Advances In Bariatric And Metabolic Endoscopy An Issue Of Gastrointestinal Endoscopy Clinics

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. Violeta Popov and Shelby Sullivan bring their considerable expertise to the topic of Advances in Bariatric and Metabolic Endoscopy. Minimally invasive metabolic and bariatric endoscopic therapies can bridge the gap between surgical interventions and medical therapy, and recent advances have facilitated personalized and patient-targeted treatment options for specific disease states. In addition, these techniques can target different parts of the GI tract that may be responsible for the pathophysiology of obesity and metabolic syndromes. This issue provides state-of-the-art clinical reviews on the technical aspects of these procedures as well as patient management. Contains 14 relevant, practice-oriented topics including weight loss pharmacotherapy: current and future therapies; bariatric surgery: current trends and newer surgeries; small bowel therapies for metabolic disease and obesity; combination therapies: anti-obesity medications and endoscopic bariatric procedures; personalized approach to obesity treatments; and more. Provides in-depth clinical reviews on advances in bariatric and metabolic endoscopy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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.

The clinical implications of obesity have pervaded several specialties since treatments include medical and surgical intervention. In this issue, Dr. Thompson has created an issue that addresses topics of concern to endoscopists: important concerns in the endoscopic unit, presurgical evaluation, postoperative care, sedation, and endoscopic management of common complications. Further, special articles are included on endoscopic revisions to failed gastric bypass as well as reimbursement and regulatory issues.

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.

Optimizing Endoscopic Operations, An Issue of Gastrointestinal Endoscopy Clinics

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. Kenneth J. Chang and Jason B. Samarasena bring their considerable expertise to the topic of The Endoscopic Oncologist. The practice of gastrointestinal endoscopy intersects with oncology in many ways, much of it involving pre-cancerous conditions. But the endoscopist’s role in diagnosing, staging, and treating cancer patients is expanding. This issue is devoted to the current and future role of the endoscopic oncologist, with topics such as endoscopic diagnosis of luminal gastrointestinal cancer and extra-luminal cancer; endoscopic resection for early cancer; and more. Contains 12 relevant, practice-oriented topics including endoscopic ultrasound cancer staging; management of biliary obstruction; endoscopic management of colonic obstruction; endoscopic treatment of tumor bleeding; endoscopic ultrasound-guided pain management; and more. Provides in-depth clinical reviews on the endoscopic oncologist, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Dr. Gress has assembled top experts to discuss the latest advances of using endoscopic ultrasound for diagnostic and therapeutic purposes. The issue has review articles devoted to the following topics: EUS Elastography; Contrast-Enhanced EUS; New developments in EUS- FNA Tissue Acquisition; EUS FNA: Cytologic and histologic using new techniques for interpretation; New EUS Techniques for diagnosing pancreatic neoplasms; EUS for diagnosing and treating pancreatic cysts; The role of EUS in the diagnosis of Autoimmune Pancreatitis; Therapeutic EUS for cancer treatment; and EUS-guided techniques in biliary drainage, pancreatic drainage, necrosectomy, pelvic fluid collections, hemostasis techniques, and gastrojejunostomy. The issue ends with articles that look at training issues and the future of EUS. Readers should leave with the clinical information they need to embrace the latest advances of endoscopic ultrasonography.

This issue of Surgical Clinics of North America, guest edited by Dr. Adrian Dan, is devoted to Metabolic and Bariatric Surgery. He has assembled expert authors to review the following topics: A Historical Perspective of Metabolic and Bariatric Surgery; The Socio-economic Impact of Morbid Obesity and Factors Affecting Access to Obesity Surgery; Laparoscopic Roux-en-Y Gastric Bypass–Surgical Technique and Peri-operative Care; Revisional Metabolic and Bariatric Surgery; Novel Endoscopic and Surgical Techniques for treatment of Morbid Obesity –A Glimpse into the Future; Management and Prevention of Surgical and Nutritional Complications After Bariatric Surgery; Resolution of Comorbitidies and Impact on Longevity Following Bariatric and Metabolic Surgery; The Effects of Metabolic Surgery upon Fatty Liver Disease and Non-Alcoholic Steatohepatitis; Patient Selection and Surgical Management of High Risk Patients with Morbid Obesity; Laparoscopic Sleeve Gastrectomy–Surgical Technique and Peri-operative Care; Rise and Fall of the LAGB as a Bariatric Procedure; Plastic Surgery and Body Contouring Following Weight Loss Surgery; Biliopancreatic Diversion with Duodenal Switch–Surgical Technique and Periopertive Care; Morbid Obesity, Type 2 Diabetes and the Metabolic Syndrome–Pathophysiologic Relationships and Guidelines for Surgical Intervention; Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice; Type II Diabetes Mellitus – A Surgical Disease, and more!