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Titlebook: Essential Medical Disorders of the Stomach and Small Intestine; A Clinical Casebook Brian E. Lacy,John K. DiBaise,Alexander C. Ford Book 20

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Alistair Willis,Suresh Manandhariagnosis and treatment. The diagnostic workup should include imaging, manometry studies, and, occasionally, full-thickness bowel biopsies alongside workup to determine secondary causes. Treatment goals should include optimizing the nutritional status, avoiding surgery, and preventing or delaying the development of intestinal failure.
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Functional Dyspepsia sometimes mast cells. Currently, treatment involves a stepwise approach. If . infection is present, eradication therapy may be beneficial. Acid suppression is otherwise first-line therapy. An antidepressant (a low-dose tricyclic agent) or prokinetic agent is second-line therapy.
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Gastroparesiscause of upper GI symptoms and specifically confirmation of gastric emptying delay with scintigraphy or breath test, first-line therapy with dietary changes and available prokinetics, and the need to critically appraise the utility of pyloric interventions.
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A Diagnostic Approach to Dyspepsiapepsia include gastritis, peptic ulcer disease, gastroesophageal reflux disease, and malignancy, which are found in approximately 25% of patients. The remaining 75% who exhibit negative diagnostic testing have functional dyspepsia, which is discussed separately in Chap. 8.
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