By George Y. Wu
Textual content describes all the surgical and laparoscopic approaches now used for the gastrointestinal tract. comprises transparent, halftone illustrations and discussions of anatomical and physiological adjustments. additionally bargains suggestion at the clinical administration of the postsurgical sufferer. For physicians. DNLM: Digestive procedure Surgical Procedures--methods.
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Additional info for An Internist's Illustrated Guide to Gastrointestinal Surgery (Clinical Gastroenterology)
The surgery is performed under general anesthesia. Five laparoscopic trocars are placed. The peritoneum overlying the distal esophagus is divided and the anterior esophagus is exposed after inducing pneumoperitoneum. The anterior vagus nerve is identified and protected. With laparoscopic magnification, the longitudinal and circular muscles are carefully divided, exposing the mucosal layer (Fig. 2). The myotomy is now extended proximally 6 cm from the G–E junction and distally 1 cm onto the proximal stomach.
Bowel interposition for esophageal replacement: twenty-five-year experience. Ann Thorac Surg 1997;64:752. 31. McLarty A, Deschamps C, Trastek V, et al. Esophageal Resection for Cancer of the Esophagus: LongTerm Function and Quality of Life. Ann Thorac Surg: 1997;63:1568. 16 Kent, Port, and Altorki Chapter 2 / Zenker's Diverticulum 2 17 Zenker’s Diverticulum Anders Holm, MD and Denis C. Lafreniere, MD CONTENTS INTRODUCTION EVALUATION TREATMENT PROCEDURE COMPLICATIONS COST SUMMARY REFERENCES INTRODUCTION The Zenker’s diverticulum is an out pouching of the hypopharynx arising between the fibers of the cricopharyngeus inferiorly and the inferior constrictor superiorly.
Initial attempts at simply reducing the hernia by closing the crura proved to have unacceptably high failure rates. The Allison repair, introduced in 1951, involved mobilization of the distal esophagus with placement of the gastroesophageal junction within the abdomen and repair of the crura. This operation had a high recurrence rate, and subsequently several attempts were made at both fixing the gastroesophageal junction within the abdomen and wrapping the gastric fundus around the distal esophagus (fundoplication) to create an antireflux valve (1).
An Internist's Illustrated Guide to Gastrointestinal Surgery (Clinical Gastroenterology) by George Y. Wu