Preventive Measures for Cirrhosis of Liver and its Progression Sharad C Shah, Prasanna S Shah, Khyati P Shah
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1Preventive Measures for Cirrhosis of Liver and its Progression2
3Preventive Measures for Cirrhosis of Liver and its Progression
Sharad C Shah MD (BOM) MRCP RCPS (G) MRCP (ED) FSCG (USA) Honorary Gastroenterologist Jaslok, Breach Candy and Saifee Hospitals Honorary Consultant Bhabha Atomic Research Center and Tata Institute of Fundamental Research Mumbai, Maharashtra, India Prasanna S Shah MD (MED) DNB (Gastro) Consultant Gastroenterologist Jaslok, Breach Candy, Saifee Hospital and BD Petit Parsee General Hsopital Mumbai, Maharashtra, India Khyati P Shah MBBS Physician and Medical Research Officer Breach Candy Hospital Mumbai, Maharashtra, India Foreword CS Pitchumoni
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Preventive Measures for Cirrhosis of Liver and its Progression
First Edition : 2016
9789352501892
Printed at
5Foreword
The American Board of Medical Specialties (ABMS) defines Preventive Medicine as “the specialty of medical practice that focuses on the health of individuals, communities, and defined populations. Its goal is to protect, promote, and maintain health and well-being and to prevent disease, disability, and death.” According to ABMS, Preventive Medicine focuses on the health of individuals, communities, and defined populations. The above definition establishes the role of preventive care succinctly. The field of gastroenterology over the past four decades has admirably established diagnostic and therapeutic benefits of endoscopic procedures. Sad to state that worldwide the present curriculum in teaching the specialty of gastroenterology places little emphasis on prevention of common gastrointestinal diseases. The student of gastroenterology naturally is keenly interested in gaining adequate expertise in endoscopic procedures and I cannot criticize the trend because of the great potentials of diagnostic and therapeutic benefits they offer. On the other hand, I wish to point out that the greatest utility of an endoscope (colonoscopy) is primarily early detection of polyps, prevention of colorectal cancer by their timely removal or stage shifting of operable cases. It cannot be challenged that preventive care is cost effective and the primary goal of Medicine. I am sure the authors will expand the scope of this book by publishing many more similar books and update the contents frequently. I have come away from my conversations with Dr Shah with great admiration for his dedication, knowledge and perseverance.
CS Pitchumoni
MD FRCP(c) MACP MACG MPH AGAF
Adjunct Professor of Medicine New York Medical College
Formerly, Professor of Community and Preventive Medicine
New York Medical College
Professor of Medicine, Rutgers University
New Brunswick, New Jersey
Clinical Professor of Medicine
Drexel University, Philadelphia
Chief of Gastroenterology
Hepatology and Clinical Nutrition
Saint Peter's University Hospital
New Brunswick, New Jersey, USA
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7Preface
Writing a full book on preventive measures for cirrhosis of liver and its progression has been a rewarding experience to me. Cirrhosis is a global problem with significant morbidity and mortality. Prevention is the buzzword for all the illnesses. I was quite attracted to prevention and hence when I had chance to speak at the world meet (opportunity given to me by an NGO) held at Rio de Janeiro, Brazil, I had pleaded that the prevention should be made interesting and rewarding to make it more popular.
Continuing my interest in prevention, I have written this monogram on a small topic of Preventive Measures for Cirrhosis of Liver and its Progression.
I would like to express my sincere appreciation towards my family for their encouragement in my work. Dr Prasanna, my son and Dr Khyati, my daughter-in-law, gave me enough spare time by taking up the burden of my professional commitments. I would also like to show my gratitude towards my staff that backed me in my undertaking. Help by Dr Aarti Engineer and Dr Poonam Shah in supporting at every step of this book enormously is appreciated as well as of Dr Pocha who assisted me in preparing the monogram.
The book is dedicated to my family Mrs Aruna, Dr Prasanna, Dr Khyati, little darling Vanaya and entire family. Without their encouragement and support in all my activities, this would not have been possible. They have been backbone of my strength.
In a day-to-day practice preventive advice should be started at the very beginning
Sharad C Shah