Ileocolic Artery Ligation
Ileocolic Artery Ligation KEY STEPS 1. Insertion of ports: 10-mm umbilical Hasson technique; 5-mm left iliac fossa; 5-mm left upper quadrant; 5-mm right iliac fossa (selectively). 2. Ileocolic pedicle defined…
High and Low Ligation of the Inferior Mesenteric Artery
High and Low Ligation of the Inferior Mesenteric Artery KEY STEPS Insertion of ports and position of patient as detailed in the respective chapter for each procedure. Laparoscopic assessment and…
Port Placement, Laparoscopic Specimen Extraction Site, and Port Site Closure
Port Placement, Laparoscopic Specimen Extraction Site, and Port Site Closure KEY POINTS Operating ports should be inserted lateral to the inferior epigastric vessels, paying attention to keep the tract of…
Equipment, Operating Room Setup, and Patient Positioning
Equipment, Operating Room Setup, and Patient Positioning KEY POINTS Monitor placement for viewing by entire operating room team. Access to supply of CO2. Electric bed with stirrups. Access to electrocautery…
Training, Initial Case Selection, and Postoperative Care
Training, Initial Case Selection, and Postoperative Care KEY POINTS Length of stay is being increasingly used as a marker of health-care quality, and prolonged length of stay has clinical and…
Pearls in Gastroenterology
Pearls in Gastroenterology Today’s pearls are tomorrow’s fecaliths. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is a valuable resource for pt education materials. Information is distributed…
Procedures
Procedures Comment: Because the endoscopist may notmeet the pt until minutes before the procedure, particularly in open-access systems, it is important that a clinician be able to describe to the…
Liver Disease in Pregnancy
Liver Disease in Pregnancy Am J Gastro 2004;99:2479; Nejm 1996;335:569 Liver disease in pregnancy may represent a disease present at conception, a disease acquired unique to pregnancy, or a disease…
Vascular Liver Disease
Vascular Liver Disease 16.1 Budd-Chiari Syndrome Nejm 2004;350:578; J Clin Gastro 2000;30:155; Brit J Surg 1995;82:1023 Cause: Budd-Chiari syndrome is caused by obstruction of the normal hepatic venous outflow. This…
Complications of End-Stage Liver Disease
Complications of End-Stage Liver Disease 15.1 Portal Hypertension and Variceal Hemorrhage Am J Gastro 2007;102:2086; Gastroenterol Clin North Am 2003;32:1079; Nejm 2001;345:669 Cause: Rupture of varices secondary to portal HTN,…
