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This 6th volume of OESO has the advantage to address a topic which
is at the forefront of concern for all those involved with disease
of the upper digestive tract: an entity inserted in the
epidemiological sequence of GERD, a benign affection among the most
widespread in the world, Barrett's esophagus, has become today a
problem of Public Health. Its recognised propensity to degenerate
has, in fact, made it one of the benign lesions of the upper
digestive tract which legitimately arouses the convergent interest
of clinicians, as well as those devoted to fundamental research.
Large scale epidemiological studies, the development of even
sharper means for early detection of the precursory signs of its
degeneration, the extreme diversity of the treatments available
today, all lend new perspectives to the different centres of
interest of this book.
Knowledge concerning oesophageal pathophysiology has until recently
lagged far behind that of the pathophysiology of other portions of
the gastrointestinal (GI) tract for reasons that still remain
unclear. Yet, it is the fact that, at least until the last few
decades, interest in the oesophagus was primarily based on
pathologic anatomy. Even today, much remains to be learnt on the
pathophysiology of oesophageal disease. The recent development of
methods of studying both morphology and function of the oesophagus
has resulted in a better understanding of normal and abnormal
oesophageal patterns with a corresponding improvement in treatment,
which is now physiologically, rather than anatomically based. As
customary, the World OESO Congresses are planned to provide each
time a thorough analysis of a specific topic in oesophageal
disease. The 8th World Congress of OESO was devoted to the Foregut:
Function and Dysfunction to emphasise the complex interaction
between the oesophagus and the other portions of the upper GI
tract, either in maintaining physiological function or in
triggering oesophageal disease. The choice is a timely one because
recent investigations have allowed new insights into the
pathophysiology of these complex interactions to be gained. It is
indeed becoming clear that there are intriguing pathophysiological
abnormalities that account for upper GI symptoms and that more
targeted therapy is needed to address the unmet clinical needs.
Within this framework, specific sessions were devoted to disorders
of secretion, of motility as well as of nutrition with a special
emphasis on recent advances. Unlike some of the other publications,
this volume does not merely represent the proceedings of an
International Congress. With its now established and successful
format, it collects the answers to 130 key questions, offered by
110 basic scientists and clinicians the world over, all of whom
have personally contributed to the topic, in order to provide a
glimpse of what may lie ahead. The easy-to-read format will allow
the practising and busy physician to keep up efficiently with
advances in diagnosis and therapy in this rapidly evolving field.
This book is the 5th in an exceptional series which, in a most
uncommon way, constitutes an original encyclopaedia of
esophagology. It is devoted to a single subject: the
esophagogastric junction. These few centimetres are dissected into
420 questions which call on all the disciplines involved by its
physiology, its diverse diseases and their various treatments. 450
answers, provided by the most renowned experts, each one shedding
light on one small, but essential, fragment of the subject. The
book offers: A succesion of syntheses; A profusion of targeted
bibliographical references; An access, now made easy, to highly
elaborated knowledge; A precious volume for researchers,
specialists, departments heads, general practitioners and students.
The World OESO Congresses are planned to provide each time a
thorough analysis of a single topic on oesophageal disease. The
Seventh World Congress of EOSO was entirely devoted to
Duodenogastroesophageal reflux. Clarification of the role of
duodenogastroesophageal reflux in the context of oesophageal
disease has been hampered for a long time by inadequate methods to
detect it. The recent availability of methodology to detect either
biliary or non acidic reflux has allowed to gain new insights into
pathophysiology and to develop new therapeutic approaches. This
book does not merely represent the proceedings of an International
Congress: it collects the answers to 125 key questions, offered by
basic scientists and clinicians from all over the world, all of
whom have personally contributed to the topic, in order to provide
a glimpse of what may lie ahead.
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