The definitive reference consultant for the administration of gastrointestinal emergencies and endoscopic complications
When you're taking good care of a sufferer with a gastrointestinal emergency – in the course of a strategy or after emergency stabilization – you could expect this up to date connection with provide the explicit how-to assistance you would like.
Written and edited through best overseas specialists within the box, the second one version of Gastrointestinal Emergencies:
- now displays the numerous diagnostic and healing advances seeing that ebook of the 1st version
- covers the complete variety of gastrointestinal emergencies encountered in day-by-day medical perform
- gives evidence-based techniques to the presentation, analysis, research, and administration of sufferers
- features the real contributions of recent editor Roy Soetikno, affiliate Professor of medication on the VA overall healthiness Care procedure, Palo Alto, California
All practitioners all in favour of gastrointestinal emergency care will locate transparent and succinct suggestion during this concise reference. each Emergency division and each endoscopy unit should still make a copy shut to hand for speedy reference.Content:
Chapter 1 method of Dysphagia (pages 1–6): John S. Collins
Chapter 2 method of Vomiting (pages 7–10): Bee Chan Lee and John S. Collins
Chapter three method of top Gastrointestinal Bleeding (pages 11–18): Patrick Allen and Tony C. okay. Tham
Chapter four method of Acute belly soreness (pages 19–24): Tony C. okay. Tham
Chapter five method of Jaundice (pages 25–33): Tony C. ok. Tham
Chapter 6 Acute serious decrease Gastrointestinal Bleeding (pages 34–37): Tonya Kaltenbach and Roy Soetikno
Chapter 7 method of Diarrhea (pages 38–40): John S. Collins
Chapter eight issues of higher Gastrointestinal Endoscopy (pages 41–47): Colm O'Loughlin and Reza Shaker
Chapter nine problems of Percutaneous Endoscopic Gastrostomy (pages 48–52): Freddy Vandenbussche and Jo Vandervoort
Chapter 10 problems of Variceal Sclerotherapy, Ligation and Balloon Tamponade (pages 53–56): Yan Zhong, Stefan Seewald and Nib Soehendra
Chapter eleven problems of Endoscopic Retrograde Cholangiopancreatography (pages 57–65): Victor ok. Chen and Richard C. ok. Wong
Chapter 12 issues of Laparoscopic surgical procedure (pages 66–71): Stephen Attwood
Chapter thirteen issues of Liver Biopsy (pages 72–75): Ramsey C. Cheung
Chapter 14 issues of Colonoscopy (pages 76–79): Sybile Van Lierde and Jo Vandervoort
Chapter 15 problems of pill Endoscopy (pages 80–82): Cecilia Sison, Andres Sanchez Yague, Roy Soetikno and Kenneth Binmoeller
Chapter sixteen problems of Endoscopic Ultrasound (pages 83–86): Cecilia Sison, Andres Sanchez Yague, Roy Soetikno and Kenneth Binmoeller
Chapter 17 international physique Impaction within the Esophagus (pages 87–92): George Triadafilopoulos
Chapter 18 Esophageal Perforation (pages 93–102): Peter D. Siersema
Chapter 19 Perforation of the Gastrointestinal Tract (pages 103–110): John Moorehead and Ian McAllister
Chapter 20 Intestinal Obstruction (pages 111–115): Andrew B. C. Crumley and Robert C. Stuart
Chapter 21 Acute top Nonvariceal Gastrointestinal Hemorrhage (pages 116–122): Kelvin Palmer
Chapter 22 Acute Pancreatitis (pages 123–133): David R. Lichtenstein
Chapter 23 Biliary Emergencies (pages 134–140): Bhavani Moparty and David L. Carr?Locke
Chapter 24 Variceal Hemorrhage (pages 141–148): Yan Zhong, Stefan Seewald and Nib Soehendra
Chapter 25 Acute Liver Failure (pages 149–157): Aijaz Ahmed and Emmet B. Keeffe
Chapter 26 administration of Ascites and Spontaneous Bacterial Peritonitis (pages 158–167): Andres Cardenas and Pere Gines
Chapter 27 Alcoholic Hepatitis (pages 168–173): David Patch
Chapter 28 Acute Appendicitis (pages 174–178): John Moorehead and Ian McAllister
Chapter 29 Ischemic Bowel (pages 179–181): Shai Friedland and Roy Soetikno
Chapter 30 Acute critical Ulcerative Colitis (pages 182–189): Subrata Ghosh
Chapter 31 Gastrointestinal Infections (pages 190–200): Graham Morrison and John S. Collins
Chapter 32 Diverticular affliction (pages 201–204): Tonya Kaltenbach and Roy Soetikno
Chapter 33 Gastrointestinal issues of HIV disorder (pages 205–213): Afshin Nasoodi and Wallace Dinsmore
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Additional info for Gastrointestinal Emergencies, Second Edition
Sample text
5 L (range 4–14 L) over 3–4 hours. Metolopramide 10 mg iv can be given immediately prior to administration to control nausea and promote gastric emptying. The stomach should be aspirated before colonoscopy. Purging is contraindicated in the presence of bowel obstruction or suspected gastroparesis. Equipment and accessory selection An adult endoscope or therapeutic enteroscope in cases of a suspected small bowel bleeding source should be used. A foot-controlled irrigation device and an additional suction line which is directly locked to the working channel attachment aid visualization and a clear field for therapeutic intervention.
The bowel sounds may diminish and ileus may be present. The patient’s circulatory system will show signs of shock and the abdomen will distend as bleeding progresses. Nonspecific acute abdominal pain This presentation is common and may present with colicky abdominal pain or even progressive generalized pain. Pain may result from: • parietal pleura in pneumonia • subphrenic sepsis • myocardial ischemia • due to diabetic ketoacidosis • hypercalcemia • porphyria • psychogenic factors. In this scenario, the abdomen is usually generally tender with guarding.
Biliary obstruction Therapy is directed at the mechanical relief of obstruction. The options include ERCP (sphincterotomy, stone extraction, stent insertion), PTC (stent insertion) or surgery. The therapeutic strategy depends on the likely etiology and local expertise. g. stopping alcohol, discontinuation of a drug, antiviral agents, phlebotomy for hemochromatosis, copper chelation for Wilson disease. 5 Management of pruritus (from ref. 3). 5 mg once daily, increasing slowly to 50–100 mg once daily Naloxone and nalmefene are only commonly available for parenteral use Drug-induced jaundice All possible drugs that can cause jaundice should be stopped.