Esophageal Anastomotic Leak
Authors Publication year Surgical approach N Leak rate(%) Cervical anastomosis Heitmiller et al. [17] 1999 a 262 0.8 Swanson et al. [42] 2001 Three field 342 8 Walther et al. [12] 2003 Three…
Hepaticojejunostomy Anastomotic Strictures
Fig. 23.1 Hepaticojejunostomy stenosis following early repair of a bile duct injury during laparoscopic cholecystectomy in a 27-year-old women. This patient was successfully managed using repeated sessions of percutaneous dilatation….
Anastomotic Leak/Pelvic Abscess
Fig. 32.1 Postoperative diagnostic and therapeutic algorithm. PCD percutaneous drainage Type I: Generalized Peritonitis Approximately 40–45 % of all anastomotic leaks present in this fashion. Patients complain of severe abdominal…
Preventing Pancreatic Fistula Following Distal Pancreatectomy
© Springer Science+Business Media New York 2015Timothy M. Pawlik, Shishir K. Maithel and Nipun B. Merchant (eds.)Gastrointestinal Surgery10.1007/978-1-4939-2223-9_30 30. Preventing Pancreatic Fistula Following Distal Pancreatectomy Bharath D. Nath1 and Mark P. Callery1 (1) Department of Surgery, Beth Israel…
Bile Reflux and Gastroparesis
Fig. 12.1 Enlarged hyperemic folds in gastric remnant, after Billroth II reconstruction. (Image courtesy of Gregory Ginsberg, MD) Fig. 12.2 Erosive alkaline reflux esophagitis. (Image courtesy of Gregory Ginsberg, MD)…
Afferent Loop Syndrome
Fig. 14.1 Afferent loop obstruction in a 62-year-old man after Roux-en-Y gastroenterotomy. a Axial plane of MDCT shows a dilated fluid-filled afferent loop ( arrow) located at the mid-abdomen and…
Management of Chyle Leaks Following Pancreatic Resection
Component Concentration Calories 200 kcal/L Lipids 5–30 g/L Protein 20–30 g/L Lymphocytes 400–6800/mm (28) Sodium 104–108 mmol/L Potassium 3.8–5.0 mmol/L Chloride 85–130 mmol/L Calcium 3.4–6.0 mmol Phosphate 0.8–4.2 mmol/L In addition to the general role of lymphatics for…
Tracheo-Esophageal Fistula
Author (reference) Country Incidence Percentage Iannettoni [6] USA 1/856 0.12 Bartels [7] Germany 4/501 0.80 Buskens [5] Netherlands 1/383 0.26 Maruyama [8] Japan 2/305 0.66 Yasuda [9] Japan 9/603 1.49…
Jejunal Feeding Tube Complications
Fig. 11.1 Benign pneumatosis intestinalis around a jejunostomy tube. a and b Abdominal CT scan (soft tissue and lung windows); arrow points to loop of jejunum with pneumatosis (jejunostomy tube…
Postoperative Portal, Mesenteric, and Splenic Vein Thrombosis
Fig. 25.1 Contrast-enhanced computed tomography (CT) of the abdomen, especially when coupled with thin cuts through the porta hepatis, has a high sensitivity (90 %) and specificity (99 %), as well as…
