The Role of Laser in Gastroenterology

1. Front Matter

   Pages i-xiv

   PDF

2. Introduction

   1. Front Matter

      Pages 1-1

      PDF

   2. Introduction and Purpose of the Study

      • Elisabeth M. H. Mathus-Vliegen

      Pages 3-4

   3. General Aspects of Laser

      • Elisabeth M. H. Mathus-Vliegen

      Pages 5-16

   4. Application of Laser Energy in Gastroenterology

      • Elisabeth M. H. Mathus-Vliegen

      Pages 17-26

   5. Technical Prerequisites, Safety Considerations and Treatment Settings in Amsterdam

      • Elisabeth M. H. Mathus-Vliegen

      Pages 27-33

3. Haemostasis

   1. Front Matter

      Pages 35-35

      PDF

   2. Mucosal Vascular Abnormalities as Potentially Bleeding Lesions in Gastroenterology

      • Elisabeth M. H. Mathus-Vliegen

      Pages 37-46

   3. Laser Treatment of Mucosal Vascular Abnormalities as Potentially Bleeding Lesions

      • Elisabeth M. H. Mathus-Vliegen

      Pages 47-68

4. Tumour Ablation

   1. Front Matter

      Pages 69-69

      PDF

   2. Laser Treatment of Colorectal Adenoma

      • Elisabeth M. H. Mathus-Vliegen

      Pages 71-92

   3. Palliation of Gastro-Oesophageal Cancer

      • Elisabeth M. H. Mathus-Vliegen

      Pages 93-100

   4. Laser Photoablation in the Palliation of Gastro-Oesophageal Cancer

      • Elisabeth M. H. Mathus-Vliegen

      Pages 101-119

   5. Treatment Modalities in Colorectal Cancer

      • Elisabeth M. H. Mathus-Vliegen

      Pages 120-130

   6. Laser Photocoagulation in the Palliation of Colorectal Cancer

      • Elisabeth M. H. Mathus-Vliegen

      Pages 131-151

   7. Laser Photoablation of Early Gastrointestinal Cancer

      • Elisabeth M. H. Mathus-Vliegen

      Pages 152-159

   8. Laser Photocoagulation in the Small Intestine

      • Elisabeth M. H. Mathus-Vliegen

      Pages 160-166

5. Back Matter

   Pages 167-209

   PDF

It is easy to make anecdotal claims for the efficacy of new forms of treatment based on the short term results in a small number of patients. Many authors have done this for endoscopic laser therapy in the gastrointestinal tract. It is very much more difficult to carry out a comprehensive assessment of the short and long term effects of new techniques and to compare these with the results of alternative treatments for the same diseases. This book, from one of the world's leading departments of gastroenterology, describes and analyses the largest series of patients yet reported from one centre treated endoscopically with the NdYAG laser for gastrointestinal disease. The follow up extends over 8 years and the results are impressive. Some of the early claims for laser therapy have been validated, others have not, but the real value of the book is that we now have a large amount of well organised data on which to judge the merits of laser therapy. Medical laser techniques are in their infancy and the potential for future develop­ ment is enormous, but ideas on current applications have been consolidated and that is essential before the next concepts evolve. This book has taught us how to walk. The world is now ready to learn to run! S. G. Bown, Director National Medical Laser Centre London Contents INTRODUCTION 3 Introduction and purpose of the study 5 1 General aspects of laser 6 1. 1.

• cancer
• classification
• colon
• colorectal cancer
• endoscopy
• gastric cancer
• gastroenterology
• gastrointestinal cancer
• laser
• pathogenesis
• pathology
• radiotherapy
• small intestine
• surgery
• tumor
• abdominal surgery

`This book is thoroughly readable, well got-up, and furnished with tables and colourful illustrations and highly recommended as a survey for those involved in the treatment of patients suffering from gasto-intestinal afflictions. It will also prove to be extremely useful as a reference work.'
S.H. Yap, Dutch Magazine on Medicine, 1990, March, p. 783

• Department of Hepato-Gastroenterology, Academic Medical Center, Amsterdam, The Netherlands

  Elisabeth M. H. Mathus-Vliegen

Policies and ethics