By Haile T. Debas
GASTROINTESTINAL surgical procedure: PATHOPHYSIOLOGY AND administration is a useful reference textual content for surgeons and surgical trainees. Written fullyyt by way of Dr. Haile T. Debas, Dean of college of medication and previous Professor and Chairman, division of surgical procedure, on the college of California, San Francisco, this ebook presents the unified process in basic terms present in a single-authored textual content. in accordance with the 3 pillars of knowing specific affliction processes-- basic anatomy and body structure, pathopysiology, and scientific correlations--surgical remedy of GI ailment is gifted because the capability to right irregular body structure and fix healthiness. utilizing an built-in process of uncomplicated technology and scientific perform, Dr. Debas permits the coed of surgical procedure to achieve an reliable figuring out of sickness procedures that minimizes the necessity for rote memorization.
Thirteen lavishly illustrated chapters conceal the GI approach in addition to gastrointestinal peptides and peptide-secreting tumors, stomach trauma, the stomach wall, surgical procedure for morbid weight problems, the liver, spleen, retroperitoneum, and perioperative care. Dozens of precis tables all through each one bankruptcy condense "essentials" for fast reference. entire discussions of scientific issues evaluation the surgical procedure strategies. With four hundred illustrations and tables, together with enormous quantities of anatomical line drawings commissioned completely for this textbook, GASTROINTESTINAL surgical procedure offers a medical and healing method of surgical illnesses as a way to end up priceless to the surgical trainee and the practitioner getting ready for recertification.
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Additional info for Gastrointestinal Surgery: Pathophysiology and Management
This recommendation is increasingly being put into practice as minimally invasive surgery has become the preferred surgical approach. Severe Endoscopic Esophagitis A patient with severe endoscopic esophagitis, poorly controlled symptoms, and a structurally defective LES is a candidate for surgery. Esophageal Stricture Esophageal strictures must be dilated by bougies. Malignancy in strictures must be excluded by endoscopy and biopsy. Although this condition can be successfully managed nonsurgically following stricture dilatation, the development of strictures often indicates severe disease that is best managed surgically.
13. Heller’s myotomy is performed to relieve achalasia. (A) The procedure is now commonly performed laparoscopically, using four ports in the abdomen and avoiding a large incision, although it can also be performed thorascopically. (B) The muscle layer in the contracted segment is divided longitudinally and separated to expose the submucosa for half the circumference of the esophagus. , nifedipine) are said to produce symptomatic relief, but their efficacy has not been proven by prospective, controlled trials.
7. 6. 3% Complication rate 3%–10% Long-term symptom relief in 90%–95% Abbreviation: LESP, lower esophageal sphincter pressure. Restore gastroesophageal continence. Reduce the hiatal hernia and create a 5- to 6-cm length of abdominal esophagus. Improve LESP by wrapping the gastric fundus around the distal 2–3 cm of the esophagus, either totally or partially.
Gastrointestinal Surgery: Pathophysiology and Management by Haile T. Debas