Condition Brand New. Description This comprehensive treatise on cutting edge tools and research provides a fascinating insight into the rapidly evolving field of diagnostic and therapeutic endoscopy. Accomplished international researchers and clinicians discuss the latest endoscopic advances in diverse areas including obesity and associated metabolic syndromes, management of peripancreatic fluid collections, endoluminal suturing techniques, fistula closure, management of Barrett's epithelium, cholangioscopy, chromoendoscopy, high resolution manometry and endoscopic ultrasonography.
Gastrointestinal Endoscopy: New Technologies and Changing Paradigms is a valuable resource on the evolving role of endoscopic management of gastrointestinal diseases and is a tremendous resource for gastroenterologists, endoscopists, GI surgeons, and medical residents.
Gastrointestinal endoscopy: past and future - Europe PMC Article - Europe PMC
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A much smaller fraction of the U. Current practice of colonoscopic management of diminutive polyps is generally to resect remove and submit them for pathologic assessment, however, the routine pathological assessment of all resected diminutive colorectal polyps results in substantial costs to patients and society for management of a group of lesions with limited clinical importance. Pathological assessment also causes a delay for informing patients of the histology of their polyps and in recommending the next colonoscopy surveillance interval.
Factors that were considered in reaching consensus regarding the recommended thresholds included the importance of the issue to clinical practice, the accuracy of the gold standard pathology , and the impact of other factors that affect clinical outcomes. The PIVI is provided solely for educational and informational purposes and to support incorporating these endoscopic technologies into clinical practice.
It should not be construed as establishing a legal standard of care. The PIVI statements rest on two general assumptions: First, all polyps in the proximal colon proximal to the sigmoid colon should be endoscopically resected, and all adenomas should be resected regardless of the location in the colon. Therefore to maximize the benefits of colonoscopy and polypectomy, the current paradigm of resecting all colorectal polyps except diminutive polyps in the rectosigmoid, which appear endoscopically to be hyperplastic benign , should be preserved in the new paradigm; the second assumption is that there is a group of colorectal polyps that have a sufficiently low prevalence of advanced histology including cancer such that the only value offered by their pathological assessment is to guide assignment of the post-polypectomy surveillance interval.
The first new PIVI paradigm has been called the "resect and discard" strategy which could be appropriately applied to diminutive polyps anywhere in the colorectum. About this book This comprehensive treatise on cutting edge tools and research provides a fascinating insight into the rapidly evolving field of diagnostic and therapeutic endoscopy.
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