› › Sedation And Monitoring In Gastrointestinal Endoscopy An Issue Of Gastrointestinal Endoscopy Clinics Of North America

Sedation and Monitoring in Gastrointestinal Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics of North America

Author : John Vargo

Publisher : Elsevier Health Sciences

Page : 177 pages

File Size : 12,79 MB

Release : 2016-07-15

Category : Medical

ISBN : 032344864X

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Book Description

In this issue an impressive group of contributors at the forefront of sedation research has been assembled to provide endoscopists and dedicated nursing personnel alike a comprehensive review of important topics in the field sedation and analgesia. A discussion on the pharmacology and agents used to provide moderate and deep sedation provides the basic framework that is a crucial element in determining the driving force behind the developments in sedation and analgesia. An evidence-based approach on the use of unsedated endoscopy is also provided. Other topics included the use of propofol, patient-controlled sedation and analgesia, extended physiologic monitoring, risk management, and quality assurance as they apply to the spectrum of sedation in the endoscopy suite. Sedation and analgesia in the pediatric patient is also addressed.



The New NOTES, An Issue of Gastrointestinal Endoscopy Clinics of North America

Author : Stavros N. Stavropoulos

Publisher : Elsevier Health Sciences

Page : 233 pages

File Size : 45,99 MB

Release : 2016-04-20

Category : Medical

ISBN : 0323417558

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Book Description

The topics covered in this issue, an update from what was first published in the Gastrointestinal Endoscopy Clinics in 2008, reflect the fact that NOTES is seeing a resurgence in popularity. Now, eight years later, there is more data to confirm safety, to look at the best options for using natural orifices, and to talk about optimal training scenarios. The Guest Editor has enlisted some of the top experts on NOTES to contribute articles devoted to Seminal Developments: SM Tunnel Technique; Peroral Endoscopic Myotomoy (POEM); Submucosal Tumor Endoscopic Resection; Endoscopic Full Thickness Resection; Submucosal Tunneling for NOTES Procedures Beyond Resection; Pyloromyotomy; New NOTES: Western Perspective; and Why Did the Old NOTES Fail: Lessons Learned that can Guide New NOTES Development.



Evaluation of the Small Bowel, An Issue of Gastrointestinal Endoscopy Clinics

Author : Lauren B. Gerson

Publisher : Elsevier Health Sciences

Page : 201 pages

File Size : 11,44 MB

Release : 2016-12-02

Category : Medical

ISBN : 0323482791

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Book Description

Endoscopic access to the small bowel has advanced significantly since the introduction of video capsule endoscopy and deep enteroscopy in early 2000. Other major advances have occurred in imaging modalities involving computed tomography and magnetic resonance studies. Due to these advances, the recent 2015 ACG guideline changed the terminology from “obscure to “small bowel bleeding because the majority of cases now can be found to have a small bowel source. The improvements in technology have advanced our ability to visualized vascular findings, inflammatory lesions, and small bowel neoplasms. Articles in this issue are devoted to these improvements in technology.



Bariatric and Metabolic Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics

Author : Richard I. Rothstein

Publisher : Elsevier Health Sciences

Page : 193 pages

File Size : 14,53 MB

Release : 2017-09-27

Category : Medical

ISBN : 0323524079

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Book Description

Dr. Rothstein has assembled top experts to present the current status of the role of endoscopy in managing the obese patient. Authors present current clinical information on the following topics: Small Bowel Target Devices and Techniques; Reimbursement Issues for Endoscopic Devices Used for Metabolic Endoscopy; the Physiologic Alteractions of Bariatric Surgery; Non-Balloon Gastric and Pyloric Therapies for Obesity; Aspiration Therapy for Obesity; Endoscopic Therapies after Surgery; Duodenal Mucosal Resurfacing: Role for Diabetes Treatment; Gastric Plication; and Gastric Balloons. Readers should come away with the information they need to utilize endoscopic techniques to improve outcomes in their patients.



Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics

Author : Adam Slivka

Publisher : Elsevier Health Sciences

Page : 233 pages

File Size : 35,35 MB

Release : 2016-01-07

Category : Medical

ISBN : 032340085X

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Book Description

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.



Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics of North America

Author : Jenifer R. Lightdale

Publisher : Elsevier Health Sciences

Page : 241 pages

File Size : 35,16 MB

Release : 2016-01-19

Category : Medical

ISBN : 0323414524

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Book Description

Over a short few decades, the field of pediatric endoscopy has matured from the exploratory to the routine. Performance of endoscopic procedures in children is now a fundamental aspect of the practice of more than 2000 pediatric gastroenterologists in North America, and endoscopic instruments are increasingly being developed with an eye to their pediatric applications. Ensuring safe and effective endoscopy in children requires specific medical knowledge and technical competency, in addition to appropriately designed equipment and settings. Obtaining consent from parents, as well as assent from patients, for the purposes of performing diagnostic and therapeutic gastrointestinal procedures begins with a deep understanding of risks and benefits that endoscopy affords and is typically gained through formal training in the field. Diagnostic endoscopy may help to confirm common pediatric conditions including eosinophilic esophagitis and inflammatory bowel disease, while therapeutic procedures to treat strictures in the GI tract may help children avoid more invasive surgeries. Using endoscopy in children to achieve hemostasis or to remove commonly swallowed foreign bodies, such as lithium batteries or high-powered magnets, can be lifesaving, and the insertion of feeding tubes can help medically complex patients to thrive. In short, pediatric endoscopy is an integral component of healthcare for children, and gaining and understanding of its best practices may help all clinicians to better recognize its role in pediatric disease outcomes.



Endoscopy in Inflammatory Bowel Disease, An Issue of Gastrointestinal Endoscopy Clinics of North America

Author : Maria T. Abreu

Publisher : Elsevier Health Sciences

Page : 219 pages

File Size : 39,74 MB

Release : 2016-09-16

Category : Medical

ISBN : 0323463118

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Book Description

The field of inflammatory bowel disease has evolved in many ways. The first has been the revolution in medical therapy for the disease. With the advent of biologic therapy, the aspirational goal of therapy has become mucosal healing. These medications have also made it possible to avoid or delay surgery for ulcerative colitis and Crohn's disease. Although non-invasive strategies such as MR or CT enterography or stool-based assays are helpful, they have not been able to replace the prognostic information provided by endoscopy. Simultaneously, the quality and spectrum of tools available to perform endoscopy has widened. High resolution endoscopes are now the norm and are nearly as good as chromoendoscopy for identifying dysplasia in ulcerative colitis patients. Most gastroenterologists also perform dilations but do not generally do this for patients with IBD. Finally, newer devices such as enteroscopes, endoscopic ultrasound, and endomicroscopes are being incorporated into the algorithms to diagnose and treat complications of IBD. This issue highlights all of these advances by the experts in their fields.



Quality Colonoscopy, An Issue of Gastrointestinal Endoscopy Clinics

Author : John I. Allen

Publisher : Elsevier Health Sciences

Page : 212 pages

File Size : 48,25 MB

Release : 2010-10-28

Category : Medical

ISBN : 1455700312

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Book Description

Dr. Allen’s issue focuses on how gastroenterologists can maximize the “value of colonoscopy – where value is defined as quality/cost. Clinical issues are covered, like sedation issues, complications of colonoscopy, and infection risk, but the majority of the articles deal with the discussions that surround quality colonoscopy—articles like: Risk Management and Legal Issues for Colonoscopy; Cost effectiveness of Colonoscopy in Prevention of Colon Cancer; Efficacy and Effectiveness of Colonoscopy: How Do We Bridge the Gap?; Current State of Colonoscopy Performance Measures; Use of Databases and Registries to Enhance Quality; and Maximizing the Value of Colonoscopy in Community, to name a few. In preparation of the changing landscape of healthcare, this issue will be an important one for all practicing gastroenterologists.



Practical Gastrointestinal Endoscopy

Author : Peter B. Cotton

Publisher : John Wiley & Sons

Page : 224 pages

File Size : 19,15 MB

Release : 2008-04-15

Category : Medical

ISBN : 1405140682

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Book Description

Gastrointestinal endoscopy is now mainstream and the focus is nowchanging from developing new techniques to enhancing the efficiencyand quality of fundamental techniques. There are three elements tothis agenda: initial training, continuous quality improvement andpatient empowerment. For the first time, the book is accompanied by two CD-ROMs -featuring video and animation of how to perform the techniques. Thefirst CD-ROM covers the upper GI tract and consists of twosections: (1) the background to instruments and how to get set up,and (2) how to perform diagnostic techniques. The second CD-ROMcovers diagnostic and therapeutic procedures in colonoscopy. Cotton and Williams' book has evolved with each new edition toreflect developments in the field of endoscopy over the last 20years. This fifth edition draws on the vast experience of the authorsand heralds current changes in both endoscopy and publishing. The emerging 'back to basics' attitude of endoscopy opinionformers with regard to the teaching of endoscopy has resulted in amore focused table of contents specifically targeted at newcomersto this specialty.



Successful Training in Gastrointestinal Endoscopy

Author : Jonathan Cohen

Publisher : John Wiley & Sons

Page : 500 pages

File Size : 10,29 MB

Release : 2022-04-19

Category : Medical

ISBN : 1119529689

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Book Description

Successful Training in Gastrointestinal Endoscopy Teaches trainee gastroenterologists the endoscopic skills needed to meet the medical training requirements to practice gastroenterology and helps clinical specialists refresh their skills to pass their recertification This book provides all gastroenterologists with the exact set of skills required to perform endoscopy at the highest level. Featuring contributions from internationally recognized leaders in endoscopy education and an endorsement by the World Organization of Digestive Endoscopy, it examines the specific skill sets and procedure-related tasks that must be mastered when learning a particular technique, including: specific descriptions of accessories required; standard training methods for the procedure; optimal utilization of novel learning modalities such as simulators; quality measures and objective parameters for competency; and available tools for assessing competency once training has been completed. Successful Training in Gastrointestinal Endoscopy, Second Edition features 400 high-quality, outstanding color photos to assist with comprehension. It is also complemented by a website containing over 130 annotated teaching videos of both actual procedures and ex-vivo animal model simulations. These videos illustrate, step by step, the proper techniques to be followed, highlighting clinical pearls of wisdom from the experts and the most common mistakes to avoid. Offers comprehensive and practical training guidelines in all the endoscopy procedures and techniques trainee gastroenterologists are required to learn Provides trainees with the skills required to perform endoscopy to the level required by the ACGME in order to practice gastroenterology Presents seasoned gastroenterologists with an outstanding tool to brush up their endoscopy skills and to familiarize them with new trends in safety and competence Includes website with video clips visually demonstrating all the endoscopic procedures step-by-step highlighting common mistakes Endorsed by the World Organization of Digestive Endoscopy Successful Training in Gastrointestinal Endoscopy, Second Edition is an excellent book for all trainee gastroenterologists (particularly endoscopists and colonoscopists) training for board exams. It will also greatly benefit gastroenterology specialists (especially those training for re-certification), as well as internal medicine physicians and trainees.