GASTRIC SLEEVE

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on GASTRIC SLEEVE

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…

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LAPAROSCOPY FOR CROHN’S DISEASE

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on LAPAROSCOPY FOR CROHN’S DISEASE

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…

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ANTRECTOMY

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on ANTRECTOMY

Step 1: Surgical Anatomy ♦ Surgery of the stomach and duodenum requires an understanding of both the blood supply of the stomach and duodenum and the anatomical relationships to the…

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TRANSHIATAL

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on TRANSHIATAL

Step 1: Surgical Anatomy ♦ Patients with bulky mid-esophageal tumors, especially those who have undergone neoadjuvant chemoradiation, are best treated with a transthoracic approach. ♦ The transhiatal approach is useful…

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LEFT THORACOABDOMINAL

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on LEFT THORACOABDOMINAL

Step 1: Surgical Anatomy ♦ The lower portion of the esophagus deviates to the left of the midline and is most easily accessible via the left chest. ♦ Above the…

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MINIMALLY INVASIVE ESOPHAGECTOMY

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on MINIMALLY INVASIVE ESOPHAGECTOMY

Step 1: Surgical Anatomy ♦ The minimally invasive esophagectomy incorporates either thoracoscopy, laparoscopy, or both, for dissection and reconstruction of the esophagus. ♦ An EEA anastomosis can be done in…

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PARAESOPHAGEAL HERNIA REPAIR

Mar 13, 2019 by in GASTROENTEROLOGY Comments Off on PARAESOPHAGEAL HERNIA REPAIR

Step 1: Surgical Anatomy 1. Types of Paraesophageal Hernias ( Figure 7-1ABCDE ) ♦ Type 1: Sliding hiatal hernia in which the gastroesophageal junction moves cephalad, predisposing to gastroesophageal reflux….

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