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Cotton and Williams’ Practical Gastrointestinal Endoscopy: The Fundamentals, 8th Edition

ISBN: 9781119525202
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The fundamental guide to gastrointestinal endoscopy returns in a fully updated new edition

For over forty years, Cotton and Williams’ Practical Gastrointestinal Endoscopy offers a clear, accessible introduction to endoscopic fundamentals, from patient positioning to the range of available procedures. Now updated by a new authorial team to reflect rapid recent advances in endoscopic procedures, this text promises to serve a new generation of students and specialists as the essential introduction to upper and lower gastrointestinal endoscopies.

Readers of the eighth edition of Cotton and Williams’ Practical Gastrointestinal Endoscopy will also find:

Updated online resources including a downloadable bank of clinical photos
High-quality videos illustrating endoscopic practices and procedures, keyed to specific points in the text

Cotton and Williams’ Practical Gastrointestinal Endoscopy remains a must-own for all trainee and specialist gastroenterologists and endoscopists.

Catharine M. Walsh, MD, MEd, PhD, FRCPC is an Associate Professor of Paediatrics at The Hospital for Sick Children, University of Toronto, Toronto, Canada.

Ahmir Ahmad, BSc, MRCP, PhD is a Senior Research Fellow at St. Mark’s Hospital, London, UK.

Jonathan Cohen, MD, FASGE, FACG is Clinical Professor of Medicine at the NYU Grossman School of Medicine, New York, USA.

Brian P. Saunders, MD, FRCP, FRCS is Consultant Gastroenterologist at St. Mark’s Hospital and Professor of Endoscopy at Imperial College, London, UK.

Peter B. Cotton, MD, FRCP, FRCS was Professor of Medicine and Director of the Digestive Disease Center, Medical University of South Carolina, Charleston, USA.

Christopher B. Williams, BM, FRCP, FRCS was Consultant Physician in Gastrointestinal Endoscopy at St. Mark’s Hospital, London, UK.


List of Video Clips

Preface to the Eighth Edition

Preface to the First Edition


About the Companion Website

1 Welcome to Endoscopy

Resources and links

2 The Endoscopy Unit, Staff, and Management

Endoscopy units


Management, behavior, and teamwork

Documentation and quality improvement

Educational resources

Further reading

3 Endoscopic Equipment


Endoscopic accessories

Ancillary equipment

Electrosurgical units

Lasers and argon plasma coagulation

Equipment maintenance

Infection control

Cleaning and disinfection

Further reading

4 Patient Care, Risks, and Safety

Patient assessment

Patient education and consent

Physical preparation


Recovery and discharge

Managing adverse events

Further reading

5 Upper Endoscopy: The Fundamentals

Patient position

Endoscopist position

Endoscope handling

Passing the endoscope

Routine diagnostic survey

Problems during endoscopy

Recognition of lesions

Specimen collection

Diagnostic endoscopy under special circumstances

Further reading

Chapter video clips

6 Therapeutic Upper Endoscopy

Benign esophageal strictures


Esophageal cancer palliation

Gastric and duodenal stenoses

Gastric and duodenal polyps and tumors

Foreign bodies

Acute bleeding

Enteral nutrition

Further reading

7 Colonoscopy and Flexible Sigmoidoscopy: The Fundamentals


Indications and limitations, and alternatives

Informed consent

Contraindications and infective hazards

Patient preparation


Equipment—present and future



Handling “single-handed,” “two-handed,” or two-person?

Sigmoid colon—accurate steering

Endoscopic anatomy of the sigmoid and descending colon

Sigmoid colon—the bends

Sigmoid colon—the loops

Diverticular disease

Descending colon

Splenic flexure

Transverse colon

Hepatic flexure

Ascending colon and ileo-cecal region

Overtubes and balloon colonoscopy

Examination of the colon


Pediatric ileocolonoscopy

Per-operative colonoscopy

Further reading

Chapter video clips

8 Therapeutic Colonoscopy


Principles of polyp electrosurgery

Approach to polypectomy

Selection of polypectomy technique

Polypectomy: Diminutive and small polyps

Polypectomy: Large polyps

Polypectomy: Problem polyps

Recovery of polypectomy specimens

Risks of polypectomy

Other therapeutic procedures

Further reading

Chapter video clips

9 Advanced Endoscopic Procedures

Small bowel endoscopy

Endoscopic retrograde cholangiopancreatography (ERCP)

Endoscopic ultrasound (EUS)

Bariatric endoscopy

Anti-reflux procedures

Third space procedures and NOTES

Epilogue: The Future? Comments from the Senior Authors