic Pancreatitis, Stones, and Strictures

Introduction

Epidemiology

Pathophysiology

Etiology

Clinical Features

Pathology

Differential Diagnosis

Diagnosis

Treatment

Future Trends

Chapter 50: Pancreatic Duct Leaks and Pseudocysts

Introduction

Epidemiology

Pathogenesis

Clinical Features

Pathology

Differential Diagnosis

Treatment

Postoperative Care and Complications

Future Trends

Chapter 51: Palliation of Malignant Pancreaticobiliary Obstruction

Introduction

Epidemiology

Pathogenesis

Clinical Features

Pathology

Differential Diagnosis

Treatment

Indications and Contraindications

Overview of Stents for Biliary Drainage

Antibiotics before Stent Placement Procedure

Technique of Stent Placement

Intrahepatic Biliary Obstruction

Duodenal Stenosis

Postprocedural Care

Complications

Future Trends

Endoscopic Ultrasound–Guided Plexus Neurolysis

Chapter 52: Endoscopic Management of Post–Bariatric Surgery Complications

Introduction

Roux-en-Y Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Vertical Banded Gastroplasty

Sleeve Gastrectomy and Duodenal Switch

Indications for Endoscopy

Experimental Therapies

Chapter 53: Emerging Endoluminal Bariatric Techniques

Introduction

Endoscopic Options for Endoluminal Primary Treatment of Obesity

Endoscopy for Managing Complications after Bariatric Surgery

Revisional Endoscopy after Bariatric Surgery

Conclusion

Chapter 54: Gastroenterologic Perspectives on Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Introduction

Current State of Natural Orifice Transluminal Endoscopic Surgery (NOTES) Research

Future Indications for the Gastroenterologist

Endoscopic Full-Thickness Resection

Diagnostic Peritoneoscopy and Lymph Node Harvesting

Liver Biopsies

Bariatric Surgery

Anastomosis

Equipment

Anatomic Considerations

Case Preparation

Precautions

Conclusion

Chapter 55: Surgical Perspectives on Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Introduction

History of Minimally Invasive Surgery

History of Natural Orifice Transluminal Endoscopic Surgery

Advantages of Natural Orifice Transluminal Endoscopic Surgery

Disadvantages of Natural Orifice Transluminal Endoscopic Surgery

Training Surgeons in Natural Orifice Transluminal Endoscopic Surgery and Incorporating Natural Orifice Transluminal Endosco ...

Conclusion

Chapter 56: Emerging Intramural and Transmural Endoscopy

Introduction

Techniques for Creation of a Submucosal Working Space: Submucosal Endoscopy with Mucosal Safety Valve Technique

Intramural Endoscopy (Submucosal Endoscopic Procedures)

Transmural Procedures with Submucosal Endoscopy with Mucosal Flap Approach

Conclusion

Chapter 57: Gastroduodenal and Colonic Endoprostheses

Introduction

Technical Review

Malignant Gastroduodenal Obstruction

Colonic Obstruction

Alternative Indications

Conclusion

Chapter 58: Electronically Enhanced Endoscopic Imaging

Introduction

Broad Field Image Enhancement Techniques: High-Resolution Endoscopy, Virtual Chromoendoscopy, and Other Optical Techniques

Confocal Laser Endomicroscopy

Summary

Index

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