Gastroenterology
DDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis
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To Sue and Jenny and our chlIdren
MANAGEMENT OF COMMON DISEASES IN FAMILY PRACTICE
DDDDDDDDDDDDD Series Editors: J. Fry and M. Lancaster-Smith
GASTROENTEROLOGY DDDDDDDDDDDDD M. Lancaster-Smith, BSc, MD, FRCP Consultant Physician, Queen Mary's Hospital, Sidcup, Kent and
C.Chapman, BSc, MB, BS, MRCS,LRCP General Practitioner, Maldon, Essex
~~
MTP PRESS LIMITED
~ a member of [he KLUWER ACADEMIC PUBLISHERS GROUP
LANCASTER I BOSTON I THE HAGUE I DORDRECHT
Published in the UK and Europe by MTP Press Limited Falcon House Lancaster, England British Library Cataloguing in Publication Data Lancaster-Smith, Michael Gastroenterology. - (Management of common diseases in family practice) 1. Gastrointestinal system - Diseases I. Title II. Chapman, C, III. Series 616.3'3 RC801 ISBN-13: 978-94-011-7783-2 DOl: 10.1007/978-94-011-7781-8
e-ISBN-I3: 978-94-011-7781-8
Copyright © 1985 M. Lancaster-Smith and C. Chapman Softcover reprint of the hardcover 18t edition 1985 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers. Typeset by UPS Blackburn, 76-80 Northgate, Blackburn, Lancashire.
Contents
DDDDDDDDDDDDD
1.
Series Editors' Foreword
vii
Introduction
ix
Acknowledgements
x
Gastro-oesophageal Reflux
1
2. Dysphagia 3. Nausea and Vomiting 4.
Uncomplicated Peptic Ulcer
5. Complicated Peptic Ulcer
9 19
25 39
6.
Surgical Management of Peptic Ulcer
45
7.
Gastrointestinal Bleeding
57
8. Acute Abdominal Pain
65
9. Chronic Abdominal Pain
75
10.
Acute Diarrhoea
83
II.
Chronic Diarrhoea
12.
Malabsorption
93 101
13. The Irritable Bowel Syndrome
111
14.
Ulcerative Proctocolitis and Crohn's Disease
117
15.
Diverticular Disease of the Colon
129
16.
Constipation and other Problems with Defaecation
133
17.
Miscellaneous Gastrointestinal Problems
141
18.
Jaundice and Common Liver Diseases
145
Appendix: Patient Information Sheets and Diets
165
Bibliography
183
Index
187
Series Editors' Foreword
DDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Beca
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