An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 8 ppsx

... 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) ... invaginated 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, panc...

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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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... CDDP-BL-VBL Surg-NS NS NS 33 (3 yr) CRT-NS NS NS 18 (3 yr) Walsh et al. (1996) 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 ... JM, et al. Tobacco, alcohol, diet, occupation and carcinoma of the esophagus: Cancer Res 1 988 ; 48: 384 3– 384 8. 6. Tuyns AJ, Pequignot G, Jensen OM. Le cancer de l’oesophage en Ille-et-V...

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... Gastrointest Surg 2000;4: 282 – 289 . 9. Patti MG, Pellgrini CA, Horgan S, et al. Minimally Invasive Surgery for Achalasia: An 8- year expe- rience with 1 68 patients. Ann Surg 1999;230: 587 –594. This is trial ... Clinical Gastroenterology: An Internist's Illustrated Guide to Gastrointestinal Surgery Edited by: George Y. Wu, Khalid Aziz, and Giles F. Whalen © Humana Pr...

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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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... PEJ requires initial placement of a 2 0- to 2 8- 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. ... 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,...

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...

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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, ... related to Budd-Chiari (see “Advanced Techniques”) (4). As a Bridge to Transplantation Because it does not disturb native anatomy, TIPS is greatly preferable to surgical shunt in patients...

Ngày tải lên: 10/08/2014, 07:20

... procedures, 181 complications and management, 181 contraindications, 182 costs, 181 indications, 180 overview, 180 , 181 procedure, 180 , 181 Total proctocolectomy with ileo-anal anastomosis (TPC-IPAA), alternative ... procedures, 182 , 183 complications and management, 182 contraindications, 182 costs, 183 indications, 182 overview, 181 – 183 TPC, see Total proctocolectomy with...

Ngày tải lên: 10/08/2014, 07:20