Prepared by residents and chief residents with senior faculty advisors at the Washington University School of Medicine, this handbook is an updated, easily accessible quick reference for handling everyday problems encountered in gastroenterology. It covers both inpatient and outpatient approaches with the same front-lines practicality as the world-famous Washington Manual(R) of Medical Therapeutics. The first section covers common symptoms, signs, and laboratory abnormalities; the second section focuses on specific diseases. Chapters are structured to help the clinician develop a logical, systematic approach to these common problems. Key points about the diagnosis and management of disorders are bulleted for easy reference. This edition also includes illustrations. The Washington Manual(R) is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

Contributing Authors     v
Chairman's Note     vii
Preface     viii
Approach to Specific Symptoms
Dysphagia and Odynophagia   Michael J. Hersh     1
Nausea and Vomiting   Babac Vahabzadeh   C. Prakash Gyawali     6
Diarrhea   Dustin G. James     14
Constipation   Christina Y. Ha     23
Abdominal Pain   Daniel A. Ringold     29
Acute Gastrointestinal Bleeding   Sonal Kumar     35
Occult and Obscure Gastrointestinal Bleeding   Walter W. Chan     47
Jaundice   Brian B. Borg     52
Abnormal Liver Chemistries   Manreet Kaur     62
Ascites   Yume P. Nguyen     70
Nutrition   Vladimir Kushnir   Shelby A. Sullivan     75
Approach to Specific Diseases
Esophageal Disorders   Julie A. Holinga     83
Gastric Disorders   Thomas A. Kerr     97
Small Bowel Disorders   Anisa Shaker   Deborah C. Rubin     108
Colon Neoplasms   Anne K. Nagler   Dayna S. Early     117
Inflammatory Bowel Disease   T. J.Paradowski   Matthew A. Ciorba     127
Irritable Bowel Syndrome   Vilaas Shetty   Gregory S. Sayuk     140
Acute Liver Disease   Anil B. Seetharam   Kevin M. Korenblat     147
Chronic Liver Disease   Pari M. Shah   Mauricio Lisker-Melman     155
Cirrhosis   Sumeet Asrani   Jeffrey S. Crippin     173
Pancreatic Disorders   Daniel A. Ringold   Sreenivasa Jonnalagadda     187
Biliary Tract Disorders   Somal S. Shah   Riad Azar     204
Gastrointestinal Procedures   Sanjay Sikka     214
Index     221