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Oncology
Clinical Challenges and Complications of IBD
2 related chapters
Chapter 5: Dysplasia And Colorectal Cancer
Chapter 11: Women’S Health - Pregnancy, Fertility, and Cervical Cancer
Clinical Nutrition in Gastrointestinal Disease
2 related chapters
Chapter 17: Nutrition And Colorectal Cancer
Chapter 26: Nutrition And Gastrointestinal Oncology
Common Liver Diseases and Transplantation: An Algorithmic Approach to Work Up and Management
1 related chapter
Chapter 3: Hepatocellular Carcinoma And Cholangiocarcinoma
Complicated Cases in GI
18 related chapters
Chapter 1: Endoscopic Therapy Foran Esophageal Dissection
Chapter 5: A Rare Form Of Esophageal Toxicity
Chapter 6: Diffuse Squamous Cell Dysplasiaof The Esophagus
Chapter 7: Abdominal Pain and an Ovarian Mass
Chapter 9: A 53-Year-Old Woman with a Pelvic Mass
Chapter 10: Aids And Nodular Gastric Antritis
Chapter 13: A 73-Year-Old Womanwith A “Juvenile” Disease
Chapter 14: A Surprising Cause Forbleeding Gastric Varices
Chapter 23: Difficult-To-Diagnose Cecal Mass
Chapter 24: Ulcerative Colitis Presentingwith A Rectal Mass
Chapter 27: Sessile Serrated Adenomas:A Lesion Not To Be Missed
Chapter 29: Right Lower Quadrant Painin A 39-Year-Old Woman
Chapter 32: Constipation And Decreased Urinary Output In A 32-Year-Old Man
Chapter 36: A 74-Year-Old Man with Refractory Diarrhea
Chapter 39: Elevated Serum Alkaline Phosphatase in an Asymptomatic Patient
Chapter 46: Elevated Alkaline Phosphatase Level and Renal Cell Carcinoma
Chapter 49: Primary Hepatic B-Cell Lymphoma Masquerading as a Liver Abscess
Chapter 55: A Strange Cause of Weight Loss
Core Concepts in Colonoscopy
5 related chapters
Chapter 2: Enhanced Imaging Techniques
Chapter 6: Endoscopic Polypectomy Techniques
Chapter 7: Postcolonoscopy Decision Making
Chapter 10: Colonic Stenting
Chapter 11: Lower Gastrointestinal Bleeding
Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition
15 related chapters
Question 1: An 81-Year-Old Healthy Male Is Found To Have A 12-Cm Long Segment Barrett’S Esophagus And Several Tiny Raised Lesions, With Moderate To High Grade Dysplasia In One Location. What Do I Tell The Patient? What Therapy Is Appropriate?
Question 5: What Is The Current Recommendation For Endoscopic Surveillance Of Barrett’S Esophagus, And How Can We Improve The Results With The Current Technologies?
Question 11: A 59-Year-Old Professor Had Dyspepsia And Subjective Weight Loss. He Was Treated Previously For H Pylori Infection. Egd And Biopsies Showed Chronic Inflammation With Intestinal Metaplasia And One Focal Area Of Low-Grade Dysplasia. What Do I Do?
Question 14: A 45-Year-Old Alcoholic Was Admitted With Abdominal Pain, Coffee Ground Emesis, And Mild Anemia. Upper Endoscopy Shows A Few Polypoid Masses In The Gastric Body And Pigmentations In The Antrum. What Should I Do?
Question 17: Which Of My Patients With Ulcerative Colitis Need “Surveillance” Colonoscopy? How Should The Procedure Be Performed?
Question 19: A 68-Year-Old Male With Significant Comorbidities Presented With Weight Loss And New Onset Vomiting. Investigation Showed Colonic Obstruction With Poorly Differentiated Adenocarcinoma Involving The Sigmoid Colon. Do I Consider Stenting?
Question 20: A 58-Year-Old Female Underwent A Screening Colonoscopy That Showed A 2.5-Cm Flat Polyp In The Proximal Ascending Colon. I Tattooed The Area And Biopsied The Polyp, Which Was Initially Reported As Hyperplastic. What Should I Do?
Question 21: What Is The Role Of Chromoendoscopy In Screening Colonoscopy? Will It Help To Differentiate Different Types Of Polyps, And Is It Useful For Proximal Serrated Polyps?
Question 25: What Is The Best Endoscopic Method To Diagnose Pancreatic Cancer? What Is The Best Way To Sample Tissue To Diagnose Suspected Bile Duct Cancer?
Question 26: A 68-Year-Old Man With A Klatskin’S Tumor Was Referred For Consideration Of Ercp And Palliative Drainage. How Should I Manage The Patient?
Question 34: A 68-Year-Old Banker Who Had A Prior Whipple For Periampullary Cancer Had Recurrent Abdominal Pain And Fever For 3 Years. Each Resolved With Antibiotics. Lfts Are Impaired And Ct Scan Shows Dilated Intrahepatic Ducts And A Tubular Structure In The Pancreas. What Should I Do?
Question 39: What Is The Best Treatment For Duodenal Or Ampullary Adenoma, And What Is The Current Recommendation For Surveillance After Treatment?
Question 45: When Is Eus Necessary For A Newly Diagnosed Cancer Of The Esophagus, Stomach, Colon, Or Pancreas?
Question 46: A 35-Year-Old Mechanic Is Complaining Of New Onset Epigastric Pain After Taking Motrin. Egd Shows Mild, Nonerosive Antral Gastritis, And A 1-Cm Submucosal Mass In The Proximal Antrum. Biopsies Showed Chronic Inflammation. What Should I Do?
Question 49: If I Suspect A Small Bowel Lesion, How Do I Choose Among Small-Bowel Series, Capsule Endoscopy, Ct Enterography, And Double-Balloon Enteroscopy As The Diagnostic Test?
Curbside Consultation in GERD: 49 Clinical Questions
10 related chapters
Question 25: A 42-Year-Old Man Who Does Not Use Tobacco Or Alcohol But Has Chronic Reflux Presents For Evaluation And Wants To Know If He Is At Risk For Esophageal Cancer. What Do I Tell Him? Does His Risk Change If His Symptoms Are Effectively Relieved With Ppi Therapy?
Question 26: Who Is At Risk For Barrett’S Esophagus? Do African Americans Need To Worry About Barrett’S Esophagus?
Question 27: Should Patients Be Screened For Barrett’S? Are There Patients Who Need Not Be Screened?
Question 29: Mr. Smith Has No Reflux Symptoms But Underwent Upper Endoscopy As Part Of A Celiac Sprue Evaluation. He Was Found To Have A 5-Mm Segment Of Columnar-Lined Esophagus Without Nodularity. Biopsies Showed Intestinal Metaplasia But No Dysplasia. What Is The Appropriate Follow-Up?
Question 30: Should Endoscopic Surveillance Be Performed In A Patient With Barrett’S? If So, How?
Question 31: What Are The Management Options For Dysplasia In Patients With Barrett’S Esophagus, Specifically High-Grade Dysplasia?
Question 38: Can Medical Therapy Alter The Natural History Of Barrett’S Esophagus?
Question 39: Can Antireflux Surgery Alter The Natural History Of Barrett’S Esophagus?
Question 40: Do Either Medical Therapy Or Antireflux Surgery Reduce The Risk Of Or Prevent The Development Of Esophageal Cancer?
Question 48: Which Patients With Barrett’S Should Be Referred For Photodynamic Therapy?
Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions
49 related chapters
Question 1: What Are The Risk Factors For The Development Of Esophageal Cancer?
Question 2: Do All Patients With Esophageal Cancer Require Surgery Or Can Some Be Managed With Nonsurgical (Endoscopic, Oncologic, Etc) Methods Alone?
Question 3: What Options Exist For Enteral Feeding In Preoperative Patients With Esophageal Cancer Who Have Dysphagia?
Question 4: An 81-Year-Old Man Is Found To Have Unresectable Esophageal Cancer And Malignant Dysphagia. Should He Have A Stent? A Nasogastric Feeding Tube? A Percutaneous Endoscopic Gastrostomy Tube?
Question 5: How Should Malignant Tracheoesophageal Fistulae Be Managed In Patients With Esophageal Cancer?
Question 6: A 55-Year-Old Man Undergoes An Esophagectomy For Esophageal Cancer. Two Years Later, He Develops Dysphagia And A Contrast Study Discloses A Narrowing At His Anastomosis. How Should This Be Investigated And Treated?
Question 7: What Are The Known Risk Factors For The Development Of Gastric Cancer?
Question 8: What Is The Relationship Between Helicobacter Pylori And The Development Of Gastric Cancer And Lymphoma? Do All Patients With Helicobacter Pylori-Related Gastric Malignancies Need Surgery?
Question 9: What Options Exist For Patients With Gastric Outlet Obstruction From Gastric Cancer?
Question 10: What Is The Role Of Endoscopic Ultrasound In Staging Gastric Cancers?
Question 11: How Is Tumor-Related Bleeding From Gastric Cancers Best Approached?
Question 12: What Is Linitis Plastica, And How Does Its Development Affect The Management And Prognosis Of Patients With Gastric Cancer?
Question 13: A 42-Year-Old Woman Has An Esophagogastroduodenoscopy For Dyspepsia. A 2-Cm Submucosal Lesion In The Proximal Stomach Is Seen. How Should This Lesion Be Further Evaluated And Treated?
Question 14: A 54-Year-Old Woman Has Weight Loss And Back Pain. An Ultrasound Is Suggestive Of A Solid Mass In Her Pancreas. How Should Her Evaluation Best Proceed With Regards To Diagnosis And Staging?
Question 15: Do Patients With Pancreatic Cancer And Jaundice Need To Have An Endoscopic Retrograde Cholangiopancreatography Preoperatively?
Question 16: A 43-Year-Old Woman Has Syncope Due To Hypoglycemia. An Insulinoma Is Suspected. Computed Tomography And Magnetic Resonance Imaging Of Her Abdomen Are Negative. How Should This Patient Be Further Evaluated?
Question 17: How Should A Cystic Pancreatic Lesion Be Evaluated Prior To Treatment? Which Cystic Lesions In The Pancreas Require Resection And Which Can Be Followed Conservatively?
Question 18: What Is The Role Of Metal Biliary Stents In Patients With Unresectable Pancreatic Cancer And Jaundice?
Question 19: Should Patients With A Strong Family History Of Pancreatic Cancer Be Screened For The Disease, And If So, How?
Question 20: A 78-Year-Old Woman With Pancreatic Cancer And Severe Pain Is Referred To You For Evaluation. What Is The Role Of Celiac Plexus Neurolysis To Control Pain In These Patients?
Question 21: A 70-Year-Old Man With Pancreatic And Liver Cancers Develops Gastric Outlet Obstruction Due To A Mass Compressing The Mass Proximal Duodenum. What Treatment Options Exist For This Situation?
Question 22: A 67-Year-Old Man With Pancreatic Adenocarcinoma Undergoes Endoscopic Ultrasound, Which Reveals Malignant Adenopathy And Superior Mesenteric And Portal Vein Involvement. What Treatment Options Exist For This Patient?
Question 23: A 68-Year-Old Man Develops Painless Jaundice. Endoscopic Retrograde Cholangiopancreatography Demonstrates A Large Ampullary Mass. Biopsies Demonstrate Adenocarcinoma. How Should This Patient Be Managed?
Question 24: A 24-Year-Old Woman Is Found To Have Primary Sclerosing Cholangitis. What Is Her Risk Of Developing Cholangiocarcinoma?
Question 25: What Is The Role Of Endoscopic Retrograde Cholangiopancreatography And Endoscopic Ultrasound In Patients With Suspected Cholangiocarcinoma?
Question 26: Which Patients With Cholangiocarcinoma Are Candidates For Surgical Resection? Is Liver Transplant An Option For Patients With Cholangiocarcinoma?
Question 27: What Oncologic Treatment Options Exist For Patients With Cholangiocarcinoma Who Are Not Considered Surgical Candidates?
Question 28: Should Patients With Unresectable Cholangiocarcinoma And Jaundice Be Managed Via Endoscopy With Stents, Interventional Radiologists With Drains, Or Both?
Question 29: What Is The Role Of Photodynamic Therapy And Brachytherapy In Patients With Cholangiocarcinoma?
Question 30: What Are The Risk Factors For The Development Of Hepatocellular Cancer?
Question 31: A 55-Year-Old Man Is Newly Diagnosed With Cirrhosis From Hepatitis C. What Is The Best Imaging Modality And Treatment Strategy To Screen Him For Hepatocellular Carcinoma?
Question 32: Which Patients With Hepatocellular Cancer Are Candidates For Liver Transplantation Or Surgical Resection?
Question 33: In Nonsurgical Patients With Hepatocellular Cancer, What Treatment Options Exist, And How Effective Are They?
Question 34: A 67-Year-Old Woman With Cirrhosis Develops Hepatocellular Cancer. Shortly After Diagnosis, She Becomes Jaundiced. How Do You Determine If The Jaundice Is Due To Cirrhosis, Biliary Obstruction, Or Both?
Question 35: A 55-Year-Old Man With Cirrhosis Is Found To Have A 1.5-Cm Liver Lesion And An Elevated Alpha-Fetoprotein. Is A Biopsy Or Other Testing Required To Confirm A Diagnosis Of Hepatocellular Carcinoma? What Other Evaluation Is Warranted?
Question 36: Which Diseases Increase The Risk Of Developing Small Bowel Carcinoma?
Question 37: What Are The Current Guidelines For Screening For Colorectal Cancer?
Question 38: What Are The Risk Factors For Colorectal Cancer?
Question 39: What Surgical Options Are Available For Patients With Colon Cancer, Including Those Who Present With Acute Obstruction?
Question 40: How Should Patients With A Solitary Liver Metastasis From Colon Cancer Be Evaluated And Treated?
Question 41: Which Patients With Colorectal Cancer Should Be Considered For A Colonic Stent?
Question 42: What Is The Best Surveillance Regimen For Patients Following Colon Cancer Resection?
Question 43: A 78-Year-Old Man With Metastatic Colon Cancer Had A Colonic Stent Placed 16 Months Ago. He Has Developed Recurrent Obstruction At The Site Of The Tumor. How Should This Patient Be Evaluated And Managed?
Question 44: A 55-Year-Old Man Presents With Rectal Bleeding. A Digital Rectal Exam Reveals A Firm 1-Cm Perianal Lesion. Biopsy Of This Lesion Is Consistent With Squamous Cell Carcinoma. How Do You Manage This Patient?
Question 45: Why Are Rectal Cancers So Different From Colon Cancers With Regard To Medical And Surgical Management?
Question 46: What Is The Role Of Endorectal Ultrasound In Patients With Rectal Cancer? Do All Patients With Rectal Cancer Need To Have An Endorectal Ultrasound?
Question 47: Which Patients With Rectal Cancer Should Undergo Neoadjuvant Therapy And Which Patients Can Proceed Directly To Surgery?
Question 48: How Should Patients Be Followed After Successful Treatment For Rectal Cancer?
Question 49: How Low In The Rectum Can A Colonic Stent Be Safely Placed? What Happens If The Stent Is Deployed Too Far Distally?
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