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Diseases of the Alimentary Tract - 1st Edition - ISBN: 9781483168043, 9781483195520

Diseases of the Alimentary Tract

1st Edition

Author: Clifford F. Hawkins
eBook ISBN: 9781483195520
Imprint: Butterworth-Heinemann
Published Date: 1st January 1963
Page Count: 426
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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




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© Butterworth-Heinemann 1963
1st January 1963
eBook ISBN:

About the Author

Clifford F. Hawkins

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