Editor: Douglas G. Adler MD, FACG, AGAF, FASGE
ISBN 13: 978-1-61711-028-3
Slack Incorporated 2012 264 pages Hard Cover
List Price: $109.95
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MedicalScienceBooks.com Medical Book Review:
Self-Expanding Stents in Gastrointestinal Endoscopy is a timely publication in the field of gastroenterology. Endoscopists, depending at which institution they completed their training, often have strong preferences in the types of stents they choose for different diagnoses. Many of these preferences are based on comfort level with the devices and the predictable level of efficacy that comes with consistent use. However, a number of recent studies have begun to shed more light on the head to head comparisons between, for example, Fully Covered Self-Expanding Metal Stents (FCSEMS) and Partially Covered Self-Expanding Metal Stents (PCSEMS) on a number of clinically important variables like intra- and post-procedural complication rates. Furthermore, the pace of biotechnological improvement of existing stent materials is expected to quicken as we learn more about the shortcomings of existing materials and seek out new indications for use.
This text is a concise and highly evidence-based guidebook for the most beneficial use of a variety of self-expanding metal stent devices. Organized mainly by anatomical area of stenting, the reader is updated on all the major indications and FDA approved uses for each type of stent. Each chapter can be used as a stand-alone monograph on a particular topic and include an impressively comprehensive list of references on the subject from the past several years. There is a handy table in the chapter on stent use for patients with malignant dysphagia which lists the majority of self-expanding stents currently available in the U.S. Information in the table regarding the materials and variety of lengths and diameters with which the stents are manufactured is also included. Another such table can be found in the chapter on gastroduodenal stents which lists information on through-the-scope self-expanding stents. The final chapter covering the future of self-expanding stents in endoscopy serves just as important a purpose as those discussing specific uses. The more academically minded readers will appreciate the directions that current and future research will likely take in improving the design and efficacy of these simple, yet highly functional devices. The focus of the chapter is on several types of stents which have the potential to greatly improve outcomes, specifically those that are of the drug-eluting, biodegradable, and radioactive types.
Full color images taken during endoscopic procedures which clearly show the stents placed amidst varying degrees of pathology can be found throughout the text. These visualizations help bring the point home about the importance for optimal stent choice when dealing with complicated placements. Additionally, the reader will be familiar with how stents, particularly those which are partially covered or bare, can be rendered ineffective and non-removable by tumor and tissue overgrowth. Finally, the use of fluoroscopic images in the preparatory and placement stages of stent procedures is discussed along with some excellent examples.
Both practicing and training endoscopists will find this book to be invaluable for its presentation of the updated clinical literature on gastrointestinal stents. Its concise tables and high quality images make it a ready source of information which should be among those select references easily accessible in the endoscopy suite.
There is a tremendous interest in information on stents in the world of gastrointestinal endoscopy. Many physicians did not train in an era where these stents were available, but are now being called upon to place them. Self-Expanding Stents in Gastrointestinal Endoscopy looks to provide physicians with the necessary and unique all-in-one resource on stents.
Self-Expanding Stents in Gastrointestinal Endoscopy by Dr. Douglas G. Adler covers the use of self-expanding stents. This book will cover the use of all available devices in all clinical contexts, with step-by-step instructions from experts in the field on how to use them and, just as importantly, what not to do when using these devices. Self-Expanding Stents in Gastrointestinal Endoscopy is illustrated with more than 150 color photographs, as well as many tables and diagrams.
Self-Expanding Stents in Gastrointestinal Endoscopy brings attention to the use of self-expanding stents in benign and malignant diseases, the avoidance and management of complications, and the future of these devices.
Self-Expanding Stents in Gastrointestinal Endoscopy is the perfect go-to book for all practicing gastroenterologists, fellows, and general and colorectal surgeons.
Chapter 1. Espohageal Stents in Benign Disease