Ileal Pouch-Anal Anastomosis

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Ileal Pouch-Anal Anastomosis

Ileal Pouch-Anal Anastomosis Tracy Hull Perioperative Considerations Construction of the J and S Pouch A total proctocolectomy and ileal pelvic pouch has become the gold-standard operation for ulcerative colitis (UC)…

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Crohn Disease: Surgical Management

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Crohn Disease: Surgical Management

Crohn Disease: Surgical Management David M. Schwartzberg Stefan D. Holubar Perioperative Considerations Managing Crohn patients is a multidisciplinary endeavor that requires close collaboration with the referring an inflammatory bowel disease…

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The Difficult Stoma

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on The Difficult Stoma

The Difficult Stoma Hermann Kessler Mariane G. M. Camargo Risk Factors for the Difficult Stoma Preoperative Variables Preexisting conditions at surgery that cannot be influenced and associated with difficult ostomy…

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Constipation

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Constipation

Constipation Tracy Hull SLOW TRANSIT CONSTIPATION Perioperative Considerations Patients who fail conservative therapy and have slow transit constipation are documented by a colonic transit study (Fig. 52-1). They also are…

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Rectal Prolapse

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Rectal Prolapse

Rectal Prolapse Tracy Hull Giovanna Da Silva Southwick Perioperative Considerations Rectal prolapse is a clinical diagnosis, as most patients present with a protruding “mass” that may spontaneously reduce or stay…

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Construction of Intestinal Stomas

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Construction of Intestinal Stomas

Construction of Intestinal Stomas Hermann Kessler Mariane G. M. Camargo Eric G. Weiss Perioperative Considerations Mark the patient’s abdominal wall for a proper stoma site, ideally by a trained enterostomal…

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Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery

Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery Charlotte Horne Ajita Prabhu GENERAL PERIOPERATIVE CONSIDERATIONS Patient Assessment Indications for parastomal hernia repair include obstructive symptoms, persistent uncontrolled…

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Ventral Rectopexy

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Ventral Rectopexy

Ventral Rectopexy Sherief Shawki Sarah A. Vogler Perioperative Considerations Full-thickness rectal prolapse is a true intussusception of the rectum through the sphincters versus the anorectal mucosa only. Typically, patients present…

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Kock Pouch (K-pouch)

Apr 13, 2020 by in GASTOINESTINAL SURGERY Comments Off on Kock Pouch (K-pouch)

Kock Pouch (K-pouch) Sherief Shawki Perioperative Considerations Patients should be counseled extensively about the expected function, needs, and potential revisions or failures that may be required with the operation. ETS…

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