Thoroughly revised and updated for its Fourth Edition, this Spiral® Manual is a practical quick-reference guide to the diagnosis and management of all gastrointestinal problems—from common complaints such as intestinal gas to life-threatening diseases such as cancer and AIDS. Chapters written in an easy-to-scan outline format cover the approach to the patient, diagnostic and therapeutic procedures, nutritional assessment and management, gastroenterologic emergencies, and specific complaints and disorders. Highlights of this Fourth Edition include an expanded obesity chapter, major updates on inflammatory bowel disease and irritable bowel syndrome, new treatments for viral hepatitis, and endoscopic treatment of gastroesophageal reflux disease.

Preface

I. APPROACH TO THE PATIENT WITH A GASTROENTEROLOGIC DISORDER: Social Impact of Digestive Diseases / The Patient's Complaints / Examination of the Patient / Psychological and Emotional Aspects of Gastroenterologic Disorders

II. DIAGNOSTIC AND THERAPEUTIC PROCEDURES: Endoscopy / Laparoscopy and Laparoscopic Surgery / Percutaneous Liver Biopsy / Manometric Studies / Imaging Studies

III. NUTRITIONAL ASSESSMENT AND MANAGEMENT: Nutritional Requirements and Assessment / Enteral Nutrition / Parenteral Nutrition

IV. GASTROENTEROLOGIC EMERGENCIES: The Acute Abdomen / Acute Gastrointestinal Bleeding / Foreign Bodies in the Gastrointestinal Tract / Caustic Ingestion / Fulminant Hepatic Failure and Encephalopathy / Gastrointestinal and Hepatobiliary Diseases in Pregnancy

V. SPECIFIC COMPLAINTS AND DISORDERS: Esophageal Infections / Gastroesophageal Reflux Disease / Dysphagia / Noncardiac Chest Pain / Esophageal Cancer / Peptic Ulcer Disease / Stress Ulcer / Helicobacter pylori / Gastric Neoplasms / Postgastrectomy Disorders / Diarrhea / Viral, Bacterial, and Parasitic Disorders of the Bowel / Malabsorption / Small-Intestinal Neoplasms / Irritable Bowel Syndrome / Intestinal Gas and Bloating / Diverticular Disease / Constipation and Fecal Impaction / Inflammatory Bowel Disease / Vascular Disease of the Bowel / Colonic Polyps and Colorectal Cancer / Ostomy Care / Hemorrhoids and Other Anorectal Disorders / Sexually Transmitted Enteric Disorders / Gastrointestinal and Hepatobiliary Diseases in Patients with HIV and AIDS / Occult Gastrointestinal Bleeding / Acute Pancreatitis / Chronic Pancreatitis / Pancreatic Cancer / Jaundice and Interpretation of Laboratory Liver Tests / Gallstones / Viral Hepatitis / Alcoholic Liver Disease / Nonalcoholic Fatty Liver Disease / Drug-Related Hepatic Injury / Chronic Immune-Mediated Liver Disease / Chronic Genetic Liver Diseases / Cirrhosis and Its Complications / Tumors of the Liver and Biliary System / Liver Transplantation / Anorexia Nervosa and Bulimia Nervosa / Obesity

INDEX