An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 6 ppsx

... 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

... al. Surgery for left-sided pancreatic cancer. Br J Surg 19 96; 83: 1 065 –1070. 12. Sugiyama M, Atomi Y. Pylorus-preserving total pancreatectomy for pancreatic cancer. World J Surg 2000;24 :66 –70. 13. ... Saltzberg, Maykel, and Akbari 3. Aortic aneurysm and aortoiliac surgery are formidable operations and despite advances in the peri- and postoperative management, have significant mortal...

Ngày tải lên: 10/08/2014, 07:20

... CDDP-BL-VBL Surg-NS NS NS 33 (3 yr) CRT-NS NS NS 18 (3 yr) Walsh et al. (19 96) 113 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 ... bound to see patients who undergo surgery for gastrointes- tinal illness. An Internist’s Illustrated Guide to Gastrointestinal Surgery should not only provide the read...

Ngày tải lên: 10/08/2014, 07:20

... an operation, including inability to tol- erate a general anesthetic or an uncorrectable coagulopathy (2,4 ,6) . REPAIR OF PARAESOPHAGEAL HERNIA The repair can be performed transthoracally, transabdominally, ... Description Total Nissen 19 56 360 ° wrap “Floppy” Nissen 1977 360 ° short (< 2 cm) wrap Rosettil 1 965 360 ° with short gastric vessels not divided Partial Belsey Mark IV 1...

Ngày tải lên: 10/08/2014, 07:20

... 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 strictures can be ... 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 g...

Ngày tải lên: 10/08/2014, 07:20

... 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. 6) . PEJ placement ... 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 sali...

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

... Percutaneous transjugular portosystemic shunt.s to control bleed- ing prior to liver transplantation. Ann Intern Med 1992;1 16: 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...

Ngày tải lên: 10/08/2014, 07:20

... imaging, 2 16 218 Colon resection, see also Total proctocolectomy with end-ileostomy; Total proctocolectomy with ileo- anal anastomosis, anastomosis requirements, 167 anatomy, 163 , 164 , 166 , 169 complications, ... Lateral internal sphincterotomy; Low anterior resection; Rectal prolapse; Total proctocolectomy with end- ileostomy; Total proctocolectomy with ileo-anal anastomosis Roux-en-Y...

Ngày tải lên: 10/08/2014, 07:20