By Joseph Leung MD, Simon Lo MD
Dr. Joseph Leung and Dr. Simon Lo have designed this specified reference, which deals specialist suggestion, personal tastes, and critiques on tricky medical questions and occasions normally encountered in endoscopy. the original Q&A structure offers easy access to present info relating to healing endoscopy with the simplicity of a talk among colleagues. Illustrative pictures, diagrams, and references are incorporated to augment the certainty of endoscopy.
Curbside session in Endoscopy: forty nine medical Questions provides details simple adequate for citizens whereas additionally incorporating specialist suggestion that even high-volume clinicians will savour. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will all enjoy the uncomplicated and informal layout and the professional suggestion contained within.
Some of the questions which are answered:
• You have been known as by means of the ER health care professional concerning a girl who tried to dedicate suicide by way of consuming a few "toilet cleansing solution". there have been noticeable burns round the mouth and tongue. What may you do next?
• Is there a task for steel stents in benign bile duct strictures? whilst should still i exploit plastic stents during this setting?
• whilst Is EUS precious for a Newly clinically determined melanoma of the Esophagus,Stomach, Colon, or Pancreas?
• i've got trouble controlling the course of a biliary papillotomy. Any tips to increase the implications ?
• What Are the gains that Differentiate a Submucosal Bulge from a real Mass on pill Endoscopy? What am i able to Do to substantiate a Submucosal Mass?
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Are you searching for concise, sensible solutions to questions which are usually left unanswered via conventional references? Are you looking short, evidence-based recommendation for sophisticated instances or problems? Curbside session in Endoscopy: forty nine medical Questions offers fast and direct solutions to the thorny questions in general posed in the course of a “curbside session” among colleagues.
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Extra info for Curbside Consultation in Endoscopy: 49 Clinical Questions
Injection therapies for variceal bleeding disorders of the GI tract. Gastrointest Endosc. 2008;67:313-323. How Can I Tell for Certain Endoscopically, and How Should I Treat it? 11 7. Qureshi W, Adler DG, Davila R, et al. ASGE Guideline: the role of endoscopy in the management of variceal hemorrhage, updated July 2005. Gastrointest Endosc. 2005;62:651-655. 8. Garcia-Tsao G, Sanyal AJ, Grace ND, Carey WD. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol.
8. Garcia-Tsao G, Sanyal AJ, Grace ND, Carey WD. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 2007;102:2086-2102. 9. Ninoi T, Nakamura K, Kaminou T, et al. TIPS versus transcatheter sclerotherapy for gastric varices. Am J Roentgenol. 2004;183(2):369-376. 3 QUESTION WHAT ARE THE ESSENTIAL TOOLS FOR REMOVING ESOPHAGOGASTRIC FOREIGN BODIES, AND WHEN SHOULD I APPLY THESE DEVICES? Luo-wei Wang, MD, PhD and Zhao-shen Li, MD Foreign-object ingestion and food-bolus impaction occur commonly.
Most of the foreign bodies that fail endoscopic removal are dental prostheses, iron slices, or complex and 16 Question 3 Figure 3-2. Latex protector hood during removal of sharp foreign bodies. Figure 3-3. Remove sharp foreign bodies with the overtube. ultra-long objects. Dental prostheses always impact into the esophageal mucosa, usually involving the muscular layer. In clinical practice, if the risk of esophageal perforation and bleeding is high, as in those cases with dental prostheses deeply embedded into the esophageal wall, it is better to avoid endoscopic attempts and to refer the patient directly to surgery.