Theodore N. Pappas – författare

Gastrointestinal bleeding is an age-old problem. The original description of g- trointestinalbleedingmayhavebeenfromGalenandhisworkconnectingdyspepsia andmelanoticstool. Thechangesinourmanagementofgastrointestinalbleeding overthecenturieshavebeendrivenbynaturalalterationsinthespectrumofdiseases, expanding our understanding of these diseases and the never ending advances in technologyandpharmacologythathaveoccurredrelativetoGIdiseases. Academic interestingastrointestinalbleedingpeakedinthelasthalfofthetwentiethcentury withtheexpandingroleofsurgery,thediscoveryofacid-basedpepticulcerthe- pies,andtheriseof?exibleendoscopyandculminatedinthedescriptionofh. pylori as a causative agent for ulcer disease. More recently there has been a decrease incidenceinbleedingdiseasesofthegutandthereforeadecreasinginterestinthe scholarlywritingaboutthesediseases. Therehasnotbeenamajortextbookwritten aboutgutbleedinginover10yearsandthereforetheintentionofthistextbookisto ?llthatvoidbyprovidingareviewofacomprehensiveapproachtouppergut,mid, andlowergutbleeding. CliniciansatDukeUniversitywhohaveacommoninterestinthegastrointes- naltracthavecollaboratedintheconstructionofthistext.Thisefforthasbrought together surgeons, gastroenterologists, and radiologists, to carefully chronicle the presentation, diagnosis, and management of modern day causes of gastrointes- nal bleeding. These co-authors concentrate on some of the latest innovations in the endoluminal and minimally invasive techniques that characterize the current approaches to these diseases. Emphasis has been placed on capsule endoscopy, double-balloon endoscopy, laparoscopic peptic ulcer surgery, and angiographic diagnosis and management techniques. The text has been written in such a way thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe diseasespresent. Wehopethatthistextprovidesafoundationforlearningformedicalstudents, interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v Acknowledgment TheeditorswouldliketothankMs. VirginiaCashforherhelpinthepreparation andcoordinationofthetext. vii Contents Part I Upper GI Bleeding Stabilization of Patients Presenting with Upper Gastrointestinal Bleeding...3 ErrolL. BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal Bleeding...13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan Management of Esophageal Variceal Bleeding ...23 KekiBalsaraandLisaPickett Management of Dieulafoy's Lesions ...31 SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner, MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic Ulcer Disease ...39 JamesC. PadussisandTheodoreN. Pappas Management of Unusual Sources of Upper GI Bleeding...65 ElisabethTracyandJanetTuttle-Newhall Mallory-Weiss Syndrome...79 JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small Bowel Tumors...85 KeriE. LunsfordandAuroraD. Pryor Management of Bleeding from the Bile Duct ...103 CarlosE. MarroquinandBridgetM. Marroquin Management of Bleeding from the Pancreas...

The latest edition of this text provides a practical reference for physicians and other health care providers caring for patients with gastrointestinal bleeding. Similar to the previous edition, this volume addresses common problems associated with gastrointestinal bleeding and discusses in a logical and step-wise fashion appropriate options for patient care. The text is structured based on the location of bleeding, with common, rare and unknown sources being addressed. It also includes updated and new chapters focusing on the newest advances in imaging and interventional modalities in the care of patients with GI bleeding, as well as highly practical presentations of typical patients seen in clinical practice.Written by world renowned experts in gastrointestinal diseases, Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management, Second Edition is a valuable resource in the management of gastrointestinal bleeding both for those currently in trainingand for those already in clinical practice.

The latest edition of this text provides a practical reference for physicians and other health care providers caring for patients with gastrointestinal bleeding. Similar to the previous edition, this volume addresses common problems associated with gastrointestinal bleeding and discusses in a logical and step-wise fashion appropriate options for patient care. The text is structured based on the location of bleeding, with common, rare and unknown sources being addressed. It also includes updated and new chapters focusing on the newest advances in imaging and interventional modalities in the care of patients with GI bleeding, as well as highly practical presentations of typical patients seen in clinical practice.Written by world renowned experts in gastrointestinal diseases, Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management, Second Edition is a valuable resource in the management of gastrointestinal bleeding both for those currently in trainingand for those already in clinical practice.