Diseases of the Alimentary Tract

Diseases of the Alimentary Tract covers topics about the symptoms, diagnosis, and treatment of several diseases of the alimentary tract. The book describes the causes, symptoms, diagnosis, and treatment of diseases of the mouth and the esophagus, such as aphthous stomatitis, esophageal disorders, and cancer of the esophagus. The text also discusses the types, etiology, symptoms, diagnosis, complications, and treatment of hiatus hernia. Peptic ulcer is tackled with regard to the causes, association to blood group, influence of hormones, geographical incidence, prognosis, and treatment. The book then tackles the conditions associated with peptic ulcer; gastric operations and their metabolic sequelae; and the problems of gastritis and other local conditions. The text further discusses the environmental causes, local factors, symptoms, signs, diagnosis, and surgery of gastric cancer and the diagnosis and prognosis of gastrointestinal hemorrhage. Problems associated with dyspepsia; diseases of the gall bladder and the pancreas; various gastrointestinal problems; and rare gastrointestinal disorders are also explained. The book also describes Crohn's disease, disorders of the colon, as well as gastrointestinal tract involvement in some systemic diseases. Professional gastroenterologists and students taking courses related to gastroenterology will find the book invaluable.

Chapter I The Mouth and Œsophagus The Tongue Coating Lingua Nigra Geographical Tongue Neurosis Glossitis Aphthous Stomatitis Heartburn Dysphagia Achalasia of the Cardia Chagas' Disease Diffuse Œsophageal Spasm Œsophagitis Strictures of the Œsophagus The Syndrome of Anemia, Glossitis and Dysphagia (Plummer-Vinson Syndrome) Œsophageal Webs and Rings The Presence of Gastric Mucosa in the Œsophagus Spontaneous Rupture of the Œsophagus Cancer of the ŒsophagusChapter II The Cardia and Hiatus Hernia Mechanisms Preventing Reflux at the Gastro-Œsophageal Junction The Anatomy of the Hiatus The Intrinsic Sphincter of the Lower Œsophagus The Angle of Entry into the Stomach The Position of the Cardia The Œsophagus in Animals Hiatus Hernia Hiatus Hernia in Children Hiatus Hernia in Pregnancy Hiatus Hernia and Cardiac Ischemia Reflux without Hiatus Hernia The Natural History of Hiatus Hernia Other Types of Diaphragmatic HerniaChapter III Peptic Ulcer Why Does the Stomach not Digest Itself? Is Decreased Resistance of the Gastric Mucosa of Importance? The Role of Hydrochloric Acid Constitutional Factors Blood Groups and Peptic Ulcer The Influence of Hormones Environmental Causes Geographical Incidence A Psychosomatic Disease? Noxious Substances in Food and Drink Other Possibilities Incidence of Peptic Ulcer Historical Present Incidence The Mechanism of Ulcer Pain The Diagnosis of Peptic Ulcer Special Clinical Problems Chronic Gastric Ulcer, Benign or Malignant Giant Lesser Curve Ulcers Peptic Ulcer in Children Post-Bulbar Duodenal Ulceration Gastric and Duodenal Ulcer Occurring Together Pyloric Obstruction Medical Treatment of Peptic Ulcer The Conservative Treatment of Acute Perforated Peptic UlcerChapter IV Conditions Associated with Peptic Ulcer Multiple Endocrine Adenomas Hyperparathyroidism The Zollinger- Ellison Syndrome (Ulcerogenic Tumor of the Pancreas) Peptic Ulcer and Hepatic Cirrhosis Peptic Ulcer and Emphysema Carcinoid Tumours Peptic Ulcer and Coronary Artery DiseaseChapter V Gastric Operations and their Metabolic Sequele Gastric Operations Partial Gastrectomy Vagotomy and a Drainage Operation Gastroenterostomy Vagotomy Sequele of Partial Gastrectomy The Dumping Syndrome Bilious Vomiting Stomal Ulcer Obstructive Symptoms after Polya Gastrectomy Cancer in the Gastric Remnant Loss of Weight Pulmonary Tuberculosis Mechanisms Causing Malnutrition Altered Kinetics The Role of the Pancreas Poor Mixing of Food and Enzymes The Blind Loop Syndrome from a Stagnant Afferent Loop The Jejunal Mucosa Anemia after Gastric Resection Due to Iron Deficiency Megaloblastic AnemiaChapter VI Gastritis and other Local Conditions Gastritis Acute Gastritis Acute "Erosive" Gastritis Chronic gastritis Gastritis and Peptic Ulcer Gastritis and Gastric Cancer Gastritis and Anemia Gastritis and Alcohol Irradiation Gastritis Giant ruge (Menetrier's Disease; Giant Hypertrophic Gastritis) Gastric Atrophy Stress Ulcers Neurogenic Peptic Ulceration Acute Peptic Ulcers Due to Burns Gastric Polyps Primary Pyloric Hypertrophy in Adults Gastric Stasis from Medical Causes Duodenal Diverticula Duodenal Stasis (Ileus or Obstruction) Prolapse of the Gastric Mucosa SyphilisChapter VII Gastric Cancer Cancer of the Stomach Hereditary Blood Groups and Cancer of the Stomach Environmental Causes Soil and Geology Food and Drink Local Factors Malignant Change of a Simple Gastric Ulcer Gastric Polyps Gastritis and Gastric Cancer Symptoms Signs Diagnosis SurgeryChapter VIII Gastrointestinal Hemorrhage Hematemesis and Melena Immediate Treatment Early Diagnosis Differential Diagnosis Indications for Surgery "Blind Gastrectomy" Prognosis of Gastrointestinal Hemorrhage Bleeding from Unusual or Rare Causes The Mallory-Weiss Syndrome Blood Dyscrasias Vascular Disease Henoch-Schönlein Purpura Pseudoxanthoma Elasticum Hereditary Telangiectasia Œsophageal and Gastric Varices Acute Gastrointestinal Bleeding of Unknown OriginChapter IX Problems Associated with Dyspepsia Food and Digestion Aerophagy Nervous Dyspepsia Anorexia Nervosa X-ray Negative Dyspepsia (Non-Ulcer Dyspepsia)Chapter X The Gall-Bladder and Pancreas Incidence of Gall-Stones Biliary Colic Acute Cholecystitis Chronic Cholecystitis Motility Disturbances of the Biliary Tract Pancreatitis Etiology Associated Factors Acute Pancreatitis Chronic Pancreatitis Associated Diseases Hyperparathyroidism Hyperlipemia Cancer of the PancreasChapter XI Various Gastrointestinal Problems The Adverse Effects of Drugs Aspirin Phenylbutazone (Butazolidin) Corticosteroid Therapy Antibiotics Smoking and the Alimentary Tract The Effect of Irradiation Gastrointestinal Allergy Anemia and the Alimentary Tract Due to Iron Deficiency The Role of Achlorhydria The Macrocytic Anemias Potassium Deficiency in Gastrointestinal Disorders Magnesium Deficiency Appendicitis Acute Appendicitis Appendicular Colic Mucocœle Appendicitis in Children Appendicitis during Pregnancy Chronic Pain in the Right Iliac Fossa of Undetermined Origin—"Chronic Appendicitis" Peritoneal Adhesions Constipation Self-Induced Diarrhœa Intestinal Gas Bacterial Infections of the Alimentary Tract Dysentery Food Poisoning CholeraChapter XII Some Rare Gastrointestinal Disorders Protein-Losing Gastro-Enteropathy (Exudative Enteropathy) Hereditary Multiple Polyposis Syndromes The Peutz-Jeghers Syndrome Multiple Polyposis of the Colon Intestinal Polyposis with Osteomas and Soft Tissue Tumours (the Gardner Syndrome) Pneumatosis Intestinalis (Pneumatosis Cystoides Intestinalis) Spontaneous Rupture of Viscera Acute Idiopathic Retroperitoneal Fibrosis Pseudomembranous EnterocolitisChapter XIII Steatorrhœa The Small Intestine and its Functions Radiology of the Small Intestine Intestinal Biopsy Idiopathic Steatorrhœa (Non-Tropical Sprue: Primary Malabsorption Syndrome; Gluten-Induced Enteropathy; Adult Cœlic Disease) Nutritional and Metabolic Consequences of Idiopathic Steatorrhea Anemia Hemorrhage Water and Electrolyte Disturbances Malignancy Due to Idiopathic Steatorrhœa? Hypoproteinemia Bone Disease Neurological Manifestations The Role of Gluten Mechanisms Causing Malabsorption Bacteria in the Small Bowel Treatment by the Gluten-Free Diet and Other Measures Gross Pathological Changes Prognosis Cœliac disease Giardia Lamblia Cystic Fibrosis of the Pancreas (Mucoviscidosis) Acanthocytosis (α-β-lipoproteinemia) Tropical Sprue Whipple's Disease Other Conditions Causing Steatorrhœa Drugs Gastrointestinal Infection and Infestation Irradiation of the Small Bowel Intestinal Hurry Hypogammaglobulinemia Congestive Cardiac Failure Disease of the Liver Enlarged Mesenteric Lymph Nodes Mesenteric ArteriosclerosisChapter XIV The "Blind Loop" Syndrome and Other Disorders of the Small Intestine Stagnant Loop Syndromes in Man Diverticulosis of the Small Intestine Gastro-Jejuno-Colic Fistula Resection of the Small Intestine Meckels Diverticulum Intestinal Pseudo-Obstruction Vascular Lesions of the Small Bowel and their Sequele Primary Non-Specific Ulcers of the Small Intestine Neoplasms of the Small Intestine Carcinoid Tumours (Argentaffinoma)Chapter XV Crohn's Disease (Regional Enteritis) Crohn's Disease in Other Sites Complications of Crohn's Disease Treatment and Prognosis Crohn's Disease in Childhood Crohn's Disease in Pregnancy Cancer in Crohn's DiseaseChapter XVI Ulcerative Colitis Topographical Types Proctosigmoiditis Proctitis Ulcerative Colitis of the Whole Colon Ileocolitis Acute Segmental Colitis Acute Fulminant Ulcerative Colitis Acute Dilatation of the Colon Ulcerative Colitis in Children Ulcerative Colitis and Pregnancy Local Complications Ulcerative Colitis and Cancer Systemic Complications Ulcerative Colitis and Diverticulitis Medical Treatment of Ulcerative Colitis Indications for Surgery in Ulcerative Colitis Ileostomy Total Colectomy and Ileo-Rectal AnastomosisChapter XVII Disorders of the Colon Irritable Colon Nervous diarrhœa Proctalgia Fugax Polyps of the Large Bowel Cancer of the Colon Diverticulosis and Diverticulitis of the Colon Cancer and Diverticulitis Lymphogranuloma Venereum Megacolon and Hirschsprung's Disease Amœbiasis Endometriosis of the ColonChapter XVIII Gastrointestinal Tract Involvement in Some Systemic Diseases Metabolic Disorders Diabetes Mellitus Porphyria Uremia "Collagen" Disorders Polyarteritis Nodosa Systemic Lupus Erythematosus Dermatomyositis (Polymyositis) Progressive Systemic Sclerosis (Scleroderma) Granulomas Sarcoidosis Abdominal Tuberculosis Actinomycosis Wegener's Granuloma Other Cconditions Leukemia AmyloidosisAppendix I Measurements of the Secretion of Hydrochloric Acid The Control of Variable Factors The Stimulus to Gastric Secretion Estimation of Hydrochloric Acid Definition of Achlorhydria Selection of a Suitable Test for Measuring Gastric Acidity The Augmented Histamine Test 24-Hour Gastric Analysis Measurement of 12-Hour Nocturnal Secretion Tubeless Gastric Analysis The Insulin Hypoglycemia TestAppendix II The Absorption of Radioactive Vitamin B12Appendix III Jejunal Biopsy by the Oral RouteAppendix IV The D-Xylose Excretion TestAppendix V Tests to Detect Either Defective Absorption or Deficiency of Folic Acid The FIGLU TestAppendix VI The Estimation of Fecal FatAppendix VII Occult Blood TestsAppendix VIII Fecal Blood Loss Measured by Radioactive ChromiumAppendix IX PeritoneoscopyAppendix X The "Radio Pill"Appendix XI The Gluten-Free DietReferencesIndex

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