By Udayakumar Navaneethan MD, Ralph A. Giannella MD (auth.), Stefano Guandalini, Haleh Vaziri (eds.)
This quantity presents in a comfortably obtainable package deal a entire choice of actual and well timed info at the administration of sufferers with diarrhea, either in pediatric age and within the grownup. As clinical wisdom has lately accelerated during this quarter, this quantity is filled with new sensible, clinically worthwhile fabric for the busy clinician. Illustrations are emphasised to allow quick acquisition of useful info that isn't available within the significant texts. every one bankruptcy is concise, targeting "clinical pearls," and new advances in diagnostic and healing expertise. every one bankruptcy discusses the relative charges of diagnostic and healing concepts to allow monetary issues to be taken into consideration within the selection making method. extra special good points comprise, summaries of key issues, options, and symptoms for soliciting for GI subspecialty session. supplying a accomplished yet functional review of the problems surrounding the diarrheal illnesses, this quantity will turn out of serious worth and software to gastroenterologists, surgeons, internists, basic care physicians.
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Additional info for Diarrhea: Diagnostic and Therapeutic Advances
30 Navaneethan and Giannella 114. Naim HY. Molecular and cellular aspects and regulation of intestinal lactase– phlorizin hydrolase. Histol Histopathol 2001;16:553. 115. Vuoristo M, Miettinen TA. The role of fat and bile acid malabsorption in diarrhoea of coeliac disease. Scand J Gastroenterol 1987;22:289. 116. Amasheh S, Barmeyer C, Koch CS, et al. Cytokine-dependent transcriptional down-regulation of epithelial sodium channel in ulcerative colitis. Gastroenterology 2004;126:1711. 117. Sugi K, Musch MW, Field M, et al.
For mild cases, oral rehydration therapy (ORT) is preferred. Recent evidence suggests that rice, wheat, or amylase-resistant starch solutions may be better than standard glucose-based solutions [18–20]. Patients should eat as soon as they can tolerate oral intake, and infants should continue to breastfeed [15, 21, 22]. Without antibiotics, patients generally recover in 4–5 days, so mild diarrhea does not require treatment. Oral vaccines are in development; the older parenteral vaccine is not recommended.
Self-reported diarrhea: what does it mean? Am J Gastroenterol 1994;89:1160–1164. 16. Pawlowski SW, Warren CA, Guerrant R. Diagnosis and treatment of acute or persistent diarrhea. Gastroenterology 2009;136:1874–1886. Epub 2009 May 7. 17. Musher DM, Musher BL. Contagious acute gastrointestinal infections. N Engl J Med 2004;351:2417–2428. 18. Johnston CP, Qiu H, Ticehurst JR, et al. Outbreak management and implications of a nosocomial norovirus outbreak. Clin Infect Dis 2007;45:534–540. 19. Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI.
Diarrhea: Diagnostic and Therapeutic Advances by Udayakumar Navaneethan MD, Ralph A. Giannella MD (auth.), Stefano Guandalini, Haleh Vaziri (eds.)