Clinical Investigations in Gastroenterology
The new edition of this book provides a comprehensive review of the basic tests available in gastroenterology. Chapters examine widely-used modern techniques such as ultrasonography for Crohn’s disease, capsule endoscopy, elastography and video
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Clinical Investigations in Gastroenterology Third Edition
Clinical Investigations in Gastroenterology
Malcolm C. Bateson • Ian A.D. Bouchier
Clinical Investigations in Gastroenterology Third Edition
Malcolm C. Bateson Bishop Auckland United Kingdom
Ian A.D. Bouchier Edinburgh, Midlothian United Kingdom
ISBN 978-3-319-53785-6 ISBN 978-3-319-53786-3 (eBook) DOI 10.1007/978-3-319-53786-3 Library of Congress Control Number: 2017939629 © Springer International Publishing AG 1988, 1997, 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
When Ian Bouchier had the idea of producing a practical guide to tests in the developing speciality of gastroenterology in 1969, it clearly hit on a useful topic. Clinical Investigation of Gastrointestinal Function went into a second edition with co-worker Malcolm Bateson in 1981. This became Clinical Investigations in Gastroenterology in 1988 (2nd Edition 1997), taking into account new structural, isotope and kinetic tests used in actual practice in Scotland and North East England. Times have moved on. There is now an emphasis on low-risk non-invasive tests, though many patients will always require endoscopy, intubation and biopsy for adequate assessment. 1. The widespread use of anti-Helicobacter pylori therapy in dyspepsia has dramatically changed the prevalence and significance of this organism in peptic ulcers. 2. Multichannel intraluminal impedance (MII) with high resolution manometry (HRM) to locate accurately the lower oesophageal sphincter has joined pH monitoring in the assessment of gastro-oesophageal reflux. 3. Frequent self-diagnosis by patients of gluten and wheat intolerance,
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