By C. J. de Gara, D. B. Jones, R. H. Hunt (auth.), Alan B. R. Thomson M.D., L. R. DaCosta M.D., William C. Watson M.D. (eds.)

ISBN-10: 1461290023

ISBN-13: 9781461290025

ISBN-10: 1461317894

ISBN-13: 9781461317890

A fantastic staff of cutting-edge researcher/clinicians who recognize their fields, have contributed to the development of information, and are capable of pass judgement on what's actually vital have right here pooled their recommendations in a chain of chapters at the slicing edges of gastroenterology. 4 attributes render this quantity more suitable to different update-oriented guides. the 1st awesome function, that's instantly obtrusive upon scanning the desk of contents, is the resourceful collection of topics, starting from trav­ eler's diarrhea and sexually transmitted GI infections via TPN and interventional endoscopy to geriatrics and iatrogenic sickness. A moment notable function of this quantity is its good fortune in balanc­ ing simple pathophysiology with sensible concerns of medical guy­ agement. this is often completed within the discussions of such various subject matters as acid-peptic ailments, infectious and different diarrheal syndromes, and hep­ atitis immunization. during the booklet we're led easily from uncomplicated technological know-how rules to precise suggestions for prognosis and treatment. This sensible emphasis looks time and again and infrequently professional­ duces a pleasant shock, akin to a bankruptcy on radiology that isn't tech­ nology-based yet in its place problem-oriented.

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PHYSIOLOGICAL BASIS FOR ULCER THERAPY 31 156. Samloff 1M: Inhibition of peptic aggression by sucralfate. A view from the ulcer creator. Scand J GastroenteroI1983;18(SuppI83):7-11. 157. Vantrappen G, Janssens J, Popiela T, et al: Effect of IS (R)-15-methyl prostaglandin E2 (arbaprostil) on the healing of duodenal ulcer: A double-blind multicentre study. Gastroenterology 1982;83:357-363. 2 Peptic Ulcer Disease Is There a Need to Be Selective or Superselective? David Fromm 1. INTRODUCTION As technical details and acid secretory consequences of the various operative procedures for peptic ulcer disease became better understood in the 1950s and 1960s, greater emphasis was placed on determining the incidence of dumping and other long-term sequelae of peptic ulcer surgery.

Prospective studies indicate that the major difference between vagotomy with drainage, vagotomy with antrectomy, and subtotal gastrectomy relates to the incidence of recurrent ulceration. In four prospective studies, 3the incidence of recurrent ulcer ranged from 7 to 10% after vagotomy with drainage. This is in contrast to a 1-4% incidence after vagotomy with antrectomy and a 2-5% incidence after subtotal gastrectomy. 3 Although some data suggest otherwise,9 it is generally accepted that the incidence of recurrent ulcer is least after vagotomy with antrectomy.

New York: SpringerVerlag, 1974, pp. 109-111. 75. Van Hee RH, Vanhoutte PM: Cholinergic inhibition of adrenergic neuro transmission in the canine gastric artery. Gastroenterology 1978;74:1266-1270. 76. Guth PH, Smith E: Histamine receptors in the gastric microcirculation. Gut 1978; 19: 1059-1063. 77. Levine BA, Schwesinger WH, Sirinek KR, Jones D, Pruitt BA: Cimetidine prevents reduction in gastric mucosal blood flow during shock. Surgery 1978;84: 113-119. 78. Konturek SJ, Dembinski A, Thor P, Krol R: Comparison of vasoactive intestinal peptide (VIP) and secretin in gastric secretion and mucosal blood flow.

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Modern Concepts in Gastroenterology by C. J. de Gara, D. B. Jones, R. H. Hunt (auth.), Alan B. R. Thomson M.D., L. R. DaCosta M.D., William C. Watson M.D. (eds.)


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