Diseases of The Digestive System Third EditionPDF电子书下载

CHAPTER 1 THE HISTORY OF OUR KNOWLEDGE OF GASTROINTESTINAL DISEASE＆By RALPH MAJOR，M．D 25

CHAPTER 2 THE ANATOMY OF THE GASTROINTESTINAL TRACT＆By CHARLES F．DE GARIS，M．D．，Ph．D 39

CHAPTER 3 PHYSIOLOGY OF THE ESOPHAGUS＆By KAO HWANG，M．S．，M．D 86

CHAPTER 4 THE PHYSIOLOGY OF THE STOMACH＆By H．NECHELES，M．D．，Ph．D 92

Cardiac Sphincter 92

The Fundus 93

The Pyloric Antrum 93

The Pyloric Sphincter 93

Upper Part of the Stomach 93

Surface of the Stomach 94

Blood Supply of Stomach 94

Innervation of the Stomach 94

Gastric Motility 96

Gastric Secretion 101

Absorption in the Stomach 114

Excretion into the Stomach 114

Tests for Secretory Function of the Stomach 115

Intragastric Temperature 116

Effects of Emotions on the Stomach 117

Why Does the Stomach Not Digest Itself？ 118

CHAPTER 5 PHYSIOLOGY OF THE LIVER，BILE AND GALLBLADDER＆By A．C．IVY，Ph．D．，M．D 128

Liver 128

Physiologic Anatomy 128

Structure of the Liver 128

Activities of the Liver 129

The Relation of the Liver to the Endocrine Glands 133

Effects of Extirpation of the Liver 133

Factor of Safety and Regeneration of Liver Cells 134

Bile 134

Quantity of Bile Secreted 135

Changes in Volume and Composition of Bile After a Mixed Meal 136

Origin， Fate， Toxicity， and Function of the Better Known Constituents of Bile 136

Functions of Bile 140

Gallbladder and Bile Ducts 142

CHAPTER 6 PHYSIOLOGY OF THE PANCREAS＆By M．I．GROSSMAN，M．D．，Ph．D 148

CHAPTER 7 THE PHYSIOLOGY OF THE SMALL AND THE LARGE INTESTINE＆By J．P．QUIGLEY，Ph．D 155

Bile 156

Pancreatic Juice Secretion 157

Intestinal Juice 158

Secretion of the Large Intestine 158

Digestion in the Intestine 158

Intestinal Absorption 160

Intestinal Movements 166

Movements of the Colon 170

Defecation 170

Sensations and Pain from the Digestive Tract 174

Gases in the Digestive Tract 175

CHAPTER 8 PHYSIOLOGY OF THE MUCOUS MEMBRANES AND DIRECT OBSERVATIONS ON GASTRIC AND COLONIC FUNCTION IN MAN＆By STEWART WOLF，M．D 183

Characteristics of the Gastric Mucosa 183

Gastric Hypofunction 186

Sustained Gastric Hypofunction 187

Gastric Hypofunction and Disease 187

Gastric Hyperfunction 188

Experimental Production of Ulcer 191

Clinical Peptic Ulcer 191

Mechanism of Gastric Hyperfunction 194

Protective Mechanisms of the Stomach 196

Modification of the Effect of Food 200

Modification of Effects of Drugs 201

Colon 204

Ulceration of the Mucous Membrane 207

CHAPTER 9 NEUROLOGICAL ASPECTS OF GASTROINTESTINAL DISEASE＆By AVERY D．WEISMAN，M．D．，AND STANLEY COBB，M．D 209

The Problem of Emotion 209

Anatomy 209

Physiology 212

Hypothalamus 212

Influence of Emotions on the Gastrointestinal Tract 214

Peptic Ulcer 215

The Colon 217

Ulcerative Colitis 218

Gastrointestinal Symptoms in Neurological Disease 218

Cerebral Lesions 218

Neurosurgical Treatment of Gastrointestinal Disease 220

CHAPTER 10 THE INTERPRETATION OF GASTROINTESTINAL TRACT PAIN＆By CHESTER M．JONES，M．D 223

CHAPTER 11 EMOTIONAL FACTORS IN GASTROINTESTINAL DISTURBANCES＆By FRANZ ALEXANDER，M．D 228

Disturbances of Appetite and Eating 228

Disturbances of the Swallowing Act 234

Disturbances of the Digestive Functions 234

Disturbances of the Eliminative Functions 242

CHAPTER 12 HYPERINSULINISM AND FATIGUE＆By SIDNEY A．PORTIS，M．D 253

CHAPTER 13 ALLERGY OF THE GASTROINTESTINAL TRACT＆By GEORGE PINESS，M．D 264

Etiology 264

Identification of the Allergic Person 265

Clinical Classification of Gastrointestinal Allergy 266

Anorexia(Difficult Feeding，Malnutrition) 266

Persistent，or Recurrent， Vomiting of Infancy and Childhood 267

Cyclic Vomiting 267

Celiac Syndrome 267

Pyloric Stenosis and Pyloric Spasms of Infancy and Childhood 267

Angioneurotic Edema of the Lips，Face and Tongue 268

Cankers of the Mouth 268

Indigestion(Dyspepsia Simulating Peptic Ulcer or Gallbladder Disease) 268

Acute Conditions Within the Abdomen；Acute Gastritis；Henoch＇s Purpura；Symptoms Simulating Acute Intestinal Obstruction，Acute Appendicitis and Other Acute Abdominal Infections 269

Chronic Abdominal Pain；Allergic Symptoms Simulating Chronic Appendicitis，Chronic Intestinal Obstruction，etc 271

Mucous Colitis；Spastic Colitis 271

Chronic Ulcerative Colitis 272

Allergic Intestinal Bleeding 272

Pruritus Ani 272

Diagnosis 272

Treatment 275

CHAPTER 14 ANEMIAS OF GASTROINTESTINAL ORIGIN＆By RAPHAEL ISAACS，M．A．，M．D 279

Digestion and Absorption of Iron 279

Iron-Deficiency Anemias 280

Macrocytic Anemia Associated with Insufficiency of＂Liver Extract，＂Vitamin B12 283

Hemolytic Anemia 287

CHAPTER 15 DIETETIC CONCEPTS OF GASTROINTESTINAL DISEASE＆By KATE DAUM，Ph．D 291

Nutritive Requirements 291

Protein 291

Energy Requirement 291

Essential Minerals 293

Acid-Base Residues 294

Residue in the Diet 294

Vitamins 295

The Gastrointestinal Tract 298

The Stomach 298

Intestinal Tract 305

Biliary Tract 312

The Liver 315

Failure of Pancreatic Digestion 315

High Protein Diet 315

CHAPTER 16 THE ROLE OF ROENTGENOLOGY IN THE DIAGNOSIS OF DISEASES OF THE DIGESTIVE TRACT＆By LEO D．RIGLER，M．D 319

CHAPTER 17 THE TONGUE IN HEALTH AND DISEASE＆By BEENARD G．SAENAT，M．D 338

Oral Diagnosis 338

The Normal Tongue 339

The Tongue in Disease 344

CHAPTER 18 RELATION OF THE TEETH TO GASTROINTESTINAL DISEASES＆By E．H．HATTON，M．D 371

Mastication 371

Teeth and Gums as Sources of Infection 373

Disturbances of Taste and Sensation 376

Dental Caries and Related Subjects 377

CHAPTER 19 DISEASES OF THE ESOPHAGUS＆By PORTER P．VINSON，M．D 380

Carcinoma of the Esophagus 381

Cicatricial Stricture of the Esophagus 383

Congenital Stricture of the Esophagus 384

Cardiospasm 384

Diffuse Spasm of the Esophagus 386

Diverticula of the Esophagus 387

Hysterical and Functional Dysphagia 388

Injuries to the Esophagus 389

Unusual Tumors of the Esophagus 390

Actinomycosis and Blastomycosis 391

Diphtheria 391

Syphilis 391

Tuberculosis 391

Esophagitis 392

Foreign Bodies in the Esophagus and Stomach 392

Fistula From the Esophagus into the Air Passages 394

Extraesophageal Lesions Causing Dysphagia 395

CHAPTER 20 CLINICAL ASPECTS OF GASTRIC SECRETIONS＆By ARTHUR L．BLOOMFIELD，M．D 400

Tests of Gastric Secretion 400

Test for Basal Gastric Secretion 400

The Histamine Test 401

Applications 402

CHAPTER 21 GASTRITIS＆By RUDOLPH SCHINDLER，M．D 405

Introduction 405

Acute Gastritis 406

Chronic Gastritis 411

Classification 411

Gross Anatomy 413

Gastritis and the Military Services 415

Chronic Superficial Gastritis 415

Chronic Atrophic Gastritis 417

Chronic Hypertrophic Gastritis 422

Complications and Sequelae of Chronic Gastritis 424

Relation of Chronic Gastritis to Pernicious Anemia 424

Relation of Chronic Gastritis to Chronic Gastroduodenal Ulcer 425

Relation of Chronic Gastritis to Gastric Carcinoma 425

Appendix 425

CHAPTER 22 PEPTIC ULCER＆By WALTER LINCOLN PALMER，M．D 430

Description 430

Diagnosis 439

Treatment 459

Ulcer Management Instructions 465

Medical Treatment of Massive Hemorrhage 471

Results of Treatment of Peptic Ulcer 473

Peptic Ulcer and Military Service 473

CHAPTER 23 INDICATIONS FOR THE SURGICAL TREATMENT OF PEPTIC ULCER＆By WARREN H．COLE，M．D 480

Perforation 480

Hemorrhage 482

Obstruction 484

Gastric Ulcer 486

Refractory Ulcer 487

Jejunal Ulcer 487

Role of Vagotomy in the Treatment of Peptic Ulcer 488

The Dumping Syndrome 488

Relation of Mortality and Results to Surgical Indications 488

CHAPTER 24 CANCER OF THE STOMACH＆By SARA M．JORDAN，M．D．，AND RUSSELL S．BOLES，JR．，M．D 492

CHAPTER 25 LINITIS PLASTICA＆By A．H．AARON，M．D．，AND HARRY M．MURPHY，M．D 508

CHAPTER 26 BENIGN TUMORS＆By GEORGE B．EUSTERMAN，M．D 515

CHAPTER 27 SYPHILIS OF THE STOMACH＆By GEORGE B．EUSTERMAN，M．D 531

CHAPTER 28 DISEASES OF THE EXTRAHEPATIC BILIARY PASSAGES＆By SIDNEY A．PORTIS，M．D．，and S．PHILIP BRALOW，M．D 542

Diagnostic Procedures 542

Cholecystitis 545

Cholelithiasis 548

Choledocholithiasis 552

Perforations of the Gallbladder 552

Tumors of the Gallbladder and Ducts 553

Postcholecystectomy Syndrome 555

Biliary Dyssynergia 556