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

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

The moment Edition includes new questions and is totally updated!

Curbside session in Endoscopy: forty nine scientific Questions, moment Edition comprises new questions and short, sensible, 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 distinct reference, which bargains professional recommendation, personal tastes, and critiques on difficult scientific questions and occasions normally encountered in endoscopy.

The distinctive Q&A layout offers easy access to present info concerning healing endoscopy with the simplicity of a talk among colleagues. Illustrative pictures, diagrams, and references are integrated to reinforce the knowledge of endoscopy.

Some of the questions which are answered:

• What Do humans Do for the therapy of Achalasia nowadays? Does it topic if the indications 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 help. are you able to aid Me?

• A 45-Year-Old sufferer With identified Hepatitis C was once Admitted due to colossal higher GI Bleeding. What should still I Do?

• A 55-Year-Old Veteran Had a Ruptured Gallbladder and a tricky Cholecystectomy. Postoperatively, the sufferer Had power 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 at present Asymptomatic

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

Curbside session in Endoscopy: forty nine scientific Questions, moment Edition presents info simple sufficient for citizens whereas additionally incorporating professional suggestion 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 structure and the professional recommendation contained within.

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Additional info for Curbside Consultation in Endoscopy: 49 Clinical Questions

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Bard, Inc) should be placed with a gastric balloon inflated inside the stomach and pulled with adequate traction against the gastric fundus to achieve tamponade. Given advances in endoscopic therapies and the less common presentation of active gastric variceal bleed, physicians may be unfamiliar with this device. As a brief review, the patient should always be intubated before placement of the tube because of a high risk of aspiration and need for airway protection. Inflate the tube with air to ensure balloon integrity before placing it.

TIPS should be considered urgently if endoscopic therapy is not amendable or if bleeding recurs (Figure 2-1). References 1. Bernard B, Grange JD, Khac EN, Amiot X, Opolon P, Poynard T. Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: a meta-analysis. Hepatology. 1999;29:1655-1661. 2. Rengstorff DS, Binmoeller KF. A pilot study of 2-octyl cyanoacrylate injection for treatment of gastric fundal varices in humans. Gastrointest Endosc.

Conclusion The presence of air in the peritoneal cavity no longer needs to be considered the clarion call for surgical intervention. With increasing frequency, in appropriately selected patients and perforations, endoscopic therapy and associated supportive measures can provide definitive treatment. 7 QUESTION WHAT IS THE CURRENT EXPERT OPINION ON WHAT HEMOSTASIS TECHNIQUE TO USE IN TREATING A VISIBLE VESSEL OR DIEULAFOY LESION? WHEN SHOULD I INVOLVE A SURGEON? Brintha K. Enestvedt, MD, MBA and Michael L.

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