The Morbidly Obese Patient

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

1. Identify those with active cardiac conditions/comorbidities suggestive of high risk and take steps to correct these conditions prior to elective surgery. They include:  Stable or unstable angina  Decompensated heart…

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Technical Tips for Difficult Stomas

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Technical Tips for Difficult Stomas

Fig. 9.1 The ostomy triangle (With permission from Cataldo and MacKeigan [4]. Copyright © 2004 by Marcel Dekker Inc. All rights reserved) Prevention of Parastomal Hernias Key Concept: Although parastomal…

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Fecal Incontinence

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Fecal Incontinence

Fig. 13.1 Bristol stool scale (From Lewis and Heaton [52]. Reproduced with permission of Informa Healthcare © 1997) Defining exactly when the problem with fecal control occurs is another important…

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When Vascular Surgery Calls

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on When Vascular Surgery Calls

Fig. 35.1 Reconstructed CTA image showing successful implantation of an aortic stent graft to exclude an aortic aneurysm from the systemic circulation For endovascular repair of an aortic aneurysm (EVAR),…

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The Approach to the Rectal Cancer Patient with a Suspected Complete Clinical Response: Selection of Patients to the Watch and Wait Strategy

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on The Approach to the Rectal Cancer Patient with a Suspected Complete Clinical Response: Selection of Patients to the Watch and Wait Strategy

Fig. 16.1 (a) Area of irregularity detected at digital rectal examination that prompted full-thickness excisional biopsy with TEM. (b) Final pathology revealed the presence of residual cancer cells (ypT2) Endoscopic…

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Laparoscopy, Robotics, and Endoscopy

Mar 23, 2017 by in GASTROENTEROLOGY Comments Off on Laparoscopy, Robotics, and Endoscopy

Fig. 32.1 Robotic technology. (a) The robotic console, (b) proper robotic arm positioning, (c) Robotic instrumentation placed with aid of bedside assistant Authors of some early robotic colectomy trials have…

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