Advanced Pancreaticobiliary Endoscopy

This volume provides a comprehensive guide to advanced endoscopic procedures and techniques. Primarily focused on Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the book also explores related topics such as cholangioscopy, pancreatoscopy, advanced pancreaticobiliary imaging, stenting, and endoscopic means to achieve pain control. The text also presents a plethora of tips and tricks on how to perform these procedures safely, emphasizes common mistakes and how to avoid them, and features high quality videos illustrating key procedural aspects for every chapter. Written by top experts in the field, Advanced Pancreaticobiliary Endoscopy is an invaluable resource for gastrointestinal endoscopists and fellows interested in advanced endoscopic procedures.

This unique book is the first to focus on diagnostic and therapeutic endoscopy in gastrointestinal and pancreatico-biliary diseases. It provides an in-depth overview of the state of the art in diagnostic and therapeutic endoscopy of both the digestive tract and the pancreatico-biliary ductal system, and documents the latest innovations in the field. The first part of the book addresses advanced diagnostic and therapeutic endoscopy of the digestive tract, discussing bariatric endoscopic surgery, and the treatment of neoplasia and precancerous lesions of the upper and lower GI tract, motor disorders, GERD, strictures, fistulae and bleeding. The second part of the book is explores ERCP and EUS procedures, covering the diagnosis and therapy of biliary ductal system and pancreatic diseases. Each chapter includes an abundance of color images that document in detail the devices, operative techniques and outcomes. Written by leading internationally renowned experts, the book is a valuable resource for both specialists and residents in gastroenterology and surgery.

Dr. Baron has assembled experts in the use of expandable metal stents to provide comprehensive coverage of this topic. Articles are devoted to the use of expandable metal stents in biliary disease, esophageal disease, malignant esophageal disease, malignant biliary obstruction, as well as plastic stents and pancreatic stents. A foundation article on the principles of stents and tissue sampling is also included.

The latest edition of the world-leading title Practical Gastrointestinal Endoscopy (published in May 2003) has a 'back to basics' approach - placing emphasis on perfecting the basic techniques of endoscopy. There is now a need for detailed practical and clinical guides to the advanced endoscopy techniques for more experienced physicians. Advanced Digestive Endoscopy: ERCP addresses some of the most complex diagnostic and therapeutic procedures for endoscopists. It provides the latest thinking and clear instruction on the techniques, which have been integrated with overall patient care. Written by the leading international names in endoscopy, the text has been expertly edited by Peter Cotton into a succinct, instructive format. Presented in short paragraphs structured with headings, subheadings and bullet points and richly illustrated throughout with full-color photographs.

Clinical Pancreatology Since the book Clinical Pancreatology for Practising Gastroenterologists and Surgeons was first published sixteen years ago, the knowledge and clinical management of pancreatic diseases have developed markedly. Thanks to the development of the translational research and the from bench to bedside concept, much progress from the lab has been applied to clinical practice. In addition, several highly relevant clinical trials published over the last years have resulted in the update and optimisation of clinical guidelines. A new and validated classification of severity and complications of acute pancreatitis is firmly rooted in clinical practice and has been the basis for the development of minimally invasive approaches to pancreatic necrosis. The etiopathogenic knowledge of chronic pancreatitis and other pancreatopaties, like that associated with diabetes mellitus, has developed significantly. Especially important has been the development of the field of cystic pancreatic tumours, which has been reflected in the publication of several guidelines and consensus reports over the last few years. Most research efforts have focused on pancreatic cancer, which have led and will further lead to a significant increase in the therapeutic armamentarium against this devastating disease. Finally, many newly published studies have changed the concept, causes, clinical relevance, diagnosis and treatment of exocrine pancreatic insufficiency. This new edition of Clinical Pancreatology for Practising Gastroenterologists and Surgeons has enjoyed the collaboration of the world’s leading experts in each of the areas of clinical pancreatology with the aim of facilitating gastroenterologists, surgeons, oncologists, internists, nutritionists, diabetologists, paediatricians, radiologists, pathologists and other specialists in their decision making when facing patients with pancreatic diseases in their daily clinical practice. All in all, this book supplies an indispensable update of the relevant aspects of clinical pancreatology.

This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research. ​

This issue of Surgical Clinics of North America focuses on Endoscopy and is edited by Drs. John Rodriguez and Jeffrey L. Ponsky. Articles will include: History of Flexible Endoscopy; Quality Measures in Diagnostic Endoscopy; Endoscopic Equipment from Simple to Advanced; Endoscopic Ultrasound; Polypectomy Techniques; Endoscopic Mucosal Resection; Enteral Access; Advanced Colonic Polypectomy; Principles of Intramural Surgery; Per Oral Esophageal Myotomy; Per Oral Pyloromyotomy; Per Oral Zenker’s Diverticulotomy; Submucosal Tunneling Esophageal Resection; Endoscopic Management of Pancreato-biliary Disease; Endoscopic Management of Post-Operative Complications; and more!

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.