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Gastroenterology (MeSH heading) is a branch of medicine focused on the digestive system and its disorders. The name is a combination of three Ancient Greek words gaster (gen.: gastros) (stomach), enteron (intestine), and logos (reason). In the U.S., Gastroenterology is an Internal Medicine Subspecialty certified by the ABIM (www.abim.org).
Diseases affecting the gastrointestinal tract, which includes the organs from mouth to anus, along the alimentary canal, are the focus of this specialty. Physicians practicing in this field of medicine are called gastroenterologists. They have usually completed the eight years of pre-medical and medical education, the yearlong internship (if this is not a part of the residency), three years of an internal medicine residency, and two to three years in the gastroenterology fellowship. Some gastroenterology trainees will complete a "fourth-year" (although this is often their 7th year of graduate medical education) in Transplant Hepatology, Advanced Endoscopy, IBD, motility or other topics.
Gastroenterology is not the same as colorectal or hepatobiliary surgery, which are specialty branches of general surgery.
History[edit | edit source]
Citing from Egyptian papyri, Nunn identified significant knowledge of gastrointestinal diseases among practising physicians during the periods of the pharaohs. Irynakhty, of the tenth dynasty, c. 2125 B.C., was a court physician specialising in gastroenterology and proctology.
- Italian Lazzaro Spallanzani (1729–99) was among early physicians to disregard Galen's theories, and in 1780 he gave experimental proof on the action of gastric juice on foodstuffs.
- In 1767, German Johann von Zimmermann wrote an important work on dysentery.
- In 1777, Maximilian Stoll of Vienna described cancer of the gallbladder.
- In 1805, Philipp Bozzini made the first attempt to observe inside the living human body using a tube he named Lichtleiter (light-guiding instrument) to examine the urinary tract, the rectum, and the pharynx. This is the earliest description of endoscopy.
- Charles Emile Troisier described enlargement of lymph nodes in abdominal cancer.
- In 1823, William Prout discovered that stomach juices contain hydrochloric acid.
- In 1868, Adolf Kussmaul, a well-known German physician, developed the gastroscope. He perfected the technique on a sword swallower.
- In 1871, at the society of physicians in Vienna, Carl Stoerk demonstrated an esophagoscope made of two telescopic metal tubes, initially devised by Waldenburg in 1870.
- In 1876, Karl Wilhelm von Kupffer described the properties of some liver cells now called Kupffer cell.
- In 1883, Hugo Kronecker and Samuel James Meltzer studied oesophageal manometry in humans.
- In 1915, Jesse McClendon tested acidity of human stomach in situ.
- In 1921-22, Walter Alvarez did the first electrogastrography research.
- Rudolph Schindler described many important diseases involving the human digestive system during World War I in his illustrated textbook and is portrayed by some as the "father of gastroscopy". He and Georg Wolf developed a semiflexible gastroscope in 1932.
- In 1932, Burrill Bernard Crohn described Crohn's disease.
- In 1957, Basil Hirschowitz introduced the first prototype of a fibreoptic gastroscope.
- In 2005, Barry Marshall and Robin Warren of Australia were awarded the Nobel Prize in Physiology or Medicine for their discovery of Helicobacter pylori (1982/1983) and its role in peptic ulcer disease. James Leavitt assisted in their research, but the Nobel Prize is not awarded posthumously so he was not included in the award.
Disease classification[edit | edit source]
1. International Classification of Disease(ICD 2007)/WHO classification:
- Chapter XI,Diseases of the digestive system,(K00-K93)
2. MeSH subject Heading:
3. National Library of Medicine Catalogue(NLM classification 2006):
- Digestive system(W1)
Gastroenterological societies[edit | edit source]
- World Gastroenterology Organisation
- American College of Gastroenterology
- American Gastroenterological Association
- American Society for Gastrointestinal Endoscopy
- British Society of Gastroenterology
Research resources for gastroenterology[edit | edit source]
- Annals of Gastroenterology & Hepatology - www.slm-gastroenterology.com (Published by San Lucas Medical www.slm-journals.com)
See also[edit | edit source]
Annals of Gastroenterology & Hepatology - www.slm-gastroenterology.com (Published by San Lucas Medical www.slm-journals.com)
References[edit | edit source]
- Nunn JF. Ancient Egyptian Medicine. 2002. ISBN 0-8061-3504-2.
- Edgardo Rivera, MD James L. Abbruzzese, MD; Pancreatic, Hepatic, and Biliary Carcinomas, MEDICAL ONCOLOGY: A COMPREHENSIVE REVIEW 
- DeStoll M: Rationis Mendendi, in Nosocomio Practico vendobonensi. Part 1 LugduniBatavarum, Haak et Socios et A et J Honkoop 1788, OCLC: 23625746
- Gilger, Mark A. MD,Gastroenterologic endoscopy in children: past, present, and future. Gastroenterology and nutrition Current Opinion in Pediatrics. 13(5):429-434, October 2001.
- The Origin of Endoscopes, Olympus history
- Anton Sebastian,A Dictionary of the History of Medicine, ISBN 1-85070-021-4
- Prout, W. On the nature of the acid and saline matters usually existing in the stomachs of animals. – Philos. Transactions, 1824, 1, 45.
- McClendon J. F. New hydrogen electrodes and rapid methods of determining hydrogen ion concentrations. – Amer. J. Physoil., 1915, 38, 2, 180.
- Alvarez W. C. The electrogastrogram and what it shows. JAMA, 78(15):1116-18, 1922.
[edit | edit source]
- Virtual Gastro Centre
- GastroHep.com - Gastrohep
- The Digital Atlas of Video Education - Gastroenterology
Digestive system - Gastroenterology (primarily K20-K93, 530-579)
Diarrhea - Appendicitis - Bowel obstruction - Diverticulitis - Diverticulosis - IBD (Crohn's, Ulcerative colitis) - IBS - Constipation - Megacolon (Toxic megacolon) - Anal fissure - Anal fistula - Anal abscess - Rectal prolapse
Alcoholic liver disease - Cholestasis (Mirizzi's syndrome) - Liver failure - Cirrhosis - Hepatitis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome - Budd-Chiari
Gallbladder/Biliary tree (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Cholangitis, PSC, Biliary fistula, Ascending cholangitis)
See also congenital
Advance practice nursing - Audiology - Dentistry - Dietetics - Emergency medical services - Epidemiology - Medical technology - Midwifery - Nursing - Occupational therapy - Optometry - Osteopathic medicine - Pharmacy - Physical therapy (Physiotherapy) - Physician - Physician assistant - Podiatry - Psychology - Public health - Respiratory therapy - Speech and language pathology
Physician specialties: Anesthesiology - Dermatology - Emergency medicine - General practice (Family medicine) - Internal medicine - Neurology - Nuclear medicine - Occupational medicine - Pathology - Pediatrics - Physical medicine and rehabilitation (Physiatry) - Preventive medicine - Psychiatry - Radiation oncology - Radiology - Surgery
Medical subspecialties: Allergy and immunology - Cardiology - Endocrinology - Gastroenterology - Hematology - Infectious disease - Intensive care medicine (Critical care medicine) - Medical genetics - Nephrology - Oncology - Pulmonology - Rheumatology
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