Gastroenterologia

The rise of modern endoscopy -- and the myriad techniques that it has engendered -- is one of the most compelling success stories in modern medicine. Digestive Endoscopy in the Second Millennium is a balanced, comprehensive history of the field, from the early tubes, candles, and catheters that preceded modern endoscopes to sophisticated techniques, such as endoscopic ultrasonography, diagnostic and therapeutic laparoscopy, and many others. Meticulously researched, the book features all of the major advances in endoscopy over the past century, along with the stories of the highly creative medical and technical innovators behind them -- from Bozzini and Kussmaul to the present. Rare archival photographs and illustrations of people, places, instruments, and pathology supplement the text. Recognized worldwide as a leader in the field, Francisco Vilardell traces the stories of the forerunners of endoscopy, rigid gastroscopes, the semi-flexible gastroscope; the emergence of optical fiber fiberscopy and rigid esophagoscopy; the evolution of rigid rectosigmoidoscopy, fibercolonoscopy, and biliopancreatic endoscopy, and more. A uniquely valuable resource for all those who practice and teach digestive endoscopy, this elegant volume also offers fascinating historical insight into man's never-ending quest to explore the inner workings of the human body.

Completely new book on an innovative new approach to assessment and treatment of swallowing disorders Caters for the increasing team approach in swallowing of laryngologist, gastroenterologist, pulmonologist and speech pathologist Profusely illustrated with and black and white photos Features practical coverage of the use of instrumentation as well as case examples Authors are extremely well-known and are traveling the world with courses demonstrating this new technique FEESST enables Otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all physicians, clinicians and speech pathologists that treat swallowing disorders. For the first time this new examination allows direct assessment of both the motor and sensory aspects of the swallow, enabling physicians to precisely guide the dietary and behavioral management of patients to decrease the risk of aspiration pneumonia. The authors provide readers with a science behind the instrumentation, the protocols for its use, and detailed case studies demonstrating its value in evaluating and managing diverse groups including: Patients with a history of reflux; Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals; Patients with a difficulty related to an underlying diagnosis of Parkinson's Disease; cerebral palsy, multiple sclerosis, ALS, or dementia; Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma; Patients who complain about trouble swallowing liquid, food, or medications; Patients receiving nutrition via G-tube or NGT who are candidates for improved function and ability to tolerate oral feedings; Patients with a Tracheotomy.

Emphasising on patient management, this book features chapters on general topics in gastroenterology and hepatology practice and the use of diagnostic tests in clinical decision-making. Principles in endoscopy, including sedation and infection control are also examined.