The Washington Manual Gastroenterology Subspecialty Consult, 4e (Sep 29, 2020)_(1975113306)_(LWW)

"Advances in the field of gastroenterology since the last edition of this manual have been incorporated into the chapters in this edition. The manual continues to provide succinct, precise recommendations on the evaluation and management of common gastrointestinal symptoms and disorders. Each chapter has been thoroughly revised, and some chapters have been rewritten, to update content to modern concepts and guidelines. The chapters were written predominantly by Washington University subspecialty fellows, with support and guidance from their faculty mentors. Similar to previous editions, the fourth edition of the manual is targeted to medical students, novice and advanced trainees, physician extenders, nurse practitioners, other health care providers, and physicians, and will provide easy access to clinically relevant recommendations for diagnosis and management of gastrointestinal disorders"-- Provided by publisher Cover Title Page Copyright Contributing Authors Chairman’s Note Preface Contents PART I. APPROACH TO SPECIFIC SYMPTOMS 1. Dysphagia GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS REFERRAL OUTCOME/PROGNOSIS 2. Nausea and Vomiting GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS 3. Diarrhea GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS REFERRAL 4. Constipation GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS REFERRAL 5. Abdominal Pain GENERAL PRINCIPLES DIAGNOSIS 6. Acute Gastrointestinal Bleeding GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS 7. Obscure Gastrointestinal Bleeding GENERAL PRINCIPLES DIAGNOSIS TREATMENT ANGIODYSPLASTIC LESIONS 8. Jaundice GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS ADDITIONAL RESOURCES 9. Abnormal Liver Chemistries GENERAL PRINCIPLES DIAGNOSIS TREATMENT 10. Ascites GENERAL PRINCIPLES DIAGNOSIS TREATMENT ASSOCIATED CONDITIONS 11. Malnutrition GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS 12. Obesity GENERAL PRINCIPLES DIAGNOSIS TREATMENT PART II. APPROACH TO SPECIFIC DISEASES 13. Esophageal Disorders Gastroesophageal Reflux Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS Esophageal Malignancies GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP OUTCOME/PROGNOSIS Infectious Esophagitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS Eosinophilic Esophagitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS OUTCOME/PROGNOSIS Esophageal Strictures GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP Esophageal Motility Disorders GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP 14. Gastric Disorders Peptic Ulcer Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS COMPLICATIONS Gastric Adenocarcinoma GENERAL PRINCIPLES DIAGNOSIS TREATMENT Gastrointestinal Stromal Tumors GENERAL PRINCIPLES DIAGNOSIS TREATMENT Gastric Lymphoma GENERAL PRINCIPLES DIAGNOSIS TREATMENT 15. Small Bowel Disorders Introduction Malabsorption GENERAL PRINCIPLES DIAGNOSIS Celiac Sprue GENERAL PRINCIPLES DIAGNOSIS TREATMENT Small Intestinal Bacterial Overgrowth (SIBO) GENERAL PRINCIPLES DIAGNOSIS TREATMENT Short Bowel Syndrome (SBS) GENERAL PRINCIPLES DIAGNOSIS TREATMENT Small Bowel Neoplasms GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP OUTCOME/PROGNOSIS 16. Colon Neoplasms GENERAL PRINCIPLES DIAGNOSIS TREATMENT SURVEILLANCE PROGNOSIS SPECIAL CONSIDERATIONS 17. Inflammatory Bowel Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS REFERRAL MONITORING/FOLLOW-UP OUTCOME/PROGNOSIS 18. Irritable Bowel Syndrome GENERAL PRINCIPLES DIAGNOSIS TREATMENT 19. Acute Liver Disease Introduction Viral Hepatitis Hepatitis A Virus GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Hepatitis B Virus GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Hepatitis C Virus GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Hepatitis D Virus GENERAL PRINCIPLES DIAGNOSIS TREATMENT Hepatitis E Virus GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Herpes Simplex Virus Hepatitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Acetaminophen GENERAL PRINCIPLES DIAGNOSIS TREATMENT PROGNOSIS/OUTCOME Drug-Induced Liver Injury GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Ischemic Hepatitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Budd–Chiari Syndrome GENERAL PRINCIPLES DIAGNOSIS TREATMENT Wilson Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Acute Liver Failure GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS 20. Chronic Liver Disease Chronic Viral Hepatitis GENERAL PRINCIPLES Chronic Hepatitis B GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP Chronic Hepatitis C GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS Alcoholic Liver Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT Nonalcoholic Fatty Liver Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP Autoimmune Liver Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT Primary Sclerosing Cholangitis (PSC) GENERAL PRINCIPLES DIAGNOSIS TREATMENT MONITORING/FOLLOW-UP Primary Biliary Cholangitis (PBC) GENERAL PRINCIPLES DIAGNOSIS TREATMENT Treatment of Chronic Cholestasis NUTRITIONAL DEFICIENCIES OSTEOPOROSIS PRURITUS Metabolic Liver Diseases Hereditary Hemochromatosis (HH) GENERAL PRINCIPLES DIAGNOSIS TREATMENT α1-Antitrypsin Deficiency GENERAL PRINCIPLES DIAGNOSIS TREATMENT Wilson Disease GENERAL PRINCIPLES DIAGNOSIS TREATMENT 21. Cirrhosis GENERAL PRINCIPLES DIAGNOSIS TREATMENT SPECIAL CONSIDERATIONS 22. Liver Transplantation GENERAL PRINCIPLES INDICATIONS ORGAN ALLOCATION PATIENT EVALUATION SPECIAL CONSIDERATIONS CONTRAINDICATIONS TO LIVER TRANSPLANTATION TREATMENT POSTTRANSPLANT COMPLICATIONS LONG-TERM MANAGEMENT 23. Pancreatic Disorders Introduction Acute Pancreatitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS Chronic Pancreatitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS Pancreatic Cancer GENERAL PRINCIPLES DIAGNOSIS TREATMENT 24. Biliary Tract Disorders Introduction Calculous Biliary Disease (Gallstone Disorders) GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS Acute Choleycystitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS Acute Cholangitis GENERAL PRINCIPLES DIAGNOSIS TREATMENT Acalculous Biliary Disease ACUTE ACALCULOUS CHOLECYSTITIS SPHINCTER OF ODDI DYSFUNCTION (SOD) GALLBLADDER POLYPS BILIARY CYSTS BENIGN BILIARY STRICTURES MALIGNANT BILIARY STRICTURES Primary Sclerosing Cholangitis (PSC) GENERAL PRINCIPLES DIAGNOSIS TREATMENT COMPLICATIONS OUTCOME/PROGNOSIS Neoplastic Biliary Disease Gallbladder Carcinoma GENERAL PRINCIPLES DIAGNOSIS TREATMENT Cholangiocarcinoma GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS Ampullary Carcinoma GENERAL PRINCIPLES DIAGNOSIS TREATMENT OUTCOME/PROGNOSIS 25. Genetic Testing in Gastrointestinal Disease Introduction Lynch Syndrome GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT Adenomatous Polyposis Syndromes GENERAL PRINCIPLES Familial Adenomatous Polyposis (FAP) GENERAL PRINCIPLES Attenuated Familial Adenomatous Polyposis (AFAP) GENERAL PRINCIPLES MUTYH-Associated Polyposis (MAP) GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT OTHER FAP VARIANTS Hamartomatous Polyposis Syndromes GENERAL PRINCIPLES Peutz–Jeghers Syndrome GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT Juvenile Polyposis Syndrome GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT Cowden Syndrome GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT Serrated Polyposis Syndrome (Hyperplastic Polyposis Syndrome) GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT HEREDITARY PANCREATITIS HEREDITARY PANCREATIC CANCER Hereditary Diffuse Gastric Cancer (HDGC) GENERAL PRINCIPLES DIAGNOSIS SURVEILLANCE AND TREATMENT Other Conditions to Consider Genetic Testing HEREDITARY HEMOCHROMATOSIS (HH) CELIAC DISEASE INFLAMMATORY BOWEL DISEASE (IBD) AND THIOPURINE METHYLTRANSFERASE (TPMT) 26. Gastrointestinal Procedures Introduction Upper Gastrointestinal Endoscopy GENERAL PRINCIPLES COMPLICATIONS Colonoscopy GENERAL PRINCIPLES COMPLICATIONS Flexible Sigmoidoscopy GENERAL PRINCIPLES COMPLICATIONS Small Bowel Enteroscopy GENERAL PRINCIPLES COMPLICATIONS Endoscopic Retrograde Cholangiopancreatography GENERAL PRINCIPLES COMPLICATIONS Endoscopic Ultrasonography GENERAL PRINCIPLES COMPLICATIONS Liver Biopsy GENERAL PRINCIPLES COMPLICATIONS Percutaneous Endoscopic Gastrostomy/Jejunostomy GENERAL PRINCIPLES COMPLICATIONS SPECIAL CONSIDERATIONS Index Concise, portable, and user-friendly, The Washington Manual® Gastroenterology Subspecialty Consult, Fourth Edition, provides essential information on inpatient and outpatient management of common gastrointestinal diseases and disorders. This edition offers state-of-the-art content on disease pathophysiology, diagnostic tools, and management options. Ideal for residents, fellows, and practicing physicians who need quick access to current scientific and clinical information in gastroenterology, the manual is also useful as a first-line resource for internists and other primary care providers. The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.