ROUX-EN-Y GASTRIC BYPASS

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on ROUX-EN-Y GASTRIC BYPASS

Step 1: Surgical Anatomy ♦ Preoperatively, the patient’s upper gastrointestinal anatomy should be evaluated. Screen the patient for symptoms of reflux, dysphagia, or peptic ulcer disease. The patient should undergo…

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GASTRIC BAND

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on GASTRIC BAND

Step 1: Surgical Anatomy ♦ The gastric band is placed at the upper portion of the stomach just distal to the gastroesophageal junction, at around the level of the first…

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MECKEL DIVERTICULECTOMY

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on MECKEL DIVERTICULECTOMY

Step 1: Surgical Anatomy ♦ Meckel diverticulum is a congenital diverticulum that is a result of a remnant omphalomesenteric duct. It is typically located 2 feet from the ileocecal valve,…

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LAPAROSCOPY FOR CROHN’S DISEASE

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on LAPAROSCOPY FOR CROHN’S DISEASE

Step 1: Surgical Anatomy ♦ None. Step 2: Preoperative Considerations ♦ The most common laparoscopic resection for Crohn disease is unquestionably ileocecal resection. The conduct and intraoperative steps vary depending…

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SMALL BOWEL OBSTRUCTION

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on SMALL BOWEL OBSTRUCTION

Step 1: Surgical Anatomy ♦ None. Step 2: Preoperative Considerations ♦ Patients with small bowel obstructions require careful preoperative evaluation. Neither history, physical exam, nor laboratory evaluation have proven reliable…

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INTUSSCEPTION EDUCTION

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on INTUSSCEPTION EDUCTION

Step 1: Surgical Anatomy ♦ Intussception can occur at any age, but only 10% occur after the age of 2. All intussceptions in the adult population need to be managed…

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JEJUNOSTOMY TUBE

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on JEJUNOSTOMY TUBE

Step 1: Surgical Anatomy ♦ Identifying the appropriate loop of jejunum approximately 20 cm distal to the duodenojejunal junction is important to achieve maximal nutritional benefits. Step 2: Preoperative Considerations…

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TOTAL GASTRECTOMY

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on TOTAL GASTRECTOMY

Step 1: Surgical Anatomy ♦ The arterial blood supply to the stomach was covered in Chapter 18 . The blood supply for the distal esophagus is derived from perforating arterial…

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