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By A. M. Gelb, B. Straus (auth.), Professor Dr. med. Dieter Platt (eds.)

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Read or Download Geriatrics 2: Digestive System · Endocrine System Kidney and Urogenital System Haematological System · Respiratory System Rehabilitation · Nutrition · Drug Treatment PDF

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Extra info for Geriatrics 2: Digestive System · Endocrine System Kidney and Urogenital System Haematological System · Respiratory System Rehabilitation · Nutrition · Drug Treatment

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The incidence has decreased in the United States over the past few decades, the death rate declining from 28 per 100,000 in 1930, to 10 per 100,000 in 1967. The reason for this is unknown. Certain lesions are considered premalignant. They include pernicious anemia, atrophic gastritis, and adenomatous polyps. Males predominate. In the United States the male to female ratio is 2 to 1. The peak incidence is in the 6 th decade. About half are in the pyloric area, and a quarter are along the lesser curvature.

Radiography The conventional GI X-ray series remains an important means of examination of the stomach. There has been interest in discerning very small lesions by the use of the double contrast technique, in which the stomach is distended with air after being coated with a small amount of thick barium which adheres to the surface. 2. Endoscopy Endoscopy has become an increasingly important diagnostic tool. Together with biopsy and cytologic brushing its effectiveness is enhanced. It is especially useful for upper GI bleeding, in which it is the primary diagnostic modality.

The morbidity and mortality rise markedly if it is resected. The duodenum is also essential. If the patient survives the acute episode, hyperplasia of the remaining bowel results in adaptive changes. 12. Tumors Tumors of the small intestine account for 5% or less of all bowel tumors (O'BRIEN 1978). Why this region is relatively resistant to neoplasm is unclear. The majority are discovered in patients over the age of 50. a) Adenocarcinoma Among malignant tumors, adenocarcinoma is the most frequent.

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