Fig. 10.1 The gastro-colic ligament is divided with a ligasure device along the greater curvature of the stomach. The right gastroepiploic arteriovenous arcade should be preserved during the dissection. Injury…
Fig. 9.1 Anatomy of the right gastroepiploic artery The gastric fundus is the region most distant from its arterial inflow and venous drainage and thus particularly susceptible to ischemia. Blood…
Fig. 8.1 We prefer the posterior mediastinal (in situ) route as this is the shortest route between the stomach and esophagus In cases where the left colon is involved with…
Fig. 16.1 Treatment algorithm Five Key Points to Avoid Anastomotic Leakage Optimize pre- and postoperative calorie intake. Correct co-morbidities. Make a tension-free anastomosis with vital tissue. If the anastomosis is…
Fig. 13.1 Pathophysiology of dumping syndrome Late dumping, often occurring 2–3 h postprandially, involves mainly vasomotor complaints characterized by perspiration, palpitation, mental confusion, and sometimes syncope. Rapid delivery of a meal…
© 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_2 2. Esophageal Strictures Refractory to Endoscopic Dilatation Shawn S. Groth1 , David D. Odell1 and James D. Luketich1 (1) Department of Cardiothoracic…
Material Length of effect Comments GelfoamTMa 4–6 weeks Long track record, short duration ZyplastTMa (Bovine collagen) 4–6 months Allergy testing required CymetraTM (Micronized allodermTM) 2–4 months No allergy, longer prep…
Terminology Definition CECT findings Acute peripancreatic fluid collection Peripancreatic fluid occurring in the setting of interstitial edematous pancreatitis within the first 4 weeks of acute pancreatitis Homogeneous fluid adjacent to…
Fig. 1 Through the scope endoclips come in a variety or configuartions. They can be usefull for very acute closures Several brands of clips are commercially available. These include the…
