Editors: Henry P. Parkman, Richard W. McCallum, Satish S.C. Rao
Pages: 448 Hard Cover
ISBN 13: 978-1-55642-958-3
Slack, Inc. 2011
List Price: $83.95
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MedicalScienceBooks.com Medical Book Review:
Gastroenterology has become an increasingly subspecialized area of medicine over the past several decades. This division of an already complex specialty is a direct result of expanded basic science research efforts aimed at understanding the interaction between the nervous system and the digestive tract. Among the greatest benefits to patient care derived from this line of inquiry thus far has been the development of a powerful set of diagnostic tests and the organization of motility disorder laboratories by experts who are skilled in their interpretation.
GI Motility Testing: A Laboratory and Office Handbook proposes to fill in the gaps of literature by providing a clinical “users guide” to the most important evaluation techniques in the field. The book is divided into two main parts, one covering the procedures and the other covering the most common set of disorders seen in the clinic. Each part is further subdivided into sections based on GI anatomy. The technical aspect of each procedure is discussed in very practical and almost step by step terms. There are also good tips on troubleshooting and identifying common data artifacts which are appropriate for assistants working with the patient. Indications and interpretation sections are very concise with a minimal amount of explanation but adequately referenced to further reading at the end of each chapter. These concise explanations will likely be appreciated by clinicians who are familiar with the test, but some readers may be left wanting more information before being turned to larger texts or the primary literature.
Much more effective for the trainee or general practitioner interested in learning more about testing options is part B which includes excellent synopses of patient management. Each motility disorder is outlined in terms of differential diagnosis, choice of diagnostic tests, results suggestive of a particular condition and brief treatment considerations. This disorder focused part of the book makes the book cohesive as a stand-alone publication because it ties the technical and clinical aspects of the testing procedures together.
The illustration program is somewhat lackluster with the large majority of figures containing software computer screen shots and tabular data in gray-scale. However, there is a good color atlas included in the middle of the text with a few select figures from the chapter in color. In particular, the color images of the manometry data add to the significance of the results and would probably best be incorporated throughout the text for all such figures.
Overall, this text makes an important contribution to the gastroenterology literature. No other single text exists on the topic of this comprehensive list of GI testing modalities written with not only the physician, but nurses and technical staff in mind.
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