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Interventional Endoscopic Ultrasound
Book Reviews
BOOK REVIEWS Pediatric Gastrointestinal Disease
tem. The initial chapter in each section appropriately and clearly discusses congenital anomalies and how they relate to disease processes. Most of the clinical scenarios seen in daily pediatric gastroenterology practice are included in subsequent chapters. The chapters are concise and focused. Much to the editors’ credit, the chapters appear to be in a standard format despite over 85 contributors. Radiographs are clear but several are not well labeled, leaving the reader to discern the abnormal finding. Tables are clear and frequently used, but the font sizes are small and somewhat hard on the eyes. Again, little detail regarding the appropriate use of endoscopy is given in chapters on colon polyps and pancreatitis. This textbook is reasonably priced at $155 and should be included in the library of clinicians, fellows-in training, and interested residents. I believe the authors should be congratulated for accomplishing their goals of addressing all facets of clinical pediatric gastroenterology and hepatology. However, this is not a reference for the practice of pediatric GI endoscopy in any sense. The readers would be better served if the editors would have provided more references for those interested in learning more regarding endoscopy, which has become an integral part of clinical pediatric GI practice. Glenn M. Eisen, MD, MPH Nashville, Tennessee
edited by R. Wyllie, J. S. Hyams WB Saunders, Philadelphia, 1999, 764 pp., $155
This is the second edition of this text and 6 years have elapsed since it was first published. There have been dramatic changes by the editors in this second edition. Sections on the Biologic Aspects of Gastrointestinal Function and Gastrointestinal Procedures have been deleted. These topics have been integrated into other parts of this textbook by the editors, resulting in 300 less pages for this edition. Section 1 consists of 12 chapters devoted to common clinical problems. I found these to be uniformly well written and informative, except for one. I found the chapter on GI hemorrhage lacking. It was 6 pages in length and gave only cursory information regarding the role of upper endoscopy in GI hemorrhage. A single table referred to the endoscopic and nonendoscopic care of GI hemorrhage, and this was merely a list. The authors state that the merits of various techniques of hemostasis are beyond the scope of this chapter and can be obtained elsewhere. Unfortunately, the authors do not provide references for the interested reader. The chapter on caustic ingestion and foreign bodies is generally well written but provides a single generic paragraph on technical aspects of foreign body management. Sections 2 through 6 are grouped by organ sysVOLUME 52, NO. 3, 2000
doi:10.1067/mge.2000.108405
Interventional Endoscopic Ultrasound edited by M. Bhutani Harwood Academic Publishers, Amsteldijk, The Netherlands, 1999, 178 pp., $89
The last several years has seen a rapid transformation in the field of EUS. Initially, EUS was solely a diagnostic modality. Although it could be used to provide images of intramural and extramural GI tract lesions, its clinical utility was limited. This changed with the advent of linear EUS. With the first fine-needle aspiration under EUS guidance the field of interventional EUS was born. Since then a number of EUS-guided interventional and therapeutic procedures have been described. It sounds appropriate that with this rapid expansion we should now have a book dedicated to this rapidly emerging field. Several recent books have been published on EUS with the aim of covering the entire field of EUS, which resulted in a limited coverage of interventional EUS. This book is, as stated by the editor, “the first text dedicated to intervention under EUS guidance.” The text is divided into 22 chapters and comprises 178 pages. There are 35 contributing authors many of who are pioneers in this field. One of the strengths GASTROINTESTINAL ENDOSCOPY
453
News & Notices
of the text is that the chapters on the various interventions are written by the endosonographers who initially developed the described applications. The first three chapters of the text are dedicated to describing the instruments, needles, and normal linear anatomy. These chapters provide a general overview of the various scopes and needle systems with the details left to later chapters. The section on normal linear anatomy is nicely illustrated with multiple EUS images of the various structures discussed. Chapters 4 through 8 are dedicated to describing fine-needle aspiration using the different echoendoscopes. One chapter is dedicated to each different scope. These chapters contain greater detail about the scopes and the different needle systems used with the respective scope. Technical details are provided on how to perform EUS-guided fine-needle aspiration (FNA). Data are also provided in terms of success rates. Because all of these chapters discuss EUS-guided FNA, this results in some overlap of information from one chapter to the next leading to occasional redundancy. Chapters 9 through 14 are dedicated to describing FNA of different lesions. FNA of both GI tract and non-GI lesions are discussed including pancreatic lesions, lymph nodes for staging of GI and nonsmall cell lung cancer, submucosal GI wall lesions, enlarged gastric folds, ascites, and miscellaneous GI/non-GI diseases. Particularly strong are the chapters on FNA of lymph nodes in the staging of non-small cell lung cancer and FNA for miscellaneous GI /non-GI diseases. Chapters 15 through 18 discuss EUS-guided injection therapy and EUS-guided interventions. Topics include celiac plexus neurolysis, botulinum toxin injection for achalasia, pseudocyst puncture and drainage, and EUS-guided cholangiopancreatography. The first three of these chapters are excellent. The chapter on EUS-guided cholangiopancreatography suffers from a lack of sufficient published data to determine the utility of this technique but is interesting reading. The final four chapters discuss miscellaneous topics such as complications of interventional EUS, an animal teaching model for interventional EUS, and future indications. The editor should be commended for including a chapter on cytologic interpretation, as anyone performing FNA should be familiar with the strengths and limitations of cytologic diagnosis. This chapter also describes how to handle and process the FNA specimens. The quality of execution by the publisher is good with a few minor complaints such as the tops of the pages in chapters 10, 11, and 14 are mislabeled with the wrong chapter titles. Abundant figures and tables are included which help the reader to under454
GASTROINTESTINAL ENDOSCOPY
tables are included which help the reader to understand the concepts discussed. Occasionally the reproduction of EUS images is too dark making the images difficult to interpret. With the focus of this text being interventional EUS, alternative methods of management are not thoroughly discussed. Overall, this book is an excellent reference source for the endoscopist who feels comfortable with EUS imaging and wishes to develop skills in interventional EUS. It could also serve as a primer for fellows training in EUS. It is not intended for the novice endosonographer making their first foray into this exciting field. Sandeep Lahoti, MD Houston, Texas doi:10.1067/mge.2000.108404
VOLUME 52, NO. 3, 2000
BOOK REVIEWS Pediatric Gastrointestinal Disease
tem. The initial chapter in each section appropriately and clearly discusses congenital anomalies and how they relate to disease processes. Most of the clinical scenarios seen in daily pediatric gastroenterology practice are included in subsequent chapters. The chapters are concise and focused. Much to the editors’ credit, the chapters appear to be in a standard format despite over 85 contributors. Radiographs are clear but several are not well labeled, leaving the reader to discern the abnormal finding. Tables are clear and frequently used, but the font sizes are small and somewhat hard on the eyes. Again, little detail regarding the appropriate use of endoscopy is given in chapters on colon polyps and pancreatitis. This textbook is reasonably priced at $155 and should be included in the library of clinicians, fellows-in training, and interested residents. I believe the authors should be congratulated for accomplishing their goals of addressing all facets of clinical pediatric gastroenterology and hepatology. However, this is not a reference for the practice of pediatric GI endoscopy in any sense. The readers would be better served if the editors would have provided more references for those interested in learning more regarding endoscopy, which has become an integral part of clinical pediatric GI practice. Glenn M. Eisen, MD, MPH Nashville, Tennessee
edited by R. Wyllie, J. S. Hyams WB Saunders, Philadelphia, 1999, 764 pp., $155
This is the second edition of this text and 6 years have elapsed since it was first published. There have been dramatic changes by the editors in this second edition. Sections on the Biologic Aspects of Gastrointestinal Function and Gastrointestinal Procedures have been deleted. These topics have been integrated into other parts of this textbook by the editors, resulting in 300 less pages for this edition. Section 1 consists of 12 chapters devoted to common clinical problems. I found these to be uniformly well written and informative, except for one. I found the chapter on GI hemorrhage lacking. It was 6 pages in length and gave only cursory information regarding the role of upper endoscopy in GI hemorrhage. A single table referred to the endoscopic and nonendoscopic care of GI hemorrhage, and this was merely a list. The authors state that the merits of various techniques of hemostasis are beyond the scope of this chapter and can be obtained elsewhere. Unfortunately, the authors do not provide references for the interested reader. The chapter on caustic ingestion and foreign bodies is generally well written but provides a single generic paragraph on technical aspects of foreign body management. Sections 2 through 6 are grouped by organ sysVOLUME 52, NO. 3, 2000
doi:10.1067/mge.2000.108405
Interventional Endoscopic Ultrasound edited by M. Bhutani Harwood Academic Publishers, Amsteldijk, The Netherlands, 1999, 178 pp., $89
The last several years has seen a rapid transformation in the field of EUS. Initially, EUS was solely a diagnostic modality. Although it could be used to provide images of intramural and extramural GI tract lesions, its clinical utility was limited. This changed with the advent of linear EUS. With the first fine-needle aspiration under EUS guidance the field of interventional EUS was born. Since then a number of EUS-guided interventional and therapeutic procedures have been described. It sounds appropriate that with this rapid expansion we should now have a book dedicated to this rapidly emerging field. Several recent books have been published on EUS with the aim of covering the entire field of EUS, which resulted in a limited coverage of interventional EUS. This book is, as stated by the editor, “the first text dedicated to intervention under EUS guidance.” The text is divided into 22 chapters and comprises 178 pages. There are 35 contributing authors many of who are pioneers in this field. One of the strengths GASTROINTESTINAL ENDOSCOPY
453
News & Notices
of the text is that the chapters on the various interventions are written by the endosonographers who initially developed the described applications. The first three chapters of the text are dedicated to describing the instruments, needles, and normal linear anatomy. These chapters provide a general overview of the various scopes and needle systems with the details left to later chapters. The section on normal linear anatomy is nicely illustrated with multiple EUS images of the various structures discussed. Chapters 4 through 8 are dedicated to describing fine-needle aspiration using the different echoendoscopes. One chapter is dedicated to each different scope. These chapters contain greater detail about the scopes and the different needle systems used with the respective scope. Technical details are provided on how to perform EUS-guided fine-needle aspiration (FNA). Data are also provided in terms of success rates. Because all of these chapters discuss EUS-guided FNA, this results in some overlap of information from one chapter to the next leading to occasional redundancy. Chapters 9 through 14 are dedicated to describing FNA of different lesions. FNA of both GI tract and non-GI lesions are discussed including pancreatic lesions, lymph nodes for staging of GI and nonsmall cell lung cancer, submucosal GI wall lesions, enlarged gastric folds, ascites, and miscellaneous GI/non-GI diseases. Particularly strong are the chapters on FNA of lymph nodes in the staging of non-small cell lung cancer and FNA for miscellaneous GI /non-GI diseases. Chapters 15 through 18 discuss EUS-guided injection therapy and EUS-guided interventions. Topics include celiac plexus neurolysis, botulinum toxin injection for achalasia, pseudocyst puncture and drainage, and EUS-guided cholangiopancreatography. The first three of these chapters are excellent. The chapter on EUS-guided cholangiopancreatography suffers from a lack of sufficient published data to determine the utility of this technique but is interesting reading. The final four chapters discuss miscellaneous topics such as complications of interventional EUS, an animal teaching model for interventional EUS, and future indications. The editor should be commended for including a chapter on cytologic interpretation, as anyone performing FNA should be familiar with the strengths and limitations of cytologic diagnosis. This chapter also describes how to handle and process the FNA specimens. The quality of execution by the publisher is good with a few minor complaints such as the tops of the pages in chapters 10, 11, and 14 are mislabeled with the wrong chapter titles. Abundant figures and tables are included which help the reader to under454
GASTROINTESTINAL ENDOSCOPY
tables are included which help the reader to understand the concepts discussed. Occasionally the reproduction of EUS images is too dark making the images difficult to interpret. With the focus of this text being interventional EUS, alternative methods of management are not thoroughly discussed. Overall, this book is an excellent reference source for the endoscopist who feels comfortable with EUS imaging and wishes to develop skills in interventional EUS. It could also serve as a primer for fellows training in EUS. It is not intended for the novice endosonographer making their first foray into this exciting field. Sandeep Lahoti, MD Houston, Texas doi:10.1067/mge.2000.108404
VOLUME 52, NO. 3, 2000