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A Colour Atlas of Gastrointestinal Endoscopy

Article  in  Annals of Surgery · November 1987

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Peter Cotton
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 680 BOOK REVIEWS
ous approach to the surgical treatment of coronary artery dis-
ease . . . and will be a reference of inestimable value both to
cardiologists and cardiovascular surgeons as they meet the
needs of patients with coronary artery disease."
KENT W. JONES, M.D.
Salt Lake City, Utah
A Colour Atlas of Gastrointestinal Endoscopy. K. F. R.
Schiller, Roy Cockel, Richard H. Hunt, with the collaboration
of B. Sterry Ashby, Giles W. Stevenson. 240 pp. Philadelphia:
W. B. Saunders Co. 1987. $110.00.
GASTROINTESTINAL ENDOSCOPY is a visual procedure. Al-
though the final diagnosis should be based on histopathology,
pattern recognition of lesions and the detection of abnormality
(to prompt taking biopsies) are of primary importance. It is
therefore surprising that few atlases of normal and abnormal
appearances have been published, despite the wealth ofexperi-
ence throughout the world over the last 20 years and the bil-
lions of photographs that have been taken.
The scarcity of atlases reflects the size of the task in assem-
bling a comprehensive selection of good quality pictures, en-
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Ann. Surg. * November 1987
compassing all areas of the gastrointestinal tract and its dis-
eases.
This atlas certainly succeeds in its aim, to provide a manual
for less experienced endoscopists and a reference source for the
experienced. The photographs are generally of high quality.
There are some exceptions where the rarity of the lesions, or
the excitement of the occasion, may have affected the out-
come. Thus, some illustrations of rarer types of polyps and of
emergency procedures in bleeding patients are less than ideal.
Experts will review these pictures carefully to see if they dis-
agree with any interpretation. The pancreatogram illustration
of "minimal change pancreatitis" might be interpreted as
more severe disease by some. We question the description of
the common periampullary diverticulum as "congenital" and
do not like the described method for placing a feeding tube,
which appears to involve passing the endoscope with the for-
ceps protruding from the tip. There are some minor errors in
the references. The line drawings, although of good quality,
add little to the clarity, since they are not annotated.
This atlas should be available in all areas where endoscopy
training programs are pursued, and many individual gastroen-
terologists will wish to have a personal copy.
PETER B. COTTON, M.D.
Durham, North Carolina