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 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 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 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 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 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 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 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,…
Drug- and Toxin-Induced Liver Disease 14.1 Alcoholic Liver Disease Mayo Clin Proc 2001;76:1021; Postgrad Med J 2000;76:280 Cause: Excessive intake of ethanol. For practical purposes, alcohol has been defined in…
Neoplastic Liver Disease 13.1 Hepatocellular Carcinoma Lancet 2003;362:1907; Postgrad Med J 2000;76:4 Cause: (Nejm 1999;340:798) The vast majority of cases of hepatocellular carcinoma (HCC) are due to chronic hep B…
