Gastroenterologisk kirurgi og kolorektal kirurgi

New surgical techniques for the treatment of anal incontinence have given the increasing number of afflicted patients hope for a cure. Colorectal surgeons and more and more general surgeons are performing operations, yet until now they have not had a text that they can use as a reference work. The guidance and instruction that surgeons need are now available in this atlas. It describes every operation in technical detail, and the two-color illustrations clearly show the essential points of each procedure. The authors discuss thoroughly the indications for surgical treatment, its application to the individual patient, and post-operative care. The comprehensive scope of this book makes it a rich source of information for surgeons working outside highly specialized centers. For specialists, it is the only practical reference available on the subject.

This book provides a comprehensive, state-of-the-art overview of imaging modalities used in the diagnosis, staging, and management of pancreatic cancer. In addition to profiling the most commonly-used imaging modalities for pancreatic cancer, the text reviews recent advances in endoscopic ultrasound, staging characteristics utilized in determining appropriate treatment options, and reviews the role of imaging in pancreatic cancer screening in specialized patient populations. The book also spotlights the use of radiation therapy for pancreatic cancer in patients who cannot have surgery, as well as when fiducial marker placement should be considered in targeting a malignancy. Written by experts in the field, Imaging Diagnostics in Pancreatic Cancer: A Clinical Guide is a valuable resource for gastroenterologists, surgeons, oncologists, radiologists, and other practitioners who manage patients with pancreatic cancer.

This book comprehensively covers minimally invasive laparoscopic and robotic surgical techniques suitable for use in abdominal operations. Chapters describe relevant techniques for abdominal wall reconstruction, esophageal, bariatric, hepatobiliary, and colorectal surgery. Detailed step-by-step procedural guidance is provided with relevant photographic illustrations.Techniques in Minimally Invasive Surgery is a vital resource for surgeons who perform minimally invasive gastrointestinal operations. The book is particularly addressed to trainees, fellows, and junior faculty.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth¿s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

This book provides a concise overview of several critically important techniques and their applications within Laparoscopic Common Bile Duct Exploration (LCBDE).  LCBDE is rapidly emerging as the preferential management option for treating patients with common bile duct (CBD) stones. Chapters within this book describe how this technique can be applied to manage patients with concomitant gallstones, which aims to increase the exploration of the CBD via the transcystic route. Particular mention is made for the use of energy devices to enable stone fragmentation within the bile duct also known as Lithotripsy-Assisted Bile duct Exploration by Laparoendoscopy (LABEL). Guidance is also provided on how to set-up an acute biliary service which can offer the single-stage management of concomitant gallstones and choledocholithiasis. The concepts of 'Leveraging Access to Technology and Enhanced Surgical Techniques (LATEST)' in LCBDE and 'Biliary Surgery 2.0' as the framework through which these techniques can be further enhanced are analysed. Laparoscopic Common Bile Duct Exploration features insight into how to perform these increasingly important procedures successfully and set-up a service within institutions that are yet to provide it. Therefore, it is a valuable resource for all medical professionals involved in the care of these patients.

This book, the proceedings of Falk Symposium 163 "Chronic Inflammation of Liver and Gut", held in Hangzhou, P.R. China, on March 14--15, 2008, presents the most recent progress in chronic inflammatory diseases of liver and gut. It focusses on molecular understanding, the therapeutic state of the art and future options of treatment. The first part of the book concentrates on basic and clinical aspects of IBD. Chapters demonstrate the role of the immune system, genetic factors and the intestinal microflora in IBD, and give an evidence-based update on the current diagnostic and therapeutic options and present future perspectives for the management of IBD. The second part is devoted to chronic liver diseases with particular focus on the liver as an immune organ, treatment strategies of viral hepatitis and liver fibrogenesis. The final part deals with basic and clinical aspects of liver cirrhosis, hepatocellular carcinoma and liver transplantation. The book concludes with an outlook on therapeutic options of hepatic stem cells. Throughout, international experts from the USA, the People's Republic of China and Europe contribute their experience in different aspects of the mechanisms and management of chronic inflammatory diseases of liver and gut.

Between the 1950s and 1980s, Europe and North America saw an increase in the incidence of Crohn¿s disease in adults. The incidence of paediatric Crohn¿s disease has grown and we are now entering a new era, in which inflammatory bowel disease (IBD), is emerging in the Asia-Pacific nations. This book presents the first major text where "East meets West" in IBD. The issues in the regions where IBD is a relatively common disease include the role of genetic and environmental factors in pathogenesis and disease expression, the application of diagnostic tools, and the use of biological agents in therapy. In contrast, key issues in the nations where IBD is at present relatively rare include characterising the nature and behaviour of IBD in those populations, developing ways of differentiating IBD from infective bowel conditions, eg. tuberculosis, how to apply standard treatment regimens, and the role of traditional therapies, such as Traditional Chinese Medicine, in the management of IBD.

While a surgeon many decades agotreated diseases from headtotoe, this concept has evolved, and today some degree of specialization is the rule worldwide. In many countries various boards for sub-specializations are designed, and after a broad training in general surgery, many young surgeons move on further into a specific field. Knowledge of anatomy and precise surgical technique remain the foundation of high quality surgery. A knowledgeable surgeon, equipped with excellent theore- cal and clinical skills, will only be accomplished when he or she masters the - erative techniques of the practice of surgery. The legacy of an academic surgeon or a surgical teacher relies in great part onthe transmission of his or her surgical abilities. Significant influence on the development in esophageal surgery arises from the surgical understanding of the anatomical and functional structures of the esophagus as well as the ongoing developments in the multidisciplinary m- agement in this challenging field of surgery. In bringing forth this atlas, we were motivated by the desire to create a comp- hensive and educational atlas on esophageal diseases, emphasizing all details of pathophysiologies, diagnostic strategies, pre- and postoperative management, and operative techniques covering minimally invasive and open procedures ranging fromstraightforward tomore complex procedures.

Hardly any other part of the human body is of such interdisciplinary interest as the anal, perianal and rectal region. Gastroenterologists, dermatologists, urologists, general practitioners and surgeons specialising in proctology, phlebology, and coloproctological surgery are involved in this region between the ectoderm, transitional zone, and entoderm. Diagnostic procedures, such as endoscopy, radiology, sonography, manometry, electromyography, and histopathology are even more diverse, in particular where the differential diagnosis of non-neoplastic conditions of the anorectal region is concerned. The Falk Symposium No. 118, held in Freiburg, Germany, on October 1-2, 2000, focused on the morphology and function of the pelvic floor and its dysfunction, radiation damage in proctology, haemorrhoidal complaints, and chronic inflammatory rectal diseases, as well as conditions of the anal and perianal region. These proceedings will be of interest to all research physicians and colleagues working in hospitals or in their own practice who are involved in the diagnosis and treatment of anorectal pathologies.

In the last decade, some outstanding progress has been made in the field of neurogastroenterology, a term which has been introduced to account for the crucial role of the enteric, autonomic and central nervous system in the regulation of gastrointestinal functions in health and disease. These proceedings of Falk Symposium No. 112 on Neurogastroenterology - From the Basics to the Clinics, held in Freiburg, Germany, on 21-22 June 1999, reviews and discusses the fast-growing knowledge in this field in order to initiate more interdiscliplinary discussions along with new research. Contributors include basic scientists, clinicians of various specialities, morphologists, physiologists, molecular biologists, embryologists, pharmacologists, surgeons, gastroenterologists and behavioural scientists interested in the central and the autonomic nervous system in relation to the gastrointestinal tract.

It has been exciting to witness the discovery that most peptic ulcers are caused by a bacterium that is relatively easy to eradicate. Most doctors now aim to give their patients the benefits of this unexpected breakthrough, but the new knowledge raises many questions. One is precisely which groups of patients to treat. We should restrict ourselves to the infected, but which of the many tests should we use to identify them? Having decided to treat, which of the plethora of regimens should we use? These questions have been particularly difficult to address at a time when knowledge and c1inical techniques are still developing rapidly. This book aims to present the current scene in an objective and digestible form, so that c1inicians can choose strategies which suit their local needs. The relative merits of the various c1inical ap- proaches are discussed, together with some scientifie background to prepare the reader for future developments. The book is primarily aimed at practising c1inieians but should be equally useful for stu- dents preparing for examinations. It will also provide a source of reference to workers in the pharmaceutical industry, journalism or marketing who need to get 'up-to-speed' in this area.

This book, the proceedings of Falk Symposium No. 125 on 'Cytokines in Liver Injury and Repair' (Progress in Gastroenterology and Hepatology Part II), held in Hannover, Germany, on September 30 - October 1, 2001, provides an update of our current knowledge on the role of cytokines in various human and experimental liver diseases and on their present and prospective use in therapeutic trials. The book contains chapters by most well-known experts in the field who have contributed significantly to our present knowledge on cytokines in liver injury and repair.

Mindestens 2,5% der deutschen Bevolkerung gelten als alkoholkrank und somit behandlungsbedurftig. Bei knapp 10% aller Patienten (unter 65 Jahren) in Allgemeinarztpraxen und 15-20% in Krankenhausern besteht ein Alkoholproblem. Dieses Buch bietet Hausarzten als primaren Ansprechpartnern fur den Patienten und auch anderen weiterbehandelnden Facharzten und Therapeuten wie Gastroenterologen, Neurologen, Psychiatern und Psychotherapeuten das wesentliche, praxisrelevante, aktuelle Wissen zu Alkoholmissbrauch und den resultierenden alkoholinduzierten Organerkrankungen. Von namhaften nationalen und internationalen Experten werden in komprimierter, gut lesbarer Form Epidemiologie (inklusive Daten zum Alkoholkonsum im Allgemeinen), Klinik, Diagnostik und Therapie dargestellt.

This edition acknowledges changes of thoracoscopic and laparoscopic surgery. Another of the changes which was well established in 1983, but which has gathered momentum in the intervening years, is the separation of general surgery into subspecialties.

Die erfolgreiche Buchreihe "e;Okosystem Darm"e; spiegelt die Fortschritte auf dem Gebiet der Erforschung, Diagnostik und Therapie gastrointestinaler Erkrankungen wider.Der siebte Band vermittelt Ihnen den aktuellen Wissensstand aus der interdisziplinaren Forschungsarbeit, praxisgerecht fur Sie aufbereitet.- Enterohamorrhagische Escherichia coli (EHEC)- Clostridium difficile- Gastrointestinale Onkologie- Padiatrische Gastroenterologie- Physiologie und Pathophysiologie der intestinalen Barrierefunktion- MukoviszidoseNutzen Sie dieses Wissen, das Ihnen Informationsvorsprung in den aktuellen gastroenterologischen Praxisfragen bietet!

Autoimmune Liver Diseases summarizes the recent high-impact research and clinical findings obtained in Japan in the study and treatment of autoimmune liver diseases. Although these disorders are relatively rare, they are recognized as an important group of refractory liver diseases, the most common of which are autoimmune hepatitis (AIH) and primary biliary cirrhosis (PBC). The book therefore comprises two major sections, one dealing with AIH, the other with PBC. AIH in Japanese patients creates a unique disease population, as its clinical features are different from those of Western patients resulting from the different genetic background of the two patient populations. Also, mouse models of neonatal thymectomy-PD-1 knockout mice, clinical analyses of acute hepatitis-like manifestations, and research findings on IgG4-related autoimmune hepatitis have been reported in Japan and are included in this book. A disease-susceptibility gene specific to Japanese PBC patients has also recently been discovered. Because of the relatively homogeneous population of Japan, analyses conducted with Japanese PBC patients have yielded findings that are highly relevant to the pathogenesis of the disease. Furthermore, new pathological staging criteria, anti-gp210 antibodies and the basis they provide for improved accuracy of prognosis, treatment with bezafibrate, and the outcomes of living-donor liver transplantation are also presented here. This volume therefore serves as a useful resource not only for hepatologists, but also for researchers, clinical residents, and medical students both in Japan and in other countries.

Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters provides a comprehensive review of the role of and technical considerations regarding robotic surgery for conditions of the kidney and associated conditions of the upper urinary tract.  In addition to serving as a reference regarding indications, preoperative and postoperative management, complications, and evidence-based outcomes, this text also serves as a practical guide for surgeons in how to perform the complete array of  robotic kidney and upper tract surgery.  Included are detailed descriptions of positioning, instrumentation, and surgical steps for the surgeon newly adopting robotic surgery or for those refining their techniques.  All chapters are written by recognized and published experts in the various techniques, creating an authoritative text on the subject.  Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters will be of great value to urologists, robotic surgeons, fellows in urologic oncology or endourology as well as urology residents in training and surgical nurses and other surgery team members involved in these procedures.  ¿

Treating patients with abdominal symptoms secondary to colonic diverticula is daily practice for general practitioners, gastroenterologists, surgeons and other physicians. At first sight, diagnosis and therapy seem to be straightforward. Nevertheless, discussions on details concerning understanding and management of this disorder often reveal differing views and immediately demonstrate that many questions remain unresolved.An approach to diverticular disease that is generally accepted is lacking. One reason may be that there is a certain paucity of scientific discussion. In contrast to other topics, diverticular disease is rarely found on the agenda of meetings and symposia.The book, the proceedings of Falk Symposium 148 on Diverticular Disease: Emerging Evidence in a Common Condition, held in Munich, Germany, on 17¿18 June 2005, covers many aspects of diverticular disease, from new scientific knowledge to exchange of clinical experience, and will provide much-needed information to basic scientists and clinicians alike.