This book is a review of the basic tests available in
gastroenterology. Emphasis is placed on these techniques of which
the authors have personal experiece. The philosophy has been to
evaluate investigations for their current clinical usefulness in
the management of patients. A critical analysis has been made to
describe those older tests which have proved their worth alongside
the newer procedures which have been introduced. Just as some
recent additions have rapidly gained importance, some familiar
tests have lost significance because of medical progress. Testing
for Helicobacter pylori has more use than acid secretory studies in
the age when antibiotics have displaced the surgeon in the
management of chronic peptic ulcer disease. The book is designed
for trainees and clinicians without special expertise in
gastroenterology, as well as being a shelf manual for the
gastroenterologist and the staff of gastroenterology investigation
units. Special thanks are due to the nurses on the Bishop Auckland
Gastroenterology Unit, and to Amanda Gallagher who typed the
manuscript. Malcolm C. Bateson Ian A.D. Bouchier 1996 Xl CHAPTER 1
H elicobacter pylori INTRODUCTION The discovery of the presence of
this organism in many human stomachs and its association with
disease has revolutionized our approach to peptic ulcer. Detection
of H. pylori infection of the gastric mucosa and proof of its
absence after eradication therapy have become pivotal in patient
management. EPIDEMIOLOGY H. pylori infection is strongly associated
with age and inversely with wealth.
General
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