An Internist's Illustrated Guide to Gastrointestinal Surgery by George Y. Wu PDF

By George Y. Wu

Textual content describes all the surgical and laparoscopic approaches now used for the gastrointestinal tract. contains transparent, halftone illustrations and discussions of anatomical and physiological alterations. additionally bargains recommendation at the scientific administration of the postsurgical sufferer. For physicians. DNLM: Digestive method Surgical Procedures--methods.

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Extra resources for An Internist's Illustrated Guide to Gastrointestinal Surgery (Clinical Gastroenterology)

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Partial vs Complete Fundoplication (Table 1) In contrast to the 360° fundoplication typical of a Nissen fundoplication, antireflux protection also occurs when the fundus is incompletely wrapped around the lower esophagus. Table 1 lists some of the common antireflux procedures and a description of their conformation. Partial fundoplication results in less postoperative bloating and dysphagia. However, partial fundoplication has a higher incidence of recurrent reflux and, therefore, is not routinely used.

Other rare hernias may occur in the hiatal region, including parahiatal hernias that can be differentiated from types I through IV in that there is a separate extra-hiatal diaphragmatic defect in which intervening normal crural muscle tissue is present. They are rarely seen and may be associated with previous trauma. Additionally, congenital diaphragmatic hernias (Bochdalek—posterolateral or Morgagni—retrosternal) are more likely to present in childhood but may not be found until much later in life (2–4).

Once the postcricoid region is in view, the scope is suspended. The jaws of the scope are then opened with the anterior part of the scope in the proximal esophagus and the posterior part of the scope in the diverticulum. This exposes the party wall. Once the true and false lumens have been sufficiently opened, the party wall must be secured and retracted toward the surgeon to allow for proper placement and firing of the stapler. This is usually accomplished by endoscopically passing one or two retracting sutures with an endoscopic needle passer.

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