SMALL BOWEL
e-Figure 3.1 This biopsy was taken from the duodenum. The structure pictured is: A. A small neuroma, a diagnosis that can be confirmed with a positive S100 protein immunostain. B….
E-Questions
e-Figure 1.1 Which of the following is the best diagnosis for this esophageal biopsy submitted as “rule-out eosinophilic esophagitis”? A. Amyloidosis underlying squamous mucosa B. Squamous mucosa with mild graft…
Roux-en-Y Gastric Bypass for GERD and Morbid Obesity
Fig. 14.1 The position of the patient and the operative team 14.2.2 Port Placement Figure 14.2 illustrates the position of trocars, which follow a “V” configuration. While the patient is…
Minimally Invasive Esophagectomy
Fig. 17.1 Left lateral decubitus positioning for thoracoscopy We employ a four-port or five-port thoracoscopy, minimizing the use of 10-mm trocars to decrease the risk of intercostal nerve bundle injury…
Ivor Lewis Esophagectomy
Fig. 16.1 (a) Conventional chest x-ray demonstrating a history of sternotomy for coronary bypass surgery, as well as previous placement of a cardiac pacemaker. (b) Endoscopy (upper left) showing ulcerated…
Operations for Gastroesophageal Reflux Disease
Fig. 6.1 (a) Barium swallow shows 3-cm sliding hiatal hernia. (b) High-resolution esophageal manometry shows hypotensive lower esophageal sphincter (LES) and normal esophageal peristalsis. (c) On ambulatory pH monitoring, two…
Hybrid Transthoracic Esophagectomy
Fig. 18.1 Position of the operating team around the operating table Fig. 18.2 Placement of trocars The gastrohepatic ligament is divided, beginning the dissection above the caudate lobe of the…
Laparoscopic Operations for Esophageal Leiomyoma
Fig. 13.1 Setup of the operating room 13.2.2 Ports and Instruments Five trocars (Fig. 13.2) are used for the procedure: Trocar 1: Placed 14 cm inferior to the xiphoid process…
