Additional Information
Book Details
Abstract
A new edition of this respected Australian gastroenterology textbook
Completely updated, this comprehensive medical resource offers a practical, problem-based approach to the subject of clinical gastroenterology.
Containing specialist content from Australian and international contributors, Clinical Gastroenterology, 3rd Edition focuses on both common and uncommon gastroenterological problems as they present in clinical practice.
Building on the previous two editions, Clinical Gastroenterology features decision trees to assist clinicians in assessing patients and the treating digestive disorders.
This latest edition also includes clear medical illustrations suitable for patient education, along with summary tables highlighting key points to guide General Practitioners, gastroenterology specialist trainees and medical students
New to this edition• each chapter commences with a case study and contains key point summaries at the end
• new chapters on inflammatory bowel disease; obesity and anti-obesity surgery; principles of anaesthesia for endoscopy and preparing patients for endoscopy; complications of endoscopy; liver transplant and end-stage liver disease
• expanded sections on pancreatic masses and cysts, and radiological evaluation including the place of cross-sectional imaging
• gastroenterological case studies and key point summaries in each chapter
• new chapters on gastroenterological and hepatological medical conditions, including inflammatory bowel disease, obesity and anti-obesity surgery, principles of anaesthesia for endoscopy and preparing patients for endoscopy, complications of endoscopy, liver transplant and end-stage liver disease
• an expanded section on pancreatic cysts and masses
• an expanded section on radiological evaluation including the place of cross-sectional imaging
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover\r | Cover | ||
| Clinical gastroenterology | iii | ||
| Copyright\r | iv | ||
| Dedication | v | ||
| Foreword\r | vii | ||
| Contents | ix | ||
| Preface | xi | ||
| Contributors | xiii | ||
| Chapter 1 - Heartburn, regurgitation and non-cardiac chest pain | 1 | ||
| Case\r | 1 | ||
| History | 1 | ||
| Examination | 3 | ||
| Pathophysiology of GORD | 3 | ||
| Investigation of Heartburn and Acid Regurgitation | 4 | ||
| Treatment | 7 | ||
| Non-cardiac Chest Pain | 12 | ||
| Key Points | 14 | ||
| Chapter 2 - Difficulty swallowing and pain on swallowing | 15 | ||
| Case\r | 15 | ||
| Pain on Swallowing (Odynophagia) | 15 | ||
| Dysphagia | 16 | ||
| Key Points | 26 | ||
| Chapter 3 - Hiccups, sore mouth and bad breath | 27 | ||
| Case\r | 27 | ||
| Hiccups | 27 | ||
| Sore Mouth | 31 | ||
| Bad Breath | 33 | ||
| Key Points | 35 | ||
| Chapter 4 - Acute abdominal pain | 37 | ||
| Case\r | 37 | ||
| Introduction | 37 | ||
| Mechanisms Of Abdominal Pain | 38 | ||
| Pathological Causes | 38 | ||
| Clinical Evaluation | 40 | ||
| Generalised Abdominal Pain | 40 | ||
| Acute Abdominal Colic | 46 | ||
| Acute Epigastric Pain | 50 | ||
| Acute Pancreatitis And Its Complications | 51 | ||
| Right Upper Quadrant Pain | 55 | ||
| Right Iliac Fossa Pain | 61 | ||
| Left Iliac Fossa Pain | 63 | ||
| Key Points | 64 | ||
| Chapter 5 - When to test for Helicobacter pylori and what to do with a positive test | 66 | ||
| Case\r | 66 | ||
| Introduction | 66 | ||
| Pathogenesis | 66 | ||
| Management Guidelines | 67 | ||
| Summary | 72 | ||
| Key Points | 72 | ||
| Chapter 6 - Indigestion (chronic epigastric pain or meal-related discomfort) | 73 | ||
| Case\r | 73 | ||
| Indigestion and Dyspepsia | 73 | ||
| Mechanisms Underlying Epigastric Pain | 73 | ||
| Clinical Assessment | 74 | ||
| Chronic Peptic Ulcer | 75 | ||
| Management of Dyspepsia | 76 | ||
| Diseases Associated With Epigastric Pain or Discomfort | 78 | ||
| Key Points | 86 | ||
| Chapter 7 - Chronic lower abdominal pain or discomfort | 88 | ||
| Case\r | 88 | ||
| Introduction | 88 | ||
| History | 88 | ||
| Differential Diagnosis | 90 | ||
| Clinical Evaluation | 94 | ||
| Irritable Bowel Syndrome (IBS) | 95 | ||
| Key Points | 98 | ||
| Chapter 8 - Wind and gas | 100 | ||
| Case\r | 100 | ||
| Introduction | 100 | ||
| History | 100 | ||
| Physical Examination | 100 | ||
| Investigations | 100 | ||
| Laboratory Tests | 102 | ||
| Physiology of Gas | 103 | ||
| Composition | 103 | ||
| Symptoms Associated with Intestinal Gas | 103 | ||
| Key Points | 105 | ||
| Chapter 9 - Nausea and vomiting | 106 | ||
| Case\r | 106 | ||
| Definition | 106 | ||
| Physiology of Vomiting | 106 | ||
| History | 107 | ||
| Physical Examination | 108 | ||
| Investigation | 108 | ||
| Consequences of Nausea and Vomiting | 110 | ||
| Important Diseases that may cause Nausea and Vomiting | 110 | ||
| Principles of Treatment | 112 | ||
| Specific Clinical Scenarios | 113 | ||
| Key Points | 113 | ||
| Chapter 10 - Vomiting blood, black stools, blood per rectum, occult bleeding | 115 | ||
| Case\r | 115 | ||
| Introduction | 115 | ||
| Vomiting Blood | 116 | ||
| Passing Melaena Alone | 122 | ||
| Bright Red Blood Per Rectum | 123 | ||
| Iron Deficiency Anaemia | 126 | ||
| Positive Faecal Occult Blood Test | 127 | ||
| Key Points | 128 | ||
| Chapter 11 - Constipation | 130 | ||
| Case\r | 130 | ||
| Introduction | 130 | ||
| Clinical Approach to Patients with Constipation | 131 | ||
| Investigations | 132 | ||
| Approach to Management | 135 | ||
| Surgical Treatment | 136 | ||
| Clinical Approach to Specific Types of Constipation | 137 | ||
| Key Points | 139 | ||
| Chapter 12 - Perianal pain | 141 | ||
| Case\r | 141 | ||
| Introduction | 142 | ||
| History | 142 | ||
| Examination | 142 | ||
| Fissure-in-Ano | 143 | ||
| Anal Sepsis | 145 | ||
| Haemorrhoids | 150 | ||
| Pruritus Ani | 154 | ||
| Chronic Perianal Pain Syndromes | 155 | ||
| Key Points | 156 | ||
| Chapter 13 - Acute diarrhoea | 158 | ||
| Case\r | 158 | ||
| Introduction | 158 | ||
| Clinical Approach to Acute Diarrhoea | 159 | ||
| Therapy | 162 | ||
| Conditions Causing Food-borne Illnesses | 162 | ||
| Travellers’ Diarrhoea | 164 | ||
| Conditions Causing Acute Watery Diarrhoea | 165 | ||
| Conditions Causing Acute Blood Diarrhoea | 167 | ||
| Antibiotic-associated Diarrhoea and C. difficle Colitis | 171 | ||
| Cryptosporidiosis | 172 | ||
| Diarrhoea Associated with AIDS | 172 | ||
| Key Points | 173 | ||
| Chapter 14 - Chronic diarrhoea and fatty stools | 174 | ||
| Case\r | 174 | ||
| Introduction | 174 | ||
| History | 174 | ||
| Physical Examination | 175 | ||
| Assessment | 176 | ||
| Approach to Chronic Diarrhoea | 176 | ||
| Malabsorption | 176 | ||
| Clinical Approach to the Patient with Malabsorption | 180 | ||
| Disorders that may Cause Chronic Diarrhoea or Malabsorption | 183 | ||
| Inflammatory Bowel Disease | 188 | ||
| Collagenous and Microscopic Colitis | 189 | ||
| Key Points | 189 | ||
| Chapter 15 - Inflammatory bowel disease | 190 | ||
| Case\r | 190 | ||
| Introduction | 190 | ||
| Ulcerative Colitis | 191 | ||
| Crohn's Disease | 198 | ||
| Key Points | 204 | ||
| Chapter 16 - Faecal incontinence (leakage of stool) | 206 | ||
| Case\r | 206 | ||
| Introduction | 206 | ||
| Definitions | 206 | ||
| History | 207 | ||
| Examination | 207 | ||
| Physiological Anorectal Assessment | 208 | ||
| Conditions Causing Incontinence with a Normal Sphincter | 211 | ||
| Conditions Causing Incontinence with an Abnormal Sphincter | 213 | ||
| Key Points | 218 | ||
| Chapter 17 - Loss of appetite and loss of weight | 220 | ||
| Case\r | 220 | ||
| Introduction | 220 | ||
| Pathophysiology of Anorexia and Weight Loss | 221 | ||
| Clinical Approach to Anorexia and Weight Loss | 222 | ||
| Management of Patients with Weight Loss | 226 | ||
| Nutritional Support | 228 | ||
| Diseases Associated with Weight Loss | 231 | ||
| Key Points | 237 | ||
| Chapter 18 - Food allergies and intolerance | 238 | ||
| Case\r | 238 | ||
| Introduction | 238 | ||
| A Clinical Approach | 238 | ||
| Identification of Food Allergens | 239 | ||
| Food Intolerance | 242 | ||
| Summary | 243 | ||
| Key Points | 244 | ||
| Chapter 19 - Palpable asymptomatic abdominal masses | 246 | ||
| Case\r | 246 | ||
| Introduction | 246 | ||
| Examination of the Abdomen | 247 | ||
| Documenting the Finding of an Abdominal Mass | 247 | ||
| Masses within the Abdominal Wall | 247 | ||
| Retroperitoneal Masses | 249 | ||
| Intraabdominal Masses | 249 | ||
| Office Tests | 255 | ||
| Imaging | 255 | ||
| Other Investigations | 261 | ||
| Key Points | 262 | ||
| Chapter 20 - Abdominal distension | 263 | ||
| Case\r | 263 | ||
| Preliminary Examination of the Abdomen | 263 | ||
| History and Further Examination | 264 | ||
| Clinical Features | 264 | ||
| Investigations | 267 | ||
| Diagnosis of Ascites | 268 | ||
| Management of Ascites | 269 | ||
| Key Points | 270 | ||
| Chapter 21 - Lumps in the groin and hernia | 271 | ||
| Case\r | 271 | ||
| Introduction | 271 | ||
| History | 271 | ||
| Physical Examination | 272 | ||
| Management of Groin Lumps | 276 | ||
| Key Points | 278 | ||
| Chapter 22 - Rectal/perianal mass and colorectal cancer | 279 | ||
| Case\r | 279 | ||
| Rectal or Perianal Mass | 279 | ||
| Tumours of the Colon and Rectum | 281 | ||
| Anal Canal Cancer | 290 | ||
| Key Points | 291 | ||
| Chapter 23 - Jaundice and pruritus | 293 | ||
| Case\r | 293 | ||
| Introduction | 293 | ||
| Clinical Syndromes | 296 | ||
| Diagnostic Tests | 298 | ||
| Management of Suspected Obstructive Jaundice | 301 | ||
| Pruritus | 303 | ||
| The Postsurgical and Critically Ill Jaundiced Patient | 303 | ||
| The Immunocompromised Patient who is Jaundiced | 304 | ||
| Key Points | 305 | ||
| Chapter 24 - Abnormal liver function test results | 307 | ||
| Case\r | 307 | ||
| An Approach to the Patient with Liver Disease | 307 | ||
| Liver Function Test Interpretation | 308 | ||
| Tests of Liver Injury | 309 | ||
| The Well Patient with Abnormal Liver Function Profile | 312 | ||
| The Sick Patient with Jaundice: Acute Liver Disease | 315 | ||
| Acute Liver Failure | 316 | ||
| Patients Presenting with Cirrhosis and its Complications | 318 | ||
| The Well Patient with Cirrhosis | 319 | ||
| Complications of Portal Hypertension in the Patient with Chronic Liver Disease | 319 | ||
| Ascites in the Cirrhotic Patient with or without Renal Impairment | 322 | ||
| Ascites, Fever and Pain: Spontaneous Bacterial Peritonitis | 323 | ||
| Hepatic Encephalopathy in the Cirrhotic Patient | 324 | ||
| Liver Disease in Pregnancy | 325 | ||
| Specific Hepatic Diseases | 327 | ||
| Key Points | 344 | ||
| Chapter 25 - Management of end-stage liver disease and liver transplantation | 346 | ||
| Case\r | 346 | ||
| Introduction | 346 | ||
| End-stage Liver Disease | 346 | ||
| Orthotopic Liver Transplantation | 353 | ||
| Key Points | 354 | ||
| Chapter 26 - Abdominal incidentalomas | 356 | ||
| Case\r | 356 | ||
| Diagnosis and Management | 356 | ||
| Biliary Incidentalomas | 358 | ||
| Pancreatic Incidentalomas | 361 | ||
| Hepatic Incidentalomas | 364 | ||
| Retroperitoneal Masses | 371 | ||
| Mesenteric Masses | 373 | ||
| Key Points | 374 | ||
| Chapter 27 - Obesity and anti-obesity medical and surgical management | 375 | ||
| Case, Part 1\r | 375 | ||
| Introduction | 375 | ||
| Medical Management | 375 | ||
| Case, Part 2 | 376 | ||
| Surgical Management | 376 | ||
| Pros and Cons of Weight-loss Surgery | 378 | ||
| Case, Conclusion | 378 | ||
| Conclusions | 378 | ||
| Key Points | 379 | ||
| Chapter 28 - Patient preparation and principles of sedation in gastrointestinal endoscopy | 381 | ||
| Case\r | 381 | ||
| Introduction | 381 | ||
| Preparing Patients for Endoscopy | 382 | ||
| Principles of Anaesthesia for Endoscopy | 385 | ||
| Key Points | 389 | ||
| Index | 391 |