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Article
March 1977

Gastrointestinal Emergencies

Author Affiliations

New York

 

by Harris R. Clearfield and Vincente P. Dinoso, Jr, 305 pp, $27.50, New York, Grune & Stratton Inc, 1976.

Arch Surg. 1977;112(3):347-348. doi:10.1001/archsurg.1977.01370030119026

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Abstract

This book is based on a Hahneman symposium. There are 44 contributors, some of whom were not at the symposium. The book is well organized, and the material is substantial and very accessible. It is short but concise, and fills a great need in gastroenterology, ie, the emergencies. Pathophysiology is stressed to enable us to better comprehend the crisis situation.

There are new and exciting chapters on angiography in diagnosis and treatment of gastrointestinal (GI) bleeding, and ultrasound in the diagnosis of intra-abdominal hemorrhage and pseudocyst. The team management is stressed. This should include the gastroenterologist, radiologist, and surgeon. The role of endoscopy, arteriography, and the barium meal is put into broad perspective. The acute management of the upper GI bleed is well outlined. The agonizing decision regarding choice of time for surgery of bleeding varices is explored in depth, including the various types of portocaval shunts and their success

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