An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 8 ppsx
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...
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 ... 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...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 1 pdf
... 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...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 2 ppt
... 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...
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...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 5 pot
... 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,...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 7 pdf
... 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...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 9 doc
... 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...
An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 10 ppt
... 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...