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

April 3, 2017 | Digestive Organs | By admin | 0 Comments

By George Y. Wu

Textual content describes the entire surgical and laparoscopic systems now used for the gastrointestinal tract. contains transparent, halftone illustrations and discussions of anatomical and physiological alterations. additionally deals recommendation at the clinical administration of the postsurgical sufferer. For physicians. DNLM: Digestive process Surgical Procedures--methods.

Show description

Read Online or Download An Internist's Illustrated Guide to Gastrointestinal Surgery (Clinical Gastroenterology) PDF

Best digestive organs books

Liver Immunology: Principles and Practice

Immunology is a wide department of biomedical technology that covers the examine of all features of the immune procedure in all organisms. It offers with, between different issues, the physiological functioning of the immune approach in states of either overall healthiness and sickness; malfunctions of the immune method in immunological problems (autoimmune ailments, hypersensitivities, immune deficiency, allograft rejection); the actual, chemical and physiological features of the parts of the immune process in vitro, in situ, and in vivo.

Management of Gastrointestinal Diseases in the Elderly

Targeted subject factor: Digestive ailments 2007, Vol. 25, No. 2 The examine and care of gastrointestinal issues within the aged became precedence subject matters for either clinicians and researchers because the elderly represent an ever-increasing a part of the general inhabitants. This booklet provides the result of contemporary stories in geriatric gastroenterology, reviewing either simple learn and scientific elements.

Atlas of Gastroenterology

Actual, top quality photographs are specially important for gastrointestinal treatment. The Atlas of Gastroenterology is a gold-standard device that gives experts with a very good array of pictures overlaying all elements of the sphere. With endoscopic ultrasonographs, computed tomography scans, magnetic resonance photographs, radionuclide photographs, and angiograms demonstrating each medical from liver abscess, to endocrine neoplasms of the pancreas, to motility issues of the esophagus, this atlas is just a must-own source for all gastroenterologists.

Quick Reference Dictionary for GI and Hepatology

Speedy Reference Dictionary for GI and Hepatology is a special, pocket-sized reference designed in particular to supply a importance of phrases and their definitions, instructions, and references necessary to the gastroenterology occupation. Led by way of Dr. Jonathan Fenkel and his individuals, this compact, concise, and informative reference includes over a thousand frequent GI and hepatology phrases and definitions.

Additional info for An Internist's Illustrated Guide to Gastrointestinal Surgery (Clinical Gastroenterology)

Example text

The muscle is Chapter 3 / Esophagectomy for Achalasia 29 Fig. 4. Postoperative barium swallow. dissected from the mucosa allowing the mucosa to protrude. Intraoperative flexible endoscopy is then performed to be certain there is no further distal obstruction. The myotomy can be easily extended if necessary until the lower esophageal sphincter is ablated. Air is insufflated into the esophagus and the distended mucosa is assessed for evidence of perforation. Once the myotomy is completed, an antireflux procedure is added.

The relationship of the distal esophagus to the gastric fundus (which compresses the distal esophagus when the stomach is distended) also contributes to this high-pressure zone (4). The relationship of the distal esophagus to the diaphragm stops reflux (Figs. 1–3). Normally, the distal esophagus rests within the abdomen. As the esophagus traverses the hiatus, the crura of the diaphragm compress the esophagus, increasing LES pressure. This compression is maximal during inspiration, when intrathoracic pressure decreases and risk of reflux is greatest.

The absence of acid reflux or poor correlation between symptoms and reflux is a predictor of poor outcome of surgery (2,5,6). Esophageal motility testing is essential to rule out esophageal motility disorder as causing symptoms. An LNF done in the presence of a motility disorder can lead to severe dysphagia. Patients with poor motility may benefit from a partial fundoplication (2,5,6). Upper GI endoscopy should be performed to document the presence of esophagitis or Barrett’s esophagus both visually and through biopsies.

Download PDF sample

Rated 4.02 of 5 – based on 22 votes