Download 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 adjustments. additionally deals suggestion at the clinical administration of the postsurgical sufferer. For physicians. DNLM: Digestive process Surgical Procedures--methods.

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

Sample text

Perforations can also occur in the stomach or distal esophagus caused by passage of the bougie used to size the fundoplicaiton. If recognized at the time of surgery, a perforation can be repaired without added morbidity. Unrecognized perforations will be manifested by postoperative toxicity (fever, oliguria, hypoxia, tachycarida, and peritoneal signs). Suspicion of a perforation should necessitate radiological examination or reexploration in a timely fashion (5,6). Chapter 4 / Surgery for GERD 43 Postoperative hemorrhage is unusual, but can arise from the liver, short gastric vessels, or spleen.

The presence of T cells in the ganglion cells of the esophagus suggests an autoimmune etiology to the disease. There is an association between achalasia and class II histocompatibility antigen Dqw1. The similarity between achalasia and Chagas’ disease caused by Trypanosoma cruzi suggests an infectious etiology. Furthermore, there is an increased incidence of varicella-zoster virus (VZV) antibodies in the serum of patients with achalasia as well as the presence of VZV by in situ DNA hybridization in tissue removed at esophagomyotomy (2).

Achalasia. In: The Esophagus. ) Lippincott Williams & Williams, Philadelphia, 1999, pp. 185–213. 3. Katz PO, Gilbert J, Castell DO. Pneumatic dilation is effective long-term treatment for achalasia. Dig Dis Sci 1998;43:1973–1977. 4. Pasricha PJ, Ravich WJ, Hendrix TR, et al. Intrasphicteric botulinum toxin for the treatment of achalasia. N Engl J Med 1995;332:774–778. 5. Spiess AE, Kahrilas PJ. Treating achalasia: from whalebone to laparoscope. JAMA 1998;280:638–642. 6. Hunter JG, Richardson WS.

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