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Summarizes many of the advances made in this area and reviews in depth the topics and treatment techniques not widely used in daily practice. New chapters to this second edition include: New Techniques to Manage Pain; Advances in Diagnostic Imaging; Management of Germ Cell Tumors of the Mediastinum, Updates on Diaphragmatic Pacing; and Preoperative Evaluation of Neuro-Motor Diseases of the Esophagus.
In their second year in medical school, students begin to learn about the differences between "disease" and "illness." In their studies of pathology they learn to understand disease as pertubations of molecular biological events. And we clinicians can show disease to them by our scans, lay it out even on our genetic scrolls, and sometimes even point out the errant nucleotide. Disease satisfies them and us; at Yale, lectures on the gastrointestinal tract run from achalasia to proctitis. There is, alas, little mention of functional bowel disease or of the irritable or spastic colon, for that is not easy to show on hard copy. Functional bowel disease represents "illness," the response of the person to distress, to food, to the environment, and to the existential problems of living. In real life such matters are most important. Richard Cabot first found out at the Massachusetts General Hospital almost a century ago that 50% of the patients attending the outpatient clinic had "functional" complaints. The figure had grown to over 80% when the very same question was reexamined 60 years later.
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The thoroughly updated and greatly expanded Fourth Edition of the best-selling Manual of Gastroenterologic Procedures covers all diagnostic and therapeutic procedures in current use for adult and pediatric patients. Fifty procedures—both endoscopic and non-endoscopic—are described in a concise, structured, easy-to-follow format that includes indications, contraindications, patient preparation, equipment, technique, post-procedure care, and complications. Over 100 drawings guide readers through key steps. This edition includes new diagnostic procedures and many new therapeutic endoscopy chapters. Appendices provide information on organizing a procedure unit, handling specimens, doses of GI drugs, guidelines for endoscopic screening and surveillance, and CPT codes, plus a listing of major equipment vendors and Websites.
Renowned as the most comprehensive atlas in gastroenterology, Dr. Yamada's masterwork enters a Third Edition with hundreds of brand-new and updated illustrations. The atlas uses the latest endoscopic imaging techniques as well as double contrast radiography, CT, isotopic scintigraphy, ultrasonography, MRI, positron emission tomography, and other state-of-the-art technologies to deliver the most advanced and detailed views available. This edition has a new Associate Editor, Neil Kaplowitz, MD, whose special area of expertise is hepatology. Sixteen new chapters focus specifically on liver disease. Other new chapters include genetic counseling and alternative medicine.
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