Gastrointestinal endoscopy 2000:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Gastrointestinal endoscopy clinics of North America
10,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VIII, 198 S. Ill., graph. Darst. |
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Datensatz im Suchindex
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| adam_text | GASTROINTESTINAL ENDOSCOPY 2000
CONTENTS
Preface xi
Charles J. Lightdale
Color Plates xiii
Sedation and Sedationless Endoscopy 1
Gregory Zuccaro, Jr
Sedation and analgesia are provided routinely for patients under¬
going endoscopic procedures. This article reviews the clinical expe¬
rience with the medications commonly used for this purpose. Fur¬
thermore, advantages and disadvantages of alternative agents are
also discussed. There are multiple practice guidelines available
to the gastrointestinal endoscopist and both the attributes and
limitations of these guidelines are presented. In an effort to control
costs and improve productivity, sedationless endoscopy has been
introduced into the practice of some endoscopists. The advantages
and limitations of sedationless endoscopy, as well as the clinical
experience to date, are reviewed.
Computers in Endoscopy 21
William J. Ravich
Computers have taken over the endoscopy unit, as they have the
rest of society. In 1980, most endoscopy units had no computers
at all. Today, however, the average hospital endoscopy unit in the
United States is equipped with many computers. Computers have
revolutionized performance and teaching techniques of endoscopy.
Changes in communication of findings and management of the
endoscopy unit that are occurring are attributed to the use of
computers. This article discusses videoendoscopy, advances in
electronic technology, and the impact of the digital image.
VOLUME 10 • NUMBER 1 • JANUARY 2000 V
Light Induced Fluorescence Endoscopy of the
Gastrointestinal Tract 37
Ralph S. DaCosta, Brian C. Wilson,
and Norman E. Marcon
The early detection of dysplasia and superficial malignant lesions
of the gastrointestinal tract is of significant clinical importance.
Recent advances in fluorescence based endoscopic imaging and
spectroscopy of the gastrointestinal tract may offer alternative
means of detecting and identifying premalignant and malignant
lesions that were otherwise occult or nonspecific on conventional
white light endoscopy. The purpose of this article is to present
a general overview of the current developments and possible
clinical roles of light induced fluorescence endoscopy as an ad¬
junct to routine diagnostic endoscopy to enhance screening and
surveillance for premalignant and malignant gastrointestinal le¬
sions.
Enhanced Gastrointestinal Diagnosis: Light Scattering
Spectroscopy and Optical Coherence Tomography 71
Michael B. Wallace and Jacques Van Dam
Detection of microscopic and biochemical changes within the mu
cosa and submucosa are beyond the realm of routine endoscopy.
Distinguishing hyperplastic from neoplastic polyps, differentiat¬
ing malignant from benign ulcers, and detecting mucosal dysplasia
in patients with ulcerative colitis or Barrett s esophagus remain
within the purview of the gastrointestinal pathologist. Recent de¬
velopments in tissue spectroscopy and endoscopic optical coher¬
ence tomography have the potential to expand significantly our
ability to diagnose gastrointestinal disease beyond the capabilities
of visible light endoscopy.
Therapeutic Upper Endoscopy 81
Pankaj Jay Pasricha
Endoscopy continues to evolve now and in the future with ad¬
vances in diagnostic and therapeutic procedures. Advances in ther¬
apeutic procedures consist of cheaper and more effective instru¬
mentation, the use of novel biologicals for site specific therapy,
and the introduction of bold new approaches such as endoscopic
transluminal interventions. The invention and implementation of
these changes, however, is dependent on improvements in tech¬
nology and the creation of an enlightened cadre of endoscopists
with the knowledge and ability to be effective translational scien¬
tists.
vi contents
Acute Gastrointestinal Bleeding: What Are the Issues
the New Millennium Will Resolve? 89
Christopher J. Gostout
Endoscopic therapy for acute gastrointestinal bleeding remains a
pivotal component of patient management. There is a need to
advance the capabilities of the interventional endoscopist. Ad¬
vancements include endoscope redesign, new accessories, refined
portable surface and subsurface imaging technology, and an evolu¬
tion of a portable working environment into an ideal mobile
procedure area. Desirable future endoscopic techniques must in¬
clude suturing, localized resection, and endoscopic ultrasound
guided selective angiography with embolizarion of a bleeding
vessel.
Enteroscopy 101
Blair S. Lewis
Enteroscopy in the new millennium will involve the development
of instruments and accessories to allow deeper therapeutic inter¬
vention in the small bowel. There are also four new areas of devel¬
opment that involve the field of enteroscopy. These areas are the
development of improved push enteroscopes, the development of
laparoscopically assisted enteroscopy, the development of virtual
enteroscopy, and gene research in the field of vascular anomalies
of the gut.
Endoscopic Retrograde Cholangiopancreatography in
the Next Millennium 117
Christopher E. Devereaux and Kenneth F. Binmoeller
Rapid technologic advances in radiologic imaging and laparoscopic
surgery are redefining the indications for endoscopic retrograde
cholangiopancreatography (ERCP). The diagnostic role of ERCP
continues to diminish in favor of newer imaging modalities such
as magnetic resonance cholangiopancreatography (MRCP) and en¬
doscopic ultrasonography. Laparoscopic surgery recaptures some
of the indications for therapeutic intervention. The spectrum of
diagnostic and therapeutic applications of ERCP, however, contin¬
ues to expand, enabling a more differentiated diagnosis and treat¬
ment of biliopancreatic disease. These applications include ongoing
developments of cholangioscopy, pancreatoscopy, and molecular
analysis of biliary and pancreatic secretions, photodynamic ther¬
apy, and gene therapy.
CONTENTS Vii
Colonoscopy 135
Douglas K. Rex
Colonoscopy and polypectomy are the most effective tools avail¬
able to prevent colorectal cancer. The technical performance of
colonoscopy can be improved by methods that make polyp detec¬
tion easier and more reliable, facilitate cecal intubation, and reduce
recurrence and complication rates after polypectomy. The state
of the art and possible future trends in patient preparation, indica¬
tions, screening and surveillance intervals, sedation issues, and
virtual colonoscopy are reviewed in this article.
Endoscopic Ultrasound 161
Robert H. Hawes
Endoscopic ultrasound was introduced in the early 1980s. Today,
endoscopic ultrasound remains the most accurate modality for
local staging of gastrointestinal cancers but the emphasis is now
on what findings will impact patient care. At the same time, a new
era of interventional endoscopic ultrasound that might also be
called image directed therapies is emerging. The future looks
bright for the further application of endoscopic ultrasound in gas¬
trointestinal endoscopy. This article provides the current status
and a glimpse into the future of endoscopic ultrasound.
Pediatric Endoscopy 175
Victor L. Fox
The emergence of pediatric gastroenterology as a subspecialty and
improved design and widespread distribution of small diameter
endoscopes have combined to foster dramatic expansion in the
practice of pediatric endoscopy over the past three decades. Endo¬
scopic evaluation and treatment of gastrointestinal disease in chil¬
dren has led to new diagnoses and provided exciting opportunities
for nonsurgical treatment. This article will focus on important pedi¬
atric applications, highlight differences with adult practice, and
anticipate future research and development of pediatric endoscopy.
Index 195
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v i CONTENTS
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| series | Gastrointestinal endoscopy clinics of North America |
| series2 | Gastrointestinal endoscopy clinics of North America |
| spelling | Gastrointestinal endoscopy 2000 Charles J. Lightdale, guest ed. Philadelphia [u.a.] Saunders 2000 VIII, 198 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Gastrointestinal endoscopy clinics of North America 10,1 Endoscopie gastrointestinale Gastroscopy Gastroenterologische Endoskopie (DE-588)4019404-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Gastroenterologische Endoskopie (DE-588)4019404-8 s DE-604 Lightdale, Charles J. Sonstige oth Gastrointestinal endoscopy clinics of North America 10,1 (DE-604)BV005455484 10,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008847846&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Gastrointestinal endoscopy 2000 Gastrointestinal endoscopy clinics of North America Endoscopie gastrointestinale Gastroscopy Gastroenterologische Endoskopie (DE-588)4019404-8 gnd |
| subject_GND | (DE-588)4019404-8 (DE-588)4143413-4 |
| title | Gastrointestinal endoscopy 2000 |
| title_auth | Gastrointestinal endoscopy 2000 |
| title_exact_search | Gastrointestinal endoscopy 2000 |
| title_full | Gastrointestinal endoscopy 2000 Charles J. Lightdale, guest ed. |
| title_fullStr | Gastrointestinal endoscopy 2000 Charles J. Lightdale, guest ed. |
| title_full_unstemmed | Gastrointestinal endoscopy 2000 Charles J. Lightdale, guest ed. |
| title_short | Gastrointestinal endoscopy 2000 |
| title_sort | gastrointestinal endoscopy 2000 |
| topic | Endoscopie gastrointestinale Gastroscopy Gastroenterologische Endoskopie (DE-588)4019404-8 gnd |
| topic_facet | Endoscopie gastrointestinale Gastroscopy Gastroenterologische Endoskopie Aufsatzsammlung |
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