An Atlas Of Rectal Endosonography

It is now more than 40 years since Drs. Wild and Reid published their first experience with rectal ultrasonography from the Surgery Department at the University of Minnesota. Professor Owen H. Wangen steen, in whose laboratory the studies were carried out, recognized at that time the need for early detection in the treatment of cancer. Technical improvements over the past 20 years have made endoscopy the procedure of choice for examination of the hollow organs of the genital, urinary and gastrointestinal tracts. The simultaneous development of endosonography has had an equally dramatic impact on the practice of medicine and surgery. The technology has been demonstrated to be helpful in both benign and malignant conditions. One of the so-called benign conditions of the anorectum is fistula-in-ano. Fistula surgery has always relied on excellent anatomic delineation of the intramuscular tracts. There is hope that adaptation of ultrasonographic technology will aid in the surgical management of this malady. Clearly, rectal ultrasonography has considerable potential in the management of rectal carcinoma. Accuracy rates in the range of 90% for the depth of neoplastic invasion have been reported. This ability for accurate assessment will undoubtedly lead to a better definition of the population of patients that can be managed by local therapeutic means.

It is now more than 40 years since Drs. Wild and Reid published their first experience with rectal ultrasonography from the Surgery Department at the University of Minnesota. Professor Owen H. Wangen steen, in whose laboratory the studies were carried out, recognized at that time the need for early detection in the treatment of cancer. Technical improvements over the past 20 years have made endoscopy the procedure of choice for examination of the hollow organs of the genital, urinary and gastrointestinal tracts. The simultaneous development of endosonography has had an equally dramatic impact on the practice of medicine and surgery. The technology has been demonstrated to be helpful in both benign and malignant conditions. One of the so-called benign conditions of the anorectum is fistula-in-ano. Fistula surgery has always relied on excellent anatomic delineation of the intramuscular tracts. There is hope that adaptation of ultrasonographic technology will aid in the surgical management of this malady. Clearly, rectal ultrasonography has considerable potential in the management of rectal carcinoma. Accuracy rates in the range of 90% for the depth of neoplastic invasion have been reported. This ability for accurate assessment will undoubtedly lead to a better definition of the population of patients that can be managed by local therapeutic means.

With contributions by numerous experts

Endoscopic ultrasound (EUS) is now considered one of the most essential and cost-effective techniques in the assessment of a wide range of gastrointestinal diseases. A remarkably versatile, minimally invasive procedure, it also calls for a high level of anatomic knowledge and technical prowess. This lavishly illustrated volume -- a textbook and atlas in one -- offers medical professionals the most comprehensive overview of EUS available, as well as a wealth of valuable insights from diverse leaders in the field. Features: More than 900 up-to-date, superior-quality images Clear, step-by-step instructions for all current procedures and techniques Logical, easy-to-use structure throughout, including the requisite anatomy and pathology Strategies for selecting patients and procedures, including hygiene requirements, informed consent, patient positioning and monitoring, and more Precise clinical descriptions and valuable tips and techniques for diagnosis and treatment Guidance on the successful handling of needling and catheters Insightful discussions of the uses and limitations of evolving techniques Chapters on contrast-enhanced EUS techniques and SonoElastography Designed specifically for specialists and trainees in gastroenterology, pneumology, and surgery, Endoscopic Ultrasound -- with its broad scope and up-to-date information -- is also essential reading for anyone wishing to explore and exploit the potential of state-of-the-art EUS.

Coloproctology is a surgical specialty which dynamically changes every few years. There is a profusion of colorectal textbooks but specialty series on particularly complex topics as well as on the specialized management approach for trainees and training colorectal surgeons are actually few. The aim of this text is a superior quality colorectal book written by world experts targeted at senior surgical and colorectal trainees and young consultant coloproctologists in current areas of subspecialty expertise. The structure of the chapters is current and is based on what does not appear and is not addressed in current colorectal textbooks. This series has proven useful in areas already represented, including Neurosurgery, Vascular Surgery, Transplantation Surgery, etc. The text is aimed at being relatively didactic with an algorithm approach to specialized areas within coloproctology which could potentially be updated every 3 years or so with new topics to create a set for didactic training in colorectal surgery. It is anticipated that these texts will become valuable teaching textbooks and part of every coloproctologist’s armamentarium as well as appealing to all general surgeons and surgical trainees engaged in complex elective and emergency colorectal surgery.

Chapman & Nakielny’s Guide to Radiological Procedures provides a complete guide to all the imaging procedures and techniques that radiology trainees and advanced practice radiographers might be expected to undertake as part of their routine clinical practice. The eighth edition has been fully updated to reflect the continually changing skills, imaging practices and technology that radiology trainees must navigate every day. It clearly describes the optimal imaging methods and intervention techniques required for different clinical scenarios, with information on methods, indications, equipment, patient preparation, technique, aftercare, complications and further reading for each. Along with its sister book, Chapman & Nakielny’s Guide to Radiological Diagnosis, this Guide is the most comprehensive text available for trainees to develop the essential skills they need in this fast moving and highly sought after field. Comprehensive and well-referenced – suitable for trainees in modern Radiology Departments Fully reviewed and updated throughout to incorporate latest techniques, clinical practice developments and key recent national and international guidelines Standard headings and sections divided by anatomical regions make the book easy to navigate Easy explanations – a perfect study aid for FRCR and similar examinations Detailed description of diagnostic and interventional radiology procedures relevant to daily clinical practice New chapter on Paediatric Radiology