By Peter R McNally DO FACP FACG
GI/Liver secrets and techniques Plus, 4th variation, by way of Peter R. McNally, DO, FACP, FACG - a quantity within the renowned secrets and techniques sequence® - makes use of a handy Q&A method of supply fast reference and assessment of state-of-the-art commonest GI and liver issues and their administration. An improved measurement and structure, straightforward two-color web page structure, question-and-answer process, and record of the "Top a hundred GI/Liver secrets and techniques" make it an ideal concise board assessment device and a convenient medical reference. up to date insurance all through equips you with the entire most modern and crucial wisdom within the box. makes use of bulleted lists, tables, bins, brief solutions, and a hugely distinct index to expedite reference. comprises Key issues and reminiscence aids in each one bankruptcy that make it excellent for board evaluate or medical reference. Covers all of contemporary commonest GI and liver issues and their administration. positive aspects the recent "Secrets PLUS" layout - with an extended dimension and format, additional info, and extra visible components - for less complicated evaluate and an total improved reference adventure. includes new pictures and illustrations to supply extra aspect and supply a clearer photograph of what's obvious in perform. comprises revisions all through to supply you with an up to date review of gastroenterology and hepatology, together with new chapters on Esophageal and abdominal Pathology, Pathology of the reduce GI Tract, Gastroesophageal Reflux and Esophageal Hernias, and surgical procedure of Achalasia and Esophageal melanoma. deals reorganized and improved sections overlaying the bowels and colon for extra particular and more uncomplicated reference: Small and big Bowel problems; Colon issues; and basic indicators and prerequisites.
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Extra info for GI Liver Secrets Plus, Fourth Edition
However, it is not necessarily related to esophageal contractions and may reflect abnormalities in the sensory pathway, similar to what has been described in patients with spastic motility disorders. Heartburn is indistinguishable from that in patients with established gastroesophageal reflux disease (GERD), including a response to antacids. In fact, this symptom has resulted in a mistaken diagnosis of GERD for several years in some patients with achalasia. Whether this is caused by lactic acid production as a result of bacterial breakdown of retained food or a true acid reflux is not clear.
Yes. All disease has a psychological element; illness is interpreted according to personality and previous experiences. This maxim appears to be particularly true for UCP. Psychological abnormalities have been documented in 34% to 59% of patients with UCP and are present in all of the causes described previously. Psychiatric diagnoses are probably most prevalent in patients with esophageal motility abnormalities (84% in one study). Psychological factors, therefore, must be considered in the management of patients with UCP, including the possibility of panic attacks.
Mayberry JF. Epidemiology and demographics of achalasia. Gastrointest Endosc Clin N Am 2001;11:235–48. 14. Park W, Vaezi MF. Etiology and pathogenesis of achalasia: The current understanding. Am J Gastroenterol 2005;100:1404–14. 15. Parkman HP, Reynolds JC, Ouyang A, et al. Pneumatic dilation or esophagomyotomy treatment for idiopathic achalasia: Clinical outcomes and cost analysis. Dig Dis Sci 1993;38:75–85. 16. Pasricha PJ, Rai R, Ravich WJ, et al. Botulinum toxin for achalasia: Long-term follow-up and predictors of outcome.