Download e-book for iPad: Curbside Consultation in Endoscopy: 49 Clinical Questions by Joseph Leung MD, Simon Lo MD

By Joseph Leung MD, Simon Lo MD

ISBN-10: 1617110477

ISBN-13: 9781617110474

Curbside session in Endoscopy: forty nine scientific Questions has been up to date right into a Second Edition!

The moment Edition comprises new questions and is totally updated!

Curbside session in Endoscopy: forty nine medical Questions, moment Edition comprises new questions and short, functional, and evidence-based solutions to the main commonly asked questions which are posed in the course of a “curbside session” among surgical colleagues.

Dr. Joseph Leung and Dr. Simon Lo have designed this detailed reference, which deals specialist recommendation, personal tastes, and reviews on difficult scientific questions and events typically encountered in endoscopy.

The distinctive Q&A structure presents easy accessibility to present details concerning healing endoscopy with the simplicity of a talk among colleagues. Illustrative photos, diagrams, and references are incorporated to augment the certainty of endoscopy.

Some of the questions which are answered:

• What Do humans Do for the therapy of Achalasia nowadays? Does it topic if the indicators Are critical or if the sufferer Is Elderly?

• I Had a tough Colonoscopy and it doesn't matter what i attempted, I simply couldn't succeed in the Cecum. I Maxed Out on IV Sedations and feature No Anesthesiology aid. are you able to aid Me?

• A 45-Year-Old sufferer With recognized Hepatitis C used to be Admitted due to mammoth higher GI Bleeding. What may still I Do?

• A 55-Year-Old Veteran Had a Ruptured Gallbladder and a tricky Cholecystectomy. Postoperatively, the sufferer Had continual Bile Leakage regardless of Months of a number of Biliary Stenting. What am i able to Do?

• How will we deal with a sufferer With a 10-cm Pseudocyst who's presently Asymptomatic

• what's a competent option to Estimate the positioning of a Lesion came across on pill Endoscopy?

Curbside session in Endoscopy: forty nine scientific Questions, moment Edition offers info easy sufficient for citizens whereas additionally incorporating professional recommendation that even high-volume clinicians will savour. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will all enjoy the simple and informal layout and the professional suggestion contained within.

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3 In another study,4 23 patients with BE and HGD/intramucosal cancer underwent endoscopic mucosectomy for visible lesions and RFA for metaplasia ablation. 6 RFA sessions, complete remission of HGD/intramucosal cancer and RFA were obtained in 100% of the cases. With a 12-cm long segment BE and several raised lesions with HGD in a healthy person, the esophagectomy could be considered. 5 On the other hand, the combination of endoscopic resection and RFA may be another option. With the aid of acetic acid chromoendoscopy and narrow band imaging, the suspicious areas could be targeted and endoscopically resected.

High-risk procedures would include the following: Esophagoscopy with a history of dysphagia, especially transfer dysphagia, which occurs with a Zenker’s diverticulum or a known stricture ● ● Large paraesophageal hernia ● Prior radiation ● Anastomotic narrowing ● ● ● ● Altered anatomy, as with colonic interposition, Billroth II, Roux-en-Y anastomosis, or hepaticojejunostomy and pancreaticojejunostomy Use of an oblique or side-viewing endoscope, as with echoendoscopes or duodenoscopes, when forward visualization is limited Presence of luminal content, such as ingested material, blood, or fluid that obscures the desired orifice Large balloon dilation, as for achalasia Endoscopic mucosal resection or submucosal dissection of flat lesions or submucosal tumors If a high-risk situation is known, the scheduling of the procedure should not be at the end of the day or after hours, when radiological or surgical backup may not be readily available.

What Would You Do for Obvious Burns Around the Mouth and Tongue? 23 References 1. Kikendall JW. Caustic ingestion injuries. Gastroenterol Clin North Am. 1991;20(4):847-857. 2. Cellor JP, Fogel RP, Boland R. Liquid caustic ingestion. Spectrum of injury. Arch Intern Med. 1980;140(4):501-504. 3. Zargar SA, Kochhar R, Mehta S, Mehta SK. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc. 1991;37(2):165-169. 4.

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Curbside Consultation in Endoscopy: 49 Clinical Questions by Joseph Leung MD, Simon Lo MD

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