An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 3 doc

... 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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... 2000; 135 : 138 9– 139 3. 23. Sarfeh IJ, Rypins EB. Partial versus total portacaval shunt in alcoholic cirrhosis. Results of a prospec- tive, randomized clinical trial. Ann Surg 1994;219 :35 3 36 1. 24. ... 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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... CDDP-BL-VBL Surg-NS NS NS 33 (3 yr) CRT-NS NS NS 18 (3 yr) Walsh et al. (1996) 1 13 40 CDDP-FU Surg -3 . 6 — 11 32 (3 yr) CRT-8.6 25% 6 6 (3 yr) Bosset et al. (1997) 297 18.5 CDDP Surg -3 . 6 — 18.6 38 ... esophagus: An incidence study in Ille-et-Vilaine. Int J Epidemiol 1975;4:55–59. 4. Bartsch H, Montesano R. Relevance of nitrosamines to human cancer. Carcinogenesis 1984;5: 138...

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... 1994;104:571–581. 3. Blitzer A, Brin MF. Use of botulinum toxin for diagnosis and management of cricopharyngeal acha- lasia. Otolaryn. Head and Neck Surg 1997;116 :32 8 33 0. 4. Schneider I, Thumfart WF, Pototschnig ... esophagus and incision extended to proximal part of stomach and mucosal layer is exposed. Fig. 3. Partial fundoplication after myotomy. This is trial version www.adultpd...

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... radical gastrectomy on nutrition and immunity. Surg Today 19 93; 23: 320 32 4. 26. Sangster W, Swanstrom L. Laparoscopic guided feeding jejunostomy. Surg Endosc 19 93; 7 :30 8 31 0. 27. Hotokezaka M, Adams ... use of an ostomy bag to prevent skin irritation and breakdown. Octreotide, the somatostatin analogue, slows gastric empty- ing and small bowel transit, and decreases salivary, gastr...

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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 ... to 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 p...

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... procedure. A cholecys- Fig. 3. Total pancreatecctomy. (A) Mobilization of pancreas and duodenum with antrectomy. (B) Cho- lecystectomy, transection of common hepatic duct, jejunum and splenic resection. ... shorter stay, and lower morbidity. Summary 1. The reconstruction involves three anastomoses: pancreaticojejunostomy, gastrojejunos- tomy, and choledochojejunostomy. Leakage from these ana...

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... 20 / Pancreatic Surgery 241 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 (side -to- end) ... a 5-cm AAA is about 5% annually, which rises to 7% annually for a 6-cm AAA, and then to 20% annually for aneurysms greater than 7 cm in diameter. Aneurysms smaller than 5 cm...

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... 125 tube removal, 133 , 134 percutaneous jejunostomy, endoscopic placement, 134 , 135 indications, 134 , 135 laparoscopic jejunostomy, 135 – 137 Roux-en-Y jejunostomy, 135 Witzel jejunostomy, 135 radiological ... 236 complications, 236 – 238 costs, 239 Frey procedure, 237 indications and contraindications, 236 overview, 235 , 236 , 239 physiologic changes, 238 total pancreatecto...

Ngày tải lên: 10/08/2014, 07:20