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Inflammatory bowel disease: A guide for patients and their families
GASTROENTEROLOGY
BOOK
1985;89:697-700
REVIEWS
Armand Littman, M.D.
Book Aeview Editor Veterans Administration Hines, Illinois 60141
Hospital
Nutrition in Pediatrics: Basic Science and Clinical Application. Edited by W. A. Walker and J. B. Watkins. 918 pp., $75.00. Little, Brown and Company, Boston, Massachusetts, 1985. This is the first full text of pediatric nutrition in which basic physiology, the nutritional needs from infancy through adolescent motherhood, and the requirements of particular disease states are addressed. Walker and Watkins have gathered more than 60 national and international experts to contribute chapters to this long-awaited and premier text. The book follows a logical progression through basic concepts of nutrition and growth; pathophysiology; treatment and nutritional requirements of the preterm infant and of certain disease states, and concludes with sections describing human and preterm milk, and enteric and parenteral feeds. Section I, General Concepts, includes environment, trace element and vitamin requirements and metabolism, clinical and laboratory assessment of nutritional states, community nutrition, and a chapter dealing with the proper diet for disease prevention. Section II, Pathophysiology, discusses the role of nutrition in growth, brain development, behavior, intestinal adaptation, and pregnancy. It further details host defenses and immunologic aspects of gut function in normal nutritional states and in malnutrition. Section III addresses failure to thrive, metabolic disorders, renal and liver disease, inflammatory bowel disease, diabetes, cystic fibrosis, diarrhea, the short gut, and hyperlipidemia, as well as nutrition of the low birth weight infant. A chapter on congenital anomalies seems more appropriate for a gastroenterology text as it does not deal with specific nutritional or feeding problems. Section IV reviews the nutritional and immunologic properties of human milk as well as techniques of enteral and parenteral nutrition. There are chapters on community support for nutrition, the effect of nutrition upon oral-dental health, and discussions of nutritional support in anorexia nervosa. Unique sections such as nutritional requirements for the young and competitive athlete and for the pregnant adolescent are welcome. The appendix contains valuable tables of growth parameters, nutritional requirements for age, indicators of malnutrition, and components of preterm and term milk and of commonly used infant formulas. Drugnutrient interactions are tabulated both in the appendix and in Chapter 8. All of the chapters are clearly written, with updated references. The graphs, tables, and illustrations are plentiful, clear, and carefully presented. This is an attractive book of fine paper. It will serve as an excellent reference text for gastroenterologists, who care for large or small, pediatricians, neonatologists, and nutritionists. For the next edition I would like to see mention of the current
vogue diets and their associated problems, as well as megavitamins and the complications arising from vitamin excesses, as these have become an important item in the dietary regimes of many adolescents and young adults. In the section on anorexia some notation might be included on delayed gastric emptying during the severely malnourished states, and of refeeding pancreatitis if a high caloric diet is initiated too rapidly. A small section dealing with techniques to spur the infant who has forgotten how or refuses to feed would be welcomed. This is a marvelous text, well worth its price, and a bargain in comparison to others. JOYCE GRYBOSKI.
M.D.
New Britain. Connecticut
Inflammatory Bowel Disease: A Guide for Patients and Their Families. By S. B. Hanauer and J. B. Kirsner. 194 pp., $15.95.Raven Press, New York, New York, 1985. In a basic but comprehensive manner, the authors provide information about inflammatory bowel disease that is directed primarily at patients and their relatives. The subject matter includes definition of terms with a useful glossary, a review of etiologic considerations, brief descriptions of gastrointestinal tract anatomy and function, and a differential diagnostic discussion of diarrhea. There are extensive discussions of the symptoms, diagnosis, complications, treatment, and prognosis of ulcerative proctitis, ulcerative colitis, and Crohn’s disease. Additional chapters provide more detail about medical and surgical therapy, diet and nutrition, and emotional support. Two chapters contributed by other specialists discuss inflammatory bowel disease in children and the special considerations of life with an enterostomy. Diagrams are used throughout the text, primarily to clarify anatomic descriptions. Although the text occasionally is repetitious, material is presented in a very readable and informative manner, reflecting the extensive experience of the authors, and emphasizing the need for the team approach involving a variety of health professionals and patients and their families in the effective management of inflammatory bowel disease. It is toward this specific end that this guide is directed. At a reasonable cost, this volume gives clear and understandable answers to the most frequent questions and concerns of inflammatory bowel disease patients and their families. There is an increasingly interested public that will benefit from the information. HOWARD
SCHACHTER,
Chicago, Illinois
M.D.
BOOK
1985;89:697-700
REVIEWS
Armand Littman, M.D.
Book Aeview Editor Veterans Administration Hines, Illinois 60141
Hospital
Nutrition in Pediatrics: Basic Science and Clinical Application. Edited by W. A. Walker and J. B. Watkins. 918 pp., $75.00. Little, Brown and Company, Boston, Massachusetts, 1985. This is the first full text of pediatric nutrition in which basic physiology, the nutritional needs from infancy through adolescent motherhood, and the requirements of particular disease states are addressed. Walker and Watkins have gathered more than 60 national and international experts to contribute chapters to this long-awaited and premier text. The book follows a logical progression through basic concepts of nutrition and growth; pathophysiology; treatment and nutritional requirements of the preterm infant and of certain disease states, and concludes with sections describing human and preterm milk, and enteric and parenteral feeds. Section I, General Concepts, includes environment, trace element and vitamin requirements and metabolism, clinical and laboratory assessment of nutritional states, community nutrition, and a chapter dealing with the proper diet for disease prevention. Section II, Pathophysiology, discusses the role of nutrition in growth, brain development, behavior, intestinal adaptation, and pregnancy. It further details host defenses and immunologic aspects of gut function in normal nutritional states and in malnutrition. Section III addresses failure to thrive, metabolic disorders, renal and liver disease, inflammatory bowel disease, diabetes, cystic fibrosis, diarrhea, the short gut, and hyperlipidemia, as well as nutrition of the low birth weight infant. A chapter on congenital anomalies seems more appropriate for a gastroenterology text as it does not deal with specific nutritional or feeding problems. Section IV reviews the nutritional and immunologic properties of human milk as well as techniques of enteral and parenteral nutrition. There are chapters on community support for nutrition, the effect of nutrition upon oral-dental health, and discussions of nutritional support in anorexia nervosa. Unique sections such as nutritional requirements for the young and competitive athlete and for the pregnant adolescent are welcome. The appendix contains valuable tables of growth parameters, nutritional requirements for age, indicators of malnutrition, and components of preterm and term milk and of commonly used infant formulas. Drugnutrient interactions are tabulated both in the appendix and in Chapter 8. All of the chapters are clearly written, with updated references. The graphs, tables, and illustrations are plentiful, clear, and carefully presented. This is an attractive book of fine paper. It will serve as an excellent reference text for gastroenterologists, who care for large or small, pediatricians, neonatologists, and nutritionists. For the next edition I would like to see mention of the current
vogue diets and their associated problems, as well as megavitamins and the complications arising from vitamin excesses, as these have become an important item in the dietary regimes of many adolescents and young adults. In the section on anorexia some notation might be included on delayed gastric emptying during the severely malnourished states, and of refeeding pancreatitis if a high caloric diet is initiated too rapidly. A small section dealing with techniques to spur the infant who has forgotten how or refuses to feed would be welcomed. This is a marvelous text, well worth its price, and a bargain in comparison to others. JOYCE GRYBOSKI.
M.D.
New Britain. Connecticut
Inflammatory Bowel Disease: A Guide for Patients and Their Families. By S. B. Hanauer and J. B. Kirsner. 194 pp., $15.95.Raven Press, New York, New York, 1985. In a basic but comprehensive manner, the authors provide information about inflammatory bowel disease that is directed primarily at patients and their relatives. The subject matter includes definition of terms with a useful glossary, a review of etiologic considerations, brief descriptions of gastrointestinal tract anatomy and function, and a differential diagnostic discussion of diarrhea. There are extensive discussions of the symptoms, diagnosis, complications, treatment, and prognosis of ulcerative proctitis, ulcerative colitis, and Crohn’s disease. Additional chapters provide more detail about medical and surgical therapy, diet and nutrition, and emotional support. Two chapters contributed by other specialists discuss inflammatory bowel disease in children and the special considerations of life with an enterostomy. Diagrams are used throughout the text, primarily to clarify anatomic descriptions. Although the text occasionally is repetitious, material is presented in a very readable and informative manner, reflecting the extensive experience of the authors, and emphasizing the need for the team approach involving a variety of health professionals and patients and their families in the effective management of inflammatory bowel disease. It is toward this specific end that this guide is directed. At a reasonable cost, this volume gives clear and understandable answers to the most frequent questions and concerns of inflammatory bowel disease patients and their families. There is an increasingly interested public that will benefit from the information. HOWARD
SCHACHTER,
Chicago, Illinois
M.D.