GASTROENTEROLOGY
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…
