Download Handbook of gastroenterologic procedures by Douglas A. Drossman, Ian S. Grimm, Nicholas J. Shaheen PDF

By Douglas A. Drossman, Ian S. Grimm, Nicholas J. Shaheen

The completely up to date and drastically extended Fourth version of the best-selling Manual of Gastroenterologic Procedures covers all diagnostic and healing approaches in present use for grownup and pediatric sufferers. Fifty procedures—both endoscopic and non-endoscopic—are defined in a concise, established, easy-to-follow structure that incorporates symptoms, contraindications, sufferer coaching, gear, procedure, post-procedure care, and issues. Over a hundred drawings consultant readers via key steps.

This version comprises new diagnostic systems and plenty of new healing endoscopy chapters. Appendices supply info on organizing a approach unit, dealing with specimens, doses of GI medications, directions for endoscopic screening and surveillance, and CPT codes, plus a list of significant apparatus owners and Websites.

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Centers. Fentanyl has a more rapid onset of action and shorter half-life and is therefore easier to titrate. Hydromorphone can be used as a replacement for patients in whom meperidine and fentanyl show limited effect. ALTERNATIVES FOR PATIENTS WHO ARE DIFFICULT TO SEDATE 1. Adjuncts to benzodiazepine/opioid combinations: These drugs should be reserved for selected cases due to the risk of oversedation and adverse effects. a. b. 2. Droperidol: Neuroleptic agent with sedative and antiemetic effects.

High-risk patients for endocarditis are those with the following conditions: a. Prosthetic cardiac valves b. A history of endocarditis c. Complex cyanotic heart disease d. Surgically constructed systemic-pulmonary shunts Guidelines vary for patients who are at moderate risk for endocarditis and who may undergo one of the four high-risk endoscopic procedures. The ASGE states that there is insufficient data to make a recommendation regarding prophylaxis in these patients. However, the AHA does recommend prophylaxis for those at moderate risk for endocarditis as a result of the following: 1.

3. Always perform a biopsy on a gastric ulcer, unless it is a pyloric channel ulcer or prepyloric erosion that is clearly benign. , at least six to eight biopsies). Avoid performing a biopsy in an area where there is evidence of active or recent bleeding from the ulcer (clot on the base or visible vessel). 4. In the case of ulcer disease a biopsy should be taken of the antral mucosa to assess for the presence of H. pylori. Take another biopsy from the fundus if the patient is taking a proton pump inhibitor.

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