Sleisenger and Fordtran's Gastrointestinal and Liver Disease

Food Poisoning

Food poisoning is defined as an illness caused by the consumption of food contaminated with bacteria, bacterial toxins, parasites, viruses, or chemicals. The percentage of outbreaks for which an etiology is confirmed has increased significantly from 40% in 1998 to…

Whipple Disease

Whipple disease (WD) is a chronic systemic infection caused by a Gram-positive bacillus, Tropheryma whipplei . The small intestine is most commonly affected, but a variety of other organs may also be involved, including the joints, CNS, and heart. Clinical…

Tropical Diarrhea and Malabsorption

Diarrheal disease is common in tropical countries, affecting individuals of all ages and including indigenous residents as well as travelers to these countries. The frequency of diarrheal disease in warm tropical climates relates to multiple factors, including poor hygiene, poor…

Celiac Disease

Acknowledgment The author gratefully acknowledges the important and valuable contributionsof the authors of previous editions, Drs. Ciaran P. Kelly, Jerry S.Trier, and Richard J. Farrell. Definitions Celiac disease is a chronic, immune-mediated enteropathy that is precipitated by dietary gluten in…

Short Bowel Syndrome

Short bowel syndrome (SBS) is characterized by malabsorption due to congenital absence or resection of large portions of the small intestine, typically leaving the adult with 150 to 200 cm of functional small bowel. Individuals with SBS have lost their…

Small Intestinal Bacterial Overgrowth

In its most simplistic form, the term SIBO describes a condition of excess bacteria in the small intestine. Although the phrase SIBO remains clinically relevant, it oversimplifies the rapidly evolving complexity of this disorder that has both intestinal and extra-intestinal…

Maldigestion and Malabsorption

In the past, it was believed that most malabsorptive diseases manifested with diarrhea, steatorrhea, or both. It is now recognized that many malabsorptive disorders, such as celiac disease, might have subtle clinical presentations or mainly extraintestinal manifestations (e.g., anemia, bone…