An Internist’s Illustrated Guide to Gastrointestinal Surgery - part 10 ppt

... 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, ... Abdomino-perineal resection; Hemorrhoids; Lateral internal sphincterotomy; Low anterior resection; Rectal prolapse; Total proctocolectomy with end- ileostomy; Total proctocolectomy with ileo-...

Ngày tải lên: 10/08/2014, 07:20

... 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, NJ This is trial ... long-standing disease associated with poor esophageal function, a short esophagus, or stricture should undergo an open antireflux procedure tailored to their underlying anatomic...

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... 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 Internist’s Illustrated Guide to ... bound to see patients who undergo surgery for gastrointes- tinal illness. An Internist’s Illustrated Guide to Gastrointestinal Surgery should not only provide the...

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...

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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...

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...

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... 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) ... Manddrsheid JC, et al. Surgery for left-sided pancreatic cancer. Br J Surg 1996;83: 106 5 107 0. 12. Sugiyama M, Atomi Y. Pylorus-preserving total pancreatectomy for pancrea...

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... 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 who are candidates ... after small-diameter porta-caval H-grafts in man. Ann Surg 1984;200:706– 710. 11. Sarfeh IJ, Rypins EB. Partial versus total portacaval shunt in alcoholic cirrhosis. Results of...

Ngày tải lên: 10/08/2014, 07:20