Read e-book Tropical Hepato-Gastroenterology - E-Book

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The book is divided into ten parts: esophagus, stomach, small bowel, large bowel, liver, liver failure, gallbladder and biliary tract, pancreas, pancreatic diseases, and special topics.

Each chapter extensively reviews epidemiology, etiopathogenesis, clinical features, diagnosis, medical treatment, and surgical treatment. Chapters written by more than 50 leading authorities who have worked extensively with the tropical conditions that they have written about.

Focuses on clinical aspects of diseases important to the tropics. Addresses digestive diseases as a discipline rather than as a medical or surgical specialty. Provides management of specific clinical situations that are encountered in developing countries.


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The diagnosis is based on manometry and 3 manometric profiles are identified according to the Chicago classification. Medical treatments consist of relaxing LES drugs. Their efficiency is low and side effects limit their utilization.


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Surgical treatment consists in extra-mucosal Heller myotomy. Cardial pneumatic dilation has similar short and long-term outcomes compared to surgical myotomy with the caveat of repeated pneumatic dilations if necessary.

Tropical Hepato-Gastroenterology

The results of per-oral endoscopic myotomy POEM are promising and the morbidity is very low. Recently, some authors have reported successful results of POEM after failure of other treatments including surgery.

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