Improving Quality of Life in Patients with Unresectable Disease

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Improving Quality of Life in Patients with Unresectable Disease

© Springer International Publishing Switzerland 2017Eduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli and Martin de Santibañes (eds.)Extreme Hepatic Surgery and Other Strategieshttps://doi.org/10.1007/978-3-319-13896-1_26 26. Improving Quality of Life in Patients with Unresectable Disease Mariela Bertolino1  , Noemí Díaz1…

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Choosing the Best Strategy

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Choosing the Best Strategy

Fig. 5.1 Monosegment associating liver partition and portal vein ligation for staged hepatectomy (ALPPS). Only segment 2 (S2) was left as future liver remnant after a right trisectionectomy and anatomical…

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Intra-Arterial Chemotherapy

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Intra-Arterial Chemotherapy

Agent Half-life (min) Fold increase in hepatic concentration Bis-chloroethyl-nitrosurea 5 6–7 Cisplatin 20–30 4–7 Dichloromethotrexate – 6–8 Doxorubicin 60 2 5-Fluorouracil (5-FU) 10 5–10 Floxuridine (FUDR) 10 100–400 Mitomycin C…

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Preoperative Evaluation of Liver Function

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Preoperative Evaluation of Liver Function

Fig. 3.1 Preoperative hepatobiliary scintigraphy in a 56-year-old male patient with a large resectable HCC in the right liver segments. Summed dynamic scintigraphy (a) showing hypertrophy and function of the…

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Conversion and Neoadjuvant Therapies

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Conversion and Neoadjuvant Therapies

© Springer International Publishing Switzerland 2017Eduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli and Martin de Santibañes (eds.)Extreme Hepatic Surgery and Other Strategieshttps://doi.org/10.1007/978-3-319-13896-1_6 6. Conversion and Neoadjuvant Therapies Jorge Pablo Grondona1   (1) Department of Surgery, Sanatorio San…

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Crohn’s Disease

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on Crohn’s Disease

Fig. 15.1 “Fat creeping” phenomenon (arrow) in the small bowel in a patient with Crohn’s disease Aphthoid lesions, fissural ulcerations, cobblestone pattern Fistula Rectum is typically spared Perianal lesions Microscopic…

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Anorectal Abscess and Fistula

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on Anorectal Abscess and Fistula

Fig. 6.1 Abscess classification Ischioanal: Abscesses located in ischioanal fat are bordered by the sphincter muscles medially by the levator ani in the cranial aspect, and by the ischial bone…

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Inflammatory Bowel Disease: Ulcerative Colitis

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on Inflammatory Bowel Disease: Ulcerative Colitis

Gastrointestinal Diarrhea usually mixed with blood, with or without mucus Frequency Constipation in some cases of severe proctitis Urgency Tenesmus Incontinence Abdominal pain Systemic Tiredness Weight loss Fever Anorexia Extraintestinal…

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Abdominal Wall Reconstruction

Oct 30, 2017 by in ABDOMINAL MEDICINE Comments Off on Abdominal Wall Reconstruction

Fig. 38.1 Nomenclature regarding abdominal wall defects remains vague. Is this patient due to have an incisional hernia repair or a complex abdominal wall reconstruction? Recent attempts have been made…

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