In general, primary care providers, family practitioners, and gastroenterologists have a limited knowledge of abdominal surgical operations, the medical aspects of these surgical procedures, and their immediate and late complications. In addition, traditionally, these patients are not followed up by the surgeons and thus, the internist must become familiar with postsurgical problems in order to provide appropriate long-term care. A clear understanding of the concepts that underlie the surgery is crucial for proper management of these patients. In An Internist's Illustrated Guide to Gastrointestinal Surgery, highly experienced physicians describe all of the surgical and laparoscopic procedures now used for the gastrointestinal (GI) tract in readily understood language, complete with clear illustrations of the various surgeries, discussions of accompanying anatomical and physiological changes, advice on medical management of the postsurgical patient, and medical pearls. Topics range from esophageal and gastric surgery to abdominal hernia, from small and large bowel procedures to hepatic, biliary, pancreatic, aortic, and peritoneal operations. The authors compare alternative operations, discuss medical management issues, and examine the relative costs of these surgical procedures and operations. Detailed artist-rendered illustrations of GI anatomy before and after surgery and, where appropriate, radiological images before and after surgery, are also presented.
Authoritative yet easy-to-read, An Internist's Illustrated Guide to Gastrointestinal Surgery offers today's nonsurgically trained physicians a unique book covering the concepts and practices that underlie gastrointestinal surgery-including laparoscopic surgery-that are crucial to today's best management of their patients.

Klappentext

Few clinical disciplines have been transformed so dramatically by advancements in science and technology as gastrointestinal surgery. To begin with, modern ph- macology has virtually eliminated some kinds of surgery altogether. If one were to take a peek at a typical operating room schedule in a busy hospital of the 1960s, gastrectomies of one kind or another would have constituted a large block of the major surgeries. The advent of effective H2-histamine receptor antagonists and, more + + recently, the H ,K -ATPase (proton pump) inhibitors led to a precipitous decline in those procedures such that they are rarely performed today. Exciting new approaches to treating inflammatory bowel diseases and their complications-such as fistulas- with anticytokine therapy may one day have a similarly profound effect on surgery for this condition as well. Beyond pharmaceutics, advances in imaging techniques have greatly facilitated the identification and characterization of pathology in the gastrointestinal tract in a way that would have been unimaginable only a few years ago. Just to visualize the pancreas in some way was a horrendous task until abdominal ultrasound, magnetic resonance imaging, or computer tomography made it simple. The fact that the gut is a hollow organ that can be accessed through the mouth, anus, or even through the wall of the abdomen has been fully exploited with fiberoptic endoscopes that can bend around corners with ease and permit surgery to be conducted through them.

Inhalt

A. Esophageal Surgery Esophagectomy and Reconstruction Michael Kent, Jeffrey Port, and Nasser Altorki Zenker's Diverticulum Anders Holm and Denis C. Lafreniere Esophagectomy for Achalasia: Laparoscopic Heller Myotomy and Dor Fundoplication Joshua M. Braveman, Lev Khitin, and David M. Brams Surgery for Gastroesophageal Reflux Disease Lev Khitin and David M. Brams Hiatal Hernia Repair Lev Khitin and David M. Brams Esophageal Stents Gaspar Nazareno, Nii Lamptey-Mills, and Jay Benson Endoscopic Therapy for Esophageal Varices Jaroslaw Cymorek and Khalid Aziz B. Gastric Surgery Surgical Treatment of Peptic Ulcer Disease Brent W. Miedema and Nitin Rangnekar Surgical Management of Gastric Tumors Robert C. G. Martin and Martin S. Karpeh, Jr. Reconstruction After Distal Gastrectomy Nitin Rangnekar and Brent W. Miedema Surgery for Obesity Carlos Barba and Manuel Lorenzo Percutaneous Enterostomy Tubes Gaspar Nazareno and George Y. Wu C. Small Bowel Surgery Small Bowel Resections Eric M. Knauer and Robert A. Kozol Urinary Diversion Surgery Scott Rutchick and Peter Albertsen D. Large Bowel Surgery Colonic Resection Robert A. Kozol Surgery of the Rectum and Anus Mark Maddox and David Walters E. Hepatic and Biliary Surgery Hepatic Resection John Taggert and Giles F. Whalen Bypass and Reconstruction of Bile Ducts John Taggert and Giles F. Whalen Cholecystectomy John Taggert and Giles F. Whalen F. Pancreatic Surgery Pancreatic Surgery Janette U. Gaw and Dana K. Andersen Endoscopic Management of Pancreatic Pseudocysts Gaspar Nazareno and Khalid Aziz G. Surgery on Aorta and its Branches Surgery of the Abdominal Aorta and Branches Stephanie Saltzberg, Justin A. Maykel, and Cameron M. Akbari Endovascular Repair of Abdominal Aortic Aneurysm Grant J. Price H. Surgery on Portal Vein Portasystemic Venous Shunt Surgery for Portal Hypertension David K. W. Chew and Michael S. Conte Transjuglar Intrahepatic Portosystemic Shunt Grant J. Price I. Abdominal Hernia Surgery Hernia Surgery Christine Bartus and David Giles J. Peritoneal Surgery Peritoneal Shunts Eric M. Knauer and David Giles Index