具体描述
Clinical experts synthesize for the practicing physician all the important developments that have occurred recently in the diagnosis and treatment of acid-related diseases. They address the evaluation of patients suspected of harboring both peptic ulcers and ulcers from other causes, with emphasis on novel aspects of H. pylori infection. New information is also provided to assist clinicians in efficiently managing patients with dyspepsia and in the diagnosis and treatment of gastroesophageal reflux disease (GERD), including its extraesophageal manifestations and upper gastrointestinal bleeding. Authoritative and highly readable, Diseases of the Gastroesophageal Mucosa: The Acid-Related Disorders distills a wealth of cutting-edge clinical practice into one readable volume that will help every clinician manage patients with today's best diagnostic and treatment practice.
The Hidden World of the Peripheral Nervous System: A Comprehensive Atlas A Deep Dive Beyond the Central Command This volume embarks on an extensive exploration of the Peripheral Nervous System (PNS), an intricate and often underestimated network that serves as the vital communication highway between the central nervous system (brain and spinal cord) and the rest of the body. Moving far beyond the established confines of neuroanatomy focused solely on the cephalic and spinal cord structures, The Hidden World of the Peripheral Nervous System meticulously charts the morphology, physiology, and clinical relevance of every major peripheral component. The book is structured around a systematic, region-by-region anatomical dissection, moving from the cranial nerves exiting the brainstem outward to the fine terminal arborizations found within the dermal papillae and muscle spindles. It is an essential resource for advanced students, practicing neurologists, neurosurgeons, and clinical anatomists seeking unparalleled detail on the structures often glossed over in general texts. Part I: Foundations and Cranial Outposts The initial section establishes the foundational histology and cellular biology unique to the PNS. It provides an exhaustive review of Schwann cells, satellite cells, the composition of peripheral nerve sheaths (epineurium, perineurium, endoneurium), and the mechanisms governing axonal transport in both myelinated and unmyelinated fibers. Special attention is paid to the structure and function of the dorsal root ganglia (DRG), presenting detailed analysis of the sensory neuron subtypes and their specific projections. The subsequent chapters transition into the twelve pairs of cranial nerves, treating each with equivalent depth: Olfactory (I) and Optic (II) Nerves: While traditionally grouped with CNS tracts, this text examines their peripheral interfaces, including the olfactory epithelium structure and the transition zones where CNS myelin gives way to Schwann cell investment. Oculomotor, Trochlear, and Abducens (III, IV, VI): Detailed schematics illustrate the precise innervation patterns of the extraocular muscles, focusing on the relationship between the motor nuclei and the complex branching within the superior orbital fissure. Trigeminal Nerve (V): A masterwork section dedicated to the sensory innervation of the face, covering the complex divisions (Ophthalmic, Maxillary, Mandibular) and the structure of the Trigeminal Ganglion. Included are high-resolution micrographs illustrating the Gasserian ganglion’s pseudo-unipolar neurons. Facial (VII), Vestibulocochlear (VIII), Glossopharyngeal (IX), and Vagus (X) Nerves: These chapters detail the visceral efferent and afferent components, providing comprehensive maps of the autonomic ganglia associated with the head and neck. The anatomy of the labyrinthine divisions of the Vestibulocochlear nerve receives dedicated focus. Accessory (XI) and Hypoglossal (XII) Nerves: Coverage emphasizes the specialized motor functions and the pathways of these nerves through the jugular foramen and hypoglossal canal, respectively. Part II: The Spinal Nerve Plexuses – A Topological Approach This section forms the core of the atlas, systematically mapping the formation, course, and termination of the spinal nerves as they form the major plexuses responsible for limb function and trunk sensation. The discussion relies heavily on three-dimensional rendering to convey spatial relationships often lost in two-dimensional diagrams. The Cervical Plexus and Brachial Plexus The anatomy of the Cervical Plexus (C1-C4) is presented through layered dissection simulations, highlighting the critical involvement of the phrenic nerve (C3-C5) and its intimate relationship with the scalene muscles and mediastinum. The Brachial Plexus chapter is arguably the most exhaustive in the volume. It progresses logically from the ventral rami of C5-T1 through the roots, trunks, divisions, cords, and terminal branches. Specific focus areas include: Variations in Cord Formation: Documenting common anatomical anomalies in the formation of the lateral and medial cords. Innervation Territories: High-detail clinical correlation charts mapping sensory dermatomes (using contemporary mapping studies, not solely historical data) against the specific motor distributions of the musculocutaneous, axillary, radial, median, and ulnar nerves. Thoracic Outlet Syndromes: An anatomical appendix addresses the fascial and bony constraints that predispose specific nerves (especially the lower trunk) to compression pathologies. The Lumbosacral Plexuses The exploration continues into the trunk and lower limb innervation: Lumbar Plexus (L1-L4): Detailed attention is given to the highly variable course of the femoral nerve and the obturator nerve. The clinical significance of entrapment within the psoas muscle sheath is illustrated with corresponding cross-sectional anatomy. Sacral Plexus (L4-S4): This area receives substantial focus, particularly the formation and intricate course of the Sciatic Nerve. The text provides precise measurements regarding the relationship between the sciatic nerve and the piriformis muscle, correlating directly with clinical manifestations of "deep gluteal syndrome." The distinction between the tibial and common fibular divisions within the sciatic sheath is analyzed at a microscopic level. Peripheral Structures: Dedicated chapters cover the innervation of the pelvic floor musculature and the cutaneous nerves of the perineum and gluteal region, which are frequently overlooked in standard texts. Part III: Autonomic Nervous System – The Visceral Wiring The final section dissects the anatomical architecture of the Autonomic Nervous System (ANS) as it pertains to the periphery. This is not a general review of ANS physiology, but rather a mapping of the anatomical components: Sympathetic Chain: Detailed visualizations of the paravertebral ganglia, explaining the pathways of preganglionic white rami communicantes and postganglionic gray rami communicantes as they rejoin the spinal nerves. Prevertebral (Collateral) Ganglia: Comprehensive illustrations of the celiac, superior mesenteric, inferior mesenteric, and aortic ganglia, tracing the sympathetic innervation to the abdominal viscera. Parasympathetic Outflow: Mapping of the sacral parasympathetics (pelvic splanchnic nerves) and their entry into the inferior hypogastric plexus. Enteric Nervous System (ENS) Interface: An overview detailing how the vagus nerve and pelvic splanchnics interact with the myenteric and submucosal plexuses of the alimentary tract, emphasizing the anatomical structures underlying visceral sensation and motility control. Concluding Features The Hidden World of the Peripheral Nervous System is richly illustrated with original dissections, high-magnification histology, and novel contrast-enhanced magnetic resonance neurography (MRN) images, providing an unparalleled visual library for reference and study. An extensive glossary defines all Latin and Greek root terms used throughout the text, ensuring accessibility for international researchers. This volume serves not merely as a descriptive anatomy, but as a functional blueprint of the body’s non-central communication infrastructure.
