Download Gastrointestinal Emergencies 3rd edition

Though the book is titled ‘Gastrointestinal Emergencies’, a major (almost one-third) chunk (section two) is devoted to complications, albeit mainly of endoscopic procedures both diagnostic viz. upper gastrointestinal endoscopy, colonoscopy, capsule endoscopy, ERCP (endoscopic retrograde cholangiopancreatography), endoscopic ultrasound, and therapeutic eg., percutaneous endoscopic gastrostomy, endoscopic variceal ligation, sclerotherapy and balloon tamponade, only two chapters viz. laparoscopic and bariatric surgery, respectively deal with complications of surgery. While uncommon procedures such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are honoured with a full chapter, newer procedures such as per oral endoscopic myotomy (POEM) and transanal endoscopic microsurgery (TEMS) are missing. Similarly, while complications of liver biopsy are covered in a full, though small, chapter, percutaneous radiological interventions viz. percutaneous transhepatic cholangiography (PTC) and percutaneous transhepatic biliary drainage (PTBD) find no mention. A large chapter is devoted to complications of drugs used in gastroenterology.

The third section covers specific conditions ranging from oesophageal foreign bodies and perforation, non-variceal upper gastrointestinal and variceal haemorrhage, middle gastrointestinal bleeding, acute pancreatitis, biliary emergencies, acute liver failure, alcoholic hepatitis, gastrointestinal infections, ischaemic bowel, acute severe ulcerative colitis and diverticular disease. This section also covers gastrointestinal complications of HIV and in ICU. The chapter on biliary emergencies covers cholangitis but cholangiolytic abscess is not mentioned. Oesophageal foreign bodies are included but rectal foreign bodies are missing. Chapter 29 covers perforation (peritonitis) and chapter 27 describes spontaneous bacterial peritonitis but primary peritonitis and tertiary peritonitis are not covered.

While the book has several endoscopic images (in colour), many chapters could have been better illustrated with radiological images; chapters on dysphagia, acute abdominal pain, jaundice, biliary tract emergencies, perforation of gastrointestinal tract, intestinal obstruction, acute appendicitis, ischaemic bowel, acute severe ulcerative colitis and diverticular disease do not have a single radiological image. Further, paediatric gastrointestinal emergencies such as congenital hypertrophic pyloric stenosis (CHPS), Hirschsprung’s disease and necrotizing enterocolitis (NEC) are missing.

The book also suffers from the usual maladies of a multi-editor multi-author monograph viz. non uniformity of chapters – chapter lengths vary from 4-15 pages, number of references ranging from as low as three (chapter 5 on jaundice) to as many as 112 (chapter 18 on bariatric surgery). Chapter 30 (on intestinal obstruction) has no references at all. While most chapters have references which are numbered and cited in the text, some chapters (eg., chapter 1 on dysphagia, chapter 2 on vomiting and chapter 36 on diverticular disease) have a list of further readings only with no citations in the text.

Overall, this book will be useful to gastroenterologists, endoscopists, surgeons, emergency and acute physicians but only as a basic guide in the primary years of their training. It is expected and hoped that the next (4th) edition will cover the above mentioned deficiencies and will thus become more usefulD

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