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Doody's Review ServiceReviewer: Michael W. Mulholland, MD, PhD (University of Michigan Medical School)
Description: This text is designed to illustrate the marriage of endoscopy, both diagnostic and therapeutic, with ultrasound imaging. The matching of line drawings with ultrasound images is a novel feature of the book, which makes endoscopic ultrasound accessible to those not yet familiar with this technique.
Purpose: The purpose is to illustrate the technical advances in gut wall imaging that endoscopic ultrasound provides and to critically review the role of this technique relative to other imaging modalities. In a number of instances, endoscopic ultrasound provides imaging information that is complimentary to traditional techniques. In other circumstances, endoscopic ultrasound has supplanted other radiologic techniques by superior specificity, a relative lack of invasiveness, and portability. On the other hand, endoscopic ultrasound has a long learning curve and is operator dependent, disadvantages which have limited its broad application to gastrointestinal disease. The editors' objectives with the current text are to critically review progress in this field and to make the topic applicable to a larger number of gastroenterology and gastrointestinal surgeons. This is a very worthy goal which is met by this well written and superbly illustrated text.
Audience: This book will appeal most to gastroenterologists, gastrointestinal surgeons, and others with substantial medical sophistication. Medical students and postgraduate trainees in general medicine and general surgery will find less utility in the book. The editors have assembled a group of experienced endosonographers who collectively represent the world's experts in this area.
Features: This book is organized into a series of sections that describe the technique of endosonography followed by organ specific chapters. Each chapter relating to endosonography of gastrointestinal organs provides abundant illustrative material and accompanying critical text. The strengths and limitations of the technique are discussed in an up-to-date and balanced fashion. The combination of ultrasound images and line drawings is an extremely informative way to present the material, and is supplemented by a series of full color images. The references lists at the end of each chapter are appropriately brief and up-to-date. Citations through 1998 are included.
Assessment: This is a relatively unique text covering a rapidly evolving field in a comprehensive manner. The text benefits from a uniform editorial style, first rate reproductions of endoscopic ultrasound images, and a critical evaluation of application to specific disease states. The textbook will be a valuable addition to the library of practicing gastroenterologists and gastrointestinal surgeons.