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Managing Complex Cases in Gastroenterology

A Curbside Guide

Editore

Springer

Anno

2023

Pagine

425

ISBN

9783031489488

I prezzi indicati possono subire variazioni poiché soggetti all'oscillazione dei cambi delle valute e/o agli aggiornamenti effettuati dagli Editori.

This book was designed to help gastroenterologists take care of their patients with challenging problems. Every day in practice we face patients with issues that are not simple to master. Oftentimes we search out some guidance from “the experts,” and, if they are available, we will curbside them, either by phone or in person.

This text is written from the standpoint of a community gastroenterologist curbsiding his academic cohorts with his challenging cases. We present a patient with a difficult GI problem and ask the academic expert how he, or she, would manage the case. We have provided over a hundred examples of problem cases and asked the experts at the Medical College of Wisconsin (MCW) for help in their management. These cases run the gamut, including general GI, motility disorders, inflammatory bowel disease, advanced therapeutics, hepatology and functional GI disorders.

The main objective of this book is to compile the most clinically useful questions, present them to experts who frequently deal with these problems, and then wrap up their knowledge within one clinically useful text. If a community gastroenterologist had endless access to an academic panel of GI experts, these are the questions they might ask. There are hundreds of useful clinical pearls between the pages of this book which should help anyone taking care of patients with GI problems.

While the text may be targeted particularly toward practicing community gastroenterologists, it certainly can be of benefit to GI fellows in training, academic gastroenterologists, and general internists and surgeons with a strong interest in gastroenterology as well as APPs.

Front Matter

Pages i-xvii

PDF
General GI
1. Front Matter
  
  Pages 1-1
  
  PDF
2. Introduction to the General GI Section
  - W. Harley Sobin
  Pages 3-6
3. Eosinophilic Esophagitis
  - Patrick Sanvanson
  Pages 7-14
4. Oropharyngeal Dysphagia
  - Patrick Sanvanson
  Pages 15-16
5. Achalasia
  - Benson Massey
  Pages 17-24
6. Other Motility Disorders of the Esophagus and Achalasia
  - Francis Edeani
  Pages 25-30
7. GERD
  - Patrick Sanvanson
  Pages 31-36
8. Refractory GERD
  - W. Harley Sobin
  Pages 37-39
9. Surgery for GERD
  - Jon Gould
  Pages 41-46
10. Barrett’s Esophagus
  - Kulwinder Dua, Wilfredo Pagani
  Pages 47-52
11. PEG Tubes
  - William Berger
  Pages 53-63
12. Autoimmune Metaplastic Atrophic Gastritis
  - Francis Edeani
  Pages 65-67
13. Subepithelial Lesions and NETs
  - Phillip Chisholm
  Pages 69-71
14. Viewpoints on Managing Common Clinical GI Disorders from a Practitioner with Over 50 Years of “Real-World” Experience
  - Helmut Ammon
  Pages 73-79
15. Small Intestinal Bacterial Overgrowth
  - Benson Massey
  Pages 81-86
16. Unusual Causes of Abdominal Pain and Controversies in Diagnosis
  - W. Harley Sobin, Patrick Sanvanson
  Pages 87-99
17. Vascular Disorders of the Intestine
  - Jim Nelson
  Pages 101-108
18. Polypectomy
  - Zachary Smith, Matt Mohorek
  Pages 109-120
19. Rectal Incontinence
  - Ling Mei, Krupa Patel
  Pages 121-127
20. General GI
  1. Diverticulitis
    - William Berger, Keely Browning, W. Harley Sobin
    Pages 129-137
  2. Pancreatic Cysts and Recurrent Pancreatitis
    - Phillip Chisholm
    Pages 139-144
  3. Chronic Pancreatitis
    - Srivats Madhavan
    Pages 145-149
  4. GI Oncology
    - Ben George
    Pages 151-158
  5. Issues in Therapeutic Endoscopy
    - Kulwinder Dua
    Pages 159-165
  6. GI Pharmacology:
    - Elizabeth Pieper
    Pages 167-177
21. IBD Compendium
  1. Front Matter
    
    Pages 179-179
    
    PDF
  2. Introduction to the Inflammatory Bowel Disease Compendium
    - W. Harley Sobin
    Pages 181-181
  3. Crohn’s Ileitis
    - Preetika Sinh
    Pages 183-188
  4. Ulcerative Colitis Refractory to Mesalamine
    - Daniel Stein, Salina Faidhalla
    Pages 189-191
  5. Managing Crohn’s in a Patient with Prior MI
    - Preetika Sinh
    Pages 193-196
  6. Managing Post-Op Crohn’s
    - Amir Patel
    Pages 197-198
  7. Managing Pseudopolyps
    - Poonam Beniwal-Patel
    Pages 199-200
  8. Ulcerative Colitis Refractory to Anti-TNF
    - Daniel Stein, Salina Faidhalla
    Pages 201-203
  9. Acute Severe Ulcerative Colitis
    - Amir Patel
    Pages 205-206
  10. Resistant/Refractory Proctitis
    - Poonam Beniwal-Patel
    Pages 207-208
  11. Vaccinations in Newly Diagnosed IBD
    - Preetika Sinh
    Pages 209-210
  12. Ustekinumab vs Risankizumab in Crohn’s
    - Daniel Stein, Salina Faidhalla
    Pages 211-213
  13. Use of Vedolizumab in UC
    - Daniel Stein, Salina Faidhalla
    Pages 215-217
  14. Functional Diarrhea in IBD
    - Amir Patel
    Pages 219-220
  15. IBD Compendium
    1. When to Postpone Infusions
      - Poonam Beniwal-Patel
      Pages 221-221
    2. Musculoskeletal Complaints in a Patient on Anti-TNFs
      - Amir Patel
      Pages 223-224
    3. Use of Immune Modulators in Patients Being Started on Anti-TNFs
      - Daniel Stein, Salina Faidhalla
      Pages 225-226
    4. Pyoderma Gangrenosum
      - Poonam Beniwal-Patel
      Pages 227-227
    5. UC in a Patient Who Failed Mesalamine and Anti-TNF
      - Daniel Stein, Salina Faidhalla
      Pages 229-230
    6. Patients with IBD Who Are Squeamish About Rectal Meds and Self-Injection
      - Amir Patel
      Pages 231-232
    7. Colon Stricture in UC
      - Poonam Beniwal-Patel
      Pages 233-234
    8. Nonspecific Ileal Ulcers
      - Amir Patel
      Pages 235-236
    9. Concern About Pneumocystis jirovecii
      - Poonam Beniwal-Patel
      Pages 237-238
    10. Bloating in Crohn’s
      - Poonam Beniwal-Patel
      Pages 239-240
    11. Severe Diarrhea in a Patient on Chemotherapy
      - Amir Patel
      Pages 241-242
    12. Microscopic Colitis
      - Poonam Beniwal-Patel
      Pages 243-244
    13. Miscellaneous Questions About IBD
      - Daniel Stein, Salina Faidhalla, Amir Patel
      Pages 245-249
  16. Disorders of Gut–Brain Interaction
    1. Front Matter
      
      Pages 251-251
      
      PDF
    2. Introduction to Disorders of Gut-Brain Interaction
      - W. Harley Sobin
      Pages 253-253
    3. IBS-D
      - W. Harley Sobin, Patrick Sanvanson
      Pages 255-260
    4. IBS-C
      - W. Harley Sobin, Patrick Sanvanson
      Pages 261-266
    5. Functional Dyspepsia
      - W. Harley Sobin, Patrick Sanvanson
      Pages 267-270
    6. Bloating
      - W. Harley Sobin, Patrick Sanvanson
      Pages 271-277
  17. Hepatology Compendium
    1. Front Matter
      
      Pages 279-279
    2. Introduction to the Hepatology Compendium
      - W. Harley Sobin
      Pages 281-284
    3. Liver Enzyme Elevation-negative Work-up
      - Francisco Durazo
      Pages 285-287
    4. Increased LFTs with Increased Iron
      - Jose Franco
      Pages 289-290
    5. Increased LFTs with Low Ceruloplasmin
      - Jose Franco
      Pages 291-292
    6. Normal Ceruloplasmin-Suspected Wilson’s
      - Jose Franco
      Pages 293-293
    7. Increased LFTs-Alpha 1 Antitrypsin Deficiency
      - Jose Franco
      Pages 295-295
    8. Suspected Gilbert’s
      - Jose Franco
      Pages 297-298
    9. The Significance of AST > ALT
      - Francisco Durazo
      Pages 299-300
    10. Marked Hyperbilirubinemia
      - Kia Saeian
      Pages 301-302
    11. Suspected NAFLD
      - James Esteban
      Pages 303-306
    12. Treatment of NAFLD
      - Francisco Durazo
      Pages 307-308
    13. Treatment of MASLD
      - Achutan Sourianarayanane
      Pages 309-318
    14. Alcohol and Liver Disease in Women
      - Veronica Loy
      Pages 319-321
    15. Alcoholic Hepatitis
      - Francisco Durazo
      Pages 323-324
    16. Fatty Liver on Ultrasound with Normal LFTs
      - Francisco Durazo
      Pages 325-325
    17. Evaluation for Liver Damage from Chronic ETOH Use
      - Francisco Durazo
      Pages 327-327
    18. Ascites in a Patient Without Obvious Cirrhosis
      - Jose Franco
      Pages 329-330
    19. Ascites in Cirrhosis of Unclear Etiology with Increased Mononuclear Cells
      - Jose Franco
      Pages 331-332
    20. Low SAAG Ascites
      - Jose Franco
      Pages 333-334
    21. Banding Esophageal Varices
      - Kia Saeian
      Pages 335-336
    22. Gastric Varices
      - Kia Saeian
      Pages 337-340
    23. Increased Ascites in a Stable Cirrhotic
      - Kia Saeian
      Pages 341-343
    24. Complications Related to Managing Ascites
      - James Esteban
      Pages 345-346
    25. Portal Vein Thrombosis in Cirrhosis
      - James Esteban
      Pages 347-349
    26. PVT and Budd Chiari as a Complication of UC
      - Kia Saeian
      Pages 351-352
    27. HCC Management, Solitary Lesion in a Child’s A Cirrhosis
      - Francisco Durazo
      Pages 353-353
    28. Management of Unresectable HCC in a Cirrhotic
      - Francisco Durazo
      Pages 355-356
    29. HCC in NAFLD Without Cirrhosis
      - Francisco Durazo
      Pages 357-357
    30. Managing Primary Biliary Cholangitis
      - Juan Trivella
      Pages 359-364
    31. Advanced PBC
      - Juan Trivella
      Pages 365-367
    32. Autoimmune Hepatitis
      - Francisco Durazo
      Pages 369-370
    33. Autoimmune Hepatitis
      - James Esteban
      Pages 371-374
    34. Primary Sclerosing Cholangitis
      - Juan Trivella
      Pages 375-377
    35. PBC-AIH Overlap
      - Juan Trivella
      Pages 379-380
    36. Immune-Tolerant Chronic HBV
      - James Esteban
      Pages 381-383
    37. Immune-Active Chronic HBV
      - James Esteban
      Pages 385-389
    38. HBV Treatment Discontinuation
      - James Esteban
      Pages 391-393
    39. Differentiating Acute HBV from an Acute Exacerbation of Chronic HBV
      - James Esteban
      Pages 395-396
    40. Acute HBV and Risk of HBV Reactivation
      - James Esteban
      Pages 397-399
    41. Complicated HCV
      - Kia Saeian
      Pages 401-402
    42. 1. Acute Liver Failure
        
        Kia Saeian
        
        Pages 403-404
      2. Delayed Presentation of Tylenol Overdose
        
        Kia Saeian
        
        Pages 405-406
      3. Candidates for Liver Transplant?
        
        Veronica Loy
        
        Pages 407-409
      4. Frustrations with Waiting for a Transplant
        
        Veronica Loy
        
        Pages 411-413
      5. Complications Posttransplant
        
        Veronica Loy
        
        Pages 415-418
    43. Back Matter
      
      Pages 419-425

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