Gastrointestinal Emergencies 3E provides practical, up-to-date guidance for gastroenterologists, endoscopists, surgeons, emergency and acute physicians, medical students and trainees managing patients presenting with GI complications and/or emergencies.

Combining a symptom section, a specific conditions section and a section that examines complications (and solutions) of GI procedures, focus throughout is on clear, specific how-to guidance, for use before a procedure or immediately after emergency stabilization.  An evidence-based approach to presentation, diagnosis and investigation is utilized throughout.

New to this third edition are several brand new chapters covering various complications of procedures and specific conditions not previously featured, as well as a thorough look at the many diagnostic and therapeutic advances in recent years.  In addition, every chapter from the current edition has undergone wholesale revision to ensure it is updated with the very latest in management guidelines and clinical practice.  Once again, full range of emergencies encountered in daily clinical practice will be examined, such as acute pancreatitis, esophageal perforation, capsule endoscopy complications, acute appendicitis, and the difficulties after gastrointestinal procedures. International guidelines from the world’s key gastroenterology societies will be included in relevant chapters.

Gastrointestinal Emergencies 3E is the definitive reference guide for the management of gastrointestinal emergencies and endoscopic complications, and the perfect accompaniment for the modern-day gastroenterologist, surgeon, emergency and acute physicians.

Every Emergency Department, GI/endoscopy unit, medical/surgical admission unit should keep a copy close at hand for quick reference. 

Tony Tham, Consultant Physician and Gastroenterologist,?Ulster Hospital, Dundonald, Belfast. He is on various GI boards/committees, including the Specialist Advisory Committee for internal medicine for the Joint Royal College of Physicians Training Board, and the British Society of Gastroenterology committee for clinical standards. Dr Tham is an assessor for doctors applying for direct entry into the specialist register in the UK, and an examiner for the Royal College of Physicians and Queen's University of Belfast medical school.

John Collins, Consultant Gastroenterologist,?Royal Victoria Hospital, Belfast.?He is a Past President of the Irish Society of Gastroenterology and is currently Secretary of the Royal College of Physicians of Edinburgh.

Roy Soetikno, Associate Professor of Medicine,?and Associate Chief of GI?sectin, Veterans Affairs Palo Alto Health Care System. Specializing in endoscopic surgery for early gastrointestinal cancer.

Notes on contributors, vii

Section 1: Approach to specific presentations

1 Approach to dysphagia, 3
John S. A. Collins

2 Approach to vomiting, 8
Bee Chan Lee and John S. A. Collins

3 Approach to upper gastrointestinal bleeding, 12
Patrick B. Allen and Tony C. K. Tham

4 Approach to acute abdominal pain, 19
Tony C. K. Tham

5 Approach to jaundice, 25
Tony C. K. Tham

6 Acute severe lower gastrointestinal hemorrhage, 34
Jennifer M. Kolb and Tonya Kaltenbach

7 Approach to diarrhea, 39
John S. A. Collins

Section 2: Complications of gastrointestinal procedures and therapy

8 Complications of upper gastrointestinal endoscopy, 45
Daniel J. Stein and Reza Shaker

9 Complications of percutaneous endoscopic gastrostomy, 51
Barbara Willandt and Jo Vandervoort

10 Complications of endoscopic variceal ligation, sclerotherapy, and balloon tamponade, 57
Aarti K. Rao and Roy Soetikno

11 ERCP complications, 61
Constantinos P. Anastassiades and Richard C. K. Wong

12 Complications of laparoscopic surgery, 70
Stephen Attwood and Khalid Osman

13 Complications of liver biopsy, 77
Robert J. Wong and Aijaz Ahmed

14 Complications of colonoscopy, 81
Matthias Steverlynck and Jo Vandervoort

15 Complications of capsule endoscopy, 86
Roy Soetikno and Andres Sanchez]Yague

16 Complications of endoscopic ultrasound, 91
Maria Cecilia M. Sison]Oh, Andres Sanchez]Yague, and Roy Soetikno

17 Complications of Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD), 99
Ichiro Oda, Haruhisa Suzuki, and Seiichiro Abe

18 Complications of bariatric surgery, 105
Allison R. Schulman, Michele B. Ryan, and Christopher C. Thompson

19 Complications of drugs used in gastroenterology, 117
Paul Kevin Hamilton and Philip Toner

Section 3: Specific conditions

20 Foreign body impaction in the esophagus, 135
George Triadafilopoulos

21 Esophageal perforation, 142
Ioannis S. Papanikolaou and Peter D. Siersema

22 Acute upper non]variceal gastrointestinal hemorrhage, 151
Kelvin Palmer

23 Acute pancreatitis, 158
David R. Lichtenstein

24 Biliary tract emergencies, 172
Joseph K. N. Kim and David L. Carr]Locke

25 Variceal hemorrhage, 177
Roy Soetikno and Andres Sanchez]Yague

26 Acute liver failure, 183
Philip S. J. Hall and W. Johnny Cash

27 Ascites and spontaneous bacterial peritonitis, 193
Andrés Cárdenas, Isabel Graupera, and Pere Ginès

28 Alcoholic hepatitis, 204
Brian J. Hogan and David William Michael Patch

29 Perforation of the gastrointestinal tract, 211
Ian McAllister

30 Intestinal obstruction, 220
Kevin McCallion

31 Acute appendicitis, 225
Ian McAllister

32 Middle gastrointestinal bleeding, 230
Andres Sanchez]Yague

33 Ischemic bowel, 239
Ryan B. Perumpail and Shai Friedland

34 Acute severe ulcerative colitis, 242
Subrata Ghosh and Marietta Iacucci

35 Gastrointestinal infections, 251
Graham Morrison and John S. A. Collins

36 Diverticular disease, 263
Jennifer M. Kolb and Tonya Kaltenbach

37 Gastrointestinal complications of HIV disease, 269
Emma McCarty and Wallace Dinsmore

38 Gastrointestinal complications in the intensive care unit, 276
James J. McNamee and Daniel F. McAuley

Index, 282