An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 5 pot

... 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, gastric, and pancreaticobiliary secretions. ... curable disease via total colectomy. The patient may then have a permanent ileostomy (see chapter on small intestine) or an ileo-anal anas- tomosis. Unlike ulcerativ...

Ngày tải lên: 10/08/2014, 07:20

... esophagus: An incidence study in Ille-et-Vilaine. Int J Epidemiol 19 75; 4 :55 59 . 4. Bartsch H, Montesano R. Relevance of nitrosamines to human cancer. Carcinogenesis 1984 ;5: 1381–1393. 5. Yu MC, Garabrant ... 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 Intern...

Ngày tải lên: 10/08/2014, 07:20

... Horgan S, et al. Minimally Invasive Surgery for Achalasia: An 8-year expe- rience with 168 patients. Ann Surg 1999;230 :58 7 59 4. This is trial version www.adultpdf.com 28 Braveman, Khitin, and ... Clinical Gastroenterology: An Internist's Illustrated Guide to Gastrointestinal Surgery Edited by: George Y. Wu, Khalid Aziz, and Giles F. Whalen © Humana Press Inc., Totowa,...

Ngày tải lên: 10/08/2014, 07:20

... 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...

Ngày tải lên: 10/08/2014, 07:20

... 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...

Ngày tải lên: 10/08/2014, 07:20

... 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. ... Additionally, it may be used to control a postoperative pancreaticojejunostomy leak. Total pancreatectomy may also be considered for symptomatic chronic pancreatitis, which is refractory...

Ngày tải lên: 10/08/2014, 07:20

... Saltzberg, Maykel, and Akbari 3. Aortic aneurysm and aortoiliac surgery are formidable operations and despite advances in the peri- and postoperative management, have significant mortality and morbidity. 4. ... 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) Pancreaticojejunost...

Ngày tải lên: 10/08/2014, 07:20

... 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- nary vein, ... 1993;4:263–267. 5. Ring EJ, Lake JR, Roberts JP, et al. Percutaneous transjugular portosystemic shunt.s to control bleed- ing prior to liver transplantation. Ann Intern Med 1992;116:304–30...

Ngày tải lên: 10/08/2014, 07:20

... 216–218 Colon resection, see also Total proctocolectomy with end-ileostomy; Total proctocolectomy with ileo- anal anastomosis, anastomosis requirements, 167 anatomy, 163, 164, 166, 169 complications, ... 156 , 157 calculi, 157 metabolic derangements, 155 , 156 urinary tract infection, 156 continent urinary diversions, 153 contraindications, 152 historical perspective, 152 ileal condu...

Ngày tải lên: 10/08/2014, 07:20