BOOK REVIEWS Jonathan E. Clain, M.D. Book Review Editor Mayo Foundation 200 First Street S.W. Rochester, Minnesota 55905
Disease: Pathopbysiology, Diagnosis, Management.
5th ed. Edited
by M. H. Sleisenger,
and M. Feldman.
J. S. Fordtran,
2136 pp. $185.00.
able. Single volume presentations troenterology Shearman
Diseases of the Gastrointestinal
basis for the practice
an ever faster rate, editors of subspecialty texts strive to remain In this fifth edition, new associate editors maintain standard
and Mark Feldman,
in three parts. Section I discusses
general aspects of the “Biology of the Gastrointestinal Section II covers “Topics Involving (Pain, Bleeding, VIII provide
and disease entities. authors
and changes from the last edition.
There are now more than 130 contributing additions
and ease of reading the text remain intact.
Major changes from previous editions
include the incorporation
lines, and expansion Chapters
are a minor
for the specialist. referenced
Spiro and Davidson
It is also thoroughly
and a more legible
is very similar
of separate sections on normal physand organ-specific
pedic, and similarly priced at $195.00. typeface.
and clarity of chapter subsections Unlike
text has an allied family
atlas, and self-assessment
of books including
guide with references
ther would well serve the general in training
to clinical complaints,
provide greater organization Yamada’s
are more ade-
trainee well. The two-volume
the text seems inade-
and could serve the interested
or the subspecialist
200 First Street Southwest
whereas new chap-
The first two are authored
of a single institution.
tract and evaluation
mass lesions of the liver have been deleted, Strategies,
only brief annotated
of both the index and color plate section.
on the aging gastrointestinal
ters deal with Neoplasia
and general medical
Principles and Practice of Gastro-
enterology and Hepatology (1988).
As the scientific
Spiro’s Clinical Gastroentwology (1993)
and Liver (1989), and Gitnick’s
texts are now avail-
of both hepatology
and Fiber. on
pp. $135.00. McGraw-Hill, ISBN 0-07-105434-O.
in the sections organizational
for those very familiar
4th ed. By Howard
M. Spiro. New York,
and facile with use of past volumes but should prove beneficial and logical generally the limited
new to the text. and thoroughly
The presentation referenced,
disservice to an issue. Depending on one’s bias, examples might include the discussion of colorectal cancer screening, the relative de-emphasis on Helicobacterpylori therapy, and the comments on endoscopic therapy of nonbiliary pancreatic disease. Regrettably,
by 100 pages
publication in a two volume format with a somewhat cumbersome division in the midst of section V on the Small and Large Intestine. Like many color plate sections in nonatlas texts, the
It was a pleasure
to read and write
Spiro’s fourth edition
a review of Howard
of Clinical Gastroenterology. It contains
the preface, introduction, and many of the chapters the continued wise and sage advice about the practice, teaching, and ethics of medicine
in the wonderfully
writing style that we have come to know from this masterly author and educator. As opposed to the single-author style of the previous volume, Dr. Spiro has co-opted a small group of personal colleagues, mainly from the Yale campus, who contribute some 50% of the text in a consistent format. In
original examples provided are occasionally less than ideal for demonstration purposes. The excellent graphical presentation
this, Dr. Spiro acknowledges that the current physiological, investigative, and therapeutic innovations render it difficult for a single author to encompass all aspects of the rapidly
is equal to that of previous editions, with typographical errors in the first printing.
expanding field of gastroenterology. In books that are voluminous and comprehensive