Jejunal Feeding Tube Complications
Fig. 11.1 Benign pneumatosis intestinalis around a jejunostomy tube. a and b Abdominal CT scan (soft tissue and lung windows); arrow points to loop of jejunum with pneumatosis (jejunostomy tube…
Postoperative Portal, Mesenteric, and Splenic Vein Thrombosis
Fig. 25.1 Contrast-enhanced computed tomography (CT) of the abdomen, especially when coupled with thin cuts through the porta hepatis, has a high sensitivity (90 %) and specificity (99 %), as well as…
Intra-Operative Solutions for Ischemic Gastric Conduit
Fig. 10.1 The gastro-colic ligament is divided with a ligasure device along the greater curvature of the stomach. The right gastroepiploic arteriovenous arcade should be preserved during the dissection. Injury…
Injury to the Right Gastroepiploic Artery
Fig. 9.1 Anatomy of the right gastroepiploic artery The gastric fundus is the region most distant from its arterial inflow and venous drainage and thus particularly susceptible to ischemia. Blood…
Intraoperative Solutions for the Gastric Conduit that Will Not Reach
Fig. 8.1 We prefer the posterior mediastinal (in situ) route as this is the shortest route between the stomach and esophagus In cases where the left colon is involved with…
Postoperative Complications After Surgery for Gastric Cancer: Anastomotic Leakage
Fig. 16.1 Treatment algorithm Five Key Points to Avoid Anastomotic Leakage Optimize pre- and postoperative calorie intake. Correct co-morbidities. Make a tension-free anastomosis with vital tissue. If the anastomosis is…
Dealing with Dumping Syndrome
Fig. 13.1 Pathophysiology of dumping syndrome Late dumping, often occurring 2–3 h postprandially, involves mainly vasomotor complaints characterized by perspiration, palpitation, mental confusion, and sometimes syncope. Rapid delivery of a meal…
Esophageal Strictures Refractory to Endoscopic Dilatation
© Springer Science+Business Media New York 2015Timothy M. Pawlik, Shishir K. Maithel and Nipun B. Merchant (eds.)Gastrointestinal Surgery10.1007/978-1-4939-2223-9_2 2. Esophageal Strictures Refractory to Endoscopic Dilatation Shawn S. Groth1 , David D. Odell1 and James D. Luketich1 (1) Department of Cardiothoracic…
Management of Airway, Hoarseness, and Vocal Cord Dysfunction After Esophagectomy
Material Length of effect Comments GelfoamTMa 4–6 weeks Long track record, short duration ZyplastTMa (Bovine collagen) 4–6 months Allergy testing required CymetraTM (Micronized allodermTM) 2–4 months No allergy, longer prep…
Fluid Collections and Walled-Off Pancreatic Necrosis
Terminology Definition CECT findings Acute peripancreatic fluid collection Peripancreatic fluid occurring in the setting of interstitial edematous pancreatitis within the first 4 weeks of acute pancreatitis Homogeneous fluid adjacent to…
