Endoscopy in Liver Disease

Description:

Liver disease is an increasingly common cause of mortality, and its management is often complex and challenging. Endoscopy has in recent times undergone a period of rapid progress, with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the patient with liver disease. As the technology in endoscopy expands, both as a diagnostic and interventional procedure, so does the role of the endoscopist in liver disease.

This full colour book and companion website offer a comprehensive guidance as to when, why, and how to perform endoscopy to best manage your patients.

Brings together two key areas - liver disease and endoscopy - into one expert clinical textbook

Covers the entire spectrum of clinical problems that gastroenterologists and endoscopists face while managing patients with liver disease

Includes the latest management guidelines from the key international societies, such as the  ASGE, AASLD, EASL and BSG

Well illustrated with over 150 high-quality colour images

11 high-quality videos illustrating optimum endoscopy practice, all clearly referenced in the text

An indispensable tool for all gastroenterologists, hepatologists and endoscopists, Endoscopy in Liver Disease is perfect for learning how to perform endoscopy safely and effectively in the patient population with liver disorders.

Table of Contents:

1 Equipment, Patient Safety, and Training

Introduction

Equipment

Patient Safety and Training

Acknowledgment

References

2 Sedation and Analgesia in Endoscopy of the Patient with Liver Disease

Introduction

Midazolam

Propofol

Opiate Analgesics

Combination Therapy

Emergency Therapeutic Endoscopy

Unsedated Endoscopy

Conclusion

References

3 Endoscopy in the Setting of Coagulation Abnormalities in the Patient with Liver Disease

Introduction

Coagulation Mechanism

Measuring the Bleeding Risk in Liver Disease: Knowns and Unknowns

Prophylactic Interventions: Advantages and Disadvantages

Relative Risk of Endoscopic Procedures

Rescue Approach

Conclusion

References

4 Varices

Introduction

Natural History of Varices

Variceal Screening and Staging

Primary Prophylaxis of Esophageal Varices

Gastric Varices

Conclusion

References

5 Endoscopic Management of Acute Variceal Bleeding

Introduction

Pathophysiology of Variceal Bleeding

Definitions

General Treatment Measures

Pharmacological Management

Esophageal Varices

Gastric Varices

Ectopic Varices

Conclusion

References

6 Prevention of Recurrent Bleeding from Esophageal Varices

Introduction

Natural History, Prognosis, and Rationale for Therapy

Risk Stratification in Secondary Prophylaxis

Therapies for Secondary Prophylaxis of Variceal Bleeding

Rescue Therapy when Standard Treatment Fails

Special Situations

Gastric Varices

References

7 Refractory Variceal Bleeding

Introduction

Rescue Therapies

High Risk Patients: Strategies to Prevent Rebleeding

Conclusion

References

8 Portal Hypertensive Gastropathy and Gastric Vascular Ectasia

Introduction

Portal Hypertensive Gastropathy

Gastric Vascular Ectasia

Conclusion

References

9 Portal Hypertensive Enteropathy and Obscure Gastrointestinal Bleeding

Introduction

Epidemiology of Obscure Gastrointestinal Bleeding in Patients with Portal Hypertension

Small Bowel Evaluation in Patients with Portal Hypertension and Obscure Gastrointestinal Bleeding

Therapy

Portal Hypertensive Colopathy

Conclusion

References

10 Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease

Introduction

Barrett’s Esophagus

Gastroesophageal Reflux Disease

Celiac Disease

Esophageal Strictures

Peptic Ulcer Disease

Non‐Variceal Upper Gastrointestinal Bleeding

Conclusion

References

11 Colonoscopic Screening and Surveillance in the Patient with Liver Disease (Including Post‐Transplant)

Introduction

Screening Colonoscopy in Average Risk Populations

Surveillance for Colorectal Neoplasia

Bowel Preparation in Patients with Liver Disease

Sedation in Patients with Liver Disease Undergoing Colonoscopy

Colonoscopic Findings in Liver Disease

Risks of Colonoscopy and Polypectomy in Liver Disease

Risk of Septicemia After Colonoscopy in Patients with Ascites

Colorectal Neoplasia in Primary Sclerosing Cholangitis

Liver Transplantation

Conclusion

References

12 Endoscopic Retrograde Cholangiopancreatography and Cholangioscopy in Hepatobiliary Disease

Introduction

General Aspects of Endoscopic Retrograde Cholangiopancreatography and Cholangioscopy

General Endoscopic Retrograde Cholangiopancreatography Techniques in Patients with Chronic Liver Disease

Diseases Associated with Biliary Obstruction or Damage in Chronic Liver Disease

Cholangioscopy

References

13 Endoscopic Ultrasound in the Diagnosis of Hepatobiliary Malignancy

Introduction

Endoscopic Ultrasound in Cholangiocarcinoma

Endoscopic Ultrasound and Hepatic Lesions

Conclusion

References

14 Endoscopic Ultrasound Guided Biliary Drainage

Introduction

Techniques

Outcomes

Comparison of Different Techniques

Endoscopic Ultrasound Guided Biliary Drainage in Patients with Pre‐Existing Duodenal Stents

Endoscopic Ultrasound Guided Biliary Drainage in Patients with Hepaticoduodenostomy

Endoscopic Ultrasound Guided Biliary Drainage Versus Percutaneous Transhepatic Biliary Drainage

Timing of Endoscopic Ultrasound Guided Biliary Drainage

Current Limitations and Recent Advances

Conclusion

Conflicts of Interest

References

15 Hepatobiliary Endoscopy in the Patient with Liver Disease and Altered Anatomy

Introduction

General Considerations

Anatomical Descriptions

Indications

Patient Positioning and Preparation

Selection of Endoscopes, Device Accessories, and General Technique

Techniques

Limitations and Complications

Conclusion

References

16 Management of Post‐Liver Transplant Hepatobiliary Complications

Introduction

Liver Transplant Anatomy

Diagnosis of Biliary Complications

Biliary Strictures

Bile Leaks and Bilomas

Bile Duct Filling Defects

Sphincter of Oddi Dysfunction and Papillary Stenosis

Special Clinical Scenarios

References

17 Endoscopic Confocal and Molecular Imaging in Hepatobiliary Disease

Introduction

Current Tools

Bile Duct

Liver

Perspective on Future Applications

Conclusion

References

18 Laparoscopy in Patients with Hepatobiliary Disease

Introduction

Assessment and Staging

Laparoscopic Intervention in Patients with Hepatobiliary Disease

Conclusion

References

Index

End User License Agreement

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