GASTROENTEROLOGY

Enteroatmospheric Fistula

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Enteroatmospheric Fistula

Fig. 8.1 Patient with intra-abdominal sepsis and gut ischemia. While there is no EAF present, they are a prime candidate for this complication Fig. 8.2 Patient undergoing cytoreduction and HIPEC….

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Fistula-in-Ano

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Fistula-in-Ano

Fig. 21.1 Classification of fistula-in-ano. (a), Intersphincteric. (b), Transsphincteric. (c), Suprasphincteric. (d) Extrasphincteric (With permission from Vasilevsky [2]) Table 21.1 Classification of fistula-in-ano Intersphincteric  Simple low tract  High blind tract…

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Chronic Anal Pain

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Chronic Anal Pain

Fig. 23.1 Thrombosed external hemorrhoid Thrombosed external hemorrhoids will usually present acutely after a bout of straining, constipation, or diarrhea. The pain will be associated with a swelling that is…

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Hemorrhoidal Disease: Postoperative Complications

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Hemorrhoidal Disease: Postoperative Complications

Fig. 20.1 Grade 3 hemorrhoids with attenuated RV septum (Courtesy of Richard Billingham, MD) Table 20.1 Internal hemorrhoidal disease grading (classification) Grade Physical/anoscopic findings I No prolapse II Prolapse with…

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The Pediatric Patient

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on The Pediatric Patient

Fig. 27.1 Perineal Crohn’s disease in an 8-year-old male showing multiple fistulas Hemorrhoids Key Concept: Hemorrhoids are normally from constipation and should almost always be treated nonoperatively. Hemorrhoids are extremely…

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Laparoscopic Complications

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopic Complications

Fig. 31.1 Protecting hands with Kerlix roll and diaper The angle between the body and the thighs of the patients should be kept at near 180°, in order to avoid…

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Metastatic Colorectal Cancer

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Metastatic Colorectal Cancer

Fig. 6.1 CT scan images of two patients presenting with metastatic involvement of the liver. Image (a) represents a 47-year-old woman with rectal cancer and multiple, bilobar liver lesions. Image…

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The Intraoperative Consult

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on The Intraoperative Consult

Fig. 30.1 Draping technique to facilitate exposure to the perineum Initial Survey A survey of the available instrumentation, possible endoscopic or radiologic needs, and additional available staff should be addressed…

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