M. C. Bateson, I. Bouchier

Clinical Investigations in Gastroenterology (eBook, PDF)

• Format: PDF

Produktbeschreibung

This book is a review of the basic tests available in gastroenterology. Emphasis is placed on these techniques of which the authors have personal experiece. The philosophy has been to evaluate investigations for their current clinical usefulness in the management of patients. A critical analysis has been made to describe those older tests which have proved their worth alongside the newer procedures which have been introduced. Just as some recent additions have rapidly gained importance, some familiar tests have lost significance because of medical progress. Testing for Helicobacter pylori has more use than acid secretory studies in the age when antibiotics have displaced the surgeon in the management of chronic peptic ulcer disease. The book is designed for trainees and clinicians without special expertise in gastroenterology, as well as being a shelf manual for the gastroenterologist and the staff of gastroenterology investigation units. Special thanks are due to the nurses on the Bishop Auckland Gastroenterology Unit, and to Amanda Gallagher who typed the manuscript. Malcolm C. Bateson Ian A.D. Bouchier 1996 Xl CHAPTER 1 H elicobacter pylori INTRODUCTION The discovery of the presence of this organism in many human stomachs and its association with disease has revolutionized our approach to peptic ulcer. Detection of H. pylori infection of the gastric mucosa and proof of its absence after eradication therapy have become pivotal in patient management. EPIDEMIOLOGY H. pylori infection is strongly associated with age and inversely with wealth.

---

Dieser Download kann aus rechtlichen Gründen nur mit Rechnungsadresse in A, B, BG, CY, CZ, D, DK, EW, E, FIN, F, GR, HR, H, IRL, I, LT, L, LR, M, NL, PL, P, R, S, SLO, SK ausgeliefert werden.

Produktdetails

• Verlag: Springer Netherlands
• Seitenzahl: 244
• Erscheinungstermin: 6. Dezember 2012
• Englisch
• ISBN-13: 9789401156301
• Artikelnr.: 43984701

Autorenporträt

Malcolm Bateson is a medical graduate of Birmingham University. After hospital posts in London and Cambridge he went to Dundee, first as a Research Fellow then as a Lecturer in Medicine. He has been a Consultant Physician and Specialist in Gastroenterology in County Durham since 1981. He is actively associated with research in bile acids and Helicobacter pylori. Ian Bouchier is a medical graduate of Capetown University. In the course of a distinguished medical career he was Reader in Medicine at the Royal Free Hospital and Professor of Medicine at Ninewells Hospital, Dundee. He is currently Professor of Medicine in Edinburgh. He is a world expert in gastroenterology. He is a prolific author and editor, and has produced several standard medical reference textbooks.

Inhaltsangabe

1. Intubation.- Method.- Tubes.- Complications.- 2. Upper digestive endoscopy.- Instruments.- Procedure.- Endoscopic retrograde cholangiopancreatography.- Cleansing.- Prophylaxis of S.A.B.E..- 3. Gastrointestinal bleeding.- Occult blood tests.- Gastrointestintal bleeding in liver disease.- 4. Oesophagus.- Oesophageal acid perfusion test.- Oesophagoscopy.- Histology.- Radiology.- Manometry.- Reflux studies.- Isotope swallow.- 5. Stomach and duodenum.- Gastric emptying.- Gastric acid secretion.- Other gastric secretions.- Other tests.- Campylobacter-like organisms.- 6. Absorption.- Fats and related substances.- Monosaccharides.- Rare disorders of absorption.- 7. Small intestine.- Intestinal biopsy.- Interpretation.- Radiology.- Radioisotope studies.- Protein loss.- Intestinal bacteria.- Intestinal motility and manometry.- Markers.- Crohn's disease.- Metabolic disorders.- Immunology.- 8. Colon and rectum.- Rectal examination.- Anoscopy (proctoscopy).- Proctosigmoidoscopy.- Flexible sigmoidoscopy.- Rectal biopsy.- Radiology.- Arteriography.- Colonoscopy.- Manometry.- Immunology.- 9. Stool examination and microbiology.- Macroscopic appearance.- Protozoa and helminths.- Bacteria.- Viruses.- 10. Pancreas.- Ultrasonography.- Endoscopic retrograde cholangiopancreatography.- Computed tomography.- Angiography.- Other radiology.- Peritoneoscopy.- Cytology.- Hormonal tests of pancreatic exocrine function.- Lundh test.- Tubeless oral pancreatic function tests.- Digestive enzymes outside the gut.- Other blood tests.- Stool examination.- Sweat electrolytes.- Gut endocrinology.- Insulinoma.- 11. Liver biochemistry.- Blood and urine tests.- Proteins.- Other tests.- Alcoholic liver disease.- Immunology.- Kinetic tests.- Idiopathic haemochromatosis.- Wilson's disease (hepatolenticulardegeneration).- Hyatid disease.- 12. Liver biopsy.- Preparation.- Procedure.- Aftercare.- Complications.- Indications.- Contradictions.- Interpretation.- Liver aspiration.- 13. Liver imaging and manometry.- Ultrasonic scanning.- Isotope scanning.- Diagnosis of cholestasis.- Portal manometry and splenoportography.- Portography.- 14. Gallbladder and bile ducts.- Plain abdominal radiograph.- Oral cholecystography.- Ultrasonography.- Iodine cholangiography.- Bile duct ultrasound.- Computed tomography.- Isotope scanning.- Operative and post-operative cholangiography.- Biliary physiology.- Bacteriology.- 15. Ascites and the peritoneum.- Abdominal paracentesis.- Chylous ascites.- Peritoneal biopsy.- Peritoneoscopy.- Further reading.