Therapeutic Gastrointestinal Endoscopy PDF
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Therapeutic Gastrointestinal Endoscopy Therapeutic Gastrointestinal Endoscopy A problem-oriented approach Edited by David Westaby MA FRCP Consultant Physician and Gastroenterologist, Chelsea and Westminster Hospital, London and Martin Lombard MD MSc FRCPI FRCP(Lond) Consultant Gastroenterologist and Senior Lecturer, The Royal Liverpool University Hospitals, Liverpool CRC Press Taylor &Francis Group Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business First published 2002 by Martin Dunitz Ltd Published 2019 by CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2002 by 'llaylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works ISBN 13: 978-1-899066-95-7 (hbk) This book contains information obtained from authentic and highly regarded sources. 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British Library Cataloguing in Publication Data A catalogue record for this title is available from the British Library. Westaby, D (David), Lombard M (Martin) Therapeutic Endoscopy David Westaby, Martin Lombard (eds) Always refer to the manufacturer's Prescribing Information before prescribing drugs cited in this book. Typesetting and image reproduction Colour Gallery, Malaysia CONTENTS Preface: Problem-oriented endoscopy ix M. Lombard and D. Westaby 1 Introduction 1 M. Lombard and D. Westaby Benign oesophageal obstruction 7 P.D. Fairclough Malignant oesophageal obstruction and tracheo- oesophageal fistulae: endoscopic palliation 25 A.I. Morris 4 Upper gastrointestinal malignancy: palliation with thermal laser, photodynamic therapy and argon beamer 41 N. Krasner 5 Endoscopic screening for upper gastrointestinal malignancy 53 H. Barr Acute non-variceal gastrointestinal bleeding 6 K.R. Palmer Endoscopic therapy of oesophageal and gastric varices 81 A. Gimson Enteral nutrition 95 P.A. O'Toole 9 Bile duct stones 121 D. Westaby 10 Biliary obstruction and leaks(cid:9) 143 M. Lombard 11 Malignant strictures of the biliary tree 165 M.L. Wilkinson 12 Acute pancreatitis 181 J.P Neoptolemos 13 Chronic pancreatitis 197 A.R.W. Hatfield 14 Benign obstruction of the colon 217 R. Leicester 15 Cancer surveillance and screening 231 B.P. Saunders 16 Colon cancer prevention 241 C.B. Williams 17 Palliation of malignant lower gastrointestinal disease 253 S.G. Bown 18 Management of lower gastrointestinal bleeding 265 S.G.J. Williams Index 279 LIST OF CONTRIBUTORS Professor Hugh Barr MD ChM FRCS FRCSE Dr Anthony I. Morris MSc MD FRCP Professor and Consultant Surgeon, Cranfield Postgraduate Consultant Physician and Gastroenterologist, Clinical Medical School, Gloucestershire Ruyal Hospital, Great Director of Gastroenterology, The Royal Liverpool University Western Road, Gloucester GL1 3NN Hospitals, Prescot Street, Liverpool L7 8XP Professor Stephen G. Bown MD FRCP Professor John P. Neoptolemos MA MD FRCS Professor of Laser Medicine and Surgery, Director, National Professor of Surgery/Head of Department of Surgery, Royal Medical Laser Centre, Charles Bell House, 67-73 Riding Liverpool University Hospitals, 5th Floor UCD, Daulby House Street, London W1P 7PN Street, Liverpool L69 3GA Dr Jane Collier Dr Paul A. O'Toole MRCP Senior Registrar, Addenbrooke's NHS Trust, Hills Road, Consultant Physician, Gastroenterology Unit, University Cambridge CB2 2QQ Hospital Aintree, Lower Lane, Liverpool L9 7AL Dr Peter D. Fairclough MD FRCP Dr Kelvin R. Palmer MD FRCP(Ed) Consultant Gastroenterologist, Barts and The London NHS Consultant Physician, Gastrointestinal Unit, Western Trust; Senior Lecturer in Medicine, West Smithfield London General Hospital, Crewe Road, Edinburgh EH4 2XU EC1A 7BE Dr Brian P. Saunders MD MRCP Dr Alexander E. S. Gimson FRCP Consultant Gastroenterologist, Wolfson Unit for Endoscopy, Consultant Physician and Hepatologist, Medical Services, St Mark's Hospital, Watford Road, Harrow, Middlesex Box 210, Addenbrooke's NHS Trust, Hills Road, Cambridge HA] 3UJ CB2 2QQ Mr John Slavin MB BS BSc FRCS(Gen) MS Dr Adrian Hatfield Senior Lecturer of Surgery, The Royal Liverpool University Consultant Physician, Department of Gastroenterology, Hospitals, Daulby Street, Liverpool L69 3GA UCH Middlesex Hospital, Mortimer Street, London Dr David Westaby MA FRCP W1N 8AA Consultant Physician and Gastroenterologist, Prof Neville Krasner MD FRCP(Glas) FRCP Gastrointestinal Unit, Chelsea and Westminster Hospital, Consultant Gastroenterologist, Gastrointestinal Unit, 369 Fulham Road, London SW10 9NH University Hospital Aintree, Lower Lane, Liverpool L9 7AL Dr Mark L. Wilkinson BSc MD FRCP Mr Mark Lamah MB FRCS Senior Lecturer and Consultant Physician, Department of Specialist Registrar, Egerton Road, Royal Surrey County Gastroenterology, Guy's King's and St. Thomas' School of Hospital, Guildford, Surrey GU2 5XX Medicine, Guy's and St. Thomas' Hospital Trust, 4th floor, Thomas Guy House, London Bridge, London SE1 9RT Mr Roger Leicester OBE FRCS Consultant Colorectal Surgeon, St George's Hospital, Dr Christopher B. Williams MA BM FRCP FRCS Blackshaw Road, Tooting, London SW17 OQT and Consultant Physician — Endoscopy, Wolfson Unit for Endoscopy Tutor, Department of Education, Royal College of Endoscopy, St. Mark's Hospital, Watford Road, London Surgeons of England HA] 3UJ Dr Martin Lombard MD MSc FRCPI FRCP(Lond) Dr Simon G.J. Williams MA MD MRCP FRCS Consultant Gastroenterologist and Senior Lecturer, The Royal Consultant Physician and Gastroenterologist, The Ipswich Liverpool University Hospitals, Prescot Street, Liverpool Hospital NHS Trust, Heath Road, Ipswich, Suffolk IP4 5PD L7 8XP PREFACE: PROBLEM-ORIENTED ENDOSCOPY Endoscopy and its applications are now widely available, and the indications for its use continue to expand. It is an exciting and practical field in which to become involved, but developing skills, competence and expertise to undertake endoscopy can be technically demanding. This is even more true when the endoscopist begins to undertake therapeutic procedures. The skills required can only be acquired by practice and application. The trainee rightly has to focus on these skills and there are several `how-to-do-it' books to help. In clinical practice, the questions of 'why do it, where to do it, and when to do it (or not!)' are often more pressing and we hope to address these questions in this book, in addition to practical advice on technique. The book therefore should be useful to endoscopists during the course of training but our co- authors have also included challenging areas which will interest even the established endoscopist. We have also included two chapters on screening as this ought not to be undertaken unless realistic therapeutic options are intended. We are profoundly grateful to our friends who have contributed to this book. They bring a wealth of personal experience in the field, which has been acquired over many years. We hope that the concentration of that experience into this text will help you to make the right decisions for your patients. Inevitably, in a multiauthor tome, there will be repetition. We took editorial licence in moving some text between chapters among different authors for the purpose of integrating the material. We therefore acknowledge that some authors made contributions to several chapters. Martin Lombard, Royal Liverpool University Hospitals David Westaby, Chelsea & Westminster Hospital London
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