Gastroenterologia

Esiste un organo del corpo umano poco conosciuto, anzi riconosciuto come tale solo di recente, eppure di vitale importanza; un

Dai primi studi pionieristici del futuro premio Nobel E

Il Malattie dell'apparato digerente-UNIGASTRO è arrivato alla nona edizione in nuova veste a colori

Il "Malattie dell'apparato digerente-UNIGASTRO" è arrivato alla nona edizione in nuova veste a colori

Perfect for residents, generalists, medical students, nurses, and other healthcare professionals who need a practical, working knowledge of gastroenterology, Netter's Gastroenterology, 3rd Edition, provides a concise overview highlighted by unique, memorable Netter illustrations. This superb visual resource showcases the well-known work of Frank H. Netter, MD, and his successor, Carlos Machado, MD, a physician who has created clear, full-color illustrations in the Netter tradition. Up-to-date coverage of the full range of digestive diseases-including gastroenterology, hepatology, and nutrition- keeps you current with the latest information in the field. Offers a quick and memorable summary of nearly 200 of the most commonly encountered clinical conditions, from classic to contemporary. Concise text is presented in a templated format for fast, easy access to information. Features over 300 Netter and Netter-style images that highlight key aspects of patient presentation, pathophysiology, and relevant anatomy to provide a rich visual understanding of the most important concepts. Includes access to 25 printable patient education brochures in the enhanced eBook version. Provides complete guidance on all major GI diseases and conditions through sections on normal structure and function, the clinical picture, diagnosis, treatment and management, course and progress, and prevention and control. Offers dependable clinical advice from Drs. Martin H. Floch, Neil R. Floch, Joseph K. Lim, C. S. Pitchumoni, Raul J. Rosenthal, and James S. Scolapio, as well as many world-renowned chapter contributors. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

La diastasi del retto addominale è una separazione innaturale dei muscoli addominali e non soltanto "un centro debole"

Since the publication of the previous edition of Tumors of the Esophagus and Stomach, great advances in many areas of tumor biology have led to a better understanding of the pathogenesis, pathology, and molecular biology of epithelial and stromal malignancies of the upper gastrointestinal tract. Many of these advances have led to specific improvements in diagnosis, prognosis, treatment, and thus, survival in patients affected by these tumors. This edition of the Fascicle was written to highlight these advances, and more specifically, to help pathologists diagnose diseases more accurately and understand how pathology contributes to clinical treatment in the new age of personalized and targeted therapy. Notable advances described in this publication include: 1) expansion of our understanding of the pathologic features and molecular pathogenesis of carcinomas of the esophagus and stomach, most of which develop through a chronic inflammation-metaplasia-dysplasia-carcinoma sequence. Important refinements in the classification of neoplastic precursor lesions have been made since the last AFIP series, including the morphologic and endoscopic subtypes, and this has led to improvements in surgical treatment with a strong trend toward minimization in the form of endoscopic mucosal and submucosal dissections 2) discovery of new diseases, such as gastric adenocarcinoma and proximal polyposis syndrome (GAPPS), a special variant of familial adenomatous polyposis, and significant advances in our knowledge regarding the molecular characterization of genetic polyposis syndromes 3) great expansion in the molecular-pathology correlation, morphologic diversity, classification, and therapeutic options of gastrointestinal stromal tumors (GISTs) 4) reclassification and refinement of prognostic factors related to neuroendocrine tumors 5) improvements in the role of cytology in the diagnosis of tumors of the upper gastrointestinal tract. This book has been written with the pathologist in mind first by using tables that illustrate salient pathologic, molecular, and differential diagnostic features of key entities that are often difficult to distinguish from each other. Specific color photographs of classic tumors and morphologic variants often difficult to recognize are used throughout.

Closely mirroring the daily sign-out process, Atlas of Gastrointestinal Pathology: A Pattern Based Approach to Neoplastic Biopsies is a highly illustrated, efficient guide to accurate diagnosis. This practical reference uses a proven, pattern-based approach to clearly explain how to interpret challenging cases by highlighting red flags in the clinical chart and locating hidden clues in the slides. Useful as a daily "scope-side guide," it features numerous clinical and educational features that help you find pertinent information, reach a correct diagnosis, and assemble a thorough and streamlined pathology report. More than 1,600 high-quality photomicrographs capture the subtle morphologic spectrum of neoplastic processes of the tubular GI tract. Each image is captioned with key diagnostic considerations and includes call-outs showing subtle features and diagnostic clues. Practical tools throughout the text include: Tables that emphasize salient clinicopathologic features, management implications, and therapeutic options o Discussions of how and when to incorporate molecular tools o Checklists for key elements of the diagnostic approach and sample notes for inclusion in pathology reports Relevant endoscopic images, photographs of select gross specimens, and medical figures Brief reviews of normal histology that provide contrast to succeeding patterns "Pearls and Pitfalls" and "Near Misses" sections with lessons from real life sign-out experience "Frequently Asked Questions" sections that discuss common diagnostic dilemmas "Sample Note" sections that offer a template of how to synthesize complicated or especially challenging topics Quizzes in every chapter that provide experience with high-yield, board-style teaching topics Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

A new, fully updated edition of the world s most famous book on liver diseases with updating of all areas and inclusion of new specific topics, by internationally renowned specialists This brand new edition of the classic book on hepatology provides a concise, clearly presented and well-structured review across the whole spectrum of hepatobiliary diseases by some of the world s leading hepatologists and hepatobiliary specialists. Where many other hepatology textbooks provide detailed accounts of basic science and clinical management, Sherlock's Diseases of the Liver and Biliary System, 13th Edition takes a different approach. Concentrating on the clinical decisions to be taken and the relevant supporting data, it is written and edited to maintain Sheila Sherlock's unique approach, in particular the clarity and layout of the text, and the explanatory figures and tables. The book is thus concise, highly accessible, and generously illustrated with over 700 attractive color figures. There is a pithy approach to each disease based both on evidence and on the authors experience, the hallmark of this book. Based on these elements, the 12th edition was awarded first prize in the 2012 British Medical Association Book Awards in the Internal Medicine category. Sherlock's Diseases of the Liver and Biliary System begins by introducing the anatomy and function of the liver to readers, continuing then with in-depth coverage of liver biopsy techniques and interpretation, and fibrogenesis and its assessment. There are then chapters on all aspects of liver and biliary disease including acute liver failure, cirrhosis, portal hypertension, hepatic encephalopathy, ascites, hepatitis B and C, alcohol and the liver, non-alcoholic fatty liver disease, drug related liver reactions, cholestatic, autoimmune and genetic liver diseases, benign and malignant tumours and not least liver transplantation. There are also chapters on the liver in pregnancy, in the neonate, infancy and childhood, in systemic diseases and in infections. This new edition also features four new individual chapters focusing on coagulation, non-invasive assessment of fibrosis and cirrhosis; vascular diseases of the liver and portal vein thrombosis, and nutrition in liver disease. Digital downloads of the figures from this edition are offered on a companion website. Internationally recognized and loved, world-renowned hepatology book, first published in 1955 Takes a one-of-a-kind, clinical approach maintaining Sheila Sherlock s clarity and legacy of presentation Full colour throughout with 700 illustrative figures Wide faculty of international contributors Sherlock's Diseases of the Liver and Biliary System, 13th Edition is an ideal primer in hepatology for students and trainees in hepatology and gastroenterology, and a valuable resource for all specialist gastroenterologists and hepatologists, paediatricians, pathologists, radiologists, general physicians and specialist nurses.

Sleisenger e Fordtran Malattie gastrointestinali ed epatiche è il riferimento essenziale per gli specialisti di gastroenterolo

Over the past 40 years, ERCP has become an effective therapeutic modality with diagnostic purposes that are continually improved.. The 3rd Edition of this practical reference helps you make the most of today's endoscopic retrograde cholangiopancreatography in your practice. You'll find authoritative, highly illustrated guidance on every aspect of ERCP, including coverage of the latest techniques both in print and on video. Clearly depicts each step of ERCP procedures in dozens of step-by-step videos, including Needle Knife Sphincterotomy, Biliary Sphincterotomy, Cannulation, and Fistulotomy. Provides clear guidelines on when and when not to perform ERCP. Features superb, full-color images, and a wealth of illustrative diagrams. Includes new chapters that cover duodenoscope reprocessing; endomicrocopy; EUS-guided endotherapy related to pancreatobiliary disorders; and CT and MRCP related to pancreatobiliary disorders. Contains updated information on radiofrequency ablation for cancer, percutaneous vs. endoscopic drainage, scope cleaning practices, and pancreatic necrosis. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Diverse patologie umane partono da un intestino poco efficiente. Ma cosa rende inefficiente l'intestino? Bisogna rivalutare i rapporti tra cibo e salute. Tre milioni di italiani e venti milioni di statunitensi soffrono di sensibilità al glutine, sindrome simile ma allo stesso tempo diversa dalla celiachia. Dalla sensibilità al glutine scaturiscono patologie diverse, in funzione del polimorfismo genetico dei soggetti e dell'ambiente in cui essi vivono. Aumentando le nostre conoscenze sulle interazioni tra cibo, abitudini alimentari, genomica e ambiente è possibile effettuare una prevenzione e/o terapia migliore. È iniziata l'era dell'epigenetica mentre il dogma del determinismo genetico si avvia al tramonto. Nell'intestino è concentrato il 70% del sistema immunitario il quale ha il compito di uccidere virus, batteri, parassiti, eliminare le cellule tumorali. E' lungo circa 8 metri e permette l'assorbimento dei nutrienti e dell'acqua. La nostra difesa e la nostra energia vengono dall'intestino.

L'idea che la salute e la malattia dipendano in gran parte dalle condizioni dell'intestino non è nuova. L'intestino è l'organo responsabile del primo contatto con le sostanze nutritive che ingeriamo ogni giorno, quindi non stupisce che un suo cattivo funzionamento possa avere un impatto negativo sul nostro benessere. Nuovissima è invece la scoperta che la salute non dipende solo dalle condizioni delle cellule umane, ma anche dallo stato in cui versa l'enorme popolazione di batteri che vivono nel nostro corpo e in particolare proprio nell'intestino. Oggi sappiamo che questi microscopici coinquilini che dividono con noi la loro sorte sono responsabili di una quantità di funzioni fondamentali per il raggiungimento e il mantenimento di un adeguato stato di benessere. Purtroppo lo stile di vita occidentale predispone allo sviluppo di disbiosi, ovvero all'impoverimento progressivo della flora batterica intestinale, e si ritiene che questa condizione sia collegata a un aumento di incidenza delle cosiddette "malattie del progresso". Ma si sa anche in che modo le disbiosi possano essere prevenute, diagnosticate e corrette. Questo libro si propone di svelare ai lettori i segreti del proprio intestino per permettere loro di ottimizzare il metabolismo, la performance fisiologica e il sistema immunitario, allo scopo di prevenire le principali malattie del secolo e vivere meglio, più sani e, possibilmente, più a lungo.

Interventional Inflammatory Bowel Diseases: Endoscopic Management and Treatment of Complications covers the preparation, principle, techniques, and damage control of complications in endoscopic therapy, providing the ultimate guidance in endoscopic management of IBD. With contributions from a panel of international leading experts in the field, perspectives are included from GI pathologists, GI radiologists, gastroenterologists, advanced endoscopists, IBD specialists and colorectal surgeons. Recommendations from experts are also included within each chapter. By bridging medical and surgical treatment modalities for IBD, this is the perfect reference for GI researchers, medical students, therapeutic GI endoscopists, IBD specialists, surgeons and advanced health care providers.

This revised and updated second edition of the popular and comprehensive guide to the study of gastroenterology The revised second edition of Essentials of Gastroenterology provides a highly practical and concise guide to gastroenterology. The text covers every major disorder likely to be encountered during both GI training and in clinical practice. It also offers a handbook for preparing for Board examinations (e.g., USMLE and Internal Medicine Board examinations) as well as a handy clinical consultation tool. Fully updated to reflect the latest scientific information and practice guidelines, each section of the book covers a specific area of the gastroenterology tract and follows a standard outline: general information, normal physiology, etiology and pathophysiology, clinical presentation, diagnosis, differential diagnosis, complications, prognosis, and treatment. The text provides easy-to-assimilate information on each disorder and includes the key facts, concise, bulleted paragraphs, and a structure that lends itself to accessibility and point-of-care use in a busy clinical setting. In addition, Internal Medicine Board-style multiple choice questions allow users to self-assess their knowledge, a photo gallery provides a great visual element, and clinical cases throughout allow readers to identify with real-life clinical scenarios. Essentials of Gastroenterology is the hands-on guide that: Covers the whole of gastroenterology in one highly practical volume Presents updated pedagogic features to help achieve rapid clinical understanding, such as case studies, practice points, key weblinks and potential pitfalls boxes Includes more than 100 Internal Medicine Board-style multiple choice questions ideal for self-assessment Contains comparison of major society (BSG, ASG, ACG, UEGF, etc.) guidelines for all main GI conditions Designed for us by gastroenterologists and GI trainees, Essentials of Gastroenterology is therevised and improved edition of the popular manual that is filled with up-to-date information on all the GI disorders. Trainees will learn the essentials of their specialty, as well as providing the seasoned gastroenterologist with a useful refresher tool.