Step 1: Surgical Anatomy ♦ The submucosal layer of the bowel is the strongest layer of the intestines, and regardless of the anastomotic technique must be incorporated in all anastomosis….

Step 1: Surgical Anatomy ♦ Preoperatively, the patient’s upper gastrointestinal anatomy should be evaluated. Screen the patient for symptoms of reflux, dysphagia, or peptic ulcer disease. The patient should undergo…

Step 1: Surgical Anatomy ♦ The gastric band is placed at the upper portion of the stomach just distal to the gastroesophageal junction, at around the level of the first…

Step 1: Surgical Anatomy ♦ Meckel diverticulum is a congenital diverticulum that is a result of a remnant omphalomesenteric duct. It is typically located 2 feet from the ileocecal valve,…

Step 1: Surgical Anatomy ♦ None. Step 2: Preoperative Considerations ♦ The most common laparoscopic resection for Crohn disease is unquestionably ileocecal resection. The conduct and intraoperative steps vary depending…

Step 1: Surgical Anatomy ♦ None. Step 2: Preoperative Considerations ♦ Patients with small bowel obstructions require careful preoperative evaluation. Neither history, physical exam, nor laboratory evaluation have proven reliable…

Step 1: Surgical Anatomy ♦ Complex patients with Crohn disease should undergo a small bowel follow-through to delineate the extent of their disease and the amount of small bowel they…

Step 1: Surgical Anatomy ♦ Intussception can occur at any age, but only 10% occur after the age of 2. All intussceptions in the adult population need to be managed…

Step 1: Surgical Anatomy ♦ Identifying the appropriate loop of jejunum approximately 20 cm distal to the duodenojejunal junction is important to achieve maximal nutritional benefits. Step 2: Preoperative Considerations…

Step 1: Surgical Anatomy ♦ The arterial blood supply to the stomach was covered in Chapter 18 . The blood supply for the distal esophagus is derived from perforating arterial…