胃腸病学、胃腸科

関: gastroenterological、gastrointestinal medicine、hepatology

WordNet

the branch of medicine that studies the gastrointestinal tract and its diseases

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/02/15 11:06:18」(JST)

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Gastroenterology (MeSH heading)^[1] is the branch of medicine focused on the digestive system and its disorders.

Diseases affecting the gastrointestinal tract, which include the organs from mouth to anus, along the alimentary canal, are the focus of this speciality. Physicians practicing in this field are called gastroenterologists. They have usually completed about eight years of pre-medical and medical education, a year-long internship (if this is not a part of the residency), three years of an internal medicine residency, and two to three years in the gastroenterology fellowship. Some gastroenterology trainees will complete a "fourth-year" (although this is often their seventh year of graduate medical education) in transplant hepatology, advanced endoscopy, inflammatory bowel disease, motility or other topics.

Hepatology, or hepatobiliary medicine, encompasses the study of the liver, pancreas, and biliary tree, and is traditionally considered a sub-specialty.

History

Drawings of Bozzini's "Lichtleiter"

Citing from Egyptian papyri, Nunn identified significant knowledge of gastrointestinal diseases among practising physicians during the periods of the pharaohs. Irynakhty, of the tenth dynasty, c. 2125 B.C., was a court physician specialising in gastroenterology, sleeping, and proctology.^[2]

Among ancient Greeks, Hippocrates attributed digestion to concoction. Galen's concept of the stomach having four faculties was widely accepted up to modernity in the seventeenth century.

Eighteenth century:

Italian Lazzaro Spallanzani (1729–99) was among early physicians to disregard Galen's theories, and in 1780 he gave experimental proof on the action of gastric juice on foodstuffs.
In 1767, German Johann von Zimmermann wrote an important work on dysentery.
In 1777, Maximilian Stoll of Vienna described cancer of the gallbladder.^[3]^[4]

Nineteenth century:

In 1805, Philipp Bozzini made the first attempt to observe inside the living human body using a tube he named Lichtleiter (light-guiding instrument) to examine the urinary tract, the rectum, and the pharynx. This is the earliest description of endoscopy.^[5]^[6]
Charles Emile Troisier described enlargement of lymph nodes in abdominal cancer.^[7]
In 1823, William Prout discovered that stomach juices contain hydrochloric acid.^[8]
In 1833, William Beaumont published Experiments and Observations on the Gastric Juice and the Physiology of Digestion following years of experimenting on test subject Alexis St. Martin.
In 1868, Adolf Kussmaul, a well-known German physician, developed the gastroscope. He perfected the technique on a sword swallower.
In 1871, at the society of physicians in Vienna, Carl Stoerk demonstrated an esophagoscope made of two telescopic metal tubes, initially devised by Waldenburg in 1870.
In 1876, Karl Wilhelm von Kupffer described the properties of some liver cells now called Kupffer cell.
In 1883, Hugo Kronecker and Samuel James Meltzer studied oesophageal manometry in humans.

McClendon's pH-probe

Twentieth century:

In 1915, Jesse McClendon tested acidity of human stomach in situ.^[9]
In 1921-22, Walter Alvarez did the first electrogastrography research.^[10]
Rudolph Schindler described many important diseases involving the human digestive system during World War I in his illustrated textbook and is portrayed by some as the "father of gastroscopy". He and Georg Wolf developed a semiflexible gastroscope in 1932.
In 1932, Burrill Bernard Crohn described Crohn's disease.
In 1957, Basil Hirschowitz introduced the first prototype of a fibreoptic gastroscope.

Twenty-first century:

In 2005, Barry Marshall and Robin Warren of Australia were awarded the Nobel Prize in Physiology or Medicine for their discovery of Helicobacter pylori (1982/1983) and its role in peptic ulcer disease. James Leavitt assisted in their research, but the Nobel Prize is not awarded posthumously so he was not included in the award.

The word gastroenterology is a combination of three Ancient Greek words: γαστήρ gaster (gen.: gastros) "stomach", ἔντερον enteron "intestine", and λόγος logos "reason".

Disease classification

1. International Classification of Disease (ICD 2007)/WHO classification:

Chapter XI,Diseases of the digestive system,(K00-K93)[2]

2. MeSH subject Heading:

Gastroenterology (G02.403.776.409.405)[3]
Gastroenterological diseases(C06.405)[4]

3. National Library of Medicine Catalogue (NLM classification 2006):

Digestive system(W1)[5]

Gastroenterological societies

World Gastroenterology Organisation
British Society of Gastroenterology

United States

In the United States, gastroenterology is an internal medicine subspecialty certified by the American Board of Internal Medicine (ABIM) and the American Osteopathic Board of Internal Medicine (AOBIM).

American College of Gastroenterology
American Gastroenterological Association
American Society for Gastrointestinal Endoscopy

Research resources

Annals of Gastroenterology & Hepatology
Scandinavian Journal of Gastroenterology

References

^ nlm.nih.gov
^ Nunn JF. Ancient Egyptian Medicine. 2002. ISBN 0-8061-3504-2.
^ Edgardo Rivera, MD James L. Abbruzzese, MD; Pancreatic, Hepatic, and Biliary Carcinomas, MEDICAL ONCOLOGY: A COMPREHENSIVE REVIEW [1]
^ DeStoll M: Rationis Mendendi, in Nosocomio Practico vendobonensi. Part 1 LugduniBatavarum, Haak et Socios et A et J Honkoop 1788, OCLC: 23625746
^ Gilger, MA (October 2001). "Gastroenterologic endoscopy in children: past, present, and future". Current Opinion in Pediatrics 13 (5): 429–34. doi:10.1097/00008480-200110000-00008. PMID 11801888.
^ The Origin of Endoscopes, Olympus history
^ Anton Sebastian,A Dictionary of the History of Medicine, ISBN 1-85070-021-4
^ Prout, W. On the nature of the acid and saline matters usually existing in the stomachs of animals. – Philos. Transactions, 1824, 1, 45.
^ McClendon J. F. New hydrogen electrodes and rapid methods of determining hydrogen ion concentrations. – Amer. J. Physoil., 1915, 38, 2, 180.
^ Alvarez W. C. The electrogastrogram and what it shows. JAMA, 78(15):1116-18, 1922.

External links

Publications/Journals at DMOZ
GastroHep - global online resource for gastroenterology
The Digital Atlas of Video Education - Gastroenterology
Elms Digestive-Gastroenterologists

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「105F015」

Gastroenterologist
Occupation
Names	Doctor, Medical Specialist
Occupation type	Specialty
Activity sectors	Medicine
Description
Education required	Doctor of Medicine (M.D.); Doctor of Osteopathic Medicine (D.O.);

Gastroenterology
	Illustration of the stomach, colon and rectum.
System	Gastrointestinal
Significant diseases	Gastrointestinal cancers, Gastrointestinal bleeding
Significant tests	Colonoscopy, Stool test, Barium swallows, Endoscopy
Specialist	Gastroenterologist

　　[★]

疾患と診療分野の組合せで適切でないのはどれか。

[正答]

※国試ナビ4※　［105F014］←［国試_105］→［105F016］

「胃腸科」

　　[★]

英: gastroenterology、gastrointestinal medicine
関: 胃腸病学、消化器内科、消化器内科学、消化器科

「gastrointestinal medicine」

　　[★]

消化器内科、消化器科、消化器内科学、胃腸科

関: gastroenterological medicine、gastroenterology

「胃腸病学」

　　[★]

英: gastroenterology、gastroenterological
関: 肝臓学、胃腸科

「gastroenterological」

　　[★]

adj.

胃腸病学の

関: gastroenterology

「hepatology」

　　[★]

n.

肝臓学

関: gastroenterology

[1] .nih.gov

[2] Nunn JF. Ancient Egyptian Medicine. 2002. ISBN 0-8061-3504-2.

[3] Edgardo Rivera, MD James L. Abbruzzese, MD; Pancreatic, Hepatic, and Biliary Carcinomas, MEDICAL ONCOLOGY: A COMPREHENSIVE REVIEW [1]

[4] DeStoll M: Rationis Mendendi, in Nosocomio Practico vendobonensi. Part 1 LugduniBatavarum, Haak et Socios et A et J Honkoop 1788, OCLC: 23625746

[5] Gilger, MA (October 2001). "Gastroenterologic endoscopy in children: past, present, and future". Current Opinion in Pediatrics 13 (5): 429–34. doi:10.1097/00008480-200110000-00008. PMID 11801888.

[6] The Origin of Endoscopes, Olympus history

[7] Anton Sebastian,A Dictionary of the History of Medicine, ISBN 1-85070-021-4

[8] Prout, W. On the nature of the acid and saline matters usually existing in the stomachs of animals. – Philos. Transactions, 1824, 1, 45.

[9] McClendon J. F. New hydrogen electrodes and rapid methods of determining hydrogen ion concentrations. – Amer. J. Physoil., 1915, 38, 2, 180.

[10] Alvarez W. C. The electrogastrogram and what it shows. JAMA, 78(15):1116-18, 1922.

国試過去問	「105F015」
リンク元	「胃腸科」「gastrointestinal medicine」「胃腸病学」「gastroenterological」「hepatology」

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gastroenterology