Clinical Investigations In Gastroenterology

This book is a completely up-to-date review of the basic tests available in gastroenterology. It is based on a detailed critical analysis of recently described procedures and the review of more traditional methods; each is as signed its correct place in the modern management of patients. Emphasis is placed on those techniques with which the authors have practical experience. The most useful investigations are indicated in the table of contents by heavy type. Comprehensive references are included to provide information about the selection, performance and interpretation of tests. 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 gastrointestinal investigation units. Special thanks are due to the nursing staff of the Day Ward, Bishop Auck land General Hospital; Mr P. Grencis, Medical Photographer; Dr S. Desai, Radiologist; and Amanda Gallagher who typed the manuscript. Malcolm C. Bateson Ian A. D. Bouchier 1988 xu CHAPTER 1 Intubation The passage of various forms of nasogastric, duodenal and intestinal tubes is basic to many of the diagnostic procedures performed in the gastrointestinal system. Method Whenever possible the patient's fullest co-operation should be obtained. If the patient is taking any drugs which might influence the test to be under taken these should be discontinued.

The new edition of this book provides a comprehensive review of the basic tests available in gastroenterology. Chapters examine widely-used modern techniques such as ultrasonography for Crohn’s disease, capsule endoscopy, elastography and video proctosigmoidoscopy among others. Fully updated to reflect the recent advances in the field in the last 20 years, this volume evaluates investigations for their current clinical usefulness in the management of patients. The reader will benefit from a critical analysis describing those older tests which have proved their worth alongside the newer procedures which have been introduced. Emphasis is placed on those techniques of which the authors have personal experience. 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.

The new edition of this book provides a comprehensive review of the basic tests available in gastroenterology. Chapters examine widely-used modern techniques such as ultrasonography for Crohn's disease, capsule endoscopy, elastography and video proctosigmoidoscopy among others. Fully updated to reflect the recent advances in the field in the last 20 years, this volume evaluates investigations for their current clinical usefulness in the management of patients. The reader will benefit from a critical analysis describing those older tests which have proved their worth alongside the newer procedures which have been introduced. Emphasis is placed on these techniques of which the authors have personal experience. 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.

Clinical Guide to Gastroenterology is an accessible, quick-reference resource that provides practical, evidence-based information on investigations, interventions and management of clinical gastroenterological scenarios. It is packed full with bullet points, diagrams, tables, and algorithms of the important presentations and conditions within Clinical Gastroenterology. Divided into sections, the book offers in-depth coverage of presenting complaints in Gastroenterology, common conditions broken down by organ system, important investigations and procedures, and pharmacology. Detail is given to the sequence of clinical examination, investigations and management required to diagnose and treat a wide range of gastroenterological disorders. Provides information on symptoms, disorders and issues found in the clinical environment Guides readers in decision-making, appropriate investigation, and conducting interventions Includes important guidelines and clinical trials within each chapter Supplemented by a companion website featuring a wealth of additional material, including more than 70 audio clips, over 50 clinical case studies, and almost 350 self-assessment questions, as well as key clinical trials and guidelines Clinical Guide to Gastroenterology is a must-have text for junior doctors and medical students as well as doctors, nurses and trainees working within Emergency Departments, Medical, or Surgical Assessment Units.

Gastroenterology is a critically important specialty in medicine, encompassing the GI tract and two vital organs - the pancreas and the liver. Gastroenterology: Clinical Cases Uncovered includes reference to the new JCHMT curriculum for acute and internal medicine concerning gastroenterology and hepatology and presents real-life patient cases and outcomes as seen on the wards and in exams leading students through a practical approach to recognize, understand, investigate and manage gastroenterological and hepatological disorders and conditions. Following a question-answer approach, with self-assessment MCQs, EMQs and SAQs, and a 'refresher' section on basic science, Gastroenterology: Clinical Cases Uncovered features investigations and the treatment options available for patients with upper and lower GI disorders, liver disease, biliary and pancreatic disease, and problems of nutrition. Gastroenterology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, specialist nurses and nurse practitioners and gastroenterology trainees on the specialty training programme.

Inflammatory bowel disease - i.e. ulcerative colitis and Crohn's disease - not only creates significant patient morbidity but also imposes a diagnostic and therapeutic challenge to the physician in charge of these patients. Since the development of sulphasalazine by Dr Nanna Svartz in Sweden half a century ago, important improvements in the prognosis of ulcerative colitis and Crohn's disease have been achieved. This book makes an attempt to present and discuss some of the most recent advances in diagnostic procedures and therapeutic approaches to inflammatory bowel disease with special respect to Crohn's disease. Although the fmal diagnosis of ulcerative colitis and Crohn's disease is generally based on endoscopic, histological or X-ray examinations, nuclear medicine and its imaging procedures have established their place in certain aspects of inflammatory bowel disease. One chapter of this book is dedicated accordingly to the indications of nuclear diagnostic procedures in the clinical setting. Sulphasalazine has been the mainstay of medical therapy in ulcerative colitis and Crohn's disease of the colon. Recently 5-aminosalicylic acid has been discovered to be its active compound and sulphapyridine was found to be the component responsible for most of the adverse effects of sulpha salazine. It is not surprising that many studies have investigated 5-amino salicylic acid as a single therapeutic agent in inflammatory bowel disease.