By Joseph Leung MD, Simon Lo MD
Dr. Joseph Leung and Dr. Simon Lo have designed this distinct reference, which deals professional suggestion, personal tastes, and reviews on difficult scientific questions and events in most cases encountered in endoscopy. the original Q&A layout offers easy accessibility to present info with regards to healing endoscopy with the simplicity of a talk among colleagues. Illustrative pictures, diagrams, and references are incorporated to reinforce the certainty of endoscopy.
Curbside session in Endoscopy: forty nine scientific Questions provides details simple sufficient for citizens whereas additionally incorporating specialist recommendation that even high-volume clinicians will take pleasure in. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will all enjoy the elementary and informal layout and the professional suggestion contained within.
Some of the questions which are answered:
• You have been referred to as by means of the ER healthcare professional concerning a girl who tried to devote suicide through ingesting a few "toilet cleansing solution". there have been noticeable burns round the mouth and tongue. What could you do next?
• Is there a task for steel stents in benign bile duct strictures? whilst should still i take advantage of plastic stents during this setting?
• whilst Is EUS beneficial for a Newly clinically determined melanoma of the Esophagus,Stomach, Colon, or Pancreas?
• i've got hassle controlling the path of a biliary papillotomy. Any tips to increase the implications ?
• What Are the positive aspects that Differentiate a Submucosal Bulge from a real Mass on tablet Endoscopy? What am i able to Do to substantiate a Submucosal Mass?
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Extra resources for Curbside Consultation in Endoscopy: 49 Clinical Questions
6 Therefore, we emphasize the importance of a strict endoscopic follow-up to detect and treat any recurrent lesion. Ideally, all possible columnar mucosa with intestinal metaplasia should be eradicated, and this approach would be recommended in patients with invisible or multiple neoplastic areas in a shorter BE. 6 Question 1 Conclusion We can offer for this patient 3 options7: 1) esophagectomy as a definite treatment, 2) endoscopic resection of suspicious lesions combined with RFA of the remaining intestinal metaplasia epithelium (this endoscopic approach offers less morbidity, but strict endoscopic follow-up still seems to be warranted), and 3) surveillance EGD every 3 months, with 4-quadrant biopsies every 1 cm associated with EUS for local staging and lymph node detection.
Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc. 1995;41:39-51. 7. Li ZS, Sun ZX, Zou DW, et al. Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China. Gastrointest Endosc. 2006;64:485-492. 8. Velitchkov NG, Grigorov GI, Losanoff JE, et al. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996;20:1001-1005. 9. Silva RG, Ahluwalia JP. Asymptomatic esophageal perforation after foreign body ingestion.
Management of ingested foreign bodies and food impactions. ASGE Standards Practice Committee. Gastrointest Endosc. 2011:73:1085-1091. 4 QUESTION YOU WERE CALLED BY THE ER PHYSICIAN REGARDING A FEMALE WHO ATTEMPTED TO COMMIT SUICIDE BY DRINKING TOILET CLEANING SOLUTION. THERE WERE OBVIOUS BURNS AROUND THE MOUTH AND TONGUE. WHAT WOULD YOU DO NEXT? Rajesh Gupta, MD, DM and D. Nageshwar Reddy, MD, DM, FRCP, DSc Ingestion of a corrosive substance is a common medical emergency. In adults, it is generally deliberate with suicidal intent.
Curbside Consultation in Endoscopy: 49 Clinical Questions by Joseph Leung MD, Simon Lo MD