Overview

Comprehensive review of common diseases of the GI tract, covering tumours, benign conditions, and motility disorders Gastrointestinal Nursing is an authoritative exploration of common diseases of the GI tract, offering evidence-based insights into the complexities of digestive health and unraveling the intricate functions of digestion, secretion, and elimination. Each chapter provides in-depth coverage of a specific organ, detailing common diseases and conditions, and offering comprehensive explanations of aetiology, pathogenesis, presentation, diagnosis, investigations, surgical and pharmacological management, and outcomes. Gastrointestinal Nursing includes information on: Motility disorders of the esophagus including webs and pouches, achalasia, and esophageal dysmotility Benign conditions of the stomach including Helicobacter pylori, gastritis, gastric ulcers, vascular conditions, and gastroparesis Tumours of the duodenum including adenocarcinoma, lymphomas, leiomyosarcomas, carcinoid tumors, and stromal tumors Principles of endoscopy, endoscopy investigations, and emergency and therapeutic endoscopy Sustainable gastroenterology, encompassing practices in endoscopy, hepatology, and gastroenterology, as well as sustainable approaches in inflammatory bowel disease (IBD) and drug treatments Whether you are a seasoned practitioner or a student embarking on your nursing journey, Gastrointestinal Nursing is your go-to resource for mastering the intricacies of care and management of digestive disorders. It is an essential read for nurses in gastroenterology, digestive health, and related specialties.

Full Product Details

Author:   Leigh Donnelly (Northumbria Healthcare NHS Foundation Trust, UK) ,  Shellie Radford (University of Nottingham, UK)
Publisher:   John Wiley & Sons Inc
Imprint:   John Wiley & Sons Inc
ISBN:  

9781394292813

ISBN 10:   1394292813
Pages:   336
Publication Date:   07 May 2026
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Forthcoming
Availability:   Awaiting stock  

Table of Contents

Table of Contents Dedication List of Contributors Foreword Preface Chapter 1: Anatomy and physiology of the digestive system Conor Hamilton 1.1          Introduction 1.2          Overview of the Digestive system 1.3          Basic Cell Structure of the GI tract                 1.3.1      Mucosa                 1.3.2      Epithelium                 1.3.3      Submucosa                 1.3.4      Muscularis Externa                 1.3.5      Serosa and Adventitia 1.4          Mouth and pharynx.                 1.4.1      The lips.                 1.4.2      The cheeks.                 1.4.3      The palate.                 1.4.4      The teeth.                 1.4.5      Salivary Glands.                 1.4.6      The tongue.                 1.4.7      Pharynx 1.5          The Oesophagus                 1.5.1      Blood supply of the oesophagus                 1.5.2      Innervation of the oesophagus                 1.5.3      Lymph drainage of the oesophagus 1.6          The stomach                 1.6.1      Innervation of the stomach.                 1.6.2      Blood supply to the stomach. 1.7          The Pancreas                 1.7.1      Physiology of the Pancreas                 1.7.2      Pancreatic blood supply                 1.7.3      Pancreatic innervation                 1.7.4      Pancreatic lymphatic drainage. 1.8          The Liver                 1.8.1      Vascular Supply                 1.8.2      Metabolism of Nutrients                 1.8.3      Bile Production and Digestion                 1.8.4      Immune Function 1.9          The Gallbladder                 1.9.1      Gall bladder blood supply.                 1.9.2      Gall bladder innervation.                 1.9.3      Gallbladder lymph drainage. 1.10        The Small intestine                 1.10.1    Duodenum                 1.10.2    Jejunum                 1.10.3    Ileum                 1.10.4    Blood supply and lymphatic drainage.                 1.10.5    Small intestine innervation 1.11        The Large intestine                 1.11.1    Large intestinal blood supply                 1.11.2    Innervation of the large intestine. 1.12        Reflective questions Bibliography Chapter 2: The Oesophagus Paula Brayford 2.1          Gastroesophageal Reflux Disease (GERD/GORD)                 2.1.1      Aetiology and Pathogenesis                 2.1.2      Presentation (Signs & Symptoms)                 2.1.3      Diagnosis and investigations                 2.1.4      Management                 2.1.5      Outcomes                 2.1.6      Nursing care 2.2          Hiatus Hernia                 2.2.1      Aetiology and Pathogenesis                 2.2.2      Presentation                 2.2.3      Diagnosis and investigations                 2.2.4      Management                 2.2.5      Outcomes                 2.2.6      Nursing 2.3          Oesophagitis and Oesophageal ulcers                 2.3.1      Aetiology and pathogenesis                 2.3.2      Presentation                 2.3.3      Diagnosis and Investigation                 2.3.4      Management                 2.3.5      Outcomes                 2.3.6      Nursing care 2.4          Barrett’s oesophagus                 2.4.1      Aetiology and Pathogenesis                 2.4.2      Presentation (Signs and Symptoms)                 2.4.3      Diagnosis and Investigations                 2.4.4      Management of non-dysplastic Barrett’s Oesophagus                 2.4.5      Management of dysplastic BO                 2.4.6      Nursing care                 2.4.7      Outcomes 2.5          Tumours of the Oesophagus                 2.5.1      Aetiology and pathogenesis                 2.5.2      Presentation                 2.5.3      Diagnosis and investigations                 2.5.4      Management                 2.5.5      Outcomes                 2.5.6      Nursing Care 2.6          Oesophageal webs and rings                 2.6.1      Aetiology and Pathogenesis                 2.6.2      Presentation                 2.6.3      Diagnosis and investigations                 2.6.4      Management                 2.6.5      Outcomes                 2.6.6      Nursing 2.7          Oesophageal dysmotility                 2.7.1      Aetiology and Pathogenesis                 2.7.2      Presentation                 2.7.3      Diagnosis and investigations                 2.7.4      Management                 2.7.5      Nursing 2.8          Achalasia                 2.8.1      Aetiology and Pathogenesis                 2.8.2      Presentation                 2.8.3      Diagnosis and investigations                 2.8.4      Management                 2.8.5      Outcomes 2.9          Oesophageal Diverticula /Pouch                 2.9.1      Aetiology and Pathogenesis                 2.9.2      Presentation                 2.9.3      Diagnosis and investigations                 2.9.4      Management                 2.9.5      Outcomes                 2.9.6      Nursing 2.10        Eosinophilic oesophagitis                 2.10.1    Aetiology and Pathogenesis                 2.10.2    Presentation                 2.10.3    Diagnosis and investigations                 2.10.4    Management                 2.10.5    Outcomes                 2.10.6    Nursing care 2.11        Oesophageal Varices                 2.11.1    Aetiology and Pathogenesis                 2.11.2    Presentation                 2.11.3    Diagnosis and investigations                 2.11.4    Management                 2.11.5    Outcomes                 2.11.6    Nursing 2.12        Mallory Weiss tear                 2.12.1    Aetiology and Pathogenesis                 2.12.2    Presentation                 2.12.3    Diagnosis and investigations                 2.12.4    Management                 2.12.5    Outcomes                 2.12.6    Nursing 2.13        Reflective Questions References Chapter 3: Stomach Regina Raymond, Marta Da Silva Teixeira 3.1          Gastritis                 3.1.1      Classification and Pathogenesis                 3.1.2      Clinical Presentation                 3.1.3      Diagnostic Approaches                 3.1.4      Management Strategies                 3.1.5      Lifestyle and Patient Education                 3.1.6      Outcomes and the Nurse’s Role in Long-Term Care 3.2          Gastric ulcers                 3.2.1      Aetiology and pathogenesis                 3.2.2      Presentation                 3.2.3      Diagnosis and Investigations                 3.2.4      Management (NICE, 2019) 3.3          Helicobacter Pylori                 3.3.1      Aetiology and pathogenesis                 3.3.2      Presentation                 3.3.3      Diagnosis                 3.3.4      Management                 3.3.5      Outcomes 3.4          Gastroparesis                 3.4.1      Aetiology and Pathogenesis                 3.4.2      Presentation                 3.4.3      Diagnosis                 3.4.4      Management 3.5          Vascular condition of the stomach                 3.5.1      Pathophysiology and Clinical Manifestations                 3.5.2      Presentation                 3.5.3      Diagnostic and Therapeutic Approaches                 3.5.4      Outcomes 3.6          Gastric cancers                 3.6.1      Gastric adenocarcinoma                 3.6.2      Gastrointestinal Lymphoma                 3.6.3      Gastrointestinal Stromal Tumours (GIST)                 3.6.4      Gastric leiomyoma                 3.6.5      Linitis Plastica 3.7          Reflective questions. References Chapter 4: Small Bowel Isobel Mason, Jennie Burch 4.1 Introduction 4.2 Small bowel bleeding 4.3 Small bowel tumours 4.4 Managing iron deficiency anaemia (IDA) 4.5 Small bowel Crohn’s disease 4.6 Ileostomy 4.7 Small bowel bacterial overgrowth (SIBO) 4.8 Acute Diarrhoea 4.9 Giardiasis 4.10 Lactose intolerance 4.11 Irritable bowel syndrome (IBS) 4.12 Chronic intestinal pseudo-obstruction (CIPO) 4.13 Case studies and reflective questions References Chapter 5: Pancreas and Neuroendocrine Tumours Stacey Munnelly, Alex Hadall, Scott Oakes, Lynne McCallum, Nikie Jervis 5.1          Pancreatitis                 5.1.1      Acute pancreatitis                 5.1.2      Chronic pancreatitis 5.2          Pancreatic cysts                 5.2.1      What are pancreatic cysts?                 5.2.2      Intraductal papillary mucinous neoplasms (IPMN)                 5.2.3      Mucinous Cystic Neoplasm (MCN)                 5.2.4      Serous Cystadenoma (SCA)                 5.2.5      Non-neoplastic cysts 5.3          Pancreatic adenocarcinoma                 5.3.1      Aetiology and Pathogenesis                 5.3.2      Presentation                 5.3.3      Staging                 5.3.4      Management of PDAC                 5.3.5      Clinical trials                 5.3.6      Symptom support                 5.3.7      The Multidisciplinary Team (MDT) 5.4          Pancreatic Neuro-Endocrine neoplasms                 5.4.1      Aetiology and pathogenesis                 5.4.2      Screening                 5.4.3      Clinical Presentation                 5.4.4      Diagnosis and Investigation                 5.4.5      Functional Imaging                 5.4.6      Grading of NETs and NECs                 5.4.7      Staging of Pancreatic Neuroendocrine Neoplasms                 5.4.8      Management of Pancreatic Neuroendocrine Neoplasms                 5.4.9      Active treatment options                 5.4.10    Nutrition in Neuroendocrine Neoplasms (NENs)                 5.4.11    Multidisciplinary Team (MDT) in Neuroendocrine Neoplasms 5.5          Reflective questions References Chapter 6: Liver and Biliary system Sarah Hogg, Nicola Holmes-Long, Kate Jack, Kathryn Houghton, 6.1          The liver                 6.1.1      Liver damage                 6.1.2      Metabolic dysfunction associated steatotic liver disease (MASLD) and metabolic dysfunction associated steatohepatitis (MASH)                 6.1.3      Viral Hepatitis                 6.1.4      Liver failure                 6.1.5      Cirrhosis                 6.1.6      Jaundice                 6.1.7      Portal hypertension                 6.1.8      Oesophageal Varices                 6.1.9      Alcohol related liver disease                 6.1.10    Ascites                 6.1.11    Hepatic encephalopathy                 6.1.12    Hepatocellular carcinoma                 6.1.13    Liver transplant 6.2          Genetic disorders of the Liver                 6.2.1      Alpha 1 antitrypsin deficiency                 6.2.2      Haemochromatosis                 6.2.3      Wilson Disease                    6.3          Autoimmune liver disorders                 6.3.1      Autoimmune Hepatitis                 6.3.2      Primary biliary cholangitis                 6.3.3      Primary sclerosing cholangitis                 6.3.4      Other Auto immune associated liver conditions 6.4          Biliary System                 6.4.1      Gallstones and Cholecystitis                 6.4.2      Acute cholangitis                              6.4.3      Gallbladder polyps                 6.4.4      Biliary Tract Cancer                 6.4.5      Gall bladder cancer                 6.4.6      Cholangiacarcinoma                 6.4.7      Periampullary cancer 6.5          Reflective questions References Chapter 7: Colon, rectum and anus Jennie Burch 7.1          Polyps                 7.1.1      Aetiology                 7.1.2      Presentation                 7.1.3      Diagnosis                 7.1.4      Management                 7.1.5      Learning points 7.2          Colorectal cancer                 7.2.1      Aetiology                 7.2.2      Bowel cancer screening 7.3          Primary colorectal lymphoma                 7.3.1      Aetiology                 7.3.2      Pathogenesis                 7.3.3      Presentation                 7.3.4      Diagnosis                 7.3.5      Management                 7.3.6      Support groups 7.4          Gastrointestinal stromal tumours (GIST)                 7.4.1      Pathogenesis                 7.4.2      Presentation                 7.4.3      Management                 7.4.4      Outcomes                 7.4.5      Learning points 7.5          Neuroendocrine Tumours (NETs)                 7.5.1      Presentation                 7.5.2      Management                 7.5.3      Outcomes                 7.5.4      Learning points 7.6          Lynch Syndrome                 7.6.1      Aetiology                 7.6.2      Pathogenesis                 7.6.3      Management 7.7          Familial adenomatous polyposis                 7.7.1      Aetiology                 7.7.2      Presentation                 7.7.3      Diagnosis                 7.7.4      Management 7.8          Anal cancer                 7.8.1      Aetiology                 7.8.2      Pathogenesis                 7.8.3      Presentation                 7.8.4      Diagnosis                 7.8.5      Management                 7.8.6      Outcomes 7.9          Diverticular disease                 7.9.1      Aetiology                 7.9.2      Presentation                 7.9.3      Diagnosis                 7.9.4      Management 7.10        Appendicitis                 7.10.1    Diagnosis                 7.10.2    Presentation                 7.10.3    Management 7.11        Haemorrhoids                 7.11.1    Aetiology                 7.11.2    Presentation                 7.11.3    Diagnosis                 7.11.4    Management 7.12        Anal fissure                 7.12.1    Aetiology                 7.12.2    Presentation                 7.12.3    Diagnosis                 7.12.4    Management 7.13        Irritable bowel syndrome (IBS)                 7.13.1    Aetiology                 7.13.2    Presentation                 7.13.3    Diagnosis                 7.13.4    Management 7.14        Pilonidal abscess 7.15        Perianal abscess                 7.15.1    Aetiology                 7.15.2    Management 7.16        Anal Fistula                 7.16.1    Aetiology                 7.16.2    Pathogenesis                 7.16.3    Presentation                 7.16.4    Diagnosis                 7.16.5    Management                 7.16.6    Outcomes                 7.16.7    Learning points 7.17        Constipation                 7.17.1    Aetiology                 7.17.2    Diagnosis                 7.17.3    Management 7.18        Diarrhoea                 7.18.1    Aetiology                 7.18.2    Pathogenesis                 7.18.3    Presentation                 7.18.4    Diagnosis                 7.18.5    Management                 7.18.6    Learning points 7.19        Anal incontinence                 7.19.1    Aetiology                 7.19.2    Diagnosis                 7.19.3    Management 7.20        Lower anterior resection syndrome (LARS)                 7.20.1    Aetiology                 7.20.2    Presentation                 7.20.3    Diagnosis                 7.20.4    Management                 7.20.5    Outcomes 7.21        Haematochezia                 7.21.1    Aetiology                 7.21.2    Pathogenesis                 7.21.3    Diagnosis                 7.21.4    Management 7.22        Melaena 7.23        Colostomy                 7.23.1    Aetiology                 7.23.2    Management 7.24        Reflective questions                 7.24.1    Case study and reflective questions                 7.24.2    Case study and reflective questions References Chapter 8: Inflammatory Bowel Disease Stephanie Bourne, Shellie Radford 8.1          Introduction                 8.1.1      Ulcerative Colitis                 8.1.2      Crohn’s Disease                 8.1.3      Incidence and Prevalence 8.2          Extra intestinal manifestations 8.3          Classification of disease                 8.3.1      UC                 8.3.2      CD 8.4          Treatments                 8.4.1      Medical                 8.4.2      Surgical 8.5          Psychological impact and quality of life 8.6          The IBD MDT 8.7          Reflective questions References Chapter 9: Nursing in the Endoscopy setting Lindsey Scarisbrick, Leigh Donnelley 9.1          Introduction 9.2          The Endoscopy service 9.3          Governance 9.4          Joint Advisory Group for GI Endoscopy (JAG) 9.5          Endoscopy workforce                 9.5.1      Pre-assessment                 9.5.2      Admission                 9.5.3      Intra-procedure                 9.5.4      Recovery and discharge 9.6          Training 9.7          Unit leadership team 9.8          Innovation of roles                 9.8.1      Practice educator – Endoscopy specific                 9.8.2      Inpatient liaison 9.9          Sustainable Endoscopy Services                 9.9.1      Climate change and the NHS                 9.9.2      Triple Bottom Line                 9.9.3      Nursing impact on sustainable practices                 9.9.4      Greener Endoscopy 9.10        Reflective questions References Chapter 10: Nutrition in Gastrointestinal Disease Annelie Shaw 10.1        Introduction 10.2        The Importance of nutrition in GI disease 10.3        The GI Tract: A Nutritional and Immunological Organ 10.4        Clinical Consequences of Nutritional Deficits 10.5        Nutrition in Specific GI Conditions                 10.5.1    Inflammatory Bowel Disease (IBD)                 10.5.2    Coeliac Disease                 10.5.3    Pancreatitis                 10.5.4    Short Bowel Syndrome (SBS) and Malabsorptive Disorders                 10.5.5    Gastrointestinal Cancers                 10.5.6    Chronic Liver Disease                 10.5.7    Functional GI Disorders and Dysmotility 10.6        Malnutrition in Gastrointestinal Disease                 10.6.1    Definition and Types of Malnutrition                 10.6.2    Causes of Malnutrition in GI Disease                 10.6.3    Identification and Screening                 10.6.4    The Role of Nurses in Early Identification and Intervention                 10.6.5    Clinical Consequences of Malnutrition 10.7        Oral Nutritional Support                 10.7.1    An introduction to Oral Nutritional Support                 10.7.2    Roles and responsibilities in Oral Nutrition Support                 10.7.3    Supporting Food-First Strategies and Monitoring Intake                 10.7.4    Supporting Oral Nutritional Supplements (ONS)                 10.7.5    Interdisciplinary Collaboration and Continuity of Care                 10.7.6    Addressing Workforce Challenges 10.8        Oral Nutritional Support Strategies                 10.8.1    Dietary Counselling                 10.8.2    Food Fortification                 10.8.3    Snack-Based Approaches                 10.8.4    Oral Nutritional Supplements (ONS)                 10.8.5    Types of Oral Nutritional Supplements by Composition 10.9        Individualisation and Monitoring 10.10     Enteral Nutrition                 10.10.1 Introduction to and indications for enteral feeding 10.11     Benefits of Enteral Nutrition Compared to Parenteral Nutrition                 10.11.1  Maintains Gut Integrity and Function                 10.11.2  Reduces Infectious Complications                 10.11.3  Improved Glycaemic Control                 10.11.4  Immunological Benefits                 10.11.5  Cost-Effectiveness                 10.11.6  Fewer Metabolic Complications 10.12     Enteral Feed Delivery                 10.12.1  Bolus Feeding                 10.12.2  Continuous Feeding                 10.12.3  Types of formulae 10.13     Parenteral Nutrition                 10.13.1  Indications for Parenteral Nutrition                 10.13.2  Routes of Administration                 10.13.3  Monitoring and Nursing Responsibilities 10.14     Home Parenteral Nutrition (HPN) 10.15     Types of Feeding Tubes                 10.15.1 Nasogastric (NG) Tubes                 10.15.2 Nasojejunal (NJ) Tubes                 10.15.3  Percutaneous Endoscopic Gastrostomy (PEG)                 10.15.4  Radiologically Inserted Gastrostomy (RIG)                 10.15.5  Jejunostomies and Gastrojejunostomies (GJ) 10.16     The Nursing Role in Nutritional Care 10.17     Summary References Chapter 11: Psycho-Social Impact of Gastrointestinal Disease Wladyslawa Czuber-Dochan 11.1        Introduction 11.2        Pain                 11.2.1    Aetiology of Pain in Gastrointestinal Conditions                 11.2.2    Signs and Symptoms of Pain in Gastrointestinal Conditions                 11.2.3    Assessing Pain in Gastrointestinal Conditions                 11.2.4    Management of Pain in Gastrointestinal Conditions                 11.2.5    Impact of Pain in Gastrointestinal Conditions 11.3        Fatigue                 11.3.1    Aetiology and Pathogenesis of Fatigue in Gastrointestinal Conditions                 11.3.2    Signs and Symptoms of Fatigue in Gastrointestinal Conditions                 11.3.3    Assessing Fatigue in Gastrointestinal Conditions                 11.3.4    Management of Fatigue in Gastrointestinal Conditions                 11.3.5    Impact of Fatigue in Gastrointestinal Conditions 11.4        Urgency and faecal incontinence                 11.4.1    Aetiology and Pathogenesis                 11.4.2    Signs and Symptoms                 11.4.3    Assessment                 11.4.4    Management of Urgency and Faecal Incontinence in Gastrointestinal Conditions                 11.4.5    Psychosocial Impact 11.5        Anxiety, depression and distress                 11.5.1    Signs and symptoms                 11.5.2    Assessment of anxiety, depression and distress in Gastrointestinal Conditions                 11.5.3    Approaches to management of anxiety, depression and distress in GI conditions                 11.5.4    Integrated and Multidisciplinary Care                 11.5.5    Patient Education and Self-Management                 11.5.6    Impact of anxiety, depression and distress in GI conditions 11.6        Body image                 11.6.1    Biological Dimensions                 11.6.2    Psychological Dimensions                 11.6.3    Social Dimensions                 11.6.4    Towards Holistic Gastrointestinal Care                 11.6.5    Assessment of Body Image in GI Conditions 11.7        Relationship, intimacy, sexuality and Family planning                 11.7.1    Impact on relationships and intimacy                 11.7.2    Sexual dysfunction and psychosocial contributors                 11.7.3    Family planning considerations                 11.7.4    Assessment of intimacy and sexuality in gastrointestinal conditions                 11.7.5    Barriers to assessment                 11.7.6    Interventions to support sexuality and intimacy 11.8        Work and education 11.9        The role of Nurses in the care of individuals with Gastrointestinal conditions                 11.9.1    Clinical and Multidisciplinary Role                 11.9.2    GI Oncology and Procedural Care                 11.9.3    Psychosocial Support                 11.9.4    Education and Patient Empowerment                 11.9.5    Leadership, Research, and Service Development                 11.9.6    Conclusion 11.10     Reflective questions References

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DR LEIGH DONNELLY, PHD, RGN, BSc (Hons), MA, PG Dip (Ed), Endoscopy Education and Development Lead at Northumbria Healthcare NHS Foundation Trust, UK. DR SHELLIE RADFORD, PHD, RN, BSc (Hons), MSc (research), PGCert (gastroenterology), Assistant Professor of Gastroenterology at the University of Nottingham, UK.

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