| Dedication |
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v | |
| About the Editors |
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xiii | |
| Contributing Authors |
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xv | |
| Foreword |
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xix | |
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| Introduction |
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xxi | |
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Section I. Upper Endoscopy |
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1 | (58) |
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An 81-Year-Old Healthy Male Is Found to Have a 12-cm Long Segment Barrett's Esophagus and Several Tiny, Raised Lesions. Biopsy Shows Moderate- to High-Grade Dysplasia in One Location. How Should I Advise This Patient About This Prognosis? Which Surgical or Endoscopic Therapies Would Be Appropriate to Consider? How Can I Tell Whether or Not a Small Cancer Has Been Missed in the Biopsy? |
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3 | (4) |
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Is Endoscopic Biopsy of the Duodenum or Jejunum Necessary for the Diagnosis of Celiac Disease if the Serum Anti-Tissue Transglutaminase Antibody Is Positive? Is Capsule Endoscopy Good Enough to Make the Diagnosis? When and How Should I Investigate for Complications of Celiac Disease? |
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7 | (4) |
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A 46-Year-Old Female With Cirrhosis Came in With Severe Upper GI Bleeding. Her Proximal Stomach Is Filled With Large Clots and Gastric Varices Are Suspected. How Can I Tell for Certain Endoscopically, and How Should I Treat It? |
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11 | (4) |
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Is My Impression Correct That Endoscopic GERD Treatment Is a Thing of the Past? If So, Why? For Which Endoscopic Method Should I Refer Patients? |
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15 | (2) |
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What Are the Recommendations for Performing Endoscopy---and Especially ERCP---in a Pregnant Woman? |
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17 | (4) |
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What Are the Essential Tools for Removing Esophagogastric Foreign Bodies, and When Should I Apply These Devices? |
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21 | (6) |
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I Was Washing and Suctioning to Get a Good Look at the Gastroesophageal Junction Varices and They Started to Bleed. I Could Not See Where the Bleeding Came From. What Should I Do? |
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27 | (2) |
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What Is the Current Recommendation for Endoscopic Surveillance of Barrett's Esophagus, and How Can We Improve the Results With the Current Technologies? |
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29 | (4) |
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You Were Called by the ER Physician Regarding a Woman Who Attempted to Commit Suicide by Drinking Some ``Toilet Cleaning Solution.'' There Were Obvious Burns Around the Mouth and Tongue. What Would You Do Next? |
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33 | (2) |
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What Is the Best Treatment for Duodenal or Ampullary Adenoma, and What Is the Current Recommendation for Surveillance After Treatment? |
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35 | (6) |
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What Should I Do if I Have Inadvertently Perforated the Viscus During an Endoscopy? |
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41 | (4) |
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Is Fluoroscopy Absolutely Necessary for Dilation of Esophageal Stricture and Placement of Esophageal Stent? |
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45 | (6) |
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I Have a Patient With Advanced HIV and Severe Odynophagia. He Has Failed an Empiric Course of Fluconazole. What Agents Commonly Cause Odynophagia in This Population? |
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51 | (4) |
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What Is the Current Expert Opinion on What Hemostasis Technique to Use in Treating a Visible Vessel or Dieulafoy Lesion? When Should I Involve a Surgeon? |
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55 | (4) |
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59 | (20) |
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Which of My Patients With Ulcerative Colitis Need ``Surveillance'' Colonoscopy? If They Are Well Managed on Stable Doses of Medication, Why Do They Need Elective Colonoscopy? |
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61 | (4) |
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I Seem to Find Many Flat Polyps in the Cecum and Rectum of my Patients. How Should I Treat Them Other Than Sending Them to Surgery, Which Seems a Little Excessive? |
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65 | (4) |
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I Frequently Get Calls to Decompress a Distended Colon and the Radiologist Is Unsure if It Is a Volvulus or Pseudo-Obstruction. How Should I Approach This Technically? What Is the Role of the GI in These Conditions, and When Is a Surgical Opinion Needed? |
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69 | (4) |
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What Do People Do for Treatment of Achalasia These Days? Does It Matter if the Symptoms Are Severe or if the Patient Is Elderly? |
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73 | (4) |
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What Is the Best Bowel Preparation and Timing for an Emergency Colonoscopy for GI Bleeding? |
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77 | (2) |
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Section III. Endoscopic Retrograde Cholangiopancreatography |
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79 | (64) |
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I Have a Patient With a Post-Cholecystectomy Bile Leak and Treated Him With a 7-French Stent. Four Days Later, His JP Drain Still Puts Out cc/Day. What Is the Problem and What Should Be Done? |
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81 | (4) |
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Is There a Role for Metal Stents in Benign Bile Duct Strictures? When Should I Use Plastic Stents in This Setting? |
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85 | (4) |
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Why Is Balloon Sphincteroplasty Still Being Practiced, and When Should We Consider This Treatment Option? |
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89 | (2) |
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How Do We Manage a Patient With a 10-cm Pseudocyst Who Is Currently Asymptomatic? |
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91 | (4) |
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What if the Pancreatic Cyst Has Persisted for More Than a Year and Is Not Resolving? |
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95 | (6) |
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What Is Best Endoscopic Method to Diagnose Pancreatic Cancer? What Is the Best Way to Sample Tissue to Diagnose Suspected Bile Duct Cancer? |
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101 | (4) |
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What Is the Role of Plastic Versus Metal Stents in Patients With Hilar Bile Duct Obstruction? Is There a Need for Bilateral Stenting for Malignant Hilar Obstruction? |
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105 | (6) |
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An Elderly Patient With Multiple Medical Problems Presented With Acute Pancreatitis With Stones in the Gallbladder. Her Liver Function Studies Show an AST of 90 and an ALT of 85---Both Are Declining. MRCP Did Not Demonstrate Any CBD Stones or Ductal Dilation. Is an ERCP Indicated? |
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111 | (4) |
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What Is the Best Approach to a Patient With a Post-Lap Cholecystectomy Bile Leak From the Cystic Duct Stump, Aberrant Ducts, or Associated Common Duct Injury? If Initial Stenting Fails to Seal the Leak, What Else Can Be Done Endoscopically? |
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115 | (2) |
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What Should My Response Be to a Surgeon Who Demands That I Do Prelaparoscopic Cholecystectomy ERCP on All of His Gallstone Patients? |
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117 | (4) |
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What Should Be the Sequence of Investigations for a Patient With Recurrent, Unexplained Pancreatitis? |
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121 | (4) |
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I Have a Patient With Biliary-Type Pain but No Other Evidence of Bile Duct Disease (Normal Diameter Duct on Ultrasound, Normal Liver Function Tests). How Should Such a Patient Be Managed? |
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125 | (6) |
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How Can We Accurately Determine the Appropriate Length of the Stent to Use in a Patient With a Bile Duct Stricture? |
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131 | (4) |
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I Have Difficulty Controlling the Direction of a Biliary Papillotomy. Any Tricks to Improve the Results? |
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135 | (4) |
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Whenever I Place a Stent for a Stone Impacted Bile Duct or for Bile Leak, the Stent Always Seems to Shift Position Distally. Should I Use a Shorter Stent or a Pigtail Stent? Is There a Trick to Keep These Stents in Place? |
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139 | (4) |
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Section IV. Endoscopic Ultrasonography |
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143 | (14) |
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Do All Pancreatic Cysts Need EUS Imaging, and Do They All Need to Be Aspirated for Analysis? Are There Even Standard Criterion to Determine Their Origins? |
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145 | (4) |
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I Am Frustrated by Our Endosonographer Who Frequently Detects Vague Hypoechoic Pancreatic Lesions but Does Not Perform FNA. He Always Recommends Follow-Up EUS in 3 Months. How Often and How Many Follow-Up Examinations Are Needed? Is It Unsafe to Do FNA of the Pancreas? |
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149 | (4) |
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When Is EUS Necessary for a Newly Diagnosed Cancer of the Esophagus, Stomach, Colon, or Pancreas? |
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153 | (4) |
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Section V. Capsule Endoscopy |
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157 | (22) |
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How Do I Manage a Middle-Aged Woman With an Asymptomatic, 5-cm, Fluid-Filled Cyst in the Tail of the Pancreas Found Incidentally on Abdominal CT Scanning? |
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159 | (4) |
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In True Obscure GI Bleeding, What Should I Do if a Capsule Endoscopy and Upper and Lower Endoscopies Are Unrevealing? |
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163 | (4) |
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What Are the Features That Differentiate a Submucosal Bulge From a True Mass on Capsule Endoscopy? What Can I Do to Confirm a Submucosal Mass? |
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167 | (4) |
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What Is a Reliable Method to Estimate the Location of a Lesion Found on Capsule Endoscopy? What Is Your Approach if You Suspect a Submucosal Mass but Are Not Certain Where It Is in the Small Intestine? |
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171 | (4) |
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When Should I Look for Possible Retained Endoscopic Capsules? What Should I Do When That Happens? |
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175 | (4) |
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Section VI. Miscellaneous |
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179 | (30) |
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If I Suspect a Small Bowel Lesion, How Do I Choose Among Small Bowel Series, Capsule Endoscopy, CT Enterography, and Double Balloon Enteroscopy as the Diagnostic Test? |
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181 | (4) |
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What Is the Proper Way of Performing an Intraoperative Enteroscopy, and When Should It Be Done in Place of the Other Nonoperative Ways of Examining the Small Intestine? |
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185 | (4) |
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What Can an Endoscopist Do to Evaluate Upper Abdominal Pain in Patients Who Have Undergone Gastric Bypass Surgery for Obesity? |
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189 | (4) |
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What Are the Proven Successful Endoscopic Methods in Treating Gastrointestinal Fistula? |
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193 | (4) |
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Bougienage, Balloon Dilation, Cautery Cutting, Stenting, and Steroid Injection Have All Been Described to Treat Benign Strictures. Is There a Right Way of Doing This? |
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197 | (4) |
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Fewer and Fewer Sigmoidoscopies Are Being Performed. Should We Even Bother Doing Them? |
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201 | (4) |
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When Should I Perform a Push Enteroscopy, and Are an Overtube and Fluoroscopy Necessary for the Procedure? |
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205 | (4) |
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| Index |
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209 | |
