Handbook of Gastrointestinal and Liver Disease 2026: Evidence-Based Principles in Pathophysiology, Clinical Algorithms, & Therapeutic Decision-Making for Subspecialty Fellows

The pager fires at 2 AM - a cirrhotic patient with hematemesis, a hemoglobin of 6.4, and an INR of 3.2 - and the next sixty minutes of clinical decisions will determine whether that patient lives or dies. Hesitation at the bedside does not come from lack of knowledge - it comes from lack of structure, the kind that turns scattered facts into a sequenced action plan when time is shortest. This handbook delivers a five-part clinical reasoning framework - the GI Consult Pathway System - that structures every high-stakes GI and hepatology decision from consult trigger to management anchor. Inside this book: - Forrest classification applied at the scope - dual hemostasis technique selection, IV PPI dosing, and antiplatelet resumption timing for the bleeding ulcer on DAPT - MASLD fibrosis screening by FIB-4 and FibroScan - so the diabetic patient with "fatty liver" never reaches cirrhosis undiagnosed - Variceal hemorrhage managed in sequence - pre-endoscopy triple therapy, band ligation, and early TIPS criteria for high-risk patients who meet Baveno VII thresholds - LI-RADS applied to the surveillance liver mass - arterial enhancement, washout, and the decision to stage without biopsy - Tokyo Guidelines for cholangitis severity - Grade III means emergent drainage within twelve hours, not tomorrow morning - Infected walled-off necrosis timed correctly - the step-up approach that cuts mortality compared with early open necrosectomy - HBV reactivation prophylaxis locked in before the first rituximab dose - the preventable catastrophe that still happens weekly Written for gastroenterology fellows, hepatology fellows, internists, hospitalists, NPs, PAs, and residents rotating through the GI consult service. Order today and bring structured clinical reasoning to every consult you answer.

Pagina's: 354, Paperback, Independently published