Diseases of the Alimentary Tract

Diseases of the Alimentary Tract

1st Edition - January 1, 1963

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  • Author: Clifford F. Hawkins
  • eBook ISBN: 9781483195520

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Diseases of the Alimentary Tract covers topics about the symptoms, diagnosis, and treatment of several diseases of the alimentary tract. The book describes the causes, symptoms, diagnosis, and treatment of diseases of the mouth and the esophagus, such as aphthous stomatitis, esophageal disorders, and cancer of the esophagus. The text also discusses the types, etiology, symptoms, diagnosis, complications, and treatment of hiatus hernia. Peptic ulcer is tackled with regard to the causes, association to blood group, influence of hormones, geographical incidence, prognosis, and treatment. The book then tackles the conditions associated with peptic ulcer; gastric operations and their metabolic sequelae; and the problems of gastritis and other local conditions. The text further discusses the environmental causes, local factors, symptoms, signs, diagnosis, and surgery of gastric cancer and the diagnosis and prognosis of gastrointestinal hemorrhage. Problems associated with dyspepsia; diseases of the gall bladder and the pancreas; various gastrointestinal problems; and rare gastrointestinal disorders are also explained. The book also describes Crohn's disease, disorders of the colon, as well as gastrointestinal tract involvement in some systemic diseases. Professional gastroenterologists and students taking courses related to gastroenterology will find the book invaluable.

Table of Contents

  • Chapter I The Mouth and Œsophagus

    The Tongue


    Lingua Nigra

    Geographical Tongue



    Aphthous Stomatitis



    Achalasia of the Cardia

    Chagas' Disease

    Diffuse Œsophageal Spasm


    Strictures of the Œsophagus

    The Syndrome of Anemia, Glossitis and Dysphagia (Plummer-Vinson Syndrome)

    Œsophageal Webs and Rings

    The Presence of Gastric Mucosa in the Œsophagus

    Spontaneous Rupture of the Œsophagus

    Cancer of the Œsophagus

    Chapter II The Cardia and Hiatus Hernia

    Mechanisms Preventing Reflux at the Gastro-Œsophageal Junction

    The Anatomy of the Hiatus

    The Intrinsic Sphincter of the Lower Œsophagus

    The Angle of Entry into the Stomach

    The Position of the Cardia

    The Œsophagus in Animals

    Hiatus Hernia

    Hiatus Hernia in Children

    Hiatus Hernia in Pregnancy

    Hiatus Hernia and Cardiac Ischemia

    Reflux without Hiatus Hernia

    The Natural History of Hiatus Hernia

    Other Types of Diaphragmatic Hernia

    Chapter III Peptic Ulcer

    Why Does the Stomach not Digest Itself?

    Is Decreased Resistance of the Gastric Mucosa of Importance?

    The Role of Hydrochloric Acid

    Constitutional Factors

    Blood Groups and Peptic Ulcer

    The Influence of Hormones

    Environmental Causes

    Geographical Incidence

    A Psychosomatic Disease?

    Noxious Substances in Food and Drink

    Other Possibilities

    Incidence of Peptic Ulcer


    Present Incidence

    The Mechanism of Ulcer Pain

    The Diagnosis of Peptic Ulcer

    Special Clinical Problems

    Chronic Gastric Ulcer, Benign or Malignant

    Giant Lesser Curve Ulcers

    Peptic Ulcer in Children

    Post-Bulbar Duodenal Ulceration

    Gastric and Duodenal Ulcer Occurring Together

    Pyloric Obstruction

    Medical Treatment of Peptic Ulcer

    The Conservative Treatment of Acute Perforated Peptic Ulcer

    Chapter IV Conditions Associated with Peptic Ulcer

    Multiple Endocrine Adenomas


    The Zollinger- Ellison Syndrome (Ulcerogenic Tumor of the Pancreas)

    Peptic Ulcer and Hepatic Cirrhosis

    Peptic Ulcer and Emphysema

    Carcinoid Tumours

    Peptic Ulcer and Coronary Artery Disease

    Chapter V Gastric Operations and their Metabolic Sequele

    Gastric Operations

    Partial Gastrectomy

    Vagotomy and a Drainage Operation



    Sequele of Partial Gastrectomy

    The Dumping Syndrome

    Bilious Vomiting

    Stomal Ulcer

    Obstructive Symptoms after Polya Gastrectomy

    Cancer in the Gastric Remnant

    Loss of Weight

    Pulmonary Tuberculosis

    Mechanisms Causing Malnutrition

    Altered Kinetics

    The Role of the Pancreas

    Poor Mixing of Food and Enzymes

    The Blind Loop Syndrome from a Stagnant Afferent Loop

    The Jejunal Mucosa

    Anemia after Gastric Resection

    Due to Iron Deficiency

    Megaloblastic Anemia

    Chapter VI Gastritis and other Local Conditions


    Acute Gastritis

    Acute "Erosive" Gastritis

    Chronic gastritis

    Gastritis and Peptic Ulcer

    Gastritis and Gastric Cancer

    Gastritis and Anemia

    Gastritis and Alcohol

    Irradiation Gastritis

    Giant ruge (Menetrier's Disease; Giant Hypertrophic Gastritis)

    Gastric Atrophy

    Stress Ulcers

    Neurogenic Peptic Ulceration

    Acute Peptic Ulcers Due to Burns

    Gastric Polyps

    Primary Pyloric Hypertrophy in Adults

    Gastric Stasis from Medical Causes

    Duodenal Diverticula

    Duodenal Stasis (Ileus or Obstruction)

    Prolapse of the Gastric Mucosa


    Chapter VII Gastric Cancer

    Cancer of the Stomach


    Blood Groups and Cancer of the Stomach

    Environmental Causes

    Soil and Geology

    Food and Drink

    Local Factors

    Malignant Change of a Simple Gastric Ulcer

    Gastric Polyps

    Gastritis and Gastric Cancer





    Chapter VIII Gastrointestinal Hemorrhage

    Hematemesis and Melena

    Immediate Treatment

    Early Diagnosis

    Differential Diagnosis

    Indications for Surgery

    "Blind Gastrectomy"

    Prognosis of Gastrointestinal Hemorrhage

    Bleeding from Unusual or Rare Causes

    The Mallory-Weiss Syndrome

    Blood Dyscrasias

    Vascular Disease

    Henoch-Schönlein Purpura

    Pseudoxanthoma Elasticum

    Hereditary Telangiectasia

    Œsophageal and Gastric Varices

    Acute Gastrointestinal Bleeding of Unknown Origin

    Chapter IX Problems Associated with Dyspepsia

    Food and Digestion


    Nervous Dyspepsia

    Anorexia Nervosa

    X-ray Negative Dyspepsia (Non-Ulcer Dyspepsia)

    Chapter X The Gall-Bladder and Pancreas

    Incidence of Gall-Stones

    Biliary Colic

    Acute Cholecystitis

    Chronic Cholecystitis

    Motility Disturbances of the Biliary Tract



    Associated Factors

    Acute Pancreatitis

    Chronic Pancreatitis

    Associated Diseases



    Cancer of the Pancreas

    Chapter XI Various Gastrointestinal Problems

    The Adverse Effects of Drugs


    Phenylbutazone (Butazolidin)

    Corticosteroid Therapy


    Smoking and the Alimentary Tract

    The Effect of Irradiation

    Gastrointestinal Allergy

    Anemia and the Alimentary Tract

    Due to Iron Deficiency

    The Role of Achlorhydria

    The Macrocytic Anemias

    Potassium Deficiency in Gastrointestinal Disorders

    Magnesium Deficiency


    Acute Appendicitis

    Appendicular Colic


    Appendicitis in Children

    Appendicitis during Pregnancy

    Chronic Pain in the Right Iliac Fossa of Undetermined Origin—"Chronic Appendicitis"

    Peritoneal Adhesions


    Self-Induced Diarrhœa

    Intestinal Gas

    Bacterial Infections of the Alimentary Tract


    Food Poisoning


    Chapter XII Some Rare Gastrointestinal Disorders

    Protein-Losing Gastro-Enteropathy (Exudative Enteropathy)

    Hereditary Multiple Polyposis Syndromes

    The Peutz-Jeghers Syndrome

    Multiple Polyposis of the Colon

    Intestinal Polyposis with Osteomas and Soft Tissue Tumours (the Gardner Syndrome)

    Pneumatosis Intestinalis (Pneumatosis Cystoides Intestinalis)

    Spontaneous Rupture of Viscera

    Acute Idiopathic Retroperitoneal Fibrosis

    Pseudomembranous Enterocolitis

    Chapter XIII Steatorrhœa

    The Small Intestine and its Functions

    Radiology of the Small Intestine

    Intestinal Biopsy

    Idiopathic Steatorrhœa (Non-Tropical Sprue: Primary Malabsorption Syndrome; Gluten-Induced Enteropathy; Adult Cœlic Disease)

    Nutritional and Metabolic Consequences of Idiopathic Steatorrhea



    Water and Electrolyte Disturbances

    Malignancy Due to Idiopathic Steatorrhœa?


    Bone Disease

    Neurological Manifestations

    The Role of Gluten

    Mechanisms Causing Malabsorption

    Bacteria in the Small Bowel

    Treatment by the Gluten-Free Diet and Other Measures

    Gross Pathological Changes


    Cœliac disease

    Giardia Lamblia

    Cystic Fibrosis of the Pancreas (Mucoviscidosis)

    Acanthocytosis (α-β-lipoproteinemia)

    Tropical Sprue

    Whipple's Disease

    Other Conditions Causing Steatorrhœa


    Gastrointestinal Infection and Infestation

    Irradiation of the Small Bowel

    Intestinal Hurry


    Congestive Cardiac Failure

    Disease of the Liver

    Enlarged Mesenteric Lymph Nodes

    Mesenteric Arteriosclerosis

    Chapter XIV The "Blind Loop" Syndrome and Other Disorders of the Small Intestine

    Stagnant Loop Syndromes in Man

    Diverticulosis of the Small Intestine

    Gastro-Jejuno-Colic Fistula

    Resection of the Small Intestine

    Meckels Diverticulum

    Intestinal Pseudo-Obstruction

    Vascular Lesions of the Small Bowel and their Sequele

    Primary Non-Specific Ulcers of the Small Intestine

    Neoplasms of the Small Intestine

    Carcinoid Tumours (Argentaffinoma)

    Chapter XV Crohn's Disease (Regional Enteritis)

    Crohn's Disease in Other Sites

    Complications of Crohn's Disease

    Treatment and Prognosis

    Crohn's Disease in Childhood

    Crohn's Disease in Pregnancy

    Cancer in Crohn's Disease

    Chapter XVI Ulcerative Colitis

    Topographical Types



    Ulcerative Colitis of the Whole Colon


    Acute Segmental Colitis

    Acute Fulminant Ulcerative Colitis

    Acute Dilatation of the Colon

    Ulcerative Colitis in Children

    Ulcerative Colitis and Pregnancy

    Local Complications

    Ulcerative Colitis and Cancer

    Systemic Complications

    Ulcerative Colitis and Diverticulitis

    Medical Treatment of Ulcerative Colitis

    Indications for Surgery in Ulcerative Colitis


    Total Colectomy and Ileo-Rectal Anastomosis

    Chapter XVII Disorders of the Colon

    Irritable Colon

    Nervous diarrhœa

    Proctalgia Fugax

    Polyps of the Large Bowel

    Cancer of the Colon

    Diverticulosis and Diverticulitis of the Colon

    Cancer and Diverticulitis

    Lymphogranuloma Venereum

    Megacolon and Hirschsprung's Disease


    Endometriosis of the Colon

    Chapter XVIII Gastrointestinal Tract Involvement in Some Systemic Diseases

    Metabolic Disorders

    Diabetes Mellitus



    "Collagen" Disorders

    Polyarteritis Nodosa

    Systemic Lupus Erythematosus

    Dermatomyositis (Polymyositis)

    Progressive Systemic Sclerosis (Scleroderma)



    Abdominal Tuberculosis


    Wegener's Granuloma

    Other Cconditions



    Appendix I Measurements of the Secretion of Hydrochloric Acid

    The Control of Variable Factors

    The Stimulus to Gastric Secretion

    Estimation of Hydrochloric Acid

    Definition of Achlorhydria

    Selection of a Suitable Test for Measuring Gastric Acidity

    The Augmented Histamine Test

    24-Hour Gastric Analysis

    Measurement of 12-Hour Nocturnal Secretion

    Tubeless Gastric Analysis

    The Insulin Hypoglycemia Test

    Appendix II The Absorption of Radioactive Vitamin B12

    Appendix III Jejunal Biopsy by the Oral Route

    Appendix IV The D-Xylose Excretion Test

    Appendix V Tests to Detect Either Defective Absorption or Deficiency of Folic Acid

    The FIGLU Test

    Appendix VI The Estimation of Fecal Fat

    Appendix VII Occult Blood Tests

    Appendix VIII Fecal Blood Loss Measured by Radioactive Chromium

    Appendix IX Peritoneoscopy

    Appendix X The "Radio Pill"

    Appendix XI The Gluten-Free Diet



Product details

  • No. of pages: 426
  • Language: English
  • Copyright: © Butterworth-Heinemann 1963
  • Published: January 1, 1963
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9781483195520

About the Author

Clifford F. Hawkins

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