The Clinician's Guide to Gastrointestinal Oncology is a unique practical reference for the management of patients with gastrointestinal malignancies and pre-malignant conditions. The high incidence of colorectal cancer coupled with the growing recognition of Barrett's esophagus has led to a growing need for a resource explaining how to screen and manage these and other patients with gastrointestinal neoplasia.

Dr. Michael Kochman, with contributions from other recognized experts of diverse gastrointestinal backgrounds, uses a multidisciplinary approach in presenting the necessary information to optimally manage patients. A balanced approach allows the reader to quickly synthesize an individualized care plan based upon the recommendations of highly skilled professionals. Part of The Clinician's Guide to GI Series, this text also serves as a reference for clinicians to be able to quickly discuss the epidemiology and natural history of these conditions.

The broad range of topics covered, combined with the breadth of knowledge shared from renowned experts, provides a full spectrum of information necessary to properly care for a wide range of patients. Helpful features include TNM staging tables that help the reader choose appropriate treatment options as well as color, radiographic, and endoscopic photographs that highlight significant clinical points.

The Clinician's Guide to Gastrointestinal Oncology is the ideal resource for internists, gastroenterologists, surgeons, and oncologists looking to keep pace with the latest treatment options for an array of neoplastic gastrointestinal conditions.

Topics Include:

• Management of pre-malignant conditions of the GI tract including colonic polyps and Barrett's esophagus
• The role of endoscopic and radiologic interventional techniques
• Nutrition support
• Pain management
• Current strategies for the medical and surgical approaches to the GI malignancies

Michael L. Kochman, MD, FACP is Professor of Medicine in the Gastroenterology Division at the University of Pennsylvania Medical School and Hospital of the University of Pennsylvania. He is the Endoscopy Training Director and Co-Director of the Gastrointestinal Oncology Program. Dr. Kochman is a graduate of Northwestern University (1982) and the University of Illinois Medical School at Chicago (1986).

At the University of Pennsylvania, he has served on various committees including the Physicians Billing Oversight Committee and Departmental Review Committees. Within the GI division he has served as Fellowship Chairman and has received a number of teaching awards including the Sid Cohen, MD award for the education of fellows. Dr. Kochman has served many local and national societies in a variety of positions. Currently he is President of the Delaware Society for Gastrointestinal Endoscopy and is the Program Chairman for the Pennsylvania State Gastroenterology Society. His major national commitments are to the American Gastroenterological Association (AGA) and the American Society for Gastrointestinal Endoscopy (ASGE). He has served the AGA on the Education Committee and the Program Committee and is currently a member of the Clinical Practice Committee. For the ASGE, Dr. Kochman has served on the Post-Graduate Education Committee, the EUS SIG and is currently a member of the Research Committee and the Program Committee.

Dr. Kochman is the Chairman of the Editorial Board of Gastrointestinal Endoscopy, and is coeditor for Techniques in Gastrointestinal Endoscopy and the Yearbook of Gastroenterology. He also serves on the editorial boards and as a reviewer for a number of journals including Annals of Internal Medicine and Gastroenterology. Dr. Kochman has published over 120 articles and chapters and a number of videos. He has edited 4 published books and is currently editing 3 books to be published in the near future.

Contents 

Dedication

Acknowledgments

About the Editor

Contributing Authors

Preface 

Chapter 1: Management of Premalignant Diseases of the Esophagus: Barretts Esophagus

Richard E. Sampliner, MD

Chapter 2: Surgical Approaches to Esophageal Neoplasms

John C. Kucharczuk, MD

Chapter 3: Approach to Chemotherapy and Radiation for Gastric and Esophageal Cancer

Diane Hershock, MD, PhD

Chapter 4: Surgical Approach to Gastric and Gastroesophageal Neoplasms

Francis (Frank) Spitz, MD and Giorgos Karakousis, MD

Chapter 5: Identification and Management of Familial Pancreatic Cancer

Stephen J. Rulyak, MD, MPH

Chapter 6: Surgical Approach to Ampullary and Pancreatic Neoplasia

Kristoffel R. Dumon, MD; Robert J. Canter, MD and Noel N. Williams, MD

Chapter 7: Chemotherapy and Radiation in the Treatment of Pancreatic Cancer

Bapsi Chak, MD and Jordan Berlin, MD

Chapter 8: Endoscopic Retrograde Cholangiopancreatography in the Management of

Pancreaticobiliary Neoplasia

Ilias Scotiniotis, MD

Chapter 9: Screening and Surveillance Strategies for Colorectal Cancer: Average- and

Increased-Risk Individuals

Carla L. Nash, MD and Arnold J. Markowitz, MD

Chapter 10: Surgical Approach to Colorectal Neoplasia and High-Risk Conditions

Najjia N. Mahmoud, MD and J.J. Karmacharya, FRCS

Chapter 11: Approach to Chemotherapy and Radiation Therapy for Colorectal Neoplasia

Weijing Sun, MD

Chapter 12: The Assessment and Management of Acute and Chronic Cancer Pain

Rosemary C. Polomano, PhD, RN, FAAN; Allen W. Burton, MD;

Niraja Rajan, MD; and Patrick M. McQuillan, MD

Chapter 13: Endoscopic Ultrasound in the Diagnosis and Staging of Gastrointestinal

Malignancy

Janak N. Shah, MD

Chapter 14: Interventional Radiology

Karen T. Brown, MD; Anne Covey, MD; and Lynn A. Brody

Chapter 15: Maintenance of Luminal Patency: Dilation, Endoprosthetics, and Thermal

Techniques

Patrick R. Pfau, MD

Chapter 16: Gastrointestinal Cancer: Diagnosis and Management of Nutritional Issues

James S. Scolapio, MD and Alan L. Buchman, MD, MSPH

Chapter 17: Chemoprevention for Gastrointestinal Neoplasia

Paul J. Limberg, MD, MPH and Navtej Buttar, MD

Chapter 18: New Technologies for the Detection of Gastrointestinal Neoplasia

Linda S. Lee, MD and John M. Poneros, MD

Appendices

Appendix A: Esophageal Cancer Staging

Appendix B: Gastric Cancer Staging

Appendix C: Stomach Cancer Staging

Appendix D: Colon and Rectum Cancer Staging

Appendix E: Pancreas Cancer Staging

Index