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Principles of Clinical Gastroenterology

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672 pages
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.

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Contents
Contributors, vii Preface, ix
1Clinical decision making, 1 Philip S. Schoenfeld
2Economic analysis in the diagnosis and treatment of gastrointestinal diseases, 14 John M. Inadomi
3Psychosocial factors in the care of patients with functional gastrointestinal disorders, 20 Bruce D. Naliboff, Jeffrey M. Lackner, Emeran A. Mayer
4Approach to the patient with dyspepsia and related functional gastrointestinal complaints, 38 Nicholas J. Talley, Gerald Holtmann
5Approach to the patient with dysphagia, odynophagia, or noncardiac chest pain, 62 Chandra Prakash Gyawali, Ray E. Clouse
6Approach to the patient with gastroesophageal reflux disease, 83 Joel E. Richter
7Approach to the patient with dyspepsia and peptic ulcer disease, 99 Andrew H. Soll, David Y. Graham
8Approach to the patient with gross gastrointestinal bleeding, 122 Grace H. Elta, Mimi Takami 9Approach to the patient with occult gastrointestinal bleeding, 152 David A. Ahlquist, Graeme P. Young
10Approach to screening for colorectal cancer, 170 Graeme P. Young, James E. Allison 11Approach to the patient with unintentional weight loss, 183 Andrew W. DuPont 12Approach to the patient with obesity, 191 Louis A. Chaptini, Steven R. Peikin
13Approach to the patient with nausea and vomiting, 205 William L. Hasler 14Approach to the patient with abdominal pain, 228 Pankaj Jay Pasricha 15Approach to the patient with gas and bloating, 255 William L. Hasler 16Approach to the patient with acute abdomen, 271 Rebecca M. Minter, Michael W. Mulholland
v
CONTENTS
vi
17Approach to the patient with ileus and obstruction, 287 Klaus Bielefeldt, Anthony J. Bauer
18Approach to the patient with diarrhea, 304 Don W. Powell
19Approach to the patient with suspected acute infectious diarrhea, 360 John D. Long, Ralph A. Giannella
20Approach to the patient with constipation, 373 Satish S.C. Rao
21Approach to the patient with abnormal liver chemistries, 399 Richard H. Moseley
22Approach to the patient with jaundice, 422 Raphael B. Merriman, Marion G. Peters
23Approach to the patient with ascites and its complications, 442 Guadalupe Garcia-Tsao
24Approach to the patient with central nervous system and pulmonary complications of end-stage liver disease, 467 Javier Vaquero, Andres T. Blei, Roger F. Butterworth
25Approach to the patient with acute liver failure, 492 Ryan M. Taylor, Robert J. Fontana
26Approach to the patient with chronic viral hepatitis B or C, 516 Sammy Saab, Hugo Rosen
27Approach to the patient with a liver mass, 526 John A. Donovan, Edward G. Grant
28Approach to gastrointestinal and liver diseases in pregnancy, 534 Willemijntje A. Hoogerwerf
29General nutritional principles, 557 David H. Alpers, Beth Taylor, Samuel Klein
30Approach to the patient requiring nutritional supplementation, 588 David H. Alpers, Beth Taylor, Samuel Klein
31Genetic counseling for gastrointestinal patients, 624 Cindy Solomon, Deborah W. Neklason, Angela Schwab, Randall W. Burt
Index, 645