Gastroenterologisk kirurgi og kolorektal kirurgi

This book is focused on a clinical-based diagnostic approach of autonomic dysfunctions, highlighting main diagnostic tools and pharmacological and non-pharmacological therapies available nowadays. The autonomic nervous system (ANS) is a subcomponent of the peripheral nervous system (PNS) and dysfunction of one or more subdivisions of the ANS, when accompanying other diseases, is linked to a worse prognosis of the latter. In some circumstances or when severe, dysfunction of ANS itself results in symptoms and disability. A myriad of factors can cause autonomic dysfunction and more than one can concur even in the same patient; due to the expansive nature of the ANS, patients can be affected by a wide range of conditions. Each chapter is characterized by a similar structure and is devoted to a different dysfunction. For each pathology, the book offers the essential information on mechanisms of action, treatments and outcomes. Written by experts in the research of these disorders, the volume addresses primarily Neurologists, but will be a useful tool also for Gastroenterologists, Ophthalmologists, Urologists, Cardiologists and Internal medicine specialists.

Bile duct injuries (BDI) are considered the most serious surgical complication associated with cholecystectomy. According to different reports, its incidence has remained constant over the years, ranging from 0.1% to 0.9%. BDI is associated with a greater risk of perioperative morbidity and mortality, a reduction in the quality of life, and a decrease in long-term survival. Also, this complication is a concern to surgeons since its progression is uncertain and may lead to demands on professional responsibility ("e;malpractice"e;) and emotional and physical consequences ("e;second victim"e;).Given that injuries in a high percentage of patients are initially unsuspected, the postoperative recovery may be prolonged, and the possibility of a successful repair reduced. Several surgical, endoscopic, and percutaneous procedures may be necessary to manage the lesions and to treat coexisting complications. BDI patients often undergo several repair attempts before successful resolution. This affects their quality of life and has a high psychological, physical, and mental impact due to the prolonged, complex, and unexpected nature of the injury. This currently represents a frequent problem in specialized referral centers or hepatobilopancreatic surgery units, where patients arrive with the sequelae of previous inadequate treatments. Usually, these patients require more elaborate procedures such as reoperations, liver resections and liver transplantation. The prevention, early diagnosis, and adequate treatment in the first approach is of crucial importance to ensure good long-term results. Therefore, this book is an essential resource for surgeons who perform cholecystectomy or treat BDI patients. It provides practical information and a comprehensive review on prevention and proper management, including complex cases. Readers will find contributions by experienced authors from a multidisciplinary and reference team in the management of BDI patients.

This second edition is primarily dedicated to MR-Enterography, an imaging modality whose reliability for intestinal assessment in patients suffering from inflammatory bowel diseases has gained increasing consensus.The performance of this technique has been significantly enlarged over the last years, due to its undoubted advantages in terms of exhaustive evaluation of the abdominal cavity and safeness due to the lack of radiation exposure. The first part is focused on MR-Enterography standard protocol. Nevertheless, additional sequences, technical novelties and common pitfalls are reported and discussed.  In the second section, the typical intestinal and extra-intestinal findings related to Crohn's disease are described in detail. In this edition, more emphasis has been put on practical topics, useful in the daily clinical practice: anatomical changes after surgical procedures, structured reporting and emerging clinical applications over inflammatory bowel diseases.Another part is dedicated to Magnetic Resonance Imaging of the anal canal, including technical aspects and clinical implications.The text is largely complemented by diagnostic images. Nonetheless, at the end of the book 30 illustrated cases show different clinical scenarios evaluated with MR-Enterography and Magnetic Resonance Imaging of the anal canal.

This book provides a complete overview of Crohn¿s disease and ulcerative colitis for the general reader. Written for patients, their friends and families, and any medical or non-medical persons who wish to learn more about Inflammatory Bowel Disease (IBD), it explains the science in clear, accessible language. The book covers the most current and comprehensive information about potential causes, clinical features, diagnosis, and treatment of IBD, including surgical options. Individual chapters are dedicated to special patient populations like pediatric patients, pregnant women, and the elderly. It also includes information about alternative therapies, as well as guidance regarding managing treatment costs for patients with financial or insurance difficulties. Featuring hand-drawn illustrations, references for further reading, and other useful resources, this book is a must-read for patients and others seeking to understand inflammatory bowel disease.

Die 2. Auflage des Erfolgswerks der Koloproktologie - zusätzlich Open Access für jeden kostenfrei! Das Standardwerk der Deutschen Gesellschaft für Koloproktologie für jeden konservativ und/oder operativ tätigen Koloproktologen bietet das komplette Spektrum von der Ileozökalklappe bis zum Anus in 2 Bänden. In Band 2 finden Sie aktuelles und praxisorientiertes Wissen zu Rektumprolaps, Divertikelerkrankung, Chronische Obstipation, Reizdarmsyndrom, Colitis ulcerosa, Morbus Crohn, Kolon-Karzinom, Analkarzinom, Rektumkarzinom, Hereditäre Kolorektale Karzinome, Seltene intestinale Tumoren, Peritonealkarzinose, Polypenmanagement, Stoma, perioperatives und postoperatives Management, Appendizitis, Mesenteriale Ischämie, Kurzdarmsyndrom und abdominelle Fisteln. Alle sonstigen Erkrankungen der Koloproktologie finden Sie in Band 1. Jedes Kapitel stellt einen umfassenden Überblick über die Ätiologie, Pathogenese, Klassifikation, Symptomatik, Diagnostik, konservative und operative Therapie sowie die Prophylaxe der einzelnen Erkrankungen dar. Abgerundet wird jedes Kapitel von einer Darstellung von Komplikationen, Besonderheiten und der aktuellen Evidenz.

Die 2. Auflage des Erfolgswerks der Koloproktologie - zusätzlich Open Access für jeden kostenfrei! Das Standardwerk der Deutschen Gesellschaft für Koloproktologie für jeden konservativ und/oder operativ tätigen Koloproktologen bietet das komplette Spektrum von der Ileozökalklappe bis zum Anus in 2 Bänden. In Band 1 finden Sie aktuelles und praxisorientiertes Wissen zu den Grundlagen, Hämorrhoidalleiden, Analfissur, Abszess und Analfistel, proktologische Dermatologie, HPV + AIN, Akne inversa, Sinus pilonidalis, anale Inkontinenz, Entleerungsstörungen, Proktitis, sowie spezielle Sondersituationen wie Schwangerschaft, Kinder-Proktologie, Urologie und Gynäkologie in der Koloproktologie. Alle sonstigen Erkrankungen der Koloproktologie finden Sie in Band 2. Jedes Kapitel stellt einen umfassenden Überblick über die Ätiologie, Pathogenese, Klassifikation, Symptomatik, Diagnostik, konservative und operative Therapie sowie die Prophylaxe der einzelnen Erkrankungen dar. Abgerundet wird jedes Kapitel von einer Darstellung von Komplikationen, Besonderheiten und der aktuellen Evidenz.

This book provides a concise overview of the robotic techniques applicable to colorectal surgery. Initially, it describes how to set-up an operating room from an ergonomics perspective. Detailed guidance is then provided on how to apply robotic platforms to the rectum, colon and abdominal wall. Emphasis is placed on describing the latest procedures and how to utilize them in a particular scenario. Instructional picture material and tips and tricks from world leading experts contain tips on how to successfully perform many of the techniques covered, enabling the reader to systematically develop a detailed knowledge of the methodology and how to potentially troubleshoot any issues that may arise.Robotic Colorectal Surgery: Complete Manual of Surgical Techniques describes how to apply the latest robotic techniques in everyday colorectal surgery practice, making it an indispensable resource for trainee and practicing surgeons. 

Mikrobiom: Forschungsstand und Praxistransfer  Das Buch führt den aktuellen Forschungsstand des gastrointestinalen Mikrobioms und seinen Einfluss auf eine Vielzahl an Erkrankungen zusammen und benennt neue therapeutische Möglichkeiten.Internisten und Fachärzte anderer Disziplinen erhalten einen Überblick neuer wissenschaftlicher Konzepte. Namhafte Experten aus der Mikrobiom-Forschung erläutern diagnostische und therapeutische Ansätze, u.a. für gastrointestinale Krankheitsbilder, onkologische Erkrankungen, Adipositas und Infektionen.Aus dem Inhalt                                  Helicobacter pylori und das Mikrobiom des Magens   Einflussfaktoren auf das Gastrointestinale Mikrobiom                    Mikrobiom und Herz-Kreislauferkrankungen  Mikrobiom und MAFLD, Leberzirrhose und Leberkarzinom Atopische Diathese, Allergien, Hautmikrobiom  Mikrobiom und neuropsychiatrische Erkrankungen  Mikrobiom und der Einfluss auf das Immunsystem    Mikrobiota und Prä-, Pro- und Post-Biotika          Mikrobiom-Stuhl-Transplantation (FMT)                                                                                                                                                                               Eine gute Orientierung bietet das Buch bei der Einordnung von Studien - unter funktionellen Gesichtspunkten und hinsichtlich von Einsatzmöglichkeiten der Erkenntnisse für die Diagnostik, Prophylaxe und Therapie von Erkrankungen. Auch die Einflüsse des Mikrobioms auf die Wirksamkeit pharmakologischer Interventionen (z.B. Checkpointinhibitoren) werden besprochen. Die HerausgeberPD Dr. med. Christian Schulz ist Facharzt für Innere Medizin sowie Facharzt für Gastroenterologie, Hepatologie und Infektiologie an der Klinik und Poliklinik II des Klinikums der LMU München. Sein Forschungsgebiet umfasst das Mikrobiom des oberen Gastrointestinalstrakts sowie das Bakterium Helicobacter pylori. ¿Em. Professor Dr. Peter Malfertheiner, langjähriger Klinikdirektor der Medizinischen Klinik für Gastroenterologie, Hepatologie und Infektiologie an der Universitätsmedizin Magdeburg; Senior Consultant am LMU München.

This Atlas focuses on surgical techniques used to treat the entire spectrum of esophageal diseases. Surgical "e;pearls"e; and tips on how to select and perform the correct operation are included and based both on evidence-based data and the experience of the Editors.Step-by-step descriptions of operative and endoscopic procedures in esophageal surgery are provided. Each chapter describes the current indications, perioperative management strategies, and a detailed operative approach with relevant technical considerations.The description of approaches and surgical techniques used in esophageal surgery are outlined in an easily understandable manner for the specific target audience.  This book is written by world-class internationally renowned esophageal surgeons and gastroenterologists

This book provides a comprehensive guide to rectal and anal surgery, including information about the techniques and procedures used by itinerant specialists. Readers interested in surgery or medical history will find this book informative and engaging.This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it.This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

This volume provides an in-depth analysis of abnormal pelvic anatomy in various forms of anorectal anomalies, often with multiple associations. The anatomy of the pelvis is one of the most complex in the body, and anatomists have provided detailed descriptions of normal anatomy based on cadaver dissections. However, congenital abnormalities present a spectrum of deviations from normal, which can be difficult to perceive with surgical practice alone. The advent of cross-sectional imaging has fortunately provided a powerful tool, allowing clinicians to study these anomalies in depth and on multiple planes.This volume will be an essential tool to better understand this spectrum of alterations in a critical region of the body, thus helping pediatric surgeons make the correct planning for a solid reconstruction of the abnormality.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Patrick Pfau brings his considerable expertise to the topic of Gastrointestinal Bleeding. Top experts in the field cover a broad range of topics on the diagnosis and treatment of both upper and lower gastrointestinal bleeding with a concentration on endoscopic intervention. This issue discusses the preparation of the patient with a GI bleed even before endoscopy is performed, and provides extensive coverage of the latest data and technology for variceal and non-variceal upper GI tract bleeding, small bowel/occult, and lower GI and colonic bleeding.Contains 12 relevant, practice-oriented topics including endoscopic diagnosis, grading, and treatment of bleeding peptic ulcer disease; variceal and non-variceal upper gastrointestinal bleeding refractory to endoscopic management: indications and role of interventional radiology; diagnosis of occult and obscure gastrointestinal bleeding; endoscopic treatment of small bowel bleeding; endoscopic diagnosis and treatment of colonic diverticular bleeding; and more.Provides in-depth clinical reviews on gastrointestinal bleeding, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The book is a compact yet comprehensive practical resource that highlights all must-know information on non-alcoholic fatty liver disease (NAFLD). Covering the major issues dominating the field, this book offers a broad vision on NAFLD using key data for a deep and thorough understanding of the latest diagnostic methods, treatment options, potential complications, and disease management strategies to improve patient outcomes. The volume bridges the trans-disciplinary divide between hepatologists, cardiologists, nephrologists, psychiatrists, oncologists and dermatologists in order to cover the complex management of NAFLD in a single volume. It operates under a modern definition of NAFLD that acknowledges the range of presentations related to extrahepatic complications that hepatologists see in daily practice, while also delving into unanswered questions and future directions regarding treatment options. Offering practical, clinical guidance in addition to capturing the new promising therapeutic approaches in the pipeline, this book is an essential reference for clinicians, researchers and students.

This book provides an extensive overview of the role of imaging in the detection, diagnosis, management, and follow-up of tuberculosis. Chapters cover the disease's epidemiology and pathophysiology, microbiological diagnosis and pathology relevant to radiologists, and the distinct aspects of imaging tuberculosis at various locations and body systems. This book discusses recent advances in imaging pertaining to tuberculosis, and addresses the approach to patients with tuberculosis and HIV co-infection. The final chapter offers an algorithmic approach to the diagnosis and management steps of tuberculosis. Imaging of Tuberculosis is an updated and comprehensive reference source that covers imaging of tuberculosis in a structured fashion and is valuable for radiologists.

The book provides up-to-date information on all aspects of colonic diverticular disease, particularly common in Western countries. Most people suffering from it remain asymptomatic, while about 20% develop symptoms without complications, experiencing the so-called "e;Symptomatic Non-Complicated Diverticular Disease"e; (SUDD). 10-25% of this last group eventually  develop diverticulitis, with or without complications. The incidence of diverticulitis and diverticular colon disease is increasing worldwide, and is becoming a significant burden for national health systems in terms of direct and indirect costs, also because its prevalence increases with age. Unfortunately, the disease pathogenesis is relatively unknown and several aetiological factors may play a role in its onset.The first parts of the book will deal with the disease epidemiology  and etiopathogenesis,  focusing  on the roles of inflammation and dysbiosis as part of the pathophysiology of diverticular disease. The clinical spectrum, the diagnostic approach and differential diagnosis,  medical and surgical treatments are described in the following sections.Written by experts in the field, the volume will be a unique and valuable resource for all clinicians, residents, and physicians involved in the management of this disease.

This book provides a comprehensive analysis of the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of a wide variety of pathologies. Sonography reliably identifies a wide range of diseases, and the efficacy of modern ultrasound has dramatically improved with contrast enhancement.This book covers almost all aspects of CEUS starting from basic principles and ending with features of its application in individual organs. In particular, it explores the diseases of abdominal, retroperitoneal, and pelvic organs as well as superficial structures, highlighting the characteristic features of typical findings. Focal lesions are discussed in depth, with attention to their early detection and differential diagnosis. Besides, a practical approach to the stratification of the risk of malignancies is provided. The authors summarized their own experience with CEUS in oncology, hepatology, gynecology, urology, endocrinology, and other fields of medicine. The role of CEUS in differential diagnosis of various disorders of the female reproductive system is comprehensively discussed as well. The presentation is clear and concise, and richly illustrated.The book will be a helpful tool for both residents and practitioners approaching ultrasound diagnostics, as well for more experienced radiologists  and other professionals.

This open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients¿ lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition.

This open access book offers a comprehensive review of hepatocellular carcinoma (HCC) with a particular focus on the pathobiology and clinical aspects of the disease, including diagnosis and treatment. HCC is becoming one of the most common causes of cancer-related death worldwide. It is the fifth most common malignancy in men and the ninth in women, with an estimated 500,000 to 1 million new cases annually around the world. Independent of its cause, cirrhosis is considered a major clinical and histopathological risk factor for HCC development. Five percent of all cirrhotic patients develop HCC every year. Diagnostic tools for HCC include blood tests, high-quality imaging studies and liver biopsy. The treatment of HCC depends on the size and location of the HCC and includes surgical resection, liver transplantation, endovascular approaches, percutaneous ablation, and medical treatments. The book is organized into four parts ¿ overview, diagnosis, management strategies, and recommendations ¿ and aims to provide surgeons and clinicians with a valuable resource for complete and up-to-date research on the clinical aspects and management of HCC.

More than one billion individuals worldwide experience digestive or gastrointestinal (GI) problems, including acid reflux, bloating, constipation, diarrhea, and many others. This book was written with these individuals in mind and to help guide them. In this comprehensive yet high-yield and patient-friendly book, trusted medical expert Dr. James H. Tabibian shares his professional insights and personal experiences to empower patients to gain better understanding of and control over their digestive health. This book addresses questions that commonly arise among those with GI problems, such as ¿What condition do I really have?¿, ¿Should I be worried?¿, ¿At what point do I need to see a specialist?¿, ¿What should I tell the doctor?¿, ¿Is the doctor ordering the right tests for me?¿, ¿What treatment options are there and which ones work best for me?¿, ¿Am I seeing the right subspecialist for my problem?¿, and more. It presents up-to-date scientific knowledge and tenets that are relevantacross the spectrum of common GI problems, providing a summary of key concepts, underlying causes of digestive problems, how to best embark on a medical evaluation, and the vast array of pharmacological and non-pharmacological therapeutic options. Drawing upon both Western and Eastern methodologies and a combination of integrative and functional medicine, this book provides important practical information to help navigate life with GI problems, the complexities of modern healthcare, and the quest for digestive wellness, debunking misconceptions along the way.

The AFS Textbook of Foregut Disease serves as a comprehensive guide of information covering the fast-evolving field of foregut disease. This textbook is designed as a partnership between gastroenterologists & gastrointestinal surgeons with an understanding that an essential component of moving forward in this field is through collaboration. This AFS textbook has been developed by the American Foregut Society, a premier society for foregut disease and all chapters are written by experts in the field. Readership is intended for gastroenterologists, GI and thoracic surgeons, gastroenterology and general surgery residents and fellows, medical students, and integrated health members that manage foregut disease. All chapters follow an organized format that contains many graphs, tables, intraoperative photographs, and illustrations of techniques. This textbook provides the most up-to-date scientific information and will be the definitive resource to guide both the diagnosis and management of foregut disease for years to come.

Hemorrhoids, anal fissures, and fistulas are common benign anorectal diseases that have a significant impact on patients¿ lives. This book examines state-of-the-art research relating to the etiology, diagnosis, prevention, and treatment of benign anorectal diseases. It emphasizes the importance of a multidisciplinary approach.

Around a quarter of the world's population is affected by iron deficiency, and women of childbearing age as well as children and adolescents are considered a particular risk group. This reference book deals with the latest scientific findings concerning the iron supply of the human organism with natural foods. It dispels the misconception that plant iron is less valuable than animal iron by presenting the absorption of iron from plant foods via a newly discovered metabolic pathway. From this, new points of view can be derived for vegetarians and vegans, who until now have belonged to the risk group. Furthermore, it is dedicated to forward-looking possibilities of diagnosing iron deficiency and describes modern concepts for determining the bioavailability of iron in food. New findings on the biochemistry of iron in brain metabolism, the description of the different reference values of the international professional societies and practical advice for special diets, risk groups and age groups as well as cooking recipes with simple information on iron intake complete the work. The book is aimed at nutritionists and medical practitioners, nutrition and food scientists, dieticians, pharmacists and sports scientists.