1st Edition
GI Emergencies A Quick Reference Guide
GI Emergencies: A Quick Reference Guide contains practical information regarding the diagnosis and management of common gastrointestinal emergencies. Each chapter is written by a fellow or resident with an experienced clinician. This offers the perspective of a trainee, who has many basic questions about how to handle a given situation, combined with the experience of a seasoned practitioner who can guide the work-up and treatment of each clinical case.
The result is a reference that provides the clinical acumen of a trained gastroenterologist in an easy-to-use format for physicians to approach GI emergencies efficiently and thoroughly. The dual-perspectives blend perfectly together to create a practical, evidence-based read for the learning physician.
In GI Emergencies: A Quick Reference Guide, Dr. Robert C. Lowe and Dr. Francis A. Farraye, along with 20 contributors, help physicians deal with problems as they occur in a “real-time” format.
Some Topics Include:
• Evaluation and management of acute liver failure
• Caustic ingestions, foreign bodies, and food impaction
• Nonvariceal upper GI hemorrhage
• Acute pancreatitis
• Complications of endoscopy
The case-based format is less formal than that of a typical textbook, making it enjoyable without losing the educational value and evidence-based recommendations needed to provide excellent patient care.
With succinct key teaching points, GI Emergencies: A Quick Reference Guide assists physicians who are training interns, residents, and medical students in training, making it an all-around reference for those in the gastroenterology field.
Acknowledgments
About the Editors
Contributing Authors
Foreword by Lawrence Brandt, MD
Introduction
Chapter 1 Nonvariceal Upper Gastrointestinal Hemorrhage
Pushpak Taunk, MD and Marcos C. Pedrosa, MD
Chapter 2 Evaluation and Management of Acute Variceal Hemorrhage
Ashraf Saleemuddin, MD and Uri Avissar, MD
Chapter 3 Acute Lower Gastrointestinal Bleeding
Hillary Tompkins, MD and
Audrey H. Calderwood, MD
Chapter 4 Evaluation of Acute Abdominal Pain
Joseph Feuerstein, MD and
M. Michael Wolfe, MD
Chapter 5 Bowel Obstruction and Pseudo-Obstructio
Joann Kwah, MD and Wanda P. Blanton, MD
Chapter 6 Fulminant Colitis
Sharmeel K. Wasan, MD and
Francis A. Farraye, MD, MSc
Chapter 7 Acute Pancreatitis
Ivonne Ramirez, MD and
David R. Lichtenstein, MD
Chapter 8 Acute Cholangitis and Biliary Emergencies
Stephen D. Humm, MD and
Christopher S. Huang, MD
Chapter 9 Evaluation and Management of Acute Liver Failure
Rajeev Prabakaran, MD and Robert C. Lowe, MD
Chapter 10 Complications of Portal Hypertension
Aarti Kakkar, MD and David P. Nunes, MD
Chapter 11 Ischemic Disorders of the Gastrointestinal Tract
Sujai Jalaj, MD and
Daniel S. Mishkin, MD, CM, FRCP(C)
Chapter 12 Caustic Ingestions, Foreign Bodies, and Food Impactions
Jennifer A. Sinclair, MD and
Charles M. Bliss Jr., MD, FACP
Chapter 13 Complications of Endoscopy
Jennifer A. Sinclair, MD and
Caroline Loeser, MD
Financial Disclosures
Index
Biography
Robert C. Lowe, MD is an associate professor of medicine at the Boston University School of Medicine (BUSM) in Massachusetts and is the Fellowship Director for the Section of Gastroenterology at Boston Medical Center (BMC). Dr. Lowe received his BA from Harvard College, Cambridge, Massachusetts, in 1988 and his MD from Harvard Medical School in 1992. He completed his internal medicine residency at the Brigham and Women’s Hospital in Boston, where he was selected to be Chief Medical Resident. He trained in gastroenterology at BMC and has been on staff at BMC since 2001. His clinical interests include general gastroenterology and hepatology, with a particular interest in the care of patients with viral liver diseases and cirrhosis.
Dr. Lowe is also heavily involved with the educational program at Boston University and BMC. In addition to his work as Fellowship Director for the Section of Gastroenterology, he is a dedicated Educator in the BMC Department of Medicine, attending several months each year on the medicine wards and facilitating a bimonthly educational conference for house staff. At BUSM, he is the Director of the Second Year Vision Committee, which administers an integrated preclinical course for the entire second-year class; he also serves as the course director for the gastroenterology module. He serves on the school’s Medical Education Committee, the governing body at BUSM for curriculum and educational planning and oversight. He is active in curriculum development for medical students, house officers, and fellows and is particularly involved in the teaching of clinical reasoning skills and the fostering of professionalism among medical trainees.
Dr. Lowe is the recipient of multiple teaching awards and was recently designated one of the “Best of Boston” by Boston magazine. He is the author of numerous book chapters and review articles, and he is co-editor of the Educational Review Manual in Gastroenterology. For the past 4 years, he has served as the chairman of the Medical Advisory Committee of the American Liver Foundation, New England Chapter, and he serves as a member of the AGA Education and Training Committee, which began in June 2011.
Francis A. Farraye, MD, MSc is Professor of Medicine at the Boston University School of Medicine. He is also Clinical Director in the Section of Gastroenterology and Co-Director of the Center for Digestive Disorders at Boston Medical Center. After graduating from the State University of New York at Stony Brook, Dr. Farraye earned his medical doctorate from the Albert Einstein College of Medicine in Bronx, New York and his master’s degree in epidemiology from the Harvard School of Public Health in Boston. He completed an internal medicine residency and gastroenterology fellowship at the Beth Israel Hospital in Boston.
Dr. Farraye’s clinical interests are in the care of patients with inflammatory bowel disease and the management of colon polyps and colorectal cancer. He is studying vitamin D absorption in patients with inflammatory bowel disease, the management and diagnosis of dysplasia and cancer in patients with inflammatory bowel disease, and predictors of pouch complications after ileal pouch anal anastomosis. In the area of colorectal cancer, he is examining the role of hyperplastic polyps as an alternative pathway in the development of colorectal cancer. A frequent speaker and invited lecturer on topics on the diagnosis and management of inflammatory bowel disease, Dr. Farraye has authored or co-authored more than 250 original scientific manuscripts, chapters, reviews, and abstracts. He is co-editor of the text Bariatric Surgery: A Primer for Your Medical Practice; associate editor for Therapy for Digestive Disorders; series editor for Curbside Consultation in Gastroenterology; and coeditor of the text Curbside Consultation in IBD. His most recent book for patients is Questions and Answers About Ulcerative Colitis.
Dr. Farraye is a fellow of the American College of Physicians, American Society of Gastrointestinal Endoscopy (ASGE), American Gastroenterological Association (AGA), and the American College of Gastroenterology (ACG). He has served as the AGA representative on the National Colorectal Cancer Round Table, chair of the lower gastrointestinal disorders section of the Annual Scientific Program Committee of the ASGE, and a member of the ASGE Technology Committee. Nationally, he is a member of the Board of Trustees in the ACG, Crohn’s and Colitis Foundation of America (CCFA), Professional Education Committee and the Chapter Medical Advisory Committee for the New England CCFA, as well as a past chairman. The New England CCFA named Dr. Farraye Humanitarian of the Year in 2003. He was the 2009 recipient of the ACG William Carey Award for service to the college. Dr. Farraye was listed as a “Best of Boston” gastroenterologist in 2010.
“(GI Emergencies) has a unique, conversational style that takes the reader from the first telephone consultation through patient evaluation, differential diagnosis, laboratory testing, and management of common gastrointestinal emergencies. This book is useful for entry level gastroenterology fellows during the initial portion of their fellowship; it may be more useful for emergency room and intensive care unit trainees of all levels.”
-C. Prakash Gyawali, Washington University School of Medicine, Gastroenterology“GI Emergencies: A Quick Reference Guide is ideally suited for gastroenterology fellows but is also valuable for residents, students, and staff who may care for patients in the midst of a GI emergency and need efficient access to clinical guidance, such as members of an inpatient primary or consult service as well as those in the emergency department. It is organized to be a quick and reasonably complete reference to the management of GI emergencies. It is a perfectly suited, in size and in content, to fit into the pocket of your coat to aid and educate as you help your patient. For this reason, I highly recommend it."
-Dennis P. Collins, MD, University of Florida, Practical Gastroenterology
