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…
Step 1: Surgical Anatomy ♦ Complex patients with Crohn disease should undergo a small bowel follow-through to delineate the extent of their disease and the amount of small bowel they…
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…
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…
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…
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…
Step 1: Surgical Anatomy ♦ The arterial blood supply to the stomach is rich and comes from multiple sources. These include the left gastric artery (branch of the celiac axis),…
Step 1: Surgical Anatomy ♦ Division of the vagus nerves is an important part of any operation whose goal is to control gastric acid secretion. The left vagus nerve that…
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…
Step 1: Surgical Anatomy ♦ Due to the multiplicity of gastric operations performed both for benign and malignant diseases, it is imperative that the reoperative surgeon obtain and review all…
