Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals, 7th Edition

Cotton and Williams' Practical Gastrointestinal Endoscopy: The Fundamentals, 7th Edition

Gastroenterology 2015;148:255–257 PRINT AND DIGITAL MEDIA REVIEWS Joel H. Rubenstein, Section Editor Cotton and Williams’ Practical Gastrointestinal ...

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Gastroenterology 2015;148:255–257

PRINT AND DIGITAL MEDIA REVIEWS Joel H. Rubenstein, Section Editor Cotton and Williams’ Practical Gastrointestinal Endoscopy: The Fundamentals, 7th Edition. Adam Haycock, Jonathan Cohen, Brian P. Saunders, Peter B. Cotton, and Christopher B. Williams, editors. 208 pp. $99.95. New York, New York, Wiley, 2014. ISBN: 978-1-11840646-5. Web address for ordering: www.wiley.com.

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Training in endoscopy continues to evolve, especially given the increase in the number of fellowship training programs, nation-wide demand, and complexity of endoscopic procedures with a significant increase in therapeutic procedures. The quality of endoscopic examinations has a tremendous impact on patient care. Data, at least in the field of colonoscopy, suggest that the quality of examination has a direct bearing on relevant clinical outcomes such as interval colorectal cancers. The 7th edition of Cotton and Williams’ Practical Gastrointestinal Endoscopy: The Fundamentals continues to be a preferred resource for trainees learning upper and lower gastrointestinal endoscopic procedures. This book aims to provide guidance for the novice and intermediate trainee in gastroenterology and complement evidence-based recommendations and guidelines provided by national societies. This book indeed surpasses these intended objectives. The chapters are segregated into sections that address the endoscopy unit, endoscopic equipment, patient care and education, and diagnostic and therapeutic upper and lower endoscopy. It is refreshing to see that the authors have included a section on the endoscopy unit as a whole, highlighting the importance of a cohesive working environment and leadership, which is critical to the smooth functioning of an endoscopy unit. This resource is excellent in its coverage of a step-by-step approach for standard diagnostic and therapeutic upper endoscopy and colonoscopy. In addition, the authors

provide practical guides for patients preparing for the outlined endoscopic procedures. An excellent new addition to this edition is the provision of online videos and images that are referenced in the text along with multiplechoice questions that are available online to allow selfassessment. This hardbound book adequately covers all the appropriate areas in the field of diagnostic and therapeutic endoscopy (with the exception of endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography). In addition to being evidence-base, this book is a reflection of the personal experience and lessons learnt by 2 leaders and pioneers in the field of endoscopy—Drs Cotton and Williams. This will be last edition that they contribute to and this task will be handed on to 3 international experts—Drs Haycock, Cohen, and Saunders. This book certainly reaches its intended audience and uniformity of style and format of all chapters was maintained. Future editions should cover the role of advanced imaging techniques in the detection and management of premalignant and malignant lesions within the upper and lower gastrointestinal tract. Management of antiplatelet agents and anticoagulants in the periendoscopy period was not covered adequately and merits detailed discussion. Given the increasing emphasis on quality metrics and competency in health care, the authors need to address the important issue of training and competency in endoscopy. Training programs in the United States will be required to move toward competency-based medical education, a system in which competency is assessed by trainees achieving milestones rather than a prerequisite number of required procedures. Finally, future editions should cover adequately the relevant quality indicators in upper endoscopy and colonoscopy, a concept that needs to be instilled early on in training. These concepts in training, competency and quality in endoscopy will ensure that trainees attain skills required for safe and effective unsupervised practice with the ultimate goal of improving patient outcomes. Bottom Line: Overall, the 7th edition of Cotton and Williams’ Practical Gastrointestinal Endoscopy: The Fundamentals is an excellent resource for both the novice and intermediate trainee learning the basic and advanced techniques in upper and lower endoscopy.

SACHIN WANI, MD Division of Gastroenterology and Hepatology University of Colorado Anschutz Medical Center Aurora, Colorado

Funding Supported by the AGA Takeda Research Scholar Award in GERD and Barrett’s esophagus and the Department of Medicine Early Scholars Award, University of Colorado. Educational Grant Support from Cook. Consultant for Covidien.