book is the even-handedness in which each diarrheal
disease is addressed. For more multi-systemic causes
in which diarrhea plays a role in the overall symptomatology, there is varying success in keeping with the
subject matter. One example of where this is attained
is the chapter on inflammatory bowel disease that
delves into not only the primary causes of the diarrheal state, but also addresses other factors, such as
intercurrent infections and medicines, that can complicate the presentation of the disease process. Other
chapters are written with more generalized diagnoses
such as congenital disorders of digestion and absorption and protein losing enteropathies. These chapters
are equipped with broad differential diagnoses which
serve as an aid to those encountering each of these
particular diseases. Finally, more elusive diagnoses,
either due to rarity or lack of diagnostic tools in which
to confirm them, are not shied away from giving the
reader ample opportunity to understand the clinical
keys for diagnosis and a reasonable approach to treatment.
Overall, the chapters are sufficiently organized
to easily access wanted information quickly. In the
preparation of this review I have used this guide as
a reference to bolster my understanding of several
diarrheal illnesses encountered in everyday practice.
It will serve as an easy to use stand alone tool for the
seasoned clinician and novice alike, with adequate
references for those looking for more detail into the
management of diarrheal disease.
Jeff Rudolph MD
Assistant Professor of Pediatrics
Children’s Hospital of Pittsburgh
University of Pittsburgh Medical Center
GI Emergencies: A Quick Reference Guide
Editors: Robert C. Lowe, Francis A. Farraye
Paperback: 273 pages
Publisher: Slack Incorporated 2012
GI Emergencies: A Quick Reference Guide is ideally
suited for gastroenterology fellows but is also valuable for residents, students, and staff who may care
for patients in the midst of a GI emergency and need
efficient access to clinical guidance, such as members
of an inpatient primary or consult service as well as
those in the emergency department.
This handbook is made up of 13 chapters that cover
the majority of GI emergencies that are commonly seen,
from GI bleeding to fulminant colitis, liver failure,
foreign body ingestion, and the emergencies that occur
at our hands, such as complications of endoscopy.
Each chapter is written by a GI fellow or resident and
a faculty member. In my mind, this provides real-world
relevance to the case and expertise to the topic.
The guide is case-based and is set up in much
the same way clinicians are involved with patients
having a GI emergency, including receiving a consult
request to assist in the management of a patient, having
a discussion with the referral center to get as much
information as possible and provide the best initial
advice, and the different management considerations
that must be made while in transit to care for the patient.
Then, the guide provides background information about
the problem and the labs or radiologic studies that might
be useful for the initial evaluation. The narrative returns
to the case to continue to bring out important clinical
pearls, serial questions that need to be addressed,
and critical decisions that may need to be made,
including the appropriateness and timing of endoscopic
procedures. Common obstacles to management are also
addressed. Tables, algorithms, figures, and diagrams are
thoughtfully used throughout the guide. Each chapter
has a “Key Points” box to highlight the most important
information and a list of references for when in-depth
information is sought.
This guide is not a comprehensive text, nor is
it intended to be. It is organized to be a quick and
reasonably complete reference to the management of
GI Emergencies. It is a perfectly suited, in size and in
content, to fit into the pocket of your coat to aid and
educate as you help your patient. For this reason, I
highly recommend it.
Dennis P. Collins, MD
Division of Gastroenterology,
Hepatology, and Nutrition
University of Florida
John Pohl, M.D., Book Editor, is on the Editorial Board
of Practical Gastroenterology.