About this book. Translated into seven languages, Cotton and Williams' Practical Gastrointestinal Endoscopy has for the last 25 years been the. Cotton and Williams' Practical Gastrointestinal Endoscopy: The E-Book $ clinical and practical guidance on the fundamentals of endoscopy practice. Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals [ Adam Endoscopy and millions of other books are available for site site.
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Cotton and Williams' Practical Gastrointestinal Endoscopy by Adam Haycock, , available at Book Depository with free delivery. Cotton and Williams' Practical Gastrointestinal Endoscopy: The This book aims to provide guidance for the novice and intermediate trainee in. Cotton and WilliamsL Practical Training in endoscopy continues to evolve, especially given the This book aims to provide guidance for the novice and.
Thanks for telling us about the problem. Return to Book Page. Practical Gastrointestinal Endoscopy by Peter B. Cotton ,. Christopher B. Endoscopy has revolutionised the practice of medical and surgical gastroenterology.
The authors of this new edition, the leading endoscopists in the UK, aim to provide the newcomer to this field--or the practitioner requiring an update--with all the practical advice they need. In discussing the procedures themselves, the authors begin at the top of the gut and end at the b Endoscopy has revolutionised the practice of medical and surgical gastroenterology.
In discussing the procedures themselves, the authors begin at the top of the gut and end at the bottom, digressing into the bile and pancreatic ducts along the way. As one reviewer has commented, the discussions throughout the text are characterized by the same 'clarity of expression, perception of other endoscopists' difficulties and depth of their vast experience that is so evident when [the authors] are lecturing or teaching.
Get A Copy. Hardcover , pages. Published August 23rd by Wiley-Blackwell first published December 4th More Details Original Title. Other Editions Friend Reviews. To see what your friends thought of this book, please sign up. To ask other readers questions about Practical Gastrointestinal Endoscopy , please sign up.
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Lists with This Book. This book is not yet featured on Listopia. Community Reviews. Showing Rating details. All Languages. More filters. Sort order. Victor rated it it was amazing May 28, Bruno Martinez-Leo rated it really liked it Feb 07, Claire Richardson rated it really liked it Jan 03, Cozmo Dogfart rated it liked it Jun 08, Omar bashandy rated it it was amazing Dec 03, Christopher rated it liked it Sep 23, I believe that we need to do better, and there are only 2 ways forward.
One is for professional societies and the payers to set the bar higher, and to press for a certificate or diploma, to be granted only after a formal examination. This would be resource intensive, and not without controversy, but exams are the recognized method for assuring a reasonable level of knowledge and performance in many other fields.
The diploma would be based on data from report cards, an examination of core knowledge, observation of a few cases, and, possibly, some work on simulators. The second method - and a step towards the first - is to encourage or mandate report cards, and to educate the public to ask for them. Pike in Virginia, USA, has been running an important voluntary benchmarking project focusing on the quality of colonoscopy procedures This has the same main goal as the ERCP study, to allow individuals to benchmark their performance against colleagues and guidelines, but differs in that there were many more data points, entry was on paper, delayed data were required pathology reports , and that the analyses were not done on-line, and reported only intermittently.
This opened for enrollment in July , and will focus initially on colonoscopy. In the meantime, it remains available as a viable resource for personal quality assessment and improvement.
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Indeed, patients are much better able to assess these elements than the technical aspects performed while they are sedated. Whilst endoscopists have responsibility for these elements, and can influence the way the rest of the team functions, there are important quality elements of the endoscopy unit and staff that can be considered separately.
Endoscopists however talented cannot work without good facilities, equipment, and a team of well-trained and motivated staff. There has been no national quality improvement program specific for endoscopy units in the United States, and the agencies which accredit them do not have comprehensive guidelines. It is not difficult to list features of endoscopy units which may affect the quality of the procedures being performed in them.
The system is supported by a comprehensive knowledge base, and useful improvement tools. Sequential measurements in almost all the British endoscopy units over 4 years have shown gratifying and progressive improvement in the results.
To obtain recognition, a representative from the unit doctor or senior nurse must attend a 2 day seminar on key quality topics, and agree in writing to comply with the comprehensive ASGE guidelines in this context. The majority of endoscopists in each unit must be ASGE members. This program has been popular and many hundreds of units are now officially recognized. Emphasis is placed on quality improvement projects and processes.
No one involved in endoscopy doubts the importance of ensuring the highest possible quality of our processes and procedures. Many patients assume that any doctor offering a procedure is competent to do it, and that all facilities are equally safe although some may look less appealing.
Bad things can and do happen. Our profession must work harder to encourage the collection and dissemination of performance data. The fact that some endoscopists will be reluctant to document and advertise their performance should not stop us from doing the right thing. We should wear our data plainly and proudly as badges of quality. It will pay huge dividends eventually.
Peter Cotton was born in Herefordshire, England, where his father was a country physician. He was educated at Cambridge University and at St. Thomas Hospital Medical School London , and graduated in He became interested in endoscopy in the late 's with the introduction of flexible fiberscopes, and developed endoscopy units at St. Thomas' Hospital and at the Middlesex Hospital, which pioneered and evaluated many diagnostic and therapeutic procedures, particularly ERCP. He attracted postgraduates from many countries, held numerous teaching courses, and introduced live CCTV workshops.
He developed a state of the art endoscopy center. He maintained his interests in teaching, evaluation of new techniques, and their impact on clinical outcome. He moved to Charleston, South Carolina in create a Digestive Disease Center dedicated to multi-disciplinary patient care, research and education.
Cotton and Williams' Practical Gastrointestinal Endoscopy
He has been active in many National and International organizations, and has given invited lectures and demonstrations in more than 50 countries. He helped form the British Society for Digestive Endoscopy, became its president; and served the British Society of Gastroenterology as its vice president and treasurer. Dr Cotton's clinical activities have focused on patients with known or suspected biliary and pancreatic problems, and their management by ERCP.
He retired from clinical work in May , but will continue in teaching and research, notably as principal investigator of an NIH-funded multi-center randomized shamcontrolled study of sphincterotomy in sphincter of Oddi dysfunction. In recent years Dr Cotton has also become more involved in quality issues in endoscopy, including objective assessment of performance and benchmarking. His bibliography includes over publications, with more than original contributions in peer reviewed journals, and 8 books.
He is blessed with a wonderful wife and family, including 8 grandchildren, and one great-grandchild. Previously published online: National Center for Biotechnology Information , U. J Interv Gastroenterol. Peter B Cotton.
Author information Article notes Copyright and License information Disclaimer. Corresponding author.
Correspondence to: Peter B. Cotton; Email: This article has been cited by other articles in PMC. Abstract Endoscopy plays an important role in the diagnosis and treatment of digestive diseases. Key words: Introduction Endoscopy has become enormously popular throughout the world because of its proven value in the diagnosis and treatment of digestive diseases.
What is quality endoscopy? Correct indications - adherence to published guidelines Appropriate environment, support team and behavior Well prepared and informed patients Strategies to minimize risk, including patient preparation and monitoring.
Correct selection of equipment Comfortable intubation Complete survey of the target organ s Recognition of all abnormalities and photo documentation Appropriate tissue sampling adherence to published guidelines Application of indicated therapy Avoiding, recognizing, and managing, adverse events Reasonable duration Smooth recovery, explanation and discharge Detailed and clear recommendations and follow-up plans Integrated pathology results and communications Complete documentation and billing Positive feedback from patients Many organizations and groups have explored these quality issues and their metrics and guidelines for credentialing physicians and granting privileges to perform endoscopy.
How to recognize, predict and measure excellence of endoscopists? Appropriate metrics could include Specialty training and certification place and dates Training and maintenance of competence in life support and sedation Evidence for continuing education in endoscopy For each procedure eg ERCP - lifetime numbers, total last year, and spectrum of practice The proof of quality comes from documentation of performance.
New complexity scales for endoscopic procedures When trying to determine and document quality in endoscopy, it is important to recognize that some procedures are more difficult than others.
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Practical Gastrointestinal Endoscopy by Peter Cotton
Figure 1. Endoscopists report cards and benchmarking performance Endoscopists cannot be expected to report on all of the data elements that have been listed in various well-meaning publications and listed above.
The ERCP quality network With the support of Olympus America, we set up a pilot project to test the practicality and acceptability of collecting and comparing data on the practice and quality of ERCP procedures by individual endoscopists What performance level is good enough? Who decides? Benchmarking in Colonoscopy Pike in Virginia, USA, has been running an important voluntary benchmarking project focusing on the quality of colonoscopy procedures Metrics of quality in endoscopy units It is not difficult to list features of endoscopy units which may affect the quality of the procedures being performed in them.
Years unit existed Nature; hospital, freestanding endoscopy clinic, or office Accreditation agency and most recent rating Name of medical director Name of nurse manager Volumes last calendar year uppers, colons, ERCP, EUS Number of procedure rooms and patient bays.
Clinical Gastrointestinal Endoscopy
Conclusion No one involved in endoscopy doubts the importance of ensuring the highest possible quality of our processes and procedures. Figure 2.
References 1. Quality and outcomes assessment in Gastrointestinal Endoscopy. Gastrointest Endosc. Johanson JF.
Continuous quality improvement in the ambulatory endoscopy center. Gastrointest Endosc Clin N Am. Excellence in endoscopy: Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: Am J Gastroenterol.Mid-gut Gastrointestinal Bleeding Am J Gastroenterol, We're featuring millions of their reader ratings on our book pages to help you find your new favourite book.
Techniques and results for control of gastrointestinal bleeding [book chapter]. Use of the Endocuff during routine colonoscopy examination improves adenoma detection: A meta-analysis.
Other editions. Alex marked it as to-read Jun 28, Subepithelial Tumors of the Esophagus and Stomach Second edition.