Gastroenterology


Gastroenterology is the branch of medicine focused on the digestive system and its disorders.
Diseases affecting the gastrointestinal tract, which include the organs from mouth into 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, three years of an internal medicine residency, and three years in the gastroenterology fellowship. Gastroenterologists perform a number of diagnostic and therapeutic procedures including colonoscopy, esophagogastroduodenoscopy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, and liver biopsy. Some gastroenterology trainees will complete a "fourth-year" in transplant hepatology, advanced interventional endoscopy, inflammatory bowel disease, motility, or other topics.
Advanced endoscopy, sometimes called interventional or surgical endoscopy, is a sub-specialty of gastroenterology which focuses on advanced endoscopic techniques for the treatment of pancreatic, hepatobiliary, and gastrointestinal disease. Interventional gastroenterologists typically undergo an additional year of rigorous training in advanced endoscopic techniques including endoscopic retrograde cholangiopancreatography, endoscopic ultrasound guided diagnostic and interventional procedures, and advanced resection techniques including endoscopic mucosal resection and endoscopic submucosal dissection. Additionally, the performance of endoscopic bariatric procedures is also performed by some advanced endoscopists.
Hepatology, or hepatobiliary medicine, encompasses the study of the liver, pancreas, and biliary tree, and is traditionally considered a sub-specialty of gastroenterology, while proctology encompasses disorders of the anus, rectum, and colon and is considered a sub-specialty of general surgery.

History

Citing from Egyptian papyri, John F. Nunn identified significant knowledge of gastrointestinal diseases among practicing physicians during the periods of the pharaohs. Irynakhty, of the tenth dynasty, 2125 B.C., was a court physician specializing in gastroenterology, sleeping, and proctology.
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.
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In the United States, gastroenterology is an internal medicine subspecialty certified by the American Board of Internal Medicine and the American Osteopathic Board of Internal Medicine.