Parasites and human disease

Parasites and human disease

492 BOOK REVIEWS effects of gastric surgery, resection and bypass, allergic and immunologic disorders, celiac disease, Crohn’s disease, and bacteria...

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492

BOOK REVIEWS

effects of gastric surgery, resection and bypass, allergic and immunologic disorders, celiac disease, Crohn’s disease, and bacterial and parasitic infections. Then there is discussion of nutritional deficiency, tropical sprue, vascular and lymphatic abnormalities, tumor and tumorlike conditions, regulatory peptides, hormone-secreting tumors, and drug-induced disorders. The final chapter is dedicated to radiation enteritis. Each chapter is a dissertation of the topic with a brief index of content immediately following the title. The first few paragraphs consist of historical facets often followed by anatomy. Then comes the relevant normal physiology to set the stage for the pathophysiology under discussion. Clinical features and treatment follow. There are ample references. Almost all chapters contain several excellent succinct minivignettes of cases that serve to further illustrate the disease states. The illustrations are of high quality. There is remarkably little overlap, and cross-references between chapters are indicated in the text. The text is lucid, easy to read, and the style of writing is uniform. It is obvious that the editors have maintained close liaison with each author. The book will be most useful to the practicing gastroenterologist and to those in training for our specialty. General internists, family physicians, and houseofficers will find it helpful when wishing to review small bowel disorders. Basic scientists may be interested in seeing how the clinical side dovetails into their area of expertise. In summary, the book comes close to being a holy writ of disorders of the small bowel and the attendance of a man of the cloth is not required for interpretation. It serves to bring together much of our current knowledge and provides renewed inspiration to an area of clinical gastroenterology often relegated to the back of the field. It is well worth the price. ERNEST URBAN, M.B.B.S.

Pittsburgh,

Pennsylvania

Parasites and Human Disease. By W. Crewe and D. R. W. Haddock. 218 pp., $25.00. John Wiley & Sons, New York, New York, 1985.

GASTROENTEROLOGY Vol. 91. No. 2

should include mention of at least one standard permanent staining technique. The chapter on malaria covers the subject well and the newer antiparasitic drugs are briefly described. For the gastroenterologist several better publications are available. LEE S. MONROE, M.D. San Diego,

California

People. . not Patients: A Source Book for Living with Inflammatory Bowel Disease. Edited by P. Steiner, P. A. Banks, and D. H. Present. 188 pp., $25.00. The National Foundation for Ileitis and Colitis, New York, New York, 1985. This soft-cover book provides comprehensive and practical information for the lay community in a readable style. It is a collaborative effort, with both medical and lay contributors. The first section gives basic information about ulcerative colitis and Crohn’s disease, including descriptions of diagnostic procedures and laboratory tests, medications, skin care, and adjustment to ileostomy. The second section includes stories of struggles and triumphs as told by a variety of inflammatory bowel disease patients, followed by several practical chapters about daily problems faced by such patients-the child at school, communicating with physicians, dietary and nutritional considerations, sports considerations, and overseas travel. Support of the patient and family is addressed in chapters about visiting the hospitalized inflammatory bowel disease patient and organizing self-help groups. The third section addresses patients’ rights, with chapters about obtaining and understanding medical records, discrimination at work and school, and problems of medical insurance. I believe this reasonably priced publication will prove an invaluable resource for physicians caring for inflammatory bowel disease patients. It is replete with both educational and practical information, and it reflects an attitude of hope for the anticipated patient-reader. HOWARD SCHACHTER, M.D.

Hailing from the Liverpool School of Tropical Medicine, W. Crewe, Senior Lecturer in Parasitology, and D. R. W. Haddock, Senior Lecturer in Tropical Medicine, have prepared a small volume which they hope will assist medical practitioners, technicians, and students in the understanding, diagnosis, and treatment of parasitic infections. Sections are included on protozoa1 infection, helminthic infections, and laboratory diagnostic techniques (including immunodiagnosis). This work is valuable chiefly as an introductory primer to the subject and should not be considered as a reference, particularly for thnse engaged in medical diagnosis and treatment. Descriptions of disease states are scanty and the illustrations of diagnostic parasitic forms are sparse and confined to black and white drawings. The inclusion of Blastocystis hominis and a coccidial oocyst in a figure categorizing pseudoparasites should raise some eyebrows. In the section on examination of the feces, the only staining method described is that using an iodine solution. Clearly, the text

Chicago, Illinois

Stoma1 Therapy: A Guide for Nurses, Practitioners and Patients. By E. L. Bokey and R. Shell. 106 pp., $18.00 (Paperback $10.75). Pergamon Press Inc., New York, New York, 1985. Dr. E. Leslie Bokey, a senior lecturer in surgery at the University of Sydney and member of the Colon and Rectal Department of the Repatriation General Hospital, Concord, and Robyn Shell, a senior stoma1 therapy nurse, have coauthored this brief review of stoma1 care. The strongest feature is its description of the variety of stomas, permanent and temporary, which are well-illustrated by diagrams and photographs. Included are sections on terminology, indications for a stoma, choosing a stoma1 location, management of a variety of stomas, and general comments about life with a stoma. While information of