Physiology, Human Anatomy - Gross Anatomy, Anatomy, Physiology - General & Miscellaneous, Human Anatomy - General & Miscellaneous, Internal Medicine
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Overview
The Handbook of Electrogastrography is the first textbook dedicated to reviewing the physiology of gastric myelectrical activity and the measurement of this electrical activity with electrodes placed on the abdominal surface - the electrogastrogram. The Handbook is divided into three major sections. The first section (Chapters 1-3) focuses on the history of electrogastrography, electrical activity of the interstitial cells of Cajal, the cells from which gastric electrical rhythmicity emanates. The cellular level of gastric electrical rhythmicity provides an understanding of the physiological basis of the electrogastrogram signal.
The second major section of the book (Chapters 4-6) incorporates the practical aspects of recording a high quality electrogastrogram and approaches to the analysis of the electrogastrogram using visual inspection and computer techniques. This section focuses on the authors' combined experience of examining EGG recordings for more than sixty years. From this rich research and clinical experience, the clinical application of EGG recordings in an approach to patients with unexplained nausea and vomiting is described. Neuromuscular disorders of the stomach involving gastric dysrhythmias are reviewed.
The third major section of the book (Chapters 7-9) comprises many examples of gastric dysrythmias ranging from bradygastrias to tachygastrias and mixed dysrythmias. Current understanding of the mechanisms of gastric dysrhythmias is reviewed. Artifacts in the EGG signal, which may be confused with gastric dysrhythmias, are also presented.
The Handbook of Electrogastrography will be a valuable reference for physicians interested in recording gastric electrical activity in clinical practices or in clinical research. Gastroenterologists, internists, psychologists and others with an interest in gastric myoelectrical events will also find extensive and relevant information for recording and interpreting EGGs in the Handbook.
Editorials
From The Critics
Reviewer: Lisbeth A Selby, M.D.(University of Kentucky College of Medicine)Description: This is meant to be a handbook for those who need a fundamental understanding of the physiology of gastric motility and how to measure it.
Purpose: The authors have attempted to produce a reference book on gastric motility for a wide range of clinicians who treat patients with symptoms due to gastric dysmotility. Another stated purpose is to provide an easily readable guide for the performance of excellent electrogastrography (EGG). These objectives would be more relevant if EGG were more widely used. This is a modality primarily used in highly specialized gastroenterology practices and in research. However, the authors' treatment of the subject is thorough and does provide a readable reference even for someone like myself who is not particularly familiar with electrophysiological principles.
Audience: The book is targeted to a wide variety of readers, including researchers, clinical gastroenterologists, gastroenterology fellows, endocrinologists, general adult medicine practitioners, and those interested in psychophysiology. The book would be of most utility for those with an intense interest in gastrointestinal disorders. The subject matter is probably too esoteric for a general adult medicine practitioner or endocrinologist, for example. The authors are well known in the field of gastrointestinal motility and therefore are credible authorities.
Features: The authors spend considerable time discussing the basic physiology of the stomach at the beginning. They then provide a brief guide on the performance of the EGG. The last half of the book is devoted to more clinical aspects of the use of EGG in the diagnosis and management of gastric dysrhythmias. Although the coverage of the principles governing gastric electrical activity is a bit repetitious, it is one of the strong points of the book. I also enjoyed the last chapter where the authors summed up what is known and not known in this field as well as areas for future research.
Assessment: This book is a useful reference for specialists who treat and/or study patients with symptoms of suspected gastric dysmotility. Unfortunately, even with the appropriately applied tool of EGG, there are not many treatment options yet available for these people. Perhaps the greatest utility of this book will be to assist much needed research in the field. I do not think this book will be very useful to general practitioners or those outside the field of gastroenterology.
3 Stars from Doody
Book Details
Published
December 11, 2003
Publisher
OUP USA
Pages
244
Format
Hardcover
ISBN
9780195147889