By Robert Wyllie MD, Jeffrey S. Hyams MD, Marsha Kay MD
Consult the prime textual content within the box that delivers the data you must diagnose and deal with pediatric gastrointestinal and liver illnesses successfully. In one handy and finished quantity, Drs. Robert Wyllie, Jeffrey S. Hyams, and Marsha Kay supply all of the newest info at the most efficient new cures, new medicines, and new suggestions in the uniqueness. additionally, the new two-color layout throughout is helping you discover what you would like quick and easily.
- Full-color endoscopy images
- Definitive assistance from renowned foreign contributors who percentage their wisdom and services during this complicated box
- Detailed diagrams
- More than four hundred board review-style questions, solutions, and rationales
to assist increase your visible reputation
that competently illustrate complicated innovations and supply at-a-glance acceptance of affliction tactics
on hand within the booklet incorporated along with your buy
- New cures for hepatitis B and C, new medicines for the therapy of inflammatory bowel disorder,
- The most present details on diagnosing and treating abnormalities of protein, fats, and carbohydrate metabolism
- New chapters on pancreatic transplantation and liver pathology
- The most modern surgical suggestions for childrens with gastrointestinal conditions
and an multiplied dialogue of the most recent endoscopic and motility innovations available for pediatric sufferers
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Additional info for Pediatric Gastrointestinal and Liver Disease
Sisu AM, Petrescu CI, Cebzan CC, et al. Enteric nervous system development in cavitary viscera allocated to the celiac plexus. Rom J Morphol Embryol 2008;49:63–7. 22. Ahmad SM, Soliman AM. Congenital anomalies of the larynx. Otolaryngol Clin North Am 2007;40:177–91, viii. 23. Ioannides AS, Massa V, Ferraro E, et al. Foregut separation and tracheo-oesophageal malformations: the role of tracheal outgrowth, dorso-ventral patterning and programmed cell death. Dev Biol 2010;337:351–62. 24. Qi BQ, Beasley SW.
Elastase Figure 2-6. Overview of digestion and absorption of protein. 39-41 Because almost all protein that enters the portal vein is in the form of amino acids, further digestion of any oligopep tides (which have 2 to 6 amino acids) must take place either at the brush border level or within the enterocyte cytoplasm. An oligopeptide’s length determines the rate and the site (brush border versus intracellular) of its assimilation. The brush border peptidases are active at neutral pH and include an array of aminopeptidases, carboxypeptidases, endopeptidases, and dipeptidases.
Iron is absorbed in the proximal small intestine. Factors enhancing absorption are the Fe2+ form of iron, gastric acid, ascorbic acid, and co-ingestion with amino acids and sugars. Enterocytes not only handle iron uptake from the intestinal lumen but also exclusively regulate iron balance. 27 11 7 10 8 11-15 Copper ug/d 2 3 3 5 8 9-11 200 220 340 440 700 890 border membrane. Once in the cytoplasm, iron is pro cessed and routed to the circulation as ferritin. Some iron may bind to nonferritin proteins, which “trap” excess iron and are discarded with shedding of the intestinal epithelium.