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Endoscopy In Inflammatory Bowel Disease An Issue Of Gastrointestinal Endoscopy Clinics Of North America

Author: Maria T. Abreu
Publisher: Elsevier Health Sciences
ISBN: 0323463118
Size: 34.36 MB
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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.

Nonpolypoid Colorectal Neoplasms In Inflammatory Bowel Disease An Issue Of Gastrointestinal Endoscopy Clinics

Author: Tonya Kaltenbach
Publisher: Elsevier Health Sciences
ISBN: 0323311814
Size: 30.66 MB
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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.

Pediatric Endoscopy An Issue Of Gastrointestinal Endoscopy Clinics Of North America

Author: Jenifer R. Lightdale
Publisher: Elsevier Health Sciences
ISBN: 0323414524
Size: 22.33 MB
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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.

Evaluation Of Inflammatory Bowel Disease An Issue Of Gastroenterology Clinics E Book

Author: Samir Shah
Publisher: Elsevier Health Sciences
ISBN: 1455746266
Size: 73.35 MB
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The Guest Editors have focused on methods of diagnosing and evaluating IBD to help guide optimal treatment to maximize clinical outcomes and minimize risks. Authors have provided state-of-the-art updates with practical information/guidelines/algorithms and cutting-edge data for incorporation into practice. The first set of articles deals with endoscopy: its role in diagnosis and monitoring IBD; the growing importance of chromoendoscopy in IBD surveillance exams; assessment of post-operative recurrence; and finally the emerging role of capsule endoscopy. The second section focuses on specific scenarios that IBD physicians encounter frequently: health maintenance in IBD focusing on proper vaccinations; the growing problem of Clostridium difficile in IBD; assessment of pouch problems; optimal evaluation of perianal disease; the state of the art in using thiopurines including use of allopurinol to optimize metabolites and optimizing the use of infliximab by measuring levels and antibodies to infliximab; factors to consider in choosing monotherapy versus combination therapy and communication of risk/benefit to patients; and finally disability assessment in IBD. The third and final section highlights noninvasive methods to evaluate IBD: clinical predictors of aggressive or disabling disease; the evolving role of specific antibodies in diagnosing, subtyping and most recently prognosticating in IBD; stool markers (calproctectin and lactoferrin) for evaluating and monitoring IBD; the growing role of imaging modalities with emphasis on MR enterography and CT enterography; and finally, the genetics of IBD and the potential role of genetic testing in the diagnosis/prognosis and tailoring of therapy.

Celiac Disease An Issue Of Gastrointestinal Endoscopy Clinics E Book

Author: Benjamin Lebwohl
Publisher: Elsevier Health Sciences
ISBN: 1455747351
Size: 53.98 MB
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The Guest Editors are providing comprehensive coverage of the clinical diagnosis, treatment, and management of Celiac Disease. Their authors are top experts in the field, and they have submitted state-of-the-art reviews. Topics inlclude: Clinical presentation of Celiac Disease in Adults and Children; The Irritable Bowel Syndrome--Celiac Disease Connection; Pathophysiology of Celiac Disease; Diagnosis of Celiac Disease; Histopathology in Celiac Disease; Management of Celiac Disease; Malignancy and Mortality in Celiac Disease; Gluten Sensitivity; Video Capsule Endoscopy in Celiac Disease; Refractory Celiac Disease; Celiac Disease in the Developing World; and Dietary Assessment in Celiac Disease.

Curbside Consultation In Ibd

Author: David T. Rubin
Publisher: SLACK Incorporated
ISBN: 9781556428562
Size: 64.36 MB
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Are you looking for concise, practical answers to questions that are often left unanswered by traditional IBD references? Are you seeking brief, evidence-based advice for complicated cases or complications? Curbside Consultation in IBD: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues. Dr. David Rubin, Dr. Sonia Friedman and Dr. Francis A. Farraye have designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with IBD. The unique Q&A format provides quick access to current information related to IBD with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate IBD. Curbside Consultation in IBD: 49 Clinical Questions provides information that high-volume clinicians will appreciate, and yet is basic enough for residents. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: • Which patients might be better for a “top down” approach (using anti-TNF therapy before steroids or proven failure of oral thiopurines)? What clinical behavior or serological markers might you use to identify these patients? • When is it appropriate to switch to another biologic therapy? • Should I be using chromoendoscopy in my surveillance colonoscopy in IBD? How and which agent? Would narrow band imaging be an alternative for this? • Can we follow flat low-grade dysplasia? Is any dysplasia really flat or just a spectrum of depth and size? • If women continue infliximab therapy during pregnancy, what are the implications for the baby? What should we be telling our patients about vaccinations?

Biologics In Inflammatory Bowel Disease An Issue Of Gastroenterology Clinics Of North America

Author: Edward V. Loftus, Jr
Publisher: Elsevier Health Sciences
ISBN: 032332326X
Size: 16.40 MB
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By the time this issue of Gastroenterology Clinics of North America is released, it will have been 16 years since infliximab was approved by the US Food and Drug Administration for the treatment of moderate to severe Crohn disease. Not only have we come a long way in understanding the efficacy and safety of infliximab, we are beginning to understand how and when to use the drug. Furthermore, as of this writing, we have five other biologic agents approved for either Crohn disease or ulcerative colitis, and there are many more molecules currently in drug development for these indications. In this issue,the Editors have assembled a collection of experts to provide the most cutting-edge information on the status of biologic therapy for inflammatory bowel disease.

Gastroenterology An Issue Of Clinics In Geratric Medicine

Author: Seymour Katz
Publisher: Elsevier Health Sciences
ISBN: 0323280838
Size: 62.32 MB
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This issue of Clinics in Geriatric Medicine, guest edited by Seymour Katz, MD, is devoted to Gastroenterology. Articles in this outstanding issue include Constipation: Understanding Mechanisms and Management; Vaccination status/Prophylaxis with GI Diseases; Reflux and Acid Peptic Diseases in Elderly; Anorectal Physiology/Pathophysiology in Elderly; Endoscopic Challenges; Colorectal Cancer of Elderly; Pancreatic Disease; GI Drug Interactions; Microscopic/Collagenous Colitis; Hepatitis B and C; IBD of the Elderly; Imaging Techniques in GI Diseases of Elderly; Dysphagia/Swallowing disorders of Elderly; and Clostridium difficile infection in the elderly.

Gastrointestinal Emergencies An Issue Of Emergency Medicine Clinics E Book

Author: Angela Mills
Publisher: Elsevier Health Sciences
ISBN: 1455709131
Size: 46.96 MB
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This issue of Emergency Medicine Clinics, guest edited by Drs. Angela Mills and Anthony Dean, will include articles on the following topics: Approach to acute abdominal pain;Evaluation of abdominal pain in older adults; Evaluation of abdominal pain in the pediatric population; Imaging and laboratory testing in acute abdominal pain;Esophageal and gastric emergencies; and Anorectal emergencies and foreign bodies in the gastrointestinal tract.