An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 2 ppt

... not divided Partial Belsey Mark IV 1967 27 0° transthoracic Toupet 1963 180° posterior wrap Dor/Watson 19 62 180°/ 120 ° anterior wrap Modified Toupet 19 82 270° posterior wrap Lind 1965 27 0° posterior ... Gastrointest Surg 20 00;4 :28 2 28 9. 9. Patti MG, Pellgrini CA, Horgan S, et al. Minimally Invasive Surgery for Achalasia: An 8-year expe- rience with 168 patients. Ann Surg 1999...

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... 315 Biliary-enteric anastomosis, choice of procedure, 21 1, 21 2 choledochoduodenostomies, end -to- side, 20 7 side -to- side, 20 7 complications, 21 2, 21 3 costs, 21 3 indications, 20 9, 21 0 Roux-en-Y jejunal ... 22 1 costs, 22 2, 22 3 indications, 21 9 22 1 steps, 21 8 types, 21 8, 21 9 ultrasound imaging, 21 6 21 8 Colon resection, see also Total proctocolectomy with end...

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... standard esophagectomy and two-field lymphadenectomy (27 ,28 ). Unfortu- nately, lack of familiarity with this approach has limited its performance to a few spe- cialized centers in Japan and the United ... tract, and to provide not only clear descriptions of the changes in the anatomy and physiology, but also advice on medical management of the postsurgical patient. An Internist’s I...

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... decreasing, and by 1970, vago- tomy and antrectomy was considered the best operation for ulcer disease (Fig. 4). An important randomized study compared vagotomy and pyloroplasty, subtotal gastrec- tomy, ... stapled or hand-sewn anastomosis or ischemia at the anastomosis can lead to a stricture. Symptoms can present as dysphagia 1–6 wk following total gastrectomy. Almost all of these stric...

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... a PEJ requires initial placement of a 2 0- to 28 -F gastrostomy tube through which an 8- to 1 2- F jejunostomy tube is inserted and threaded endoscopically into the distal duodenum or jejunum (Fig. ... radical gastrectomy on nutrition and immunity. Surg Today 1993 ;23 : 320 – 324 . 26 . Sangster W, Swanstrom L. Laparoscopic guided feeding jejunostomy. Surg Endosc 1993;7:308...

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... proctectomy is important and the availabil- ity of an enterostomal therapy nurse is advisable. TOTAL PROCTOCOLECTOMY WITH ILEO-ANAL ANASTOMOSIS Total proctocolectomy with ileal pouch-anal anastomosis ... TPC-IPAA for both ulcerative coli- tis and familial adenomatous polyposis is total proctocolectomy with permanent ileo- stomy. The major advantage of TPC-IPAA is its avoidance of the perman...

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... version www.adultpdf.com Chapter 20 / Pancreatic Surgery 22 7 22 7 20 Pancreatic Surgery Janette U. Gaw, MD and Dana K. Andersen, MD CONTENTS INTRODUCTION PANCREATIC RESECTION PANCREATIC DECOMPRESSION PSEUDOCYST ... procedure. A cholecys- Fig. 3. Total pancreatecctomy. (A) Mobilization of pancreas and duodenum with antrectomy. (B) Cho- lecystectomy, transection of common hepatic duct...

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... version www.adultpdf.com Chapter 20 / Pancreatic Surgery 24 1 Complications The late mortality is reported to be 10% and progression of diabetes occurred in 11% (17). Roux-en-Y (Side -to- End) Pancreaticojejunostomy A Roux-en-Y ... lesions in the pancreas. Surgery 1996;119 :27 4 28 0. 24 . Vitas GJ, Sarr MG. Selected management of pancreatic pseudocysts: Operative versus expectant ma...

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... Percutaneous transjugular portosystemic shunt.s to control bleed- ing prior to liver transplantation. Ann Intern Med 19 92; 116:304–309. 6. Colapinto RF, Stronell RD, Birch SJ, et al. Creation of an ... portal vein and anastomosed end -to- side to the left renal vein without any tension or twist. The second part is equally important and involves ligation of the left gastric or coro-...

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