An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 7 pdf

... version www.adultpdf.com Chapter 20 / Pancreatic Surgery 2 27 2 27 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, j...

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... bound to see patients who undergo surgery for gastrointes- tinal illness. An Internist’s Illustrated Guide to Gastrointestinal Surgery should not only provide the reader with an understanding ... Gastroenterology: An Internist's Illustrated Guide to Gastrointestinal Surgery Edited by: George Y. Wu, Khalid Aziz, and Giles F. Whalen © Humana Press Inc., Toto...

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... Gastroenterology: An Internist's Illustrated Guide to Gastrointestinal Surgery Edited by: George Y. Wu, Khalid Aziz, and Giles F. Whalen © Humana Press Inc., Totowa, NJ This is trial version www.adultpdf.com Chapter ... Achalasia: An 8-year expe- rience with 168 patients. Ann Surg 1999;230:5 87 594. This is trial version www.adultpdf.com 28 Braveman, Khitin, and Brams disea...

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... decreasing, and by 1 970 , 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 str...

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... 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. ... 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...

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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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... into a jejunal loop for enteric drainage of the distal gland. This approach was modified by Partington and Rochelle who per- formed a side -to- side, Roux-en-Y, pancreaticojejunostomy (Fig. 7) . The ... Pancreaticojejunostomy A Roux-en-Y (side -to- end) pancreaticojejunostomy is used for internal drainage of pancreatic duct leaks that may result from trauma, surgery, or acute pancreatitis....

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... 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, ... Gastroenterology: An Internist's Illustrated Guide to Gastrointestinal Surgery Edited by: George Y. Wu, Khalid Aziz, and Giles F. Whalen © Humana Press Inc., Totowa, NJ This is...

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... resection, see also Total proctocolectomy with end-ileostomy; Total proctocolectomy with ileo- anal anastomosis, anastomosis requirements, 1 67 anatomy, 163, 164, 166, 169 complications, 170 contraindications, ... resection; Rectal prolapse; Total proctocolectomy with end- ileostomy; Total proctocolectomy with ileo-anal anastomosis Roux-en-Y gastric bypass (RYGB), complications, 1 17 120 co...

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