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D L WILBUR

Publications and source records attributed to D L WILBUR.

At least 19 recordsLinked to original sources
PubMed1960

Albert M. SNELL.

Explore the source record for details and available documents.

History↗
PubMed1955

Functional gastrointestinal disturbances; recognition and treatment.

The recognition of functional gastrointestinal diseases depends essentially on certain positive features characteristic of them. When there are evidences of associated functional disturbances in other organ systems or in the patient as a whole, or characteristic clinical syndromes are present, and there is lack of symptomatic or objective evidence of organic disease on careful examination, the diagnosis of functional gastrointestinal disorder is likely. Treatment of functional gastrointestinal disturbances rests fundamentally on the art of medicine in the treatment of the patient and not on the science of medicine in the treatment of a disease. The essential steps in successful treatment include convincing the patient of the diagnosis, improving and relieving symptoms and avoiding or adequately controlling recurrences.Psychotherapy is a keystone in the treatment of functional gastrointestinal disorders. Not often, however, are the services of a psychiatrist necessary. Given, as needed, mild sedatives, certain forms of specific treatment in specific conditions, general measures and good hygiene and sympathetic understanding, the patient may be expected to recover or improve.

Gastrointestinal Diseases↗
PubMed1950

Chronic relapsing pancreatitis.

Chronic relapsing pancreatitis is a disease of recurring acute episodes of severe upper abdominal pain which are progressive and gradually may become so severe and so frequent as to be intractable. Early in the disease the function of the gland and of the islet tissue may be disturbed only at the time of the acute attack, but subsequently these changes may become permanent and manifested by steatorrhea, creatorrhea and diabetes mellitus. The results of studies of pancreatic function parallel those of the pathologic process, and calcification of the pancreas is common. Medical treatment is generally disappointing. Paravertebral injections may control acute pain. Surgical therapy is none too satisfactory. Long continued biliary drainage, anastomosis between the common bile duct and duodenum and between the pancreatic duct and duodenum, section of the sphincter of Oddi, partial and total pancreatectomy and sympathectomy, splanchnicectomy and vagotomy have been helpful in relieving pain and in preventing the recurrence of attacks in some instances.

Abdominal Pain↗