By Canan Avunduk
Thoroughly revised and up to date for its Fourth variation, this Spiral® guide is a realistic quick-reference consultant to the analysis and administration of all gastrointestinal problems—from universal lawsuits equivalent to intestinal gasoline to life-threatening ailments similar to melanoma and AIDS. Chapters written in an easy-to-scan define layout disguise the method of the sufferer, diagnostic and healing tactics, dietary review and administration, gastroenterologic emergencies, and particular court cases and problems. Highlights of this Fourth variation contain an multiplied weight problems bankruptcy, significant updates on inflammatory bowel affliction and irritable bowel syndrome, new remedies for viral hepatitis, and endoscopic therapy of gastroesophageal reflux disease.
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Extra info for Manual of Gastroenterology: Diagnosis and Therapy
Drug-induced lesion viii. Malnutrition ix. Graft-versus-host reaction x. Viral enteritis d. Disorders in which the biopsy is normal. i. Pancreatic exocrine insufficiency ii. Cirrhosis iii. Postgastrectomy malabsorption (without intestinal disease) iv. Primary lactase deficiency v. Irritable bowel syndrome VI. ENDOSCOPIC OR TRANSGASTRIC SURGERY is a new and very promising trend in abdominal and pelvic surgery. This technique allows surgical intervention without laparotomy or laparoscopy, thus much less invasive to the patient.
In most patients, barium refluxes into the terminal ileum. 2. In general, a sigmoidoscopy should precede a barium enema. The two studies are complementary. 3. In some clinical situations, a limited barium enema is performed without a bowel preparation. This would be the case when a bowel obstruction is suspected and a limited view of the colon is necessary. If the patient has an intussusception of the colon or a sigmoid volvulus, a carefully performed barium enema without preparation may correct these disorders.
Instruments. The flexible fiberoptic sigmoidoscope, which measures up to 65 cm in length, is a short colonoscope and has replaced the 25-cm rigid sigmoidoscope for routine examinations. QXD 20 1/2/08 12:01 PM Page 20 Part II: Diagnostic and Therapeutic Procedures reaching the descending colon and may even reach the splenic flexure. Furthermore, patients tolerate flexible sigmoidoscopy better than rigid sigmoidoscopy. 2. Preparation of the patient. , Fleet enemas) usually are sufficient preparation for either rigid or flexible sigmoidoscopy.
Manual of Gastroenterology: Diagnosis and Therapy by Canan Avunduk