As in the first edition of Inflammatory Bowel Diseases this new
edition continues to provide readers with a concise, yet in-depth
review of many of the important areas in the history, epidemiology,
pathogenesis, diagnosis, and treatment of the inflammatory bowel
diseases (ulcerative colitis and Crohn's disease), as well as
associated issues: extraintestinal manifestations, ostomy care,
women's issues, economics, etc. This Second Edition provides the
reders with up-to-date, state-of-the art approaches to these
disease states, with expansion into the newer topics that have
emerged in the past few years which include the expansion of
biological agents for treatment, new studies in the epidemiology of
IBD, the changing economics of IBD, breakthroughs in new endoscopic
evaluations, major advances in novel radiographic techniques, the
detection of colorectal cancer in patients with IBD and new
findings in the genetics of IBD. New Trend / Developments (* These
all emerged since our last edition) The most critical trend that
has arisen over the past few years has been the introduction and
expansion of biological agents in the treatment of inflammatory
diseases worldwide. While only one agent, infliximab (Remicade),
existed at the time of publication of my first edition, there have
been multiple other agents either approved or pending approval for
the treatments of these diseases, or in the upper-stages of
development. The impact is not only upon the patients, but also on
the health-care providers, policy makers, researchers, biotech and
pharmacompanies, and the business community. Major changes
worldwide in the epidemiology of IBD has spurred new studies in the
demographics of who is getting these diseases and why. Previously
characterized as diseases primarily affected Caucasians in
industrialized countries, there has been an explosion of growth
amongst the African American and Hispanic populations in the United
States, and well as in pockets of these and other ethnic groups
worldwide. The economics of IBD has been changing greatly, given
the issues raised above, as well as major changes in the United
States Medicare program, and other insurance changes. The growing
proportion of the GNP that healthcare costs are consuming in the US
and worldwide has shifted attention to decreasing utilization of
health care services, and other cost-savings measures. Again, up to
this point this has been an exclusive part of our IBD book. New
findings in the genetics of IBD have been recently published. Our
first edition had the finding of the first Crohn's disease gene
inserted just before going to press; so much has been published
about the phenotypes and other genotypes that have emerged.
Breakthroughs in new endoscopic evaluations of the bowel (ie.
Capsule endoscopy, double-balloon enteroscopy, endoscopic
ultrasound) and their use in the inflammatory bowel diseases will
be a key highlight of this new book. Major advances in novel
radiographic techniques employed in patients with inflammatory
bowel disease (ie. CT enterography, MR enterography, advanced
ultrasounds, etc.) will also an important component of our work.
There have been numerous areas related to the development and
detection of colorectal cancer in patients with IBD that have
emerged in the past few years. Techniques of better detection (ie.
Narrow band imaging; special mucosal staining; endoscopic
histological evaluations) as well as research in the putative role
of mesalamine and other agents for colorectal cancer prevention are
all hot topics that will attract much interest from a variety of
interest groups I described above. Identification of additional
disease states that probably belong in the IBD family, such as
microscopic colitis (including lymphocytic colitis), and
collagenous colitis add to the diseases that will be discussed in
this new edition.
General
Imprint: |
HumanaPress
|
Country of origin: |
United States |
Series: |
Clinical Gastroenterology |
Release date: |
April 2013 |
First published: |
2011 |
Editors: |
Russell D Cohen
|
Dimensions: |
235 x 155 x 23mm (L x W x T) |
Format: |
Paperback
|
Pages: |
322 |
Edition: |
Softcover reprint of hardcover 2nd ed. 2011 |
ISBN-13: |
978-1-61779-731-6 |
Categories: |
Books >
Medicine >
Clinical & internal medicine >
Gastroenterology
|
LSN: |
1-61779-731-6 |
Barcode: |
9781617797316 |
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