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Scientific information about cannabis and its components has grown
exponentially during the past decade. Certain of the findings have
led to exploratory studies into the therapeutic utility of the
drug. At the present time, a number of areas of usefulness have
been investigated, with some showing greater promise than others.
At what point should these data be collected and presented? Should
it be early, after some initial impressions have been obtained? Or
should it come later, following confirmatory studies by others?
Both stages of development are represented in this volume. In a
number of instances, the papers consist of hitherto unpublished
material. It seemed worthwhile to bring together the investigators
working in a wide variety of disciplines who had in common their
research activities in the therapeutic aspects of the cannabinoids
and related synthetic compounds. This was done at the Asilomar
Conference Center in Pacific Grove, California during November,
1975. The papers presented and the ensuing discussion constitute
the contents of this volume. It is the Editors' hope that the book
will stimulate further involvement in the therapeutic studies. It
should not be expected, nor is it anticipated that some cannabinoid
will be available commercially in the near future. The nature of
the approval process is such that years elapse between initial
testing, however promising, and final approval for marketing. This
is particularly true for a completely new chemical entity, and even
more so for one with a checkered reputation.
In the past 30 years, gastroesophageal and reflux disease (GERD)
has become an important area of clinical medicine. GERD has
gradually become associated with other common but unexplained
disorders. These conditions have been designated as the
extraesophageal manifestations of GERD. Dr. Anthony J. DiMarino,
Jr. and Dr. Sidney Cohen and their contributors have written
Extraesophageal Manifestations of GERD with the purpose to identify
associations with conditions like hoarseness, laryngeal cancer,
sleep disorders, and dental caries, and to explore possible
causation and mechanisms of disease or possible noncausal
relationships. The extraesophageal disorders have become widely
accepted in clinical practice. The evidence supporting the
pathogenesis of these conditions falls into three major categories:
guilt by association, observed mechanistic studies, and therapeutic
response to treatment. Inside the pages of Extraesophageal
Manifestations of GERD the reader will find recognition and balance
in treating patients with common symptom-based disorders. Final
resolution of some of the controversies inherent in these
associations may require advanced diagnostic tools and advanced
pharmacological therapies. With chapters written by experts in the
fields of medicine, pediatrics, otolaryngology, and dentistry,
Extraesophageal Manifestations of GERD will be a must have for
gastroenterologists, internal medicine residents, surgeons,
otolaryngologists, and pediatricians.
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