By Nam Q. Nguyen MBBS(Hons), FRACP, Ph.D. (auth.), George Y. Wu, Subbaramiah Sridhar (eds.)
Diagnostic and healing tactics in Gastroenterology: An Illustrated consultant is a accomplished quantity describing tactics for the gastrointestinal tract in an easy means. creative illustrations are supplied to coach the health care professional approximately methods, and to supply not just transparent descriptions of the alterations within the anatomy and body structure, but additionally to supply suggestion on scientific administration of the post-procedure sufferer. transparent, certain, artist-rendered illustrations of the anatomy are integrated in addition to appro¬priate, radiological photographs. Chapters describe intimately the symptoms, contraindications, anatomical changes, and physiological alter¬ations that end result from a variety of operations and techniques. Comparisons among replacement operations, issues, scientific administration matters, and prices also are mentioned. Diagnostic and healing strategies in Gastroenterology: An Illustrated advisor is a special quantity, written essentially for fundamental care physicians and basic internists. it's also appropriate for clinical scholars, citizens, nurses and nurse practi¬tioners, nutritionists, dietitians and numerous subspecialists, who look after sufferers with gastrointestinal disorders.
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Additional info for Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide
Other than the presence of residual IM (Van Laethem et al. 2000), there are no other known predictors that may indicate sustained BE reversal or likely progression of BE to HGD and/or EAC (Pech et al. 2008). Although initial results of HGD ablation appear promising, the efficacy in reducing the incidence of cancer over long term is not clear (Ell et al. 2007). Summary of Key Points • At present, endoscopy-guided diagnosis and eradication dysplastic BE appears to be the most feasible approach to curb the rapidly rising incidence of EAC.
Confocal Laser Endomicroscopy This novel technique allows subsurface microscopic mucosal analysis and in vivo histology during ongoing endoscopy. Confocal endomicroscopy involves stimulation of mucosal cells with laser light, which is reflected back through a pinhole and enables computer-aided generation of a cross-sectional microscopic image. A fluorescent contrast agent (mainly intravenous fluorescein) is used to attain high-contrast images during confocal endoscopy. Two approaches exist for in vivo microscopic imaging of the gastrointestinal tract with confocal laser endoscopy.
2008). Endoscopic Therapy in Barrett’s Esophagus Patient Group to Be Treated In spite of the striking increase in the incidence of EAC, the vast majority of patients with BE never develop EAC. 5% per year with a lifetime cancer risk for a patient with ND BE in the range of 5–8% (Rastogi et al. 2008). Although endoscopic eradication of ND BE is attractive, there is no scientific evidence that this strategy decreases cancer risk. , in a recent systematic review and metaanalysis, determined the cancer incidence in BE patients after ablative therapies and compared the rates to cohort studies of BE patients not undergoing ablation.