GASTROENTEROLOGY

Technical Aspects

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Technical Aspects

Fig. 33.1 (a) Side-to-side four-stapled technique. The linear cutting stapler is introduced through an enterotomy made on the antimesenteric side of the enterectomy staple line. (b) Side-to-side four-stapled technique. The…

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Obstructive Defecation

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Obstructive Defecation

Fig. 12.1 Rectocele. Rectal prolapse can also seen at the verge that was easily visualized with straining (Courtesy of M. Shane McNevin, MD) A careful urogynecologic examination is also important,…

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Colon and Rectal Trauma

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Colon and Rectal Trauma

Fig. 34.1 Average time (in hours) from injury to arrival at a field hospital for major American conflicts (GWOT global war on terror) (Modified with permission from Perry et al….

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Continent Ileostomy

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Continent Ileostomy

Fig. 10.1 The original procedure (a) Segment of terminal ileum (Arrow points to distal) (b) Folding of the bowel on itself and formation of the posterior wall. (c) Creation of…

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Enterocutaneous Fistulas

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Enterocutaneous Fistulas

Fig. 7.1 Mortality of secondary peritonitis patients, divided based on the severity of disease expressed by the APACHE-II score. Two surgical strategies were compared per category, re-laparotomy on-demand (□) and…

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The Failed Anastomosis

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on The Failed Anastomosis

Fig. 18.1 The contribution of anastomotic collagen synthesis and lysis to overall anastomotic strength (With permission from Munireddy et al. [2]) Remodeling The provisional matrix previously formed is remodeled into…

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Ileal Pouch Complications

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Ileal Pouch Complications

Fig. 17.1 Gastrografin enema demonstrating a pouch-vaginal fistula MRI Pelvis This is a good test for the evaluation of abnormalities relating to the structure of the pouch and pelvis and…

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Considerations in the Elderly

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Considerations in the Elderly

Condition Examples Unstable coronary syndromes Unstable or severe angina (CCS class III or IV)a Recent MIb Decompensated heart failure (NYHA functional class IV; worsening or new-onset HF)  Significant arrhythmias High-grade…

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