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December 12, 1977

Clinical Gastroenterology

Author Affiliations

Veterans Administration Hospital Buffalo

JAMA. 1977;238(24):2641. doi:10.1001/jama.1977.03280250067032

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I can enthusiastically recommend the second edition of Spiro's book to any physician who is engaged in what Spiro calls "the finest calling in medicine," patient care.

The author's approach is eminently practical, and the book is neatly organized into clinically important units. The second edition is about 250 pages longer than the first. There is a new unit that gathers together the inflammatory bowel diseases. The discussions about the irritable bowel, hiatus hernia, and esophageal reflux should be read by all family physicians and general internists. The introduction to the dietary instructions is a distillate of common sense and priestly sensibility about food. Recent advances in current practice are illustrated by discussions about the use of transhepatic cholangiography, endoscopic retrograde cholangiopancreatography, and ultrasound for the evaluation of biliary tract and pancreatic disorders.

Spiro has changed his approach to certain problems. Five years ago, he favored bypass procedures for the