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Gastroenterology

The focus throughout is on immediate management, but it also refers to long-term follow up for certain problems. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Please subscribe or login to access full text content. If you have purchased a print title that contains an access token, please see the token for information about how to register your code. For questions on access or troubleshooting, please check our FAQs , and if you can't find the answer there, please contact us.

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Women's Issues in Gastroenterology, An Issue of Gastroenterology Clinics, Volume - 1st Edition

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Surgical Dentistry. Clinical Skills. Communication Skills. Nursing Skills. Surgical Skills. Development of the Nervous System. Disorders of the Nervous System. History of Neuroscience. Authors: Lancaster-Smith , M. Part one of the book presents the gastrointestinal problems that commonly face the general practitioner. Emphasis is placed on analysis of clinical data and how this may provoke the most profitable lines of investigation.

Many of the investigation and treatment protocols are within the scope of general practice, but hospital management is also included. In contrast, it proved impossible to discuss adequately all of the common diseases affecting other organs of the digestive system under the problem headings. For this reason, a fuller ac count of many common alimentary diseases is provided in Part two.

So are other books. The treatments a gastroenterologist may explore range from medications and lifestyle changes to surgery and organ transplantation. Some of these can be provided by the gastroenterologist; others may require a team of specialists, including surgeons, dietitians , and oncologists. The list of drugs used to treat digestive disorders is extensive and may include antibiotics, antacids, antidiarrheals, proton pump inhibitors PPIs , H2 blockers , and promotility agents like Reglan metoclopramide. Over-the-counter medications like stool softeners, laxatives, fiber supplements, nonsteroidal anti-inflammatory drugs NSAIDs , and hemorrhoid creams may also be prescribed.

Newer pharmaceutical medications often target specific components of the digestive tract or treat specific conditions. Examples include:. In addition to medications, various procedures may be used to manage or cure a digestive disorder. In some cases, all that may be needed are changes in diet or eating habits in tandem with weight loss, exercise, and smoking cessation.

More intensive treatments are sometimes required, particularly in cases of cancer, bowel perforation , or severe inflammatory bowel disease IBD. Some gastroenterologists choose to specialize in specific disorders or organ symptom. One of the most common is hepatology , devoted to the study of the liver. Others will partake in fellowships and training in subspecialties such as inflammatory bowel diseases, colorectal cancer, gastrointestinal motility, interventional endoscopy, neurogastroenterology, pediatric gastroenterology, and transplant hepatology, among others.

Dr. Robert Bulat - Gastroenterology

Gastroenterologists undergo no less than 13 years of education and practical training to achieve a board certification. This includes three years of fellowship training devoted specifically to the diagnosis, management, treatment, and prevention of gastrointestinal diseases. Hepatology requires an additional one-year fellowship.


  1. This specialist is trained in digestive and liver disorders.
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Once the fellowship training is complete, certification can be obtained by passing the gastroenterology board exam administered by the ABIM. Some gastroenterologists receive special recognition for extraordinary achievements in gastroenterology. Meeting a gastroenterologist for the first time can be uncomfortable given that most people don't like to discuss things like bowel movements, gas, or diarrhea. It is important not to let this get in the way of a diagnosis. The more accurately you describe your symptoms—including things like the consistency, smell, and color of stools—the sooner the doctor will know where to start the investigation.

If you have chronic symptoms, keep a journal outlining the time, date, duration, and specifics of each event. Be sure to write down what you were doing at the time, including the foods you ate and whether you were stressed, lying down, or exercising vigorously.


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  • Moreover, ask as many questions as you need to fully understand the procedures and what a test result may or may not mean. Before your appointment, check that the gastroenterologist accepts your insurance. If a test or procedure is recommended, make sure that it is covered by your insurance and what your exact copay or coinsurance costs will be. If the out-of-pocket costs are too high, ask the gastroenterologist if there are any less costly alternatives.