Cotton and Williams’ Practical Gastrointestinal Endoscopy

Catharine M. Walsh, MD, MEd, PhD, FRCPC is an Associate Professor of Paediatrics at The Hospital for Sick Children, University of Toronto, Toronto, Canada.
 
Ahmir Ahmad, MBBS, BSc, MRCP, PhD is a Consultant Gastroenterologist at St. Mark's Hospital, London, UK.
 
Brian P. Saunders, MD, FRCP, FRCS is a Consultant Gastroenterologist at St. Mark's Hospital and Professor of Endoscopy at Imperial College, London, UK.
 
Jonathan Cohen, MD, FASGE, FACG is a Clinical Professor of Medicine at the NYU Grossman School of Medicine, New York, USA.
 
Peter B. Cotton, MD, FRCP, FRCS is a Professor of Medicine at the Medical University of South Carolina, Charleston, USA.
 
Christopher B. Williams, BM, FRCP, FRCS was a Consultant Physician in Gastrointestinal Endoscopy at St. Mark's Hospital, London, UK.

PRACTICAL GASTROINTESTINAL ENDOSCOPY
 
The fundamental guide to gastrointestinal endoscopy returns in a fully updated new edition
 
For over forty years, Cotton and Williams' Practical Gastrointestinal Endoscopy has offered a clear, accessible introduction to the fundamentals of endoscopy, from patient positioning to the range of available procedures. Now updated by a new authorial team to reflect the latest advances in endoscopic procedures, this text promises to serve a new generation of trainees and specialists as the essential introduction to upper and lower gastrointestinal endoscopy.
 
Readers of the eighth edition of Cotton and Williams' Practical Gastrointestinal Endoscopy will also find:
* Updated online resources including a downloadable bank of clinical images
* High-quality videos illustrating endoscopic practices and procedures, linked to specific points in the text
 
Cotton and Williams' Practical Gastrointestinal Endoscopy remains a must-own for all trainee and specialist gastroenterologists and endoscopists.

List of Video Clips viii
 
Preface to the Eighth Edition x
 
Preface to the First Edition xi
 
Acknowledgments xii
 
About the Companion Website xiii
 
1 Welcome to Endoscopy 1
 
Resources and links 4
 
2 The Endoscopy Unit Staff and Management 6
 
Endoscopy units 6
 
Staff 9
 
Management behavior and teamwork 10
 
Documentation and quality improvement 10
 
Educational resources 11
 
Further reading 11
 
3 Endoscopic Equipment 13
 
Endoscopes 13
 
Endoscopic accessories 18
 
Ancillary equipment 19
 
Electrosurgical units 20
 
Lasers and argon plasma coagulation 20
 
Equipment maintenance 21
 
Infection control 22
 
Cleaning and disinfection 22
 
Further reading 26
 
4 Patient Care Risks and Safety 27
 
Patient assessment 27
 
Patient education and consent 32
 
Physical preparation 37
 
Sedation/anesthesia 37
 
Recovery and discharge 40
 
Managing adverse events 40
 
Further reading 41
 
5 Upper Endoscopy: The Fundamentals 43
 
Patient position 43
 
Endoscopist position 44
 
Endoscope Handling 44
 
Passing the endoscope 45
 
Routine diagnostic survey 48
 
Stomach 50
 
Problems during endoscopy 56
 
Recognition of lesions 57
 
Specimen collection 62
 
Diagnostic endoscopy under special circumstances 65
 
Further reading 67
 
6 Therapeutic Upper Endoscopy 69
 
Benign esophageal strictures 69
 
Achalasia 73
 
Esophageal cancer palliation 74
 
Gastric and duodenal stenoses 77
 
Gastric and duodenal polyps and tumors 78
 
Foreign bodies 78
 
Acute bleeding 82
 
Enteral nutrition 90
 
Further reading 94
 
7 Colonoscopy and Flexible Sigmoidoscopy 97
 
History 97
 
Indications and limitations and alternatives 97
 
Informed consent 101
 
Contraindications and infective hazards 102
 
Patient preparation 103
 
Medication 110
 
Equipment--present and future 114
 
Anatomy 119
 
Insertion 125
 
Handling "single-handed" "two-handed" or two-person? 127
 
Sigmoid colon--accurate steering 131
 
Endoscopic anatomy of the sigmoid and descending colon 134
 
Sigmoid colon--the bends 137
 
Sigmoid colon--the loops 137
 
Diverticular disease 145
 
Descending colon 147
 
Splenic flexure 148
 
Transverse colon 152
 
Hepatic flexure 156
 
Ascending colon and ileo-cecal region 158
 
Overtubes and balloon colonoscopy 165
 
Examination of the colon 165
 
Stomas 174
 
Pediatric ileocolonoscopy 174
 
Per-operative colonoscopy 175
 
Further reading 176
 
8 Therapeutic Colonoscopy 179
 
Equipment 179
 
Principles of polyp electrosurgery 182
 
Approach to polypectomy 185
 
Selection of polypectomy technique 187
 
Polypectomy: Diminutive and small polyps 187
 
Polypectomy: Large polyps 191
 
Polypectomy: Problem polyps 198
 
Recovery of polypectomy specimens 200
 
Risks of polypectomy 202
 
Other therapeutic procedures 205
 
Further reading 208
 
9 Advanced Endoscopic Procedures 211
 
Small bowel endoscopy 211
 
Endoscopic retrograde cholangiopancreatography (ERCP) 212
 
Endoscopic ultrasound (EUS) 212
 
Bariatric en