Therapeutic Laser Endoscopy in Gastrointestinal Disease

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David E. Fleischer, David Jensen, Peter Bright-Asare
Springer Science & Business Media, May 31, 1983 - Medical - 225 pages
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The endoscopic use of lasers in the treatment of gastrointestinal d~seases began within the last decade and has evolved rapidly. Work is now being done at more than 150 centers in Europe, the United States, Japan and the rest of the world. To date no publi cation has defined the state of the art. This text attempts to fill that void. To disseminate information about therapeutic laser endoscopy, an increasing number of short courses have been sponsored in the United States wherein the attendee hears didactic lectures, views video tapes, and in addition, has the opportunity to have a "hands-on" experience with endoscopic laser therapy in the animal labs. This book is an expansion of the material presented in one such course sponsored by The Cook County Hospital in Chicago, Illinois, in October, 1982. The course was organized by Peter Bright-Asare, M. D. , Chairman of Gastroenterology at the time of the course and chaired by Dr. Bright-Asare and myself. Some of the lectures from the course have been broadened and formalized. Other chapters were invited and added. Also included are group discussions about issues that are either controversial or undefined. Attempts were made to secure consensus opinion from experienced investigators in areas where no hard scientific experimental or clinical data exists. The contributors have a wide range of interest and expertise. Dr.
 

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Contents

1 MEDICAL LASER FUNDAMENTALS
1
2 LASER TISSUE INTERACTION
9
3 NATURAL HISTORY OF UPPER GASTROINTESTINAL BLEEDING AND DETERMINANTS OF OUTCOME
29
4 ENDOSCOPIC CONTROL OF GASTROINTESTINAL BLEEDING WITH NONLASER DEVICES
39
5 ENDOSCOPIC AND PH ARM AGO LOG 1C THERAPY OF UPPER GASTROINTESTINAL BLEEDING LASER VS PHARMACOTHERAPY VS ...
51
YAG AND ARGON LASER FOR THERAPY OF UPPER GASTROINTESTINAL BLEEDING
69
7 CONTROLLED TRAILS OF LASER THERAPY IN THE TREATMENT OF UPPER GASTROINTESTINAL HAEMORRHAGE
77
8a TREATMENT TECHNIQUES FOR MASSIVE UPPER GASTROINTESTINAL BLEEDING GENERAL CONSIDERATIONS
87
11 ENDOSCOPIC LASER THERAPY OF UPPER GASTROINTESTINAL CARCINOMAS
117
12 LASER THERAPY OF COLONIC NEOPLASMS
139
DIAGNOSIS AND TREATMENT WITH LASER THERAPY AND OTHER ENDOSCOPIC MODALITIES
151
14 NONGASTROINTESTINAL USES OF LASERS IN MEDICINE AND SURGERY
161
15 ORGANIZATION OF A MULTIDISCIPLINARY LASER CENTER
167
16 COMPLICATIONS OF ENDOSCOPIC LASER THERAPY
173
17 USE OF LASERS IN COMMUNITY HOSPITALS IN THE UNITED STATES
187
18 LEGAL ASPECTS OF LASER USE IN THE UNITED STATES
193

8b SPECIFIC TREATMENT TECHNIQUES FOR MASSIVE UPPER GASTROINTESTINAL BLEEDING
90
ELECTROCAUTERY VS ND YAG LASER PANEL DISCUSSION
103
10 A GENERAL OVERVIEW OF TEATMENT TECHNIQUES PANEL DISCUSSION
109
19 UNDECIDED ISSUES ABOUT THE USE OF LASERS IN GASTROINTESTINAL DISEASE PANEL DISCUSSION
197
20 CURRENT LIMITATIONS NEW TECHNOLOGICAL DIRECTIONS AND AREAS OF INVESTIGATION PANEL DISCUSSION
213
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