Liver disease is an increasingly common cause of mortality, and its management is often complex and challenging. Endoscopy has in recent times undergone a period of rapid progress, with numerous novel and specialized endoscopic modalities that are of increasing value in the investigation and management of the patient with liver disease. As the technology in endoscopy expands, both as a diagnostic and interventional procedure, so does the role of the endoscopist in liver disease.

This full colour book and companion website offer a comprehensive guidance as to when, why, and how to perform endoscopy to best manage your patients.

An indispensable tool for all gastroenterologists, hepatologists and endoscopists, Endoscopy in Liver Diseaseis perfect for learning how to perform endoscopy safely and effectively in the patient population with liver disorders.

Edited by
JOHN N. PLEVRIS, Professor and Consultant in Gastroenterology and Hepatology, Centre for Liver and Digestive Disorders, The Royal Infirmary, University of Edinburgh, UK

PETER C. HAYES, Professor of Hepatology, Liver Unit, The Royal Infirmary, University of Edinburgh, UK

PATRICK S. KAMATH, Professor of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

LOUIS M. WONG KEE SONG, Professor of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

List of Contributors vii

Preface xi

About the Companion Website xii

1 Equipment, Patient Safety, and Training 1
John N. Plevris and Scott Inglis

2 Sedation and Analgesia in Endoscopy of the Patient with Liver Disease 19
Rohit Sinha, Anastasios Koulaouzidis, and John N. Plevris

3 Endoscopy in the Setting of Coagulation Abnormalities in the Patient with Liver Disease 29
Bezawit Tekola and Stephen Caldwell

4 Varices: Screening, Staging, and Primary Prophylaxis 43
Alan Bonder, Ignacio Alfaro, and Andres Cardenas

5 Endoscopic Management of Acute Variceal Bleeding 55
Marcus C. Robertson and Peter C. Hayes

6 Prevention of Recurrent Bleeding from Esophageal Varices 97
Annalisa Berzigotti, Fanny Turon, and Jaime Bosch

7 Refractory Variceal Bleeding: When First Endoscopy Fails, What Next? 111
Virginia Hernández?]Gea, Fanny Turon, and Juan Carlos García?]Pagán

8 Portal Hypertensive Gastropathy and Gastric Vascular Ectasia 119
Cristina Ripoll and Louis M. Wong Kee Song

9 Portal Hypertensive Enteropathy and Obscure Gastrointestinal Bleeding 143
Anastasios Koulaouzidis, Emanuele Rondonotti, and Roberto de Franchis

10 Endoscopic Management of Upper Gastrointestinal Pathology in the Patient with Liver Disease 155
Selina Lamont and Adrian Stanley

11 Colonoscopic Screening and Surveillance in the Patient with Liver Disease (Including Post?]Transplant) 173
William M. Tierney and Khadija Chaudrey

12 Endoscopic Retrograde Cholangiopancreatography and Cholangioscopy in Hepatobiliary Disease 195
Klaus Mönkemüller, Giovani E. Schwingel, Alvaro Martinez?]Alcala, and Ivan Jovanovic

13 Endoscopic Ultrasound in the Diagnosis of Hepatobiliary Malignancy 229
Michael J. Levy , Larissa Fujii?]Lau, Julie K. Heimbach, and Gregory J. Gores

14 Endoscopic Ultrasound Guided Biliary Drainage 245
Mouen A. Khashab, Shyam Varadarajulu, and Robert H. Hawes

15 Hepatobiliary Endoscopy in the Patient with Liver Disease and Altered Anatomy 259
Stuart K. Amateau and Raj J. Shah

16 Management of Post?]Liver Transplant Hepatobiliary Complications 279
Ryan Law, Larissa Fujii?]Lau, and Todd H. Baron

17 Endoscopic Confocal and Molecular Imaging in Hepatobiliary Disease 295
Michael S. Hoetker and Martin Goetz

18 Laparoscopy in Patients with Hepatobiliary Disease 305
Tom K. Gallagher, Ewen M. Harrison, and O. James Garden

Index 323