Inflammatory Bowel Disease: A Clinical ApproachA revised and expanded edition of Inflammatory Bowel Disease: A Personal View (1985), this concise yet comprehensive work presents an interpretation of up-to-date research on diagnosis, testing, medications, and surgical treatment of inflammatory bowel disease (IBD). The book is a distillation of the author's experience with this group of serious disorders during nearly a half-century as a clinical investigator and clinician at Mount Sinai Hospital. In this authoritative volume, Dr. Janowitz crystallizes his conceptual and therapeutic approaches to the study of these crippling and enigmatic disorders and offers his advice on their daily management. He also discusses special considerations such as problems in diagnosis, pregnancy, cancer, extraintestinal manifestations of IBD, nutrition, and the role of psychotherapy. This thorough and practical guide written by a renowned expert well-known for his patient-oriented approach will be invaluable to gastroenterologists, GI surgeons, internists, gastrointestinal fellows, and medical students. |
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Page 207
A Clinical Approach Henry D. Janowitz. 24 The Problem of Fistulas Fistula formation is a part of the natural history of Crohn's disease and at times a sequela of surgical intervention . An isolated rec- tovaginal fistula may , of course ...
A Clinical Approach Henry D. Janowitz. 24 The Problem of Fistulas Fistula formation is a part of the natural history of Crohn's disease and at times a sequela of surgical intervention . An isolated rec- tovaginal fistula may , of course ...
Page 211
... fistula . Their demonstration depends , of course , on the size of the opening and often barium by mouth or by rectum is needed to reveal them . While ileosigmoid fistulas are most often easily recognized by colonoscopic , colonic fistulas ...
... fistula . Their demonstration depends , of course , on the size of the opening and often barium by mouth or by rectum is needed to reveal them . While ileosigmoid fistulas are most often easily recognized by colonoscopic , colonic fistulas ...
Page 215
... fistula after several fruitless surgical attacks and the use of 6 - MP , and the patient and I are therefore reluctant to stop the cyclosporine for fear of severe relapse . In men , perirectal fistula may begin to invade the scrotum and ...
... fistula after several fruitless surgical attacks and the use of 6 - MP , and the patient and I are therefore reluctant to stop the cyclosporine for fear of severe relapse . In men , perirectal fistula may begin to invade the scrotum and ...
Contents
Why Now? | 3 |
A Speculative Chapter with | 15 |
Modes of Clinical Presentation | 31 |
Copyright | |
28 other sections not shown
Common terms and phrases
abdominal abscess activity acute antibiotics appearance assessment associated attempt believe biopsy bleeding cancer Chapter clinical colectomy colon colonoscope complication considered continue controlled course Crohn's disease diagnosis difficult disorders doses drugs effects endoscopic enema especially evidence examination experience extraintestinal factors findings fistula frequently further ileitis ileostomy ileum important improvement increasing indication individuals inflammation inflammatory bowel disease instances interesting intestinal involvement Janowitz HD jejunum joint known lead lesions localized look maintenance manifestations measure mild mucosa observation obstruction occasion occur operation oral pain patients patients with Crohn's percent perforation period physician possible pouch present problem question rare recent rectal recurrence regarding remains remission reported require resection respond reveal risk role scan seen severe small bowel steroids studies suggest sulfasalazine surgery surgical symptoms therapeutic therapy tion treated treatment trials ulcerative colitis usually variety young