Download Yamada's Handbook of Gastroenterology by Tadataka Yamada, Visit Amazon's John M. Inadomi Page, search PDF
By Tadataka Yamada, Visit Amazon's John M. Inadomi Page, search results, Learn about Author Central, John M. Inadomi, , Visit Amazon's Renuka Bhattacharya Page, search results, Learn about Author Central, Renuka Bhattacharya, , Visit Amazon's Jason A. Domini
Portable, functional, and fully medical, this cheap consultant to evaluate and administration of the complete variety of gastroenterological proceedings and stipulations is ideal to be used by way of GI fellows and experts. The publication is split into components: symptom-focused and disease-focused. beneficial properties comprise key perform issues, necessities of prognosis, strength pitfalls, key internet hyperlinks, society instruction comparisons, case reviews, and a number of selection questions. in the event you want solutions in a rush, flip to the main depended on identify in gastroenterology: Yamada.
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G. misoprostol) and proton pump inhibitors have demonstrated efficacy in preventing NSAID-induced gastropathy and ulcers. Stress gastritis prophylaxis includes proton pump inhibitors, H2 receptor antagonists, high-dose antacids, or sucralfate. Because of the high mortality of hemorrhage secondary to portal hypertension, prevention of rebleeding is crucial. Obliteration of varices with multiple courses of endoscopic variceal band ligation or sclerotherapy reduces rebleeding rates. Meta-analyses suggest that propranolol therapy to reduce portal pressures reduces the probability of initial and recurrent hemorrhage from esophageal varices.
Other sources amenable to cautery include refractory Mallory–Weiss tears, neoplasms, angiodysplasia, or Dieulafoy lesions. Patients with stress gastritis, gastropathy resulting from analgesics, and portal gastropathy usually present with multiple bleeding sites that cannot be controlled endoscopically. Fortunately, bleeding stops spontaneously in many of these individuals. Mechanical compression When endoscopic therapy of variceal hemorrhage fails, balloon tamponade with a Sengstaken–Blakemore or Linton–Nachlas tube achieves initial hemostasis in 70–90% of cases.
If enteral feedings are poorly tolerated or refused, central or peripheral parenteral nutrition may be required. In severe malnutrition, rapid refeeding should be avoided because of potential gastroduodenal dilation and refeeding pancreatitis or diarrhea. 0 kg as an outpatient. The goal for refeeding is to achieve 90–100% of ideal body weight. Medical and psychological management of behavioral disease should be initiated immediately along with any refeeding program. Potassium supplements may be needed for patients with anorexia or bulimia nervosa.