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    Basel Freiburg Paris London New York Bangalore Bangkok Singapore okyo Sydney

    Professional, Legal and EthicalChallenges in Gastroenterology

    Editors

    Spiros D. Ladas, AthensTony Axon, LeedsPeter Malfertheiner, Magdeburg

    6 igures and 8 tables, 2008

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    S. KargerMedical and Scientifc PublishersBasel Freiburg Paris LondonNew York Bangalore BangkokSingapore okyo Sydney

    DisclaimerTe statements, options and data contained in this publicationare solely those o the individual authors and contributorsand not o the publisher and the editor(s). Te appearance oadvertisements in the journal is not a warranty, endorsement,or approval o the products or services advertised or o theireectiveness, quality or saety. Te publisher and the editor(s)disclaim responsibility or any injury to persons or propertyresulting rom any ideas, methods, instructions or products

    reerred to in the content or advertisements.

    Drug DosageTe authors and the publisher have exerted ever y eort to en-sure that drug selection and dosage set orth in this text are inaccord with current recommendations and practice at the timeo publication. However, in view o ongoing research, changesin government regulations, and the constant ow o inorma-tion relating to drug therapy and drug reactions, the reader isurged to check the package insert or each drug or any changein indications and dosage and or added warnings and precau-tions. Tis is particularly important when the recommendedagent is a new and/or inrequently employed drug.

    All rights reserved.No part o this publication may be translated into otherlanguages, reproduced or utilized in any orm or by any means,electronic or mechanical, including photocopying, recording,microcopying, or by any inormation storage and retrievalsystem, without permission in writing rom the publisher or,in the case o photocopying, direct payment o a specifed ee tothe Copyright Clearance Center (see General Inormation).

    Copyright 2008 by S. Karger AG,P.O. Box, CH4009 Basel (Switzerland)Printed in Switzerlandon acid-ree and non-aging paper (ISO 9706) byReinhardt Druck, BaselISBN 9783805583800

    Fax +41 61 306 12 34

    E-Mail [email protected]

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    Vol. 26, No. 1, 2008

    Contents

    Fax +41 61 306 12 34

    E-Mail [email protected]

    2008 S. Karger AG, Basel

    Access to ull text and tables o contents,

    including tentative ones or orthcoming issues:www.karger.com/ddi_issues

    5 EditorialLadas, S.D. (Athens); Axon, . (Leeds); Malertheiner, P.(Magdeburg)

    Reviews

    7 Quality Control on Endoscopic Maintenance andRepair Services: Safety Considerations for the PatientRey, J.-F. (Saint Laurent du Var)

    11 Ethical and Legal Implications in Seeking andProviding a Second Medical Opinion

    Axon, A. (Leeds); Hassan, M. (London); Niv, Y. (Petach ikva);

    Beglinger, C. (Basel); Rokkas, . (Athens)

    18 Ethical Aspects of Capsule EndoscopyNiv, Y. (el Aviv)

    23 Informed Consent and the Law An English LegalPerspective

    Hassan, M. (London)

    28 Ethics Related to Drug Therapy in the ElderlyBeglinger, C. (Basel)

    32 Why There Is a Need of an Ethics Committee inScientific Medical Societies

    Montori, A.; Onorato, M. (Rome)

    36Psychological Profile of Obese PatientsLykouras, L. (Athens)

    40 Intragastric Balloon Treatment for Obesity:What Does It Really Offer?

    Mathus-Vliegen, E.M.H. (Amsterdam)

    45 Intragastric Balloon: Ethics, Medical Need andCosmetics

    Kotzampassi, K.; Shrewsbury, A.D. (hessaloniki)

    49 Complications of ERCP: Ethical Obligations and LegalConsequences

    Rcz, I. (Gyr); Rejchrt, S. (Hradec Kralove); Hassan, M.(London)

    56 Breaking Bad News

    Schoel, R. (Linz)

    59 Ethics Related to Liver Biopsies and AntiviralTherapies in Chronic Viral Hepatitis

    Papatheodoridis, G.V. (Athens)

    Research Papers

    66 Informed Consent for Gastrointestinal Endoscopy:A View of Endoscopists in Croatia

    Banic, M. (Zagreb/ Rijeka); Kardum, D.; Plesko, S.;Petrovecki, M.; Urek, M.; Babic, Z.; Kujundzic, M.; Rotkvic, I.(Zagreb)

    71 Do We Present Abstracts on Ethical, Legal,Cost-Effectiveness and Patient Care Issues at MajorGastroenterology Congresses?Archavlis, E.; riantayllou, K.; Adamopoulos, A.; Emmanuel, .;zathas, C.; Ladas, S.D. (Athens)

    75 Patient Satisfaction with Endoscopy Measurementand Assessment

    Yanai, H.; Schushan-Eisen, I.; Neuman, S.; Novis, B. (el Aviv)

    80 Dramatic Decline of Acute Appendicitis in Greeceover 30 Years: Index of Improvement ofSocioeconomic Conditions or Diagnostic Aids?

    Papadopoulos, A.A.; Polymeros, D. (Athens); Kateri, M. (Piraeus);zathas, C. (Athens); Koutras, M. (Piraeus); Ladas, S.D. (Athens)

    85 Author Index

    86 Subject Index