Patient Selection: Pathways to Surgery

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Patient Selection: Pathways to Surgery

  Description Step 1 Complete initial patient worksheet questionnaire Step 2 Send initial patient worksheet questionnaire to Cleveland Clinic Bariatric and Metabolic Institute Program office (paper or via website) Step…

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Colon, Rectum, and Appendix

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Colon, Rectum, and Appendix

Fig. 4.1 Instrument table Instruments and Cables 30° 5 mm laparoscope Cold light source cable CO2 pipe and filter Monopolar electrocautery Patient return electrode (REM) Sterile instrument bag Monopolar and…

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Esophagus and Stomach

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Esophagus and Stomach

Fig. 1.1 Equipment and patient position during hiatal hernia Specific surgical drapes are used. Laparotomic Instrument Table Must Be Always Ready for Use Surgical Steps 1. Hernia reduction   2….

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Abdominal Wall Surgery

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Abdominal Wall Surgery

, Umberto Bracale2  , Ristovich Lidia1, Lever Michele1 and Giusto Pignata1   (1) Department of General Surgery, “San Camillo” Hospital, Trento, Italy (2) Department of Surgical Specialities and Nephrology, University “Federico II” of Naples, Naples, Italy…

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Gynecology

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Gynecology

Fig. 8.1 (a, b) Equipment and patient position during hysterectomy or myomectomy Specific surgical drapes are used. Laparotomic Instrument Table Must Be Always Ready for Use. Myomectomy Surgical Steps 1….

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Spleen and Pancreas

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Spleen and Pancreas

Fig. 6.1 (a, b) Equipment and patient position during splenectomy Specific surgical drapes are used. Laparotomic Instrument Table Must Be Always Ready for Use Surgical Steps 1. Landmark recognition  …

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Liver, Gallbladder, and Biliary Tree

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on Liver, Gallbladder, and Biliary Tree

Figs. 2.1 and 2.2 Equipment and patient position Surgical Steps 1. Adhesion dissection   2. Calot triangle opening   3. Cystic duct and artery exposition and dissection   4. Cholecystectomy…

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“My Medications Are Not Working, What Can I Try Now for My Crohn’s Disease?” Options for Refractory Crohn’s Disease

Jun 5, 2017 by in GASTROENTEROLOGY Comments Off on “My Medications Are Not Working, What Can I Try Now for My Crohn’s Disease?” Options for Refractory Crohn’s Disease

Low drug level; + positive evidence of inflammation  Loss of anti-TNF activity due to antidrug antibodies  Interminable inflammation “consuming” anti-TNFs Ab  Noncompliance to therapy  Loss of anti-TNF activity due to…

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