Gastroenterologisk kirurgi og kolorektal kirurgi

This book presents the current state of knowledge regarding the ability of Helicobacter pylori to colonize the gastrointestinal tract, the global epidemiology of H. pylori infection, transmission routes, the pathophysiology of H. pylori-related gastroduodenal and other diseases, diagnosis and treatment methods, guidelines for eradication, antibiotic resistance, the reinfection and recrudescence rate after H. pylori eradication, the effect of H. pylori and its eradication on the gastric microbiota and animal models of H. pylori or related Helicobacter infection. The aim is to equip readers around the world with the understanding required in order to implement effective methods of H. pylori eradication and to enhance clinical outcomes for patients. In addition, readers can understand the interaction between H. pylori and other gut microbiota during chronic infection and after H. pylori eradication. The text is clearly written and is complemented by many helpful illustrations. This book will be a great asset in clinical practice for all practitioners who are involved in caring for patients with H. pylori-related diseases or have an interest in the subject. It will also be a useful source of information for medical students and for intelligent laypeople seeking information on H. pylori.

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 multidisciplinary book introduces all the known and unknown facts, tips, and tricks of laser procedures in various anorectal disorders including haemorrhoids, fistula in ano, anal fissure, pilonidal sinus, etc. It describes minimally invasive procedures, provides authoritative, in-depth presentations of all perspectives of this latest technique. Each chapter includes surgical anatomy, clinical evaluation, and the principle behind hybrid procedures, complications, and solutions that may arise while using Lasers. The book also discusses case presentations in various scenarios and a brief comparison of laser techniques with conventional procedures. It includes an up-to-date scientific and clinical data for quick reference. It emphasizes on "e;What to do, How to do and What not to do."e;This is a must-read book for all trainees and surgeons practicing anorectal disorders, providing an overview of the latest treatment options. This book empowers surgeons with in-depth knowledge and enhance their skills to manage common anorectal diseases. It will serve as a valuable guide for residents, clinicians, surgeons, researchers, and proctologists keen to use lasers as a futuristic approach to deal with anorectal disorders

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.

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. 

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 is an open access book.The book focuses mainly on the surgical technique, OR setup, equipments and devices necessary in minimally invasive surgery (MIS). It serves as a compendium of endolaparoscopic surgical procedures. It is an official publication of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA).The book includes various sections covering basic skills set, devices, equipments, OR setup, procedures by area. Each chapter cover introduction, indications and contraindications, pre-operative patient¿s assessment and preparation, OT setup (instrumentation required, patient¿s position, etc.), step by step description of surgical procedures, management of complications, post-operative care. It includes original illustrations for better understanding and visualization of specific procedures.The book serves as a practical guide for surgical residents, surgical trainees, surgical fellows,junior surgeons, surgical consultants and anyone interested in MIS. It covers most of the basic and advanced laparoscopic and thoracoscopic surgery procedures meeting the curriculum and examination requirements of the residents.

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.

This book is structured in three major parts and the first part is a comprehensive overview of IBD-related intestinal cancer. The second and third parts provide rare and important cases on ulcerative colitis (UD) and Crohn¿s disease (CD) presenting the macroscopic image of the resected specimen and analyzing the endoscopic and the pathological image  to explain how to find the IBD cancer. It also delivers a detailed analysis of the histological structure of cancers. This book tries to clarify the critical but yet to be answered questions such as ¿Why is it so difficult to find out?¿, ¿Why so flat?¿ and ¿How to name superficial lesion with invisible margin?¿ and so on.Atlas of Inflammatory Bowel Disease-Associated Intestinal Cancer is designed to serve all endoscopists and gastroenterologists managing IBD patients. It also is valuable reading for pathologists who are diagnosing gastrointestinal lesions. This book is designed to assist these medical professionals to find cancers in the early stage and stay up-to-date on image-enhanced endoscopy techniques. This book is a translation of an original Japanese edition. This has been facilitated using machine translation (by the service DeepL.com) followed by editors and authors revising, editing and verifying the translated manuscript.

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.

This book is about the spleen, a mysterious organ, covering all aspects of its anatomy, physiology, and medical and surgical conditions affecting the spleen. It covers the most areas critical for decision making such as patient's presentation, diagnosis, and management. This book considers the recent developments in diagnosing and treating medical and surgical conditions affecting the spleen, including minimally invasive surgery. It is a quick reference book, well-illustrated, and easy to read and understand. This book should be helpful to medical consultants, surgeons, hematologists, and pediatric surgeons. It also benefits specialists, fellows, medical students, and nurses. The illustrations in this book are clear and include clinical, radiological, operative, pathological, and diagrammatic pictures. These illustrations are detailed, making them easy to grasp and understand.

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.

The book provides a visual run-through of liver pathology through high-quality images from the healthy liver through acute liver injury to chronic liver disease - stressing on common mechanisms for specific histological appearances, correlating them with clinical features and laboratory investigations to reach the diagnosis. Individual chapters in this richly illustrated atlas cover the wide gamut of liver disease, including types of liver injury, viral hepatitis, fatty liver disease and its complications, vascular and autoimmune liver diseases, pediatric liver diseases, liver tumors, and finally, pathology of the transplanted liver.This book bridges the gap by integrating basic clinical information with histopathological findings, as existing books cater primarily to the pathologist¿s needs and do not provide sufficient clinical background to engage the clinician. It serves as a quick guide for adult and pediatric hepatologists, liver surgery doctors, pathologists as well as trainees in gastroenterology, hepatology, gastrointestinal surgery, liver transplantation and pediatric gastroenterology.

This book covers the diagnosis and treatment of various types of gastric cancer, and details the clinical process of gastric cancer treatment. Authors collects 37 clinical cases, which are typical gastric cancer cases with complicated disease or metastasis. In each case, the patient's gastroscopic results, abdominal CT images, pathological results and treatment process were analysed in detail. Combined with the expert's precise comments, the surgical treatment method and postoperative radiotherapy and chemotherapy and other treatment schemes of each case were clearly explained in an orderly manner.

This textbook assembles the wealth of clinical experiences across multiple medical specialties and offers clinical pearls that will result in better patient care and are highly relevant to daily practice. This book has been compiled by many renowned clinicians, medical educators, and researchers who are experts in their respective disciplines across Australia, New Zealand and the United States. The chapters provide multiple cases in vignette format, illustrating the clinical pearls, and finish with a discussion and practical tips. This format will allow the reader to easily understand how the clinical pearls can be applied in clinical practice. Evidence-based medicine and clinical guidelines help us choose the best management and treatment options for our patients. However, many questions in medicine have not been researched or are not readily amenable to research. In fact, there is more to the art and mastery of practicing clinical medicine than the evidence-based approach. Information gained over years of reflective clinical practice and cumulative wisdom adds value to evidence-based clinical medicine. With experience and clinical gestalt playing an equal, if not a more prominent role than what evidence can offer in a physician¿s approach to solving clinical problems, this book offers unique perspectives on the practice of medicine.Beyond Evidence-Based Medicine: Clinical Pearls from Experienced Physicians will be valuable for later-year medical students, medical educators, doctors in training, and consultant physicians alike. Aiming to improve the day-to-day medical practices of professionals, the Editors have invited experienced physicians to share their expertise culminating in a unique book with broad applicability and appeal.

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.