Gastroenterologia

Virtual endoscopy progressively enters the real world The development of virtual reality is one of the most striking features of our Western societies. Beside chil- dren games and movies, its scope has expanded to medical imaging through 3D CT scan surface or volume re- constructions. Whatever the site clinicians are able to perform real endoscopy (RE), radiologists can now also provide virtual endoscopy (VE) images. VE enters our medical practice. The next question is to weigh the pros and cons. VE has the unique advantage to offer high-quality images obtained through a noninvasive and well-tolera- ted procedure performed in outpatients. Compared to RE, it carries no risk of bleeding, perforation or trans- mission of viruses. Importantly, VE can pass high-grade stenoses affecting large bowel, urinary tract or tra- cheobronchial tree, and visualize areas hard to visit by optic fibers such as intracranial regions. 3D VE images can be commented with patients, and this might reduce potential misunderstanding and its medico-legal consequences. Last but not least, VE is the sole alternative offered both to those who refuse RE, and to severely ill elderly patients. Then, should we consider VE as the Deus ex machina of modem medical imaging - with CT scan as rna- china - ? Clearly, the answer is no, given VE knows severals limits and pitfalls. One of the most important me- rits of this book is to discuss honestly these aspects. First, VE will never allow to perform biopsies or resections.

With the advent of endoscopic techniques, the gastrointestinal tract has now become more accessable to clinical investigators. Polyps are amongst the commonest abnormalities biopsed and submitted for histological assessment. The biological behavior of a polyp realtes entirely to its pathological nature and accurate histological diagnosis is therefore vital. While so many textbooks and atlases include polyps in sections on gastrointestinal tumours, none have been so comprehensively devoted to the polyp as Gastrointestinal Polyps. The layout of the book has been desigened sequentially to describe the commoner synonyms when appropriate, the prevalence, the endoscopic/macroscopic appearences and microscopic features followed bya section on the biological behaviour and associated conditions. There is a section on treatment, if applicable, and an invaluable list of key references. Profusely illustrated in full colour throughout, it is designed to be the complete companion: a bench book not only for the practising histopathologist who regularly examines oesophageal, gastric, duodenal and intestinal polyps as part of his or her daily work but also for the endoscopist who regularly biopsies them.

Written by a multidisciplinary author team, this book brings the important subject of intestinal failure in adults and children to a wide readership. It should be read and understood by all members of the general nutritional team, including doctors, nurses, dieticians and pharmacists, for whom it will serve as a practical guide to the management of intestinal failure both in the hospital and outpatient setting. For specialists and researchers in the field, the comprehesiveness of the book's coverage and the detailed and exhaustive referencing provided by the authors, will provide them with a unique insight into the latest research in the subject and how this relates to current clinical practice and potential future treatments.

This is an illustrated guide to the practice of therapeutic endoscopy. International experts have contributed superbly illustrated chapters which reflect the international coverage of endoscopy. Illustrated with colour line illustrations and photographs this practical book sets out the steps involved in different endoscopic procedures and draws attention to the tricks and traps, complications and results that can ensue.

Back by popular demand, the second edition of this definitive resource is now availabe in print. This updated edition encompasses every possible aspect of gastroenterologic endoscopy in great depth with a huge array of domestic and international contributors who are acknowledged experts in the field. It covers all aspects of diagnostic as well as therapeutic endoscopy, and shows both normal and pathological appearances. Aimed at all specialists who routinely or occasionally undertake these procedures it is one of the most complete, comprehensive and authoritative text in the field.

This 3-book set provides a concise and highly visual approach to the basic sciences and clinical pathology of the digestive system. These books in The Netter Collection of Medical Illustrations (the CIBA "Green Books") have been expanded and revised to capture current perspectives in gastroenterology, hepatology, and pancreatology - from normal anatomy and physiology through pathophysiology, diagnostics and treatment. Endoscopic, radiographic and pathologic images supplement the classic Netter illustrations, as well as new illustrations. These updated classics are ideal for students and health professionals seeking an easily accessible guide to the complete digestive tract. Key Features Books included in this 3-Part Set include: Part 1 - Upper Digestive Tract, Part II - Lower Digestive Tract, and Part III - Liver, Biliary Tract and Pancreas. Put concepts into practice. An exquisite art program focuses on clarity of presentation with an emphasis on anatomy, pathology, patient presentation, and clinical context. Gain a rich, comprehensive overview of the digestive system by seeing classic Netter illustrations side by side with cutting-edge radiologic and laparoscopic images. See modern issues in digestive health and disease captured in the visually rich Netter artistic tradition via contributions from artists working in the Netter style. Get complete, integrated visual guidance in a single source, from basic sciences and normal anatomy and function through pathologic conditions. Benefit from the knowledge of a team of renowned clinicians and scientists.

Il volume - interamente scritto da docenti universitari di gastroenterologia - è rivolto agli studenti che frequentano i diver

Dal testo di Medicina Interna - su cui si sono formate intere generazioni di internisti - è stato ricavato un testo di circa 2

RadCases contains cases selected to simulate everything that you'll see on your rounds, rotations, and exams. RadCases also helps you identify the correct differential diagnosis for each case - including the most critical. Visit RadCases.thieme.com for free sample cases and to experience this dynamic learning tool for yourself! RadCases covers:Cardiac Imaging, Interventional Radiology, Musculoskeletal Radiology, Neuro Imaging, Thoracic Imaging, Pediatric Imaging, Gastrointestinal Imaging, Breast Imaging, Nuclear Medicine, Ultrasound Imaging, Head and Neck Imaging, Genitourinary Imaging Each RadCases title features 100 carefully selected, must-know cases documented with clear, high-quality radiographs. The organization provides maximum ease of use for self-assessment. Each case begins with the clinical presentation on the right-hand page; simply turn the page for imaging findings, differential diagnoses, the definitive diagnosis, essential facts, and more. Each RadCases title includes a scratch-off code that allows 12 months of access to a searchable online database of all 100 cases from the book plus an additional 150 cases in that book's specialty - 250 cases in total! Learn your cases, diagnose with confidence and pass your exams. RadCases. Gastrointestinal Imaging will enable you to diagnose the full range of digestive diseases and disorders. Features of Gastrointestinal Imaging: * High-resolution fluoroscopic studies and state-of-the-art cross-sectional imaging studies demonstrate a wide array of GI diagnoses. * A variety of common and uncommon presentations cover everything from acute appendicitis to rare gastrointestinal neoplasms. * Examples of critical cases that must be diagnosed immediately to avert potential disaster in daily practice and on exams such as intussusception, volvulus and mesenteric ischemia

Probiotici, prebiotici, simbiotici. Cosa sono? A cosa servono? Uno vale l'altro? È vero che colonizzando l'intestino svolgono funzioni benefiche per l'organismo ospite? In questo handbook, tante risposte alle curiosità sull'impiego a scopo terapeutico di integratori dietetici con microrganismi vivi, attivi nel favorire il riordino della flora batterica intestinale autoctona. L'integrazione di batteri probiotici autoctoni risulta utile per contrastare le mutazioni e la proliferazione batterica patogena e la genesi di moltissime malattie autoimmuni e cronicodegenerative intestinali; può influenzare positivamente il decorso di micosi sostenute da Candida albicans, infezioni vaginali, allergie e intolleranze alimentari, acne, psoriasi, eczema atopico, anche in età pediatrica.

L'emicolectomia sinistra per cancro del colon è un intervento che può essere eseguito sia in laparotomia sia in laparoscopia. Entrambe le tecniche presentano vantaggi e controindicazioni e il chirurgo deve saper decidere quale utilizzare in base allo stato clinico del paziente, nonché alle caratteristiche e alla localizzazione del tumore. Questo CD-Rom multimediale si propone come strumento didattico e presenta due interventi, uno di chirurgia a cielo aperto e uno di chirurgia mininvasiva. Per ciascun intervento sono stati preparati filmati commentati, approfondimenti scritti e immagini tridimensionali di anatomia chirurgica.