The Digestive System - Ian Peate - E-Book

The Digestive System E-Book

Ian Peate

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PEATE’S BODY SYSTEMS
THE DIGESTIVE SYSTEM

A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE DIGESTIVE SYSTEM

Each of the twelve volumes in Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.

The Digestive System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in gastrointestinal care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with peptic ulcers, inflammatory bowel disease, and other gastrointestinal diseases and conditions

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Seitenzahl: 305

Veröffentlichungsjahr: 2024

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Table of Contents

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Chapter 1 Anatomy and Physiology: The Digestive System

The Digestive System

The Digestive Organs

The Mouth

Swallowing (Deglutition)

Oesophagus

The Structure of the Digestive System

Stomach

Small Intestine

Chemical Digestion

Function of the Small Intestine

The Large Intestine

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 2 Digestive System Assessment

Assessing Needs

Effective Communication

The History

Manifestations of Gastrointestinal Disease

Past Medical History

Medication History

Social History and Lifestyle Risk Factors

Psychosocial Health

Nutritional Assessment

Physical Examination

Auscultation

Percussion

Palpation

Abdominal Pain

Abdominal Pain Assessment

Locations of Pain

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 3 Peptic Ulcer Disease

Pathophysiological Changes Associated with Peptic Ulcer Disease

Prognosis

Epidemiology

Risk Factors

Genetic Predisposition to Peptic Ulcer Disease

Dyspepsia

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 4 Inflammatory Bowel Disease

Pathophysiological Changes Associated with IBD

Ulcerative Colitis

Crohn’s Disease

Epidemiology

Risk Factors

Clinical Presentation

Extraintestinal Manifestation of IBD

Clinical Investigations and Diagnosis

Crohn’s Disease: Diagnosis

Ulcerative Colitis: Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 5 Stomach Cancer

Pathophysiological Changes Associated with Stomach Cancer

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 6 Hepatitis

Pathophysiological Changes Associated with Hepatitis

Hepatitis

Viral Hepatitis

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

General Strategies

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 7 Liver Diseases

Hepatitis

Non-alcoholic Fatty Liver Disease

Haemochromatosis

Primary Biliary Cholangitis

Pathophysiological Changes Associated with ARLD

Alcohol-related Liver Disease

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Patient History

Physical Examination

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 8 Cholecystitis

Pathophysiological Changes Associated with Cholecystitis

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Index

End User License Agreement

List of Illustrations

CHAPTER 1

Figure 1.1 The digestive system

Figure 1.2 The oral cavity

Figure 1.3 Salivary glands

Figure 1.4 Swallowing

Figure 1.5 Oesophageal peristalsis

Figure 1.6 Structure of the digestive tract

Figure 1.7 The stomach

Figure 1.8 Gastric glands and cells

Figure 1.9 Phases and secretion of gastric juices

Figure 1.10 The small intestine

Figure 1.11 Cells within the villi of the small intestine

Figure 1.12 Liver, gallbladder and pancreas

Figure 1.13 Liver lobule

Figure 1.14 Large intestine

CHAPTER 2

Figure 2.1 The quadrants

Figure 2.2 Auscultating the abdomen

CHAPTER 3

Figure 3.1 Common sites for peptic ulcer

CHAPTER 4

Figure 4.1 Inflammatory bowel disease

Figure 4.2 Clinical features. Source: Keshav and Bailey (2012). With permission of Wiley ...

Figure 4.3 Colonoscope

Figure 4.4 Right-sided hemicolectomy

CHAPTER 5

Figure 5.1 The development of gastric cancer associated with Helicobacter pylori infectio...

Figure 5.2 Tumour growth in the stomach wall

CHAPTER 6

Figure 6.1 Causes and clinical effects of acute liver failure. Source: Keshav and Bailey ...

Figure 6.2 Clinical features of acute liver disease. Source: Keshav and Bailey (2012). Wi...

CHAPTER 8

Figure 8.1 Gallstone in the gall bladder and the ducts. Source: Davey (2010). With permis...

Figure 8.2 Carcinoma of the gallbladder. Tumour has spread into hepatic ducts, partially ...

Figure 8.3 Clinical features of cholecystitis. Source: Keshav and Bailey (2012). With per...

List of Tables

CHAPTER 1

Table 1.1 Digestive organs and functions

Table 1.2 Digestive system hormones

Table 1.3 Broad functions of the liver, gallbladder and pancreas

CHAPTER 2

Table 2.1 Open- versus closed-ended questions

Table 2.2 Suggested framework for eliciting a patient history

Table 2.3 Some common manifestations of gastrointestinal disease

Table 2.4 The abdominal quadrants

Table 2.5 Bowel sounds

Table 2.6 Types of abdominal pain and possible causes

Table 2.7 The use of the SOCRATES mnemonic in relation to digestive system

Table 2.8 Abdominal pain, location and potential causes

CHAPTER 3

Table 3.1 Comparison between gastric and duodenal ulcers

Table 3.2 Exacerbation of peptic ulcer disease caused by smoking and excessive alcohol c...

Table 3.3 Factors associated with prognosis and peptic ulcer disease

Table 3.4 Common clinical investigations and diagnostic tests that can be used to diagno...

Table 3.5 Health teaching: key points

CHAPTER 4

Table 4.1 Differentiating Crohn’s disease and ulcerative colitis

Table 4.2 Ulcerative colitis: the extent of the disease

Table 4.3 Some pathological changes associated with ulcerative colitis

Table 4.4 Pathological changes associated with Crohn’s disease

Table 4.5 Risk factors associated with inflammatory bowel disease

Table 4.6 Common extraintestinal manifestations associated with inflammatory bowel disea...

Table 4.7 Clinical manifestations of Crohn’s disease and ulcerative colitis

Table 4.8 Potential differential diagnoses of Crohn’s disease and ulcerative coli...

Table 4.9 Treatment options for Crohn’s disease

Table 4.10 Treatment options for ulcerative colitis

CHAPTER 5

Table 5.1 Risk factors associated with stomach cancer

Table 5.2 Some common clinical presentations of stomach cancer

Table 5.3 The diagnostic process: stomach cancer

Table 5.4 TNM classification for stomach cancer

Table 5.5 Main components of stomach cancer management

Table 5.6 Key health teaching points for patients with stomach cancer

CHAPTER 6

Table 6.1 Five types of viral hepatitis

Table 6.2 Other viral causes of hepatitis

Table 6.3 Features of hepatitis A virus

Table 6.4 Features of hepatitis B virus (HBV)

Table 6.5 Features of hepatitis C virus

Table 6.6 Simplified pathogenesis of hepatitis C virus (HCV)

Table 6.7 Some key points concerning hepatitis D virus (HDV)

Table 6.8 Features of hepatitis D virus (HDV)

Table 6.9 Features of hepatitis E virus

Table 6.10 A summary of viral hepatitis

Table 6.11 An overview of the components underpinning a comprehensive medical history asse...

Table 6.12 Key laboratory tests and investigations associated with viral hepatitis

CHAPTER 7

Table 7.1 Pathogenesis of alcohol-related liver disease

Table 7.2 Key risk factors associated with alcohol-related liver disease (ARLD)

Table 7.3 Assessing the patient with alcohol-related liver disease, key steps to be unde...

Table 7.4 Clinical investigations typically undertaken to diagnose alcohol-related liver...

CHAPTER 8

Table 8.1 Key features of ascending cholangitis

Table 8.2 Summary of pathogenesis associated with acute cholecystitis

Table 8.3 An overview of the pathophysiology associated with chronic cholecystitis

Table 8.4 An overview of the key risk factors associated with cholecystitis

Table 8.5 Typical clinical features associated with cholecystitis

Table 8.6 Details regarding physical examination for cholecystitis

Table 8.7 Blood tests and imaging studies undertaken when making a diagnosis of cholecys...

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

The Digestive System

Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM

Editor in Chief, British Journal of Nursing;

Consultant Editor, Journal of Paramedic Practice;

Consultant Editor, International Journal for Advancing Practice;

Visiting Professor, Northumbria University;

Visiting Professor, Buckinghamshire New University;

Professorial Fellow, University of Roehampton;

Visiting Senior Clinical Fellow, University of Hertfordshire

This edition first published 2025.

©2025, John Wiley & Sons Ltd

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s)

John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Trademarks: Wiley and the Wiley logo are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data

Names: Peate, Ian, author

Title: The digestive system / Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT Bed BEd (Hons) MA(Lond) LLM.

Description: First edition. | Hoboken, NJ, USA : Wiley Blackwell, 2025. | Series: Peate’s body systems ; book 3 | Includes bibliographical references and index.

Identifiers: LCCN 2024041137 | ISBN 9781394252411 (paperback) | ISBN 9781394252428 (epub)

Subjects: LCSH: Digestion–Juvenile literature | Digestive organs–Juvenile literature

Classification: LCC QP145 .P43 2025 | DDC 612.3–dc23/eng

LC record available at https://lccn.loc.gov/2024041137

Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock

Cover Design: Wiley

Preface

Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.

Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.

Purpose and Scope

The purpose of this series is to provide health and care workers with:

Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems

Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application

Structure of the Series

Each book in Peate’s Body Systems focuses on a specific body system:

The Cardiovascular System

The Respiratory System

The Digestive System

The Renal System

The Nervous System

The Endocrine System

The Female Reproductive System

The Male Reproductive System

The Musculoskeletal System

The Skin

The Ear, Nose and Throat

The Eyes

Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.

This series is tailored for:

Healthcare students: those in nursing and allied health programmes

Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care

Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers

Commitment to Excellence.

The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.

Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.

Ian Peate

London

Acknowledgements

I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.