Diseases of the Liver and Biliary System in Children by Deirdre A. Kelly (Editor)
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(Hardcover - New Edition)
- Pub. Date: May 2008
- 640pp
- Sales Rank: 240,631
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Product Details
- Pub. Date: May 2008
- Publisher: Wiley, John & Sons, Incorporated
- Format: Hardcover, 640pp
- Sales Rank: 240,631
- ISBN-13: 9781405163347
- ISBN: 1405163348
- Edition Number: 3
- Edition Description: New Edition
Synopsis
Diseases of the Liver & Biliary System in Children is a practical guide to the underlying pathology, clinical presentation, differential diagnosis, investigation, management and outcome of liver disease in childhood. This book is particularly strong in making recommendations on how to manage patients effectively, something that the competing books tend to gloss over. It also contains very detailed discussions of liver transplantation in children, which is the editors specialist subject.
Annotation
The book contains predominantly black-and-white illustrations, with some color illustrations.
Harvey L. Sharp
This book provides an easy to read clinical assessment of this exciting and important field of medicine. The algorithms are good. The purpose is to provide a practical approach to pediatric liver disease, highlighted by development of section categories (i.e., neonatal liver disease, acute liver disease, etc.). There are excellent chapters on surgical management, including liver and liver-bowel transplantation. There is a unique and important chapter on dental care of children with liver disease. This book fulfills a clinical need not previously met for the non-expert. The editor is right on target—this book is for the non-specialist pediatrician and trainee, as well as trainees in pediatric gastroenterology, hepatology, and surgery. Previously trained pediatric gastroenterologists with weak exposure to hepatology will greatly benefit from this text. The contributors predominantly have a British background and all have expertise in the chapters written. The editor covers how to diagnose and treat acute liver disease with an appropriate emphasis on the infant. Hepatitis and inherited disorders are practically covered. Diseases of the biliary tree are very well done. The approach includes assessment of the whole child, including the skin and systemic disorders. The chapter on acute liver failure is excellent. For the most part, the tables, figures, and pictures in the color atlas are meaningful. Some of the photomicrography of liver pathology is too small for interpretive learning, especially by the non-expert. There is a little too much duplication although it is cross referenced well. What this book offers is a very readable clinical approach to pediatric liver diseasenot available in single chapters in adult hepatology texts or in more general pediatric gastroenterology textbooks. Suchy's Liver Disease in Children (Mosby-Year Book, Inc, 1994) provides more in-depth exposure for specialists. This book fills the need for the non-expert and those in training for immediate clinical answers.
More Reviews and RecommendationsBiography
Dr Deirdre Kelly is a consultant pediatric hepatologist at the Liver Unit of Birmingham Children's Hospital and Reader in Paediatric Hepatology at the University of Birmingham.
She was born and brought up in Calcutta, India, in the post-Raj era while her father was working for Lipton's Tea. She spent her early childhood in India and went to boarding school in Dublin when she was 12 years old. She first decided to become a doctor at the age of 8 and despite much opposition from family and nuns at her convent school, persisted and went to Trinity College Dublin to study medicine in 1967.
She originally planned to be a General Practitioner but in her Senior House Officer days was encouraged to take an academic line and apply for General Medicine rotations and take the membership exams. She trained first in adult medicine, and then in gastroenterology and hepatology in Dublin with Professor Donald Weir who encouraged her to do an MD thesis on folate catabolism with Professor John Scott, a world authority on folate metabolism.
While in Dublin she had her two delightful sons while juggling research/academic medicine/clinical practice and discovered the joys of being a mother.
In 1982, she moved to London to work with Dame Sheila Sherlock at the Royal Free Hospital, where she became interested in pediatric hepatology. Dr Kelly retrained in pediatrics with Professor Otto Wolff at Great Ormond Street and Professor John Walker Smith at Queen Elizabeth Hospital, Hackney.
In 1987 she went to work as an Assistant Professor in Pediatric Gastroenterology and Hepatology at the University of Nebraska in Omaha US.
Dr Kelly used this time to learn about caring for children undergoing livertransplantation. Equipped with these new skills she returned to Birmingham in 1989 to set up a National Liver Unit to care for children with liver disease and undergoing liver transplantation.
The Unit has been very successful and is one of the busiest pediatric liver transplant programmes with survival rates of > 90%. Dr Kelly now has three other consultant colleagues and a team of junior doctors, research fellows, specialist nurses and other valuable members of the multidisciplinary team.
They have achieved international standards for care of children with liver disease and liver transplantation and currently are the only unit in the UK to provide small bowel transplantation for children.
They have expanded their research programme to look at mechanisms which control the development of biliary epithelial cells, the underlying mechanisms for the pathophysiology of malnutrition in children with liver disease and the natural history and management of chronic viral hepatitis in childhood. They have a major interest in the outcome and quality of life following transplantation.
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