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Endoscopic management of gastrointestinal cancer and precancerous conditions - P. Alberto Testoni,P. Giorgio Arcidiacono,Alberto Mariani - copertina
Endoscopic management of gastrointestinal cancer and precancerous conditions - P. Alberto Testoni,P. Giorgio Arcidiacono,Alberto Mariani - copertina
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Endoscopic management of gastrointestinal cancer and precancerous conditions - P. Alberto Testoni,P. Giorgio Arcidiacono,Alberto Mariani - copertina
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In the last two decades digestive endoscopy has played a pivotal role in the management of gastrointestinal tumors; in more recent years the development of advanced imaging technologies and new devices for endoluminal therapy has markedly expanded both diagnostic and therapeutic indications for endoscopy in gastroenterological oncology. Prevention of gastrointestinal tumors is today feasible by colonoscopy-based screening programs and follow-up of precancerous cnditions, with a significant positive impact on cancer-related mortality. Advanced imaging technologies identify neoplasia at a very early stage and may give real time histology. New technologically-advanced devices and materials allow endoluminal therapy to treat lesions that until few years ago could only be treated by surgery, with significant improvement in hospital costs and patients morbidity, besides a significant cost-saving for the health care system, if routinely adopted in clinical practice outside referral centers. Palliation by endoscopy has a lower complication rate, compared to surgery, and improves the quality of life of patients permitting to start chemo-/radiotherapy earlier than after surgery. Moreover, the progressive diffusion of ultrasound endoscopy in the last years had a tremendous impact in the clinical management of gastrointestinal neoplasia, allowing a proper selection of patients suitable for curative endoscopic resection, or by-pass procedures not feasible by standard endoscopy. In this book, unique for its completeness and specificity, we have brought together the world’s top experts and asked them to address all aspects, present and future, of the endoscopic management of digestive tumors, from the advanced diagnostics to therapy, with the aim of providing the reader with the state of the art in the field and future perspectives.
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Dettagli

2015
1 gennaio 2015
Libro universitario
304 p., ill. , Rilegato
9788877118141
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Indice

Indice

Techniques for diagnosis and therapy of G.I. tract lesions
I. Advanced endoscopic imaging of the gastrointestinal tract in the stomach and colon

II. Advanced optical imaging techniques for investigating the gastrointestinal tract: techniques and future developments

III. Endoscopic ultrasonography for staging before emr/esd and future developments

IV. Radiofrequency ablation of G.I. tract mucosa: technique, indications and complications

V. Endoscopic mucosal resection: techniques and complications

VI. Endoscopic submucosal dissection
- Techniques - Complications

VI. Emr and esd: indications and outcomes

VII. Endoscopic resection of submucosal lesions of G.I. tract: techniques and results

VIII. Enteroscopy: techniques and indications

IX. Management of post-procedural and neoplasia-associated bleeding

X. Management of g.i. Tract fistulae and perforations

XI. Stents and techniques of stenting in G.I. tract

XII. Sedation for therapeutic endoscopy: techniques and current guidelines

Management of upper G.I. tract lesions
I. Diagnosis and follow-up of dysplasia and early cancer in barrett’s esophagus

II. Endoscopic management of barrett’s esophagus and early esophageal carcinoma: current strategies and future prospects

III. Palliation of esophageal neoplasia and treatment of post-surgical esophageal complications

IV. Diagnosis and follow-up of pre-cancerous conditions and early gastric cancer of the stomach

V. Management of gastric dysplasia and early cancer: short- and long-term outcomes

VI. Palliation of gastric outlet obstruction

VII. Endoscopic diagnosis and management of small bowel lesions

Management of lower g.i. Tract lesions
I. Quality assurance in diagnostic and therapeutic colonoscopy

II. Epidemiology and screening of colorectal cancer

III. The role of eus in the assessment and staging of rectal malignancy

IV. Management of large colorectal polyps

V. Management of dysplasia and early cancer of colon-rectum: short- and long-term outcomes

VI. Colonoscopy surveillance following adenoma removal: current guidelines

VII. Palliation of colon cancer stricture

Diagnostic and therapeutic endoscopy for the G.I. tract neoplasia: future perspectives
I. Endoscopic suturing devices

II. Endoscopic ultrasound-guided G.I. by-pass

III. The future in endoscopic management of G.I. tumors

IV. Natural orifice translumenal endoscopic surgery (notes) for G.I. tract neoplasia

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