By Robert Logan, Adam Harris, J. J. Misiewicz, J. H. Baron
(BMJ Books) Univ. health center, Nottingham, united kingdom. offers a concise consultant to problems of the higher gastrointestinal tract. hugely illustrated with charts, diagrams, and colour photos. displays most recent advances in realizing the pathophysiology and pathogenesis of this affliction. For scientific scholars, nurses, and clinicians. Softcover.
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Extra resources for ABC of the Upper Gastrointestinal
These patients have aerophagy, and repeated swallowing of air may be obvious during the consultation. Causes of dyspepsia History taking is key to identifying the likely cause of dyspepsia. Gastro-oesophageal reflux disease It is important and practical to distinguish gastro-oesophageal reflux disease (GORD) from dyspepsia. Frequent heartburn is a cardinal symptom of GORD; acid reflux causes a retrosternal or epigastric burning feeling that characteristically radiates up towards the throat, is relieved transiently by antacids, and is precipitated by a meal or by lying down.
7 Choosing a treatment regimen for H pylori eradication The endoscopic image of benign gastric ulcer is reproduced with permission of Gastrolab Image Gallery. 25 8 Indigestion and non-steroidal anti-inflammatory drugs J M Seager, C J Hawkey NSAID use About 24 million prescriptions a year are written for NSAIDs in the United Kingdom. Half of these are given to patients over the age of 60. At any one time about 15% of elderly people are taking an NSAID. Average prescribing rates are calculated to be 426 scripts per 1000 population per year.
Duodenal ulcers are also found occasionally in people not infected with H pylori. After exclusion of surreptitious use of ulcerogenic drugs and the rarer causes of duodenal ulcer, such patients need long term maintenance treatment with antisecretory drugs. 1 Causes of duodenal ulcer Common causes x H pylori infection x Non-steroidal anti-inflammatory drugs Rare causes x Zollinger-Ellison syndrome x Hypercalcaemia x Granulomatous diseases (Crohn’s disease, sarcoidosis) x Neoplasia (carcinoma, lymphoma, leiomyoma, leiomyosarcoma) x Infections (tuberculosis, syphilis, herpes simplex, cytomegalovirus) x Ectopic pancreatic tissue Management of Helicobacter pylori infection Gastric ulcer Gastric ulcer found after barium meal Diagnosis The main difference in the management of gastric ulcers from that of duodenal ulcers is the need to exclude malignancy in an apparently benign gastric ulcer.
ABC of the Upper Gastrointestinal by Robert Logan, Adam Harris, J. J. Misiewicz, J. H. Baron