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The gold standard in gastrointestinal pathology textbooks returns More than 34 million Americans suffer from pathologies of the digestive system, with over 20 million of these disorders chronic. Treatment of these patients is a complex multidisciplinary area of clinical medicine, drawing upon expertise not only from specialist gastroenterologists but also pathologists, immunologists, endoscopists, and more. Morson & Dawson's Gastrointestinal Pathology has long set the standard for pathology textbooks, with its distinctive balance of clinical gastroenterology and pathology. Now fully updated to reflect the latest research in this vital field of medicine, it promises to bring this subject to a new generation of clinicians and pathologists worldwide. Readers of the sixth edition of Morson and Dawson's Gastrointestinal Pathology will also find: Contemporary recommendations and guidelines for getting the most out of every pathology specimen and producing the best possible report for managing the patientDiscussions of the evolving applications of immunohistochemistry and in situ hybridisationA completely new chapter on lymphoid and other tumours of the large intestine Morson & Dawson's Gastrointestinal Pathology is ideal for gastrointestinal pathologists, general pathologists, gastroenterologists, and any clinicians who work with or in gastrointestinal practice.

O presente Tratado de Coloproctologia, Segunda Edição, reúne a grande experiência de mais de 300 membros da Sociedade Brasileira de Coloproctologia (SBCP) e de alguns colaborado_x0002_res internacionais de renome, atualizando os temas mais importantes desta especialidade. Honrando o passado de uma obra ganhadora do Prêmio Jabuti no Brasil, esta nova edição será importante fonte de estudo e atualização, indispensável tanto para jovens quanto para experientes especialistas em coloproctologia, cirurgia geral e aparelho digestivo.

This is the first comprehensive book exclusively dedicated to anorectal physiology and the importance of diagnostic tools in guiding the evaluation and treatment of anorectal dysfunction. Functional disorders, and specifically fecal incontinence and evacuatory disorders, are prevalent in the general population, affecting up to 20% of individuals. As many of these conditions have extremely complex mechanisms, a thorough understanding of anorectal physiology is a crucial element in the surgeon's “arsenal'to ensure accurate evaluation and to inform treatment.At this time, there is no other title that specifically addresses all aspects of anorectal physiology, as well as anorectal and pelvic floor disorders, including fecal incontinence and defecation disorders. Specifically, the book provides detailed descriptions of diagnostic methods and treatment algorithms for a range of anorectal conditions, including modern treatment modalities such as sacral neuromodulation.A unique and comprehensive reference covering all aspects of the evaluation and treatment of anorectal disorders, Anorectal Physiology – A Clinical and Surgical Perspective will be of significant interest to proctologists and coloproctologists, gastroenterologists, colorectal surgeons, gynecologists and all other professionals interested in anorectal physiology.

A practical book dealing with the clinical and therapeutic aspects of anorectal lesions. A totally new edition, especially written for coloproctologic or gastroenterologic surgeons with an increasing number of precise and specific treatment modalities. Leading specialists have contributed to this comprehensive monograph. Compared to the first edition, the chapters have been updated and numerous new chapters have been included: anorectal physiology, surgical treatment of constipation, diverticular disease, echography, psychosomatic approach of anorectal lesions, and others. This book covers the entire field of anorectal diseases, and helps the practitioner select the best treatment. This is an excellent addition to every specialist library.

The most comprehensive and authoritative reference available today on colorectal surgeryThis revised fourth edition of Gordon and Nivatvongs'Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions'reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts.Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine,'wait and watch'principles, outpatient management of anorectal surgery, and large bowel obstruction.Key HighlightsThirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesionsA multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocolsThe use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodelingSuperb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and managementAs the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.

The fourth edition of this leading book provides an authoritative, comprehensive and complete account of the neuronal disorders of the lower gastrointestinal tract in children. The book has been thoroughly revised and updated to reflect major advances that have occurred both in the understanding as well as the treatment of Hirschsprung's disease. Contents discuss the latest therapies such as stem cell therapies, the epidemiology and association with multiple endocrine neoplasia and approaches to diagnosis such as radiology and manometry as well as Hirschsprung's disease in adolescents and adults.Surgical approaches are thoroughly covered and include a new chapter on intestinal transplantation options. The follow-up care and long-term outcomes of patients who have undergone therapy are also addressed in this edition.With several new chapters added and the contents updated and re-worked, this edition is authored by the leading current experts in their respective fields. It is a must-have book for pediatric surgeons, pediatricians, gastroenterologists, and colorectal surgeons.

This text provides a concise yet comprehensive overview of Alagille syndrome. The book reviews the pathophysiology and genetics of the disorder, discusses recent molecular advances and its impact on diagnostics, and describes management challenges and strategies. The text also touches upon future treatment options.Written by experts in the field, Alagille Syndrome: Pathogenesis and Clinical Management is a valuable resource for physicians and researchers dealing with this disorder, one that will help guide patient management and stimulate investigative efforts.

This multi-authored book covers most aspects of evaluation of gastrointestinal motility – a field that has been expanding in recent times largely due to advances in diagnostic modalities; coupled with this, new evidences supporting best practices have increased the interest among clinical gastroenterologists, researchers, teachers and trainees in gastrointestinal motility and its disorders. New advances in the field of evaluation of functional bowel diseases and motility disorders, such as high-resolution manometry, 24-h pH impedance monitoring, Bravo capsule pH-metry, barostat, balloon expulsion test, barium and MR defecography, biofeedback, hydrogen breath tests, motility capsule (smartpill) etc. have significantly expanded the scope and outcome of treating these disorders. The chapters have been contributed by a well-conversant group of experts from the global academia, including India, Singapore, Thailand, Korea and Australia, integrating the body of knowledge on evaluation methods with evidence of best practices for the management of motility disorders. A chapter on how to set-up a manometry laboratory provides key information for clinicians and researchers who are planning to start working in this area. With 11 chapters in the book supported with numerous tables, flow charts, schematic diagrams and images, professionals will find it an essential reading. ​

Die ersten sechs Bücher der interdisziplinären Gastroenterologie waren auf therapeutische Probleme ausgerichtet. In der Therapie zeigt sich letztlich, ob ein interdisziplinärer Dialog mehr als ein bloßes Lippen­ bekenntnis ist. Ein einheitliches diagnostisches Konzept ist indessen für eine interdisziplinäre Gastroenterologie ebenso wünschenswert wie ein gemeinsames therapeutisches Konzept. Drei Punkte sind besonders hervorzuheben: 1) Diagnostik und Therapie beeinflussen sich gegenseitig: Zum einen gilt unverändert der Satz'ohne Diagnose keine gezielte Therapie', zum anderen hat zu gelten, daß die Diagnostik nicht invasiver sein darf als die daraus resultierende Therapie. 2) Diagnostik und Therapie sind im allgemeinen keine im strengen Sinne konsekutiven Ereignisse, sondern laufen im Behandlungspro­ gramm parallel und gleichzeitig an. 3) Viele diagnostische Maßnahmen haben im Verlauf der letzten Jahre immer mehr therapeutische Aspekte erhalten; ein typisches Beispiel ist die Fiberendoskopie. Umgekehrt ist durch die Entwicklung gezielter therapeutischer Maßnahmen auch eine bessere Diagnose ex juvantibus möglich geworden. Nicht zuletzt diese Überlegungen haben uns dazu geführt, den vor­ liegenden Band über gastroenterologische Diagnostik in Angriff zu nehmen.

Das vorliegende Buch ist in seiner Konzeption und Umfang im deutschen Schrifttum einzigartig. In ausführlicher Weise werden alle Krankheiten des Dünn- und Dickdarms dargestellt, wobei sich der Bogen von den Grundlagen wie der Anatomie und Embryologie und der Resorption über die diagnostischen Verfahren (molekulare Diagnostik, Sonographie, Röntgen, Angiographie, Nuklearmedizin, Endoskopie) und weiter zu den klinischen Syndromen (Obstipation, etc.) spannt. Es folgen die klinischen Krankheitsbilder, die ausführlich dargestellt sind. Jedes Kapitel ist gegliedert nach Definition, Vorkommen, Ätiologie und Pathogenese, Klinik, Diagnostik, Differentialdiagnose und Therapie (konservativ-endoskopisch, chirurgisch) und Prognose. Dieses Buch wird ein absolutes Muß für jeden gastroenterologisch tätigen Arzt.

In their second year in medical school, students begin to learn about the differences between'disease'and'illness.'In their studies of pathology they learn to understand disease as pertubations of molecular biological events. And we clinicians can show disease to them by our scans, lay it out even on our genetic scrolls, and sometimes even point out the errant nucleotide. Disease satisfies them and us; at Yale, lectures on the gastrointestinal tract run from achalasia to proctitis. There is, alas, little mention of functional bowel disease or of the irritable or spastic colon, for that is not easy to show on hard copy. Functional bowel disease represents'illness,'the response of the person to distress, to food, to the environment, and to the existential problems of living. In real life such matters are most important. Richard Cabot first found out at the Massachusetts General Hospital almost a century ago that 50% of the patients attending the outpatient clinic had'functional'complaints. The figure had grown to over 80% when the very same question was reexamined 60 years later.

Dietary therapy has always been important to medical practice even if it has more often been sacramental than physiological in effect.'You are what you eat'meant a lot to primitive tribes whose new leader had to eat part of his predecessor, and giving diets brought out the priest in the physician even if he or she had heard that'nothing that enters into a man defiles a man.'What people eat began to take on new meaning, however, a generation ago when Schoenheimer and others made clear that body fat and muscle protein were not the sluggish unchanging masses they had appeared but instead were store­ houses of energy and material influenced by food, activity, and metabolic pro­ cesses. Fiber, or residue as it was then still called, however, seemed unimpor­ tant; even the gastroenterologist concerned with keeping the bowels open by three cooked fruits, three cooked vegetables, and twelve glasses of water each day sometimes felt like a shaman if his cure for constipation worked. Nobody any longer read Arbuthnot Lane's charming Victorian book, The Way Out, which placed the blame for most human ailments on constipation; Lane even removed the bowel to cure the costive ills. Burkitt revived a scientific interest in fiber and the possible connection between diet. constipation, and many physical disorders by observing the vol­ ume and frequency of stools on an African diet and on an English diet.

The functional and organic alterations of the colon constitute one of the leading reasons why patients consult gastroenterologists. The irritable colon is one of the most com­ mon causes of discomfort in human beings. The organic pathology of the large bowel (malignancy and chronic inflammatory disease) contributes, particularly among Occi­ dental peoples, to discouragingly high levels of morbidity and mortality. One realizes the importance of having a thorough physiologic knowledge of the colon in order to scientifically plan the functional treatment of organic colonic dis­ eases. If we consider the large amount of material published on the physiology of the esophagus, stomach, small bowel, pancreas, and liver, we realize that the colon has been relatively neglected. The chapters in this book have been written by people who have done their utmost to alter this imbalance. I want to thank all the contributors for their generous collaboration that allows me to present in one volume virtually all the information known about the structure and function of the colon, and to record my deep graditude to Dr. Howard Spiro for his willingness to include this volume in his series. I would also like to express my sincere appreciation to Plenum Publishing Corporation for making this book possible. A spe­ cial thanks goes to Dr.

Informacje zawarte w książce Jelito cienkie, jelito grube, trzustka (Seria Gastroenterologia i hepatologia w praktyce klinicznej) pozwalają zrozumieć patogenezę i istotę wielu chorób układu trawiennego oraz prawidłowo je rozpoznawać i leczyć. Szczególnie cenne są wiadomości dotyczące patologii jelita cienkiego, gdyż choroby tej części układu pokarmowego, mimo postępu metod badawczych, nadal sprawiają trudności diagnostyczne. W pozycji tej uwzględniono również ważne zagadnienia z zakresu patologii trawienia i wchłaniania, zaburzeń odżywiania oraz leczenia żywieniowego. Obszerne informacje zamieszczono w rozdziałach poświęconych chorobom jelita grubego, w tym czynnościowym i zapalnym. Zawarta jest w nich wiedza o charakterze praktycznym, oparta na opisach różnorodnych przypadków chorobowych, na podstawie której omówiono proces diagnostyki i postępowanie terapeutyczne. Istotne jest, że opieka nad pacjentem jest sprawowana zespołowo przez gastroenterologów, chirurgów i specjalistów do spraw leczenia żywieniowego. Wspólnie podejmowane są sposoby postępowania diagnostycznego oraz zasady leczenia zachowawczego i chirurgicznego w najczęstszych chorobach narządów jamy brzusznej.

Die Erkrankungen des Kolons und Anorektums haben in der Allgemeinchirurgie und der Gastroenterologie einen so großen Stellenwert gewonnen, daß bereits die kolorektale Chirurgie inzwischen als Spezialgebiet anerkannt wird und viele Krankenhäuser eine eigene Abteilung eingerichtet haben. Das Buch beschreibt die wesentlichen Aspekte von Diagnostik, Differentialdiagnose und Therapie im Rahmen der ambulanten Behandlung. Stationäre Behandlungsverfahren werden nur dort angesprochen, wo sie für das ambulante Procedere eine Bedeutung haben. Sofern es sich nicht um Eingriffe handelt, die innerhalb einer proktologischen Ambulanz durchzuführen sind, bleiben operative Einzelheiten unberücksichtigt. Das Buch ist für Chirurgen und Gastroenterologen in der Ausbildung sowie für alle Ärzte, die mit proktologischen Erkrankungen konfrontiert werden, ein zuverlässiges Nachschlagewerk für ihre tägliche Praxis.

Comprehensive and complete, Shackelford's Surgery of the Alimentary Tract delivers the definitive, clinically oriented, cutting-edge guidance you need to achieve optimal outcomes managing the entire spectrum of gastrointestinal disorders. Make effective use of the latest endoscopic, robotic, and minimally invasive procedures as well as medical therapies with unbeatable advice from a'who's who'of international authorities!Find expert answers to any clinical question in gastrointestinal surgery, from the esophagus to the colon.See exactly what to look for and how to proceed from an abundance of beautifully detailed intraoperative and laparoscopic photographs.

This volume reviews the most recent knowledge in the field of gastrointestinal motility in health and disease. The topics addressed include basic as well as clinical data concerning the motor functions of the entire gut: the lower oesophageal sphincter and the gastro-oesophageal reflux; the gastric emptying and the role of the pylorus; the motility of the biliary tract and its disorders; the cyclic motor activity of the gut and intestinal transit; the colonic and ano-rectal motility. There are also impOltant contributions in physiology and pharmacology relating to the neurohumoral regulation of the gut, and the function of digestive smooth muscle. Several papers explore the nature of the linkage between brain and gut. a link which has long been deduced by clinicians but not, until recently, systematically explored by scientists. The individual papers, selected from a large number of submissions, have been subject to'peer-review'by an inter­ national committee which includes both cliniCians and basic scientists. Therefore this book should serve as an up to date source of information for researchers concerned with basic sciences as well as for clinicians in gastroenterology, medicine and surgery. C. Roman v This volume is dedicated to the memory of two friends and colleagues: Professor Dr J. HELLEMANS Professor Dr H. MONGES Acknowledgments This was the 9th of this series of symposia held alternatively in Europe and North America, and the first to be held in France.

Patients who suffer from irritable bowel syndrome (IBS) and constipation often find relief from a combination of therapies. This book presents current research in the study of the symptoms, diagnosis and treatment options for IBS and constipation. Topics discussed include constipation in Parkinson's disease; the role of serotonin in irritable bowel syndrome; clinical trials of emerging therapies in chronic idiopathic constipation; the role of primary afferent nocicpetors in visceral pain associated with IBS; the pathophysiology of IBS with diarrhea; and chronic constipation in the elderly.

Crucial decisions concerning surgical treatment are often based on the results of various methods used for assessing colorectal function. Yet the new methods which have resulted from recent technological advances are still often regarded as research tools or viewed with skepticism by the practicing physician. New horizons are opened up for the coloproctologist in this book which fully documents the scope of established and recently developed investigative techniques. These include manometry, electromyography, scintigraphy and defaecography. The discussion shows how each technique is conducted and in what way the results can be interpreted and used for the management of patients with colorectal disorders. Specialist areas such as the neorectum and the assessment of the pediatric patient are also included. This book clearly establishes the place of each technique in clinical practice. The text is clear and simple so that not only specialists but also non-specialists will be able to understand and set up the appropriate tests for specific colorectal disorders.

This concise textbook of pediatric surgery is designed to guide the reader logically from symptoms and signs to diagnosis and treatment. Each chapter is devoted to one of 35 key symptoms and signs, which are organized according to six body regions: head, neck, chest, abdomen, urogenital system, and back. In each case, a brief assessment of the presenting sign/symptom and differential diagnosis is followed by discussion of occurrence, clinical presentation and significance, diagnostic work-up, treatment, and prognosis. Informative tables, illustrations, and up-to-date references are included throughout. Readers will also have access to an e-learning tool developed in collaboration with the Institute of Medical Education, University of Bern, which highlights the characteristics of pediatric surgical disorders and their treatment and includes clinical, radiological, and intraoperative images.

In this age of specialization most patients with diseases of the hind gut and anus are still managed by general physicians or surgeons. The speciality of coloproctology has grown from the art of'anology', a study of conditions limited to that distance from the anal verge that could be inspected easily by torch- or candlelight or with the aid of a simple speculum. Two centuries ago many proctological ills were often treated by itinerant quacks, partly because the physician considered himself rather too grand to meddle around the anus and the medical profession in general tended to look down on those who studied anal disease. Today, in certain countries, coloproctology has become a speciality every bit as exclusive as urology or orthopaedic surgery, with its own training programme and examinations, usually undertaken after the end of general surgical training. Such super-specialization has undeniable advantages with rapidly advancing technology and therapeutic possibilities. There is no doubt that for the patient suffering from a low rectal carcinoma or severe inflammatory bowel disease there are advantages in being treated by surgeons who are dealing with several cases in a year rather than by a general surgeon who sees such problems relatively rarely. Such specialized colorectal surgery units makes good sense medically and economically in large centres of population with good communications.

Developed in conjunction with the American Society of Colon and Rectal Surgeons, this comprehensive textbook provides readers with the full scope of surgical practice for patients with diseases of the colon and rectum. Expert surgeons, all active both as educators and with busy clinical practices, have written concise and practical chapters on the most commonly done procedures while providing much-needed insight on less frequently presentations, as well.The ASCRS Textbook is designed to meet the needs not only of colorectal specialists, but also the general surgeon in practice whose caseload includes patients with disorders and diseases of the colon, rectum and anus. Residents and fellows will also find a wealth of hands-on guidance and practical tips and tricks. The ASCRS Practice Parameters are incorporated in the book along with an appendix providing the most up-to-the minute access to best practice guidelines. Patient care and safety are addressed in each chapter.'[The ASCRS Textbook of Colon and Rectal Surgery] is a long awaited textbook for those in the field and it does not disappoint. It is brief and to the point, but does not lack the necessary detail expected from a society-produced publication. [It has an] easy-to-read quality that enhances comprehension for the trainee. It is by no means just a student textbook. The inclusion of'hot'current topics, like the anal fistula plug, makes it fresh and useful for experienced surgeons. This is an excellent addition to the colorectal library.'(Doody's Review)

This comprehensive resource for fellows/trainees and candidates for recertification in gastroenterology summarizes the field in a modern, fresh format. Prominent experts from around the globe write on their areas of expertise, and each chapter follows a uniform structure. The focus is on key knowledge, with the most important clinical facts highlighted in boxes. Color illustrations reinforce the text.

This new book on Hirschsprung's disease (HD) contains a complete update on the various aspects of this disease. It is the collaboration of an international group of pædiatric surgeons well-known in their fields who are experts in this pathology and of other prestigious professionals – neurobiologists, physiologists, geneticists, pædiatricians, and histopathologists. Over the course of 28 chapters, these authors describe the latest advances in the diagnosis and treatment of this pathology. The first part is an update of the anorectal physiology, pathophysiology, genetics, and histopathology. The second part deals with the clinical manifestations and diagnosis in the newborn, with especial reference to manometric diagnosis during the neonatal period and to the morphological and radiological study. Other important chapters are devoted to differential diagnosis, preoperative care, indications for ostomy, and preparing the child for the pull-through. The third part describes the various classical surgical options (Swenson, Duhamel, Soave, Rehbein), and the new methods using laparoscopy and transanal pull-through, which have been the major breakthrough in the treatment of this condition. Total colonic aganglionosis and the critical review of the different surgical techniques occupy two magisterial chapters. The fourth part comprises an extensive exposition of enterocolitis in HD, the long-term results following surgery, other variants of HD, and two novel chapters in treatises on this disease (intestinal transplants and nutrition). In the Annex, parents of children with this disease describe their experience. The book ends with a final chapter devoted to informed consent. This book will be an invaluable reference for pædiatric surgeons and pædiatricians and gastroenterologists, and has a special interest for parents of children with Hirschsprung's disease.

Over the past twenty years, thousands of physicians have come to depend on Yamada's Textbook of Gastroenterology. Its encyclopaedic discussion of the basic science underlying gastrointestinal and liver diseases as well as the many diagnostic and therapeutic modalities available to the patients who suffer from them was—and still is—beyond compare. This new edition provides the latest information on current and projected uses of major technologies in the field and a new section on diseases of the liver. Plus, it comes with a fully searchable CD ROM of the entire content.

'Hirschsprung's Disease and Allied Disorders'is the third edition of a comprehensive study of the neuronal disorders of the lower gastrointestinal tract in children. Important new studies and progress in research on bowel motility and motility disorders are covered in detail as well as new aspects concerning the embryology, functional anatomy of the enteric nervous system. In particular new insights have been received from the studies in the genetics of Hirschsprung's disease. Special emphasis is laid on new surgical techniques, especially on the laparoscopic approach in combination with Soave's or Duhamel's technique.

Sonography of the gastrointestinal tract in fetuses, neonates and children entails no known biological risk, permits serial scanning and can provide information unobtainable with any other imaging modality. This book provides a comprehensive account of the current state of the art regarding sonography in this context. An introductory chapter compares the merits of sonography and magnetic resonance imaging of the fetal gastrointestinal tract. Subsequent chapters focus on the technique, pitfalls and findings in a wide variety of applications, including antropyloric diseases bowel obstruction, bowel wall thickening, colitis, appendicitis, intussusception, some abdominal wall and umbilical abnormalities, intraperitoneal tumors, and trauma. In each case the sonographic morphology is considered in depth with the aid of high-quality illustrations. A concluding chapter comprises a quiz based on 15 case reports.'Gastrointestinal Tract Sonography in Fetuses and Children'will be of value to all with an interest in this field.

A Concise, Symptom-Based Textbook for Diagnosis and Decision Making in Clinical Practice Over the past twenty years, thousands of physicians have come to depend on Yamada's Textbook of Gastroenterology. Its encyclopaedic discussion of the basic science underlying gastrointestinal and liver diseases as well as the many diagnostic and therapeutic modalities available to the patients who suffer from them was—and still is—beyond compare. This new textbook, Principles of Clinical Gastroenterology, is designed to inform practitioners on the features of the major clinical disorders in gastroenterology and hepatology from the point of view of the clinician observing signs and symptoms of a patient under care and management. It is a practical guide to diagnosis and decision making in clinical practice and provides a rich source of information on diseases of the gastrointestinal tract and liver. Covering the full range of examinations in gastroenterology and hepatology, with extremely timely chapters on patients with dyspepsia, eating disorders, jaundice, hepatitis, cirrhosis, and on screening, Principles of Clinical Gastroenterology gives you easy access to approaches that a clinician might take to common symptoms and signs presented by patients with such disorders. The chapters include the epidemiology, history, signs and symptoms, diagnosis, treatment, and prognosis of the most commonly encountered disorders in gastroenterology and hepatology. This textbook will be an invaluable resource whether you are a gastroenterologist, internist, surgeon, or other clinician who sees patients with gastrointestinal and liver disorders. It should be kept close at hand for frequent consultation.

This first reference to comprehensively address both the medical and surgical management of diseases affecting the colon, this source spans the wide array of colorectal disorders including rectal prolapse, irritable bowel syndrome, benign and malignant colonic tumors, fissures and ulcers, and Crohn's colitis, among other ailments. With chapters by

Constipation may simply be a symptom that signi?es an obsessive desire to defecate with regular frequency. The authors of this text,however,have demonstrated admirably that this nebulous condition often has a multifaceted etiology. I enjoyed reading this exc- lent text,which covers the gamut of topics related to the etiology,assessment,investi- tion,and management of constipation. The editors have recruited an international team of exemplary ability and have amassed a very comprehensive and consistent text. The chapters merge imperceptibly with minimal repetition. Novel treatments and the more accepted approaches have been presented in considerable detail. This book should be considered the standard for health care professionals managing functional bowel and allied disorders. It provides a benchmark on how to approach and treat the constipated patient. The majority of the authors have been my esteemed colleagues for a number of years; thus it is with particular pleasure that I am able to share their opinions so ably expressed in their respective chapters. This book demonstrates that coloproctology remains a dynamic specialty that provides a holistic approach to constipation. Man- ing constipation without understanding the psyche and emotions, together with the background of emotional and physical traumas of life, would be analogous to walking blindfolded. It has been my pleasure and privilege to have been associated with the editors for some nineteen years and to watch their reputations grow in the international arena. It has been an honor to write the foreword for this book which deserves great success.

Title from ebook title screen (viewed Oct. 26, 2004).

Title from ebook title screen (viewed Oct. 22, 2004).