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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.
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Seitenzahl: 305
Veröffentlichungsjahr: 2024
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
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...
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...
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Begin Reading
Index
End User License Agreement
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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.
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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
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.
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
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
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
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.
