by Howard M. Spiro, 4th ed, 1297 pp, with illus, $135, ISBN 0-07-105434-0, New York, NY, McGraw-Hill Publishing Co, 1993.
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Gastrointestinal Disease: Pathophysiology/Diagnosis/Management, vols 1 & 2, edited by Marvin H. Sleisenger and John S. Fordtran, 5th ed, 2136 pp, with illus, $185, ISBN 0-7216-3470-293, Philadelphia, Pa, WB Saunders Co, 1993.
The Spiro textbook in its earlier three editions was designed for the practicing physician and emphasized that which the person seeing patients and making decisions about gastrointestinal (GI) and liver disease needed to know. The basis of choice was clear, and Spiro clearly and concisely cited what was not yet useful or of value for the patient and therefore should not be done. As such, it was the gastroenterology text most widely used by practicing physicians and enjoyed popularity throughout the world. Practicing physicians had everything they needed about gastroenterology at their fingertips.
The new edition is a striking departure from the earlier three in that about half the actual writing was undertaken by 10 associates, mostly from Yale.
Iber FL. Clinical Gastroenterology. JAMA. 1994;271(8):633-634. doi:10.1001/jama.1994.03510320075037