Gastrointestinal and colorectal surgery Books

Book SynopsisTable of Contents1 Einleitung: Was ist ein postoperatives Syndrom?.- 2 Kosten der postoperativen Syndrome - Eine Kostenanalyse am Beispiel des Ulcus duodeni.- 1 Einleitung.- 2 Definitionen und Annahmen bei der Kostenberechnung.- 2.1 Charakteristika des Patienten.- 2.2 Dauer der Ulcuskrankheit.- 2.3 Kosten einer Erkrankung.- 2.4 Wahl und Beginn der Therapie.- 2.5 Verlauf der internistischen Therapie.- 2.6 Verlauf der operativen Therapie.- 2.7 Der Wert eines Menschenlebens.- 2.8 Kosten des Krankenhausaufenthaltes.- 2.9 Kosten der chirurgischen Therapie.- 3 Methodik.- 3.1 Symbole im Entscheidungsdiagramm.- 3.2 Berechnung der Erwartungskosten.- 3.3 Das Entscheidungsdiagramm für das Ulcus duodeni.- 4 Ergebnisse.- 5 Diskussion.- Literatur.- 3 Akute postoperative Störungen.- 1 Einleitung.- 2 Postoperative Blutung.- 2.1 Häufigkeit und Bedeutung.- 2.2 Ursachen.- 2.3 Diagnostik.- 2.4 Therapie.- 3 Postoperativer Ileus.- 3.1 Häufigkeit und Formen.- 3.2 Ursachen.- 3.3 Diagnostik.- 3.4 Therapie.- 4 Peritonitis-Sepsis.- 4.1 Häufigkeit und Bedeutung.- 4.2 Ursachen.- 4.3 Diagnostik.- 4.4 Therapie.- 5 Anmerkungen zu anderen akuten postoperativen Erscheinungen.- 5.1 Störungen des Flüssigkeits-, Elektrolyt- und Säurebasenhaushaltes.- 5.2 Störungen des Kohlenhydratstoffwechsels.- 5.3 Störungen der Leberfunktion.- 5.4 Störungen des endokrinen Systems.- 5.5 Störungen des Sensoriums.- 5.6 Störungen des kardiovasculären Systems.- 6 Schlußbemerkung.- Literatur.- 4 Eingriffe im Bereich des Oesophagus bei gutartigen Erkrankungen.- 1 Einleitung.- 2 Störungen nach chirurgischen Eingriffen am oberen Oeso- phagussphincter (OOS).- 2.1 Chirurgische Eingriffe am oberen Oesophagussphincter.- 2.2 Klassifikation postoperativer Syndrome.- 3 Störungen nach operativen Eingriffen am tubulären Oesophagus.- 3.1 Chirurgische Eingriffe am tubulären Oesophagus.- 3.2 Klassifikation der postoperativen Syndrome.- 4 Störungen nach Eingriffen am unteren Oesophagussphincter (UOS).- 4.1 Chirurgische Eingriffe am unteren Oesophagussphincter.- 4.2 Chirurgische Therapie der Refluxkrankheit.- 4.3 Störungen nach allen Typen der Antirefluxchirurgie.- 4.4 Störungen nach Myotomie.- 4.5 Störungen nach Kardiaresektion.- Literatur.- 5 Postoperative Syndrome nach Oesophagusersatz.- 1 Einleitung.- 2 Indikationen zur Oesophagusresektion.- 2.1 Benigne Erkrankungen (relative Indikationen).- 2.2 Maligne Erkrankungen (absolute Indikationen).- 3 Chirurgische Methoden des Oesophagusersatzes.- 3.1 Magen-, Colon-, Jejunuminterponate.- 4 Postoperative Komplikationen.- 4.1 Nekrose des Transplantates.- 4.2 Anastomoseninsuffizienz - Fistelbildung.- 4.3 Anastomosenstrikturen.- 4.4 Magenretention.- 4.5 Postvagotomiesyndrom.- 4.6 Schmerzen und Unwohlsein.- 4.7 Hämatologische Folgeerscheinungen.- 4.8 Reflux.- 4.9 Störungen beim Essen.- 5 Wahl des Ersatzorgans.- Literatur.- 6 Postvagotomiesyndrome.- 1 Einführung.- 2 Techniken der Vagotomie.- 3 Operative Komplikationen.- 3.1 Oesophagusperforation.- 3.2 Blutung.- 3.3 Magenwandnekrose.- 4 Störungen der Oesophagusmotihtät.- 4.1 Dysphagie.- 4.2 Gastrooesophagealer Reflux.- 5 Magenentleerung.- 5.1 Verzögerte Magenentleerung.- 5.2 Mit „Mageninkontinenz“ assoziierte Störungen.- 6 Duodenogastrischer Reflux.- 7 Cholelithiasis.- 8 Metabolische Folgen.- 8.1 Malabsorption.- 8.2 Anämie.- 8.3 Gewichtsverlust.- 9 Rezidivulcus.- Literatur.- 7 Postgastrektomiesyndrome.- 1 Einleitung und Definition.- 2 Gestörte Kardiafunktion.- 2.1 Häufigkeit und Pathophysiologie.- 2.2 Diagnostik.- 2.3 Behandlung.- 3 Dumping, das Syndrom der „Mageninkontinenz“.- 3.1 Physiologie.- 3.2 Pathophysiologie.- 3.3 Häufigkeit.- 3.4 Symptome.- 3.5 Behandlung.- 4 Duodenogastraler Reflux.- 4.1 Definition.- 4.2 Symptome.- 4.3 Diagnostik.- 4.4 Duodenogastraler Reflux nach verschiedenen Magenoperationen.- 4.5 Morphologisches Substrat und Pathophysiologie.- 4.6 Therapie.- 5 Gastritis.- 5.1 Häufigkeit.- 5.2 Die klinische Bedeutung der Gastritis nach Operationen am Magen.- 5.3 Pathophysiologie.- 5.4 Langzeitfolgen der Gastritis nach partieller Gastrektomie.- 6 Mechanische Probleme.- 6.1 Stenose der Anastomose.- 6.2 Das Afferent-loop-Syndrom.- 7 Unzureichende Reduzierung der Säuresekretion.- 7.1 Ursachen des Rezidivulcus.- 7.2 Diagnostik.- 7.3 Behandlung des Rezidivulcus.- 8 Inadäquate Operationsindikation.- 8.1 Psychologische Folgen der Operation.- 8.2 Das Syndrom des Phantom-Ulcus.- 8.3 Cöliakie.- 8.4 Colon irritabile.- 8.5 Biliäre Erkrankungen.- 9 Die Rolle der Endoskopie nach partieller Gastrektomie.- 9.1 Ulceration.- 9.2 Magenerythem und Gallenreflux.- 9.3 Nichtresorbierbares Nahtmaterial.- 10 Metabohsche Folgezustände.- 10.1 Anämie.- 10.2 Knochenerkrankungen.- 10.3 Gewichtsverlust.- Literatur.- 8 Postoperative Syndrome nach totaler Gastrektomie.- 1 Einleitung.- 2 Mangelernährung.- 2.1 Resorptionsstörungen (Malabsorption).- 2.2 Unzureichende Nahrungsaufnahme.- 3 Anämie.- 3.1 Eisenmangelanämie.- 3.2 Megaloblastische Anämie.- 4 Oesophagitis.- 5 Dumping-Syndrom.- Literatur.- 9 Postoperative Syndrome nach Dünndarmresektion.- 1 Einleitung.- 2 Entscheidende Faktoren für Prognose und Resultat.- 2.1 Ausmaß der Resektion.- 2.2 Proximale oder distale Resektion.- 2.3 Funktionszustand des erhaltenen Dünndarms.- 2.4 Adaptation.- 2.5 Magenhypersekretion nach Dünndarmresektion.- 3 Klinik und Laborbefunde.- 3.1 Diarrhoe.- 3.2 Malabsorption.- 3.3 Laborbefunde.- 4 Therapie.- 4.1 Postoperative Periode.- 4.2 Orale Ernährung.- 4.3 Spezifische Substitutionsbehandlung.- 4.4 Medikamentöse Therapie.- 4.5 Parenterale Ernährung.- 4.6 Chirurgische Behandlung des „Kurzdarmsyndroms“.- 4.7 Behandlung von Begleitzuständen.- 4.8 Vorbeugung.- Literatur.- 10 Postoperative Syndrome nach Shuntoperationen zur Behandlung der Fettsucht.- 1 Klassifizierung der chirurgischen Eingriffe.- 2 Studie zur Erfassung der Häufigkeit postoperativer Syndrome.- 3 Frühe Komplikationen (Beginn innerhalb von 2 Monaten nach der Operation).- 3.1 Akute postoperative Komplikationen.- 3.2 Durchfall und durchfallbedingte KompHkationen.- 3.3 Arzneimittelstoffwechsel.- 4 Mittelfristige Komplikationen (Beginn zwischen 3. und 24. Monat nach der Operation).- 4.1 Nierensteine.- 4.2 Pseudoobstruktion des Colons.- 4.3 Intestinale Pneumatose.- 4.4 Rheumatologische Komphkationen.- 4.5 Lebererkrankungen.- 5. Späte Komphkationen (Beginn nach etwa 24 Monaten).- 5.1 Exzessiver Gewichtsverlust.- 5.2 Ungenügender Gewichtsverlust.- 5.3 Vitamin-B 12-Mangel.- 5.4 Osteoporose, Osteomalacic.- 5.5 Gallensteine.- 5.6 Psychiatrische Komphkationen.- 6 Therapie.- 7 Schlußbemerkungen.- Literatur.- 11 Bakterielles Kontaminationssyndrom.- 1 Definition.- 2 Die bakterielle Flora des Gastrointestinaltraktes.- 3 Postoperative Syndrome.- 3.1 Magenchirurgie.- 3.2 Dünndarm- und Colonchirurgie.- 3.3 Gallenwegschirurgie.- 4 Klinik, Diagnose und Behandlung.- Literatur.- 12 Postoperative Stoma-Probleme nach Eingriffen am Dickdarm.- 1 Komphkationen der Colektomie.- 1.1 Sterblichkeit.- 1.2 Peritonitis.- 1.3 Dünndarmverschluß.- 1.4 Die perineale Wunde.- 1.5 Sexuelle Dysfunktion.- 2 Komplikationen der Ileostomie.- 2.1 Die inkontinente Ileostomie.- 2.2 Die kontinente Ileostomie.- 2.3 Neue Methoden zur Erlangung der Kontinenz.- 3 Colostomie.- 3.1 Endständiger Anus praeter.- 3.2 Die kontinente Colostomie.- 3.3 Die doppelläufige Colostomie.- Literatur.- 13 Partielle Colektomie und Myotomie.- 1 Einführung.- 2 Häufige postoperative Komphkationen nach partieller Colektomie.- 2.1 Frühkomphkationen.- 2.2 Funktionelle Störungen der Darmentleerung.- 2.3 Unspezifische Colitis im Bereich der Anastomose und andere Ursachen einer Anämie.- 2.4 Stenosen im Bereich der Anastomose.- 2.5 Adhäsionen.- 3 Spezifische KompHkationen in Abhängigkeit von der Art und der Lokahsation der Operation.- 3.1 Hemicolektomie und Colorectostomie.- 3.2 Resektion der Valvula Bauhini mit oder ohne Teile des Ileums.- 3.3 Tiefsitzende Colonteilresektion und andere Operationen am Colon.- 3.4 Urologische Komplikationen.- 3.5 Rectumprolapskorrektur mittels IVALON-Sponge-Manschette.- 3.6 Ureterosigmoidostomie.- 3.7 Colomyotomie.- Literatur.- 14 Postoperative Komplikationen nach Appendektomie - Adhäsionen.- 1 Einleitung.- 2 Akute Komplikationen der Appendektomie.- 2.1 Appendektomie ohne pathologischen Befund.- 2.2 Wundinfektionen.- 2.3 Intraabdominale Abscesse.- 2.4 Sonstige KompHkationen.- 3 Adhäsionen nach Appendektomie.- 3.1 Pathophysiologic.- 3.2 Vorbeugung.- 3.3 Diagnostik.- 3.4 Behandlung.- 4 SpätkompHkationen nach Appendektomie.- 4.1 Intervallappendektomie.- 4.2 Tumoren der Appendix.- 4.3 Hernien.- 4.4 Letahtät.- 5 Technische Bemerkungen.- 6 Einteilung der KompHkationen.- Literatur.- 15 Rectum und Anus.- 1 Mechanismen der Analkontinenz.- 1.1 Muskelapparat.- 1.2 Sensorische Komponenten.- 1.3 Anatomische Merkmale.- 2 Die normale anorectale Funktion.- 3 Die Auswirkung chirurgischer Eingriffe auf die Analkontinenz.- 3.1 Rectumresektion.- 3.2 Eingriffe zur Behandlung von Hämorrhoiden.- 3.3 Eingriffe zur Behandlung von Analfisteln.- 3.4 Eingriffe zur Behandlung von Analfissuren.- 4 Untersuchungen zur Beurteilung der Inkontinenz.- 5 Wirkung chirurgischer Eingriffe auf die sexuelle Funktion...- 6 Zusammenfassung.- Literatur.- 16 Postoperative Syndrome nach Eingriffen am Pankreas.- 1 Anatomische und pathophysiologische Vorbemerkungen.- 2 Postoperative Syndrome bei primären Pankreasläsionen.- 2.1 Akute postoperative Pankreatitis.- 2.2 Organische Folgen des Operationstraumas.- 3 Postoperative Syndrome aufgrund veränderter Regulations-mechanismen der Pankreasfunktion.- 4 Therapeutische Überlegungen zur exokrinen und endokrinen Pankreasinsuffizienz.- 4.1 Exokrine Pankreasinsuffizienz.- 4.2 Endokrine Pankreasinsuffizienz.- Literatur.- 17 Postoperative Syndrome nach Eingriffen an der Leber.- 1 Klassifizierung der chirurgischen Eingriffe an der Leber.- 1.1 Lebernaht.- 1.2 Leberresektionen.- 1.3 Cystektomien, Drainageoperationen.- 1.4 Unterbrechung der Blutversorgung.- 1.5 Tamponade.- 2 Postchirurgische Komphkationen und Syndrome.- 2.1 Allgemeine Komplikationen.- 2.2 Spezifische Syndrome nach Resektionen.- 2.3 Spezifische Syndrome nach Eingriffen bei Echinococcosen.- 2.4 Spezifische Syndrome nach Ligatur der A. hepatica.- 2.5 Spezifische Syndrome nach Venenhgatur.- Literatur.- 18 Postoperative Syndrome nach Cholecystektomie.- 1 Das Postcholecystektomiesyndrom (PCS).- 1.1 Definition.- 1.2 Aetiologie und Klassifikation.- 1.3 Häufigkeit.- 1.4 Abklärung.- 2 Biliäre organische Aetiologie des PCS.- 2.1 Prophylaxe durch intraoperative Untersuchungen.- 2.2 Gallengangsteine.- 2.3 Papillenstenose.- 2.4 Gallengangsstriktur.- 2.5 Langer Cystikusstumpf.- 3 Bihäre nicht-organische Aetiologie des PCS.- 3.1 Metabolische Störungen.- 3.2 Funktionelle Störungen.- 4 Extrabiliäre organische Aetiologie des PCS.- 5 Extrabiliäre nicht-organische Aetiologie des PCS.- 5.1 Irritables Colon.- 5.2 Psychosomatische Störungen.- 6 Zusammenfassung.- Literatur.- 19 Papillotomie und bilio-digestive Anastomose.- 1 Die Funktion des Sphincter Odd: Indikation zu seiner Durchtrennung und Folgen.- 1.1 Die physiologische Bedeutung des Sphincter Oddi.- 1.2 Pathophysiologische Folgen des Funktionsverlustes des Spincter Oddi.- 1.3 Präoperative Diagnostik zur Vermeidung postoperativer Syndrome.- 2 Indikationen für die Sphincterotomie (Papillotomie) oder bilio-digestive Anastomose.- 2.1 Sphincterotomie, Papillotomie.- 2.2 Bilio-digestive Anastomosen.- 3 Papillotomie, Sphincterotomie, Sphincteroplastik.- 3.1 Chirurgische Verfahren.- 3.2 Endoskopische Verfahren.- 3.3 Komphkationen.- 3.4 Syndrome nach chirurgischer und endoskopischer Papillotomie.- 4 Bilio- digestive Anastomosen.- 4.1 Operationsverfahren.- 4.2 Postoperative Syndrome.- 4.3 Diagnostik und Therapie.- Literatur.- 20 Postoperative Syndrome nach Shuntoperationen bei portaler Hypertension.- 1 Klassifizierung von Patienten für die Shuntchirurgie.- 2 Klassifizierung der Shuntoperationen.- 3 Verfahrenswahl bei Shuntoperationen.- 4 Wahl des Zeitpunktes für eine Shuntoperation.- 5 Postoperative Syndrome nach Shuntoperationen.- 5.1 Frühe postoperative Komplikationen.- 5.2 Späte postoperative Komplikationen.- 6 Lohnt sich die Shuntchirurgie?.- Literatur.

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Book SynopsisThere are many diagnostic imaging techniques for the radiological exarmna- tion of the abdomen. Noninvasive methods include supine and upright views of the abdomen (sometimes fluoroscopy and decubitus films); posteroanterior (PA) views of the chest; contrast studies of the alimentary tract; ultrasonogra- phy (US), scintigraphy, computed tomography (CT), and magnetic resonance imaging (MRI). Biopsy under fluoroscopic control and angiography are inva- sive techniques. Most of the errors described in this book are related to faulty interpretation; others are due to improper technique. For example, a patient with acute abdominal pain secondary to a perforated hollow viscus may be studied only by supine and upright views of the abdomen that do not include the subdi- aphragmatic regions. A complementary PA view of the chest or a left lateral decubitus film would, however, detect free air in the pentoneal cavity that the incomplete two-film study might have missed. Errors of techmque are due to under- or overexposure, long exammation times or an uncooperative patient (both of which can induce motion artIfacts), improper processing, and failure to perform the proper standard noninvasive or mvaSlVe modalitIes for examining the hollow viscus and the solid organs of the alimentary tract. In order to visualize the diaphragm and the supra- and mfradiaphragmatIc spaces, frontal and lateral chest roentgenograms complement the standard views of the abdomen. Fluoroscopy IS of great value m assessing diaphrag- matic motion as well as being essential when contrast media are utilized.Table of ContentsInterpretation of Radiological Examination.- Atlas.- Hepatic Pseudolesions.- Heart Motion.- Ligamentum Teres.- Bowel Interposition.- Enlarged Umbilical Veins.- Accessory Hepatic Fissure.- Congenital Anomalies of the Liver.- Dysplastic Liver Secondary to Omphalocele.- Absent Left Lobe.- Benign Liver Tumor Simulating Metastasis.- Cavernous Hemangioma.- Cavernous Hemangioma (MRI and CT).- Liver Infarcts Simulating Metastases.- Zand Infarcts.- Fatty Metamorphosis Simulating Liver Tumors.- Diffuse Fatty Infiltration.- Single Focal Fatty Mass.- Multiple Fatty Masses.- Juxtahepatic Tumor Simulating Liver Neoplasia.- Sarcoma of IVC.- Pseudosplenomegaly.- Enlarged Left Lobe of Liver.- Enlarged Left Kidney and Displaced Spleen.- “Wandering” Spleen.- Ectopic Spleen Simulating a Right Flank Tumor.- Ectopic Spleen.- Malrotation of the Spleen Simulating Left Adrenal or Pancreatic Tumor.- Malrotated Spleen.- Accessory Spleen, Heterotopic Splenic Tissue, and Splenic Remnants Simulating Tumors.- Accessory Spleen.- Heterotopic Spleen.- Splenic Remnant.- Normal Pancreas.- Cast-Corrosion Study of Duodenum, Pancreas, Spleen, Left Adrenal Gland, and Left Kidney.- Left Pseudoadrenal Tumor.- Normal Dorsally Directed Tail of the Pancreas.- Relocated Tail of the Pancreas Following Left Nephrectomy.- Pseudoretrogastric Mass Secondary to Fat.- Abundant Pancreatic and Peripancreatric Fat.- Focal Adiposity Simulating Retroduodenal Tumor.- Retroperitoneal Pseudotumor Due to Absence of Retroperitoneal Fat.- Emaciated Patient.- Pseudogastric Dilatation.- Injected Pancreatic Pseudocyst Simulating Gastric Dilatation.- Pseudotumor of Tail of the Pancreas.- Traumatic Aneurysm of Splenic Artery.- Splenic Arteriovenous Fistula Simulating a Mass in the Tail of the Pancreas.- Gastric Pseudoneoplasia.- Gastric Varices.- Pseudointernal Hernia.- Bowel Relocation Secondary to Agenesis of the Right Kidney.- Left Pseudoparaduodenal Hernia.- Retractile Mesenteritis with Mesenteric Fatty Mass and Adherent Bowel Loops.- Pelvic Mass Thought to Be Secondary to Colonic Pathology Pelvic Kidneys.- Pseudocancer of the Large Bowel Secondary to Ischemic Colitis.- Cecal Infarction.- Chronic Ulcerative Colitis with Superimposed Ischemic Colitis.- Segmental Ischemic Colitis.- Pseudoneoplasia Caused by Ischemic Malabsorption.- Chronic Intestinal Ischemia Simulating Malignancy.- Lesions Mimicking Carcinoma.- Intramural Hematomas of the Esophagus.- Pseudocalculi.- Pseudocalculi Due to Layering of Contrast Media.- Iatrogenic Disease.- Iatrogenic Short Bowel Syndrome.- Paravertebral Pseudomass Caused by Retroperitoneal Fat.- Normal Variant.- Retroperitoneal Pseudotumor Caused by Fat.- Fat Accumulation in the Left Paravertebral Region Displacing Left Ureter.- Extrinsic Cecal Pseudomass.- Psoas Hypertrophy.- Pseudoadrenal Mass Caused by Enlarged Veins.- Patient with Chronic Myelogenous Leukemia and Portal Hypertension.- Pseudohepatic Tumor Simulated by Adrenal Tumor.- Carcinoma of the Right Adrenal Gland.- Pseudohepatomegaly Simulated by Large Adrenal Tumor.- Nonfunctioning Pheochromocytoma of the Right Adrenal Gland.- Appendix: Tables 1-6.

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Book SynopsisDer Band aus der dreibändigen Reihe „Praxis der Viszeralchirurgie“ liefert eine umfassende Wissensbasis und praxisnahe Entscheidungshilfen für den Chirurgen sowie für seine Partner: Alle chirurgisch relevanten benignen Erkrankungen der gastrointestinalen Organe sind fundiert und detailliert beschrieben. Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begründete Empfehlungen zu Diagnostik und Therapie. Die Neuauflage wurde an den aktuellen wissenschaftlichen Stand angepasst.Table of ContentsI. Spezielle diagnostische Techniken 1. Diagnostische Sonographie 2. Interventionelle Sonographie 3. Allgemeine radiologische Diagnostik des Magen-Darm-Traktes und der Gallenwege einschließlich Computer- und Magnetresonanztomographie 4. Radiologische Interventionen im Gastrointestinaltrakt 5. Nuklearmedizinische Verfahren 6. Motilitätstests des Gastrointestinaltraktes (inkl. Langzeit-pH-Metrie) 7. Resorptionstests 8. Spezielle Labordiagnostik II. Allgemeine Viszeralchirurgie 9. Therapeutische Endoskopie 10. Prinzipien der Laparoskopie 11. Präoperative Risikoabschätzung 12. Prinzipien der Laparotomie 13. Die chirurgische Naht 14. Drainage der Bauchhöhle 15. Allgemeine Transplantationsmedizin 16. Postoperativer Verlauf und seine Störungen – Chirurgische Intensivmedizin i.d. Viszeralchirurgie 17. Ambulante Chirurgie 18. Blutung, Blutersatz, Blutgerinnung 19. Antibiotikatherapie 20. Allgemeine chirurgische Prinzipien beim akuten Abdomen 21. Abdominelle Sepsis und Peritonitisbehandlung 22. Spezielle chirurgische Prinzipien in der Behandlung des traumatischen Abdomens 23. Allgemeine chirurgische Prinzipien in der Behandlung des Ileus III. Therapieindikationen und Durchführung der Therapie 24. Gutartige Erkrankungen von Ösophagus und Kardia 25. Hiatushernien und andere Erkrankungen des Zwerchfells 26. Verletzungen von Ösophagus und Magen 27. Gutartige Erkrankungen von Magen und Duodenum 28. Chirurgische Behandlung der morbiden Adipositas 29. Erkrankungen des Dünndarms (außer Morbus Crohn) 30. Gefäßerkrankungen des Dünndarms und des Kolons 31. Dünndarmtransplantation 32. Morbus Crohn 33. Gutartige Erkrankungen von Dickdarm und Rektum 34. Appendizitis 35. Proktologie 36. Erkrankungen der Gallenwege 37. Erkrankungen der Leber 38. Portale Hypertension 39. Lebertransplantation 40. Pankreas 41. Milz 42. Chirurgie des großen Netzes 43. Hernien 44. Kindliche Hernien 45. Spezielle gastroenterologische Probleme in der Kinderchirurgie Sachverzeichnis

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Book SynopsisThis operation primer provides excellent photographic step-by-step guidance to this surgical procedure. It has been designed to describe the operation in the simplest manner possible without over-simplifying the complexities involved. Nodal points are at the core of the operation primer, describing the key surgical steps in detail. This surgical guidebook provides essential reference material for surgeons wishing to improve and update their knowledge in this specific area. The operation primer Laparoscopic Sleeve Gastrectomy is specially created for surgeons wishing to familiarize themselves with minimally invasive stomach-restrictive surgical techniques. The worldwide use of laparoscopic sleeve gastrectomy (vertical sleeve gastrectomy) is consistently increasing in popularity. This type of surgery can be safely integrated into obesity and metabolic treatment programs resulting in weight loss, reduction in co-morbidities and increased quality of life. This operation primer is an excellent teaching tool, accurately describing the steps of this standardized technique in a manner suitable for both beginners and experienced surgeons. It provides a detailed overview of patient preparation, key surgical steps and common pitfalls of Laparoscopic Sleeve Gastrectomy. This operation primer will provide surgeons with a reliable and systematic approach to performing Laparoscopic Sleeve Gastrectomy.Table of ContentsIntroduction.- Structure and handling of the Operation Primer.- Preparations for the operation.- Positioning of the operating team.- Creating the pneumoperitoneum – placing the trocar for the scope.- Placing the working trocars.- Nodal points.- 1 Exploring the abdominal cavity.- 2 Identifying the anatomical landmarks.- 3 Dissecting the greater curvature towards the pylorus.- 4 Dissecting the greater curvature towards the angle of His.- 5 Dissecting the posterior gastric wall.- 6 Calibrating the gastric pouch.- 7 Creating the gastric sleeve.- 8 Oversewing the staple line.- 9 Testing the stomach for leaks.- 10 Removing the resected stomach.- 11 Finishing the operation.- Management of difficult situations and complications.- Appendices.

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Book SynopsisThis is the second, updated and extended edition of a well-received book that offers a comprehensive overview of ultrasonographic imaging of acute and chronic gastrointestinal diseases, including acute abdomen, appendicitis, diverticulitis, inflammatory bowel diseases, neoplasms and masses, infections, malabsorption syndromes, and rare conditions. The value of ultrasound in each disorder is clearly explained and illustrated, and limitations identified. Information is also provided on recent technical developments and ultrasound applications that are likely to become of increasing importance, such as functional and 3D ultrasound, contrast agents and intraoperative ultrasound, elastography, and transperineal ultrasound. The authors are all distinguished experts in the topics they address. Ultrasound of the Gastrointestinal Tract will be a helpful guide in daily practice not only for radiologists but also for gastroenterologists, abdominal surgeons, pediatricians, and oncologists.Table of ContentsPart I: Acute Abdomen.- Part II: Chronic InflammatoryBowel Diseases.- Part III: Infections.- Part IV: Neoplasm.- Part V: Procedures and Technical Developments.- Part VI: Transperineal Ultrasound.

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Book SynopsisUnter Mitarbeit zahlreicher FachwissenschaftlerTable of ContentsPathologische Anatomie des Magenkarzinoms.- Endoskopische Diagnostik des Magenkarzinoms und sogenannter Präkanzerosen.- Röntgendiagnostik beim Magentumor.- Chirurgische Therapie des Magenkarzinoms.- Interdisziplinäre Therapie und Nachsorge bösartiger Magentumoren.- Das Magenstumpfkarzinom.- Zur Differentialdiagnose des Magenkarzinoms.- Sialinsäurehistochemie — neue Möglichkeiten zur Früherkennung des Magenkarzinoms in der pathologischen Routinediagnostik.- Lektin- und Blutgruppenhistochemie der menschlichen Magenschleimhaut — mögliche Grundlage zur Frühdiagnostik entartender Zellgruppen.- Bindungstyp und Bindungspartner terminaler Sialinsäuren in menschlichen Muzinen. Histochemischer Vergleich von normalem Kolon mit intestinalen Metaplasien vom Duodenum- und Kolontyp.- Die Pioniere der Magenchirurgie im 19. Jahrhundert.

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Book SynopsisProblemen mit dem Stuhlgang wird, gemessen an ihrer H{ufig- keit, in der Medizin relativ wenig Aufmerksamkeit gewidmet. Demgegen}ber besteht ein erheblicher Bedarf an praktisch nutzbarer Information. Das vorliegende Buch - Ergebnis einer gr}ndlichen Diskussion namhafter Autoren - fa~t den derzeitigen Kenntnisstand zusammen. Es behandelt zun{chst die Grundlagen der Motilit{t und beschreibt alle wichtigen Untersuchungsmethoden. Im klinischen Teil werden Ursachen, Diagnostik und Therapiem glichkeiten der chronischen Obstipation und der Stuhlinkontinenz dargestellt. Internisten, Gastroenterologen und Allgemein{rzte erhalten damit fundierte Informationen }ber in der Praxis h{ufig geklagte Beschwerden.Table of Contents1 Chronische Obstipation: Ein Problem in der Praxis.- 2 Problemstellung.- 3 Definitionen.- Physiologie, Pharmakologie und funktionelle Untersuchungsmethoden des Kolons und Anorektums.- 4 Kolonmotilität und Defälcation.- 5 Pharmakologie des Kolons und des Analkanals.- 6 Ernährung und Kolonfunktion.- 7 Basisdiagnostik: Anamnese, digitale Untersuchung und funktioneile Proktoskopie.- 8 Radiologische Methoden (Defäkographie, Transitmessung).- 9 Anorektale Manometrie.- 10 Elektromyographie des Beckenbodens.- 11 Defäkations-und Kontinenztests.- Chronische Obstipation und Stuhlinkontinenz.- 12 Epidemiologie der Obstipation.- 13 Epidemiologie der analen Inkontinenz.- 14 Psychosoziale Faktoren.- 15 Motilitätsstörungen des Kolons.- 16 Funktionelle Obstruktion.- 17 Obstipation als Begleitsymptom und als unerwünschte Arzneimittelwirkung.- 18 Ätiologie und Pathogenese der Inkontinenz.- 19 Notwendige Diagnostik.- 20 Allgemeine Maßnahmen und Ernährungsempfehlungen.- 21 Medikamentöse Therapie der Obstipation.- 22 Biofeedback bei Obstipation.- 23 Konservative Therapie der Inkontinenz.- 24 Chirurgische Therapie der chronischen Obstipation.- 25 Chirurgische Therapie der Inkontinenz.- 26 Inkontinenz Bei Ileonaler Anastomose.- 27 Konsequenzen.

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Book SynopsisDie gro~en Fortschritte in der Hepatitisforschung, die zur Entdeckung und Charakterisierung von 5 unterschiedlichen Virushepatitiden f}hrte, erbrachteneue Erkenntnisse f}r die Epidemiologie, Infektiosit{t und zur Pathogenese. Es gelang die Entwicklung eines wirksamen und sicheren Impfstoffs gegen die Virus-B-Hepatitis. Dagegen ist die Therapie der akuten Virushepatitis und chronischen Virus-B, -C- und -D-Hepatitis noch unbefriedigend. Mit der Einf}hrung von Interferon alfa in die Behandlung der chronischen Virushepatitiden haben sich neue therapeutische Ans{tze ergeben, obwohl erst ungef{hr 30-40% der Patienten davon profitieren. Eine Anzahl von sorgf{ltig durchgef}hrten kontrollierten Therapiestudien im In- und Ausland haben inzwischen zu }bereinstimmenden Therapieempfehlungen gef}hrt, die in diesem Buch wiedergegeben werden. In diesem Buch werden die Epidemiologie, Pathogenese, Klinik und therapie sowie die Prognose der chronischen Virushepatitiden einschlie~lich der Nebenwirkung ausf}hrlich beschrieben. Es wendet sich daher an alle [rzte, die gegenw{rtig oder in Zukunft Patienten mit chronischer Virushepatitisbehandeln.Table of ContentsEpidemiologie und Klinik der Hepatitis-B-Virus(HBV)-Infektion.- Serologische Diagnostik der Hepatitis B.- Wirkungsmechanismus der Interferone; unter besonderer Berücksichtigung der chronischen Hepatitis B.- Wirksamkeit von alfa-Interferon bei der chronischen Hepatitis B.- Therapie der chronischen Hepatitis B mit alfa-Interferon: Selektion der Patienten.- Verlaufskontrolle der rezidivierenden Hepatitis B und Delta bei Patienten nach Lebertransplantation und Therapie mit rekombinantem Interferon alfa.- Hepatitis NANB/C: klinisches Bild und Krankheitsverlauf.- Diagnostik und Epidemiologie der Hepatitis-C-Virus-Infektion.- Wirksamkeit von Interferon Alfa-2b bei chronischer Hepatitis Non-A-Non-B.- Ausschlußkriterien einer Interferontherapie bei chronischer Hepatitis.- Patientenführung bei der alfa-Interferon-Therapie.

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Book SynopsisWas kann man tun, um möglichst gesund möglichst lange zu leben? Diese Frage ist so alt wie die Menschheit und heute, im Zeitalter schier unbegrenzter medizinisch-technischer Möglichkeiten, aktueller denn je. Der Autor, renommierter Gastroenterologe und Ernährungsmediziner mit jahrzehntelanger klinisch-praktischer und wissenschaftlicher Erfahrung, greift in diesem Buch viele Fragen auf, mit denen man im Alltag oft konfrontiert wird. Ist Grillen schädlich? Sind Vitamine nützlich? Was ist dran am „Superfood“? Auf anregende Weise - stets mit einem Augenzwinkern und ohne erhobenen Zeigefinger - geht er auf diese und viele weitere Aspekte unseres heutigen Lebenswandels ein. Unsere Ernährung nimmt dabei einen großen Stellenwert ein, aber auch viele andere Lebensstilfragen spielen eine Rolle. Er stellt wissenschaftlich fundiert dar, was man sich von verschiedenen Trends und hartnäckigen Gerüchten erwarten darf. Der interessierte Leser findet hier zahlreiche Informationen und Anregungen, wie er auf sinnvolle Art und Weise eine gesunde Ernährung und gesunden Lebensstil in seinen Alltag einbauen kann. Die Neuauflage wurde überarbeitet, aktualisiert und um neue aktuelle Themen zu Corona und Übergewicht erweitert. Es richtet sich an alle an gesunder Ernährung und gesundem Lebensstil interessierten Leser und ist darüber hinaus auch eine wertvolle Informationsquelle für im Ernährungsbereich tätige Berufsgruppen.Table of Contents

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Book SynopsisThe new series A-Z Notes in Radiological Practice and Reporting provides practical guides for residents and general radiologists, organized alphabetically, primarily according to disease or condition. All booklets are designed so as to cover a large spectrum of topics referring to different anatomical regions of interest. Entries typically include a short description of pathological and clinical characteristics, guidance on selection of the most appropriate imaging technique, a schematic review of potential diagnostic clues, and useful tips and tricks. The present booklet, enriched by illustrations and schemes, is devoted to gastrointestinal imaging. Major topics in CT and MR imaging of the small bowel, colon, rectum, and anus are treated concisely in alphabetical order. For each topic a brief review of clinical features and pathology is presented, followed by a short description of imaging technique and an accurate review of imaging findings and signs which are useful in the differential diagnosis of gastrointestinal disease. ​Table of ContentsFrom A to Z Glossary.- References.

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Book Synopsis2. Stone extraction via the T-tube 89 3. Endoscopic method 89 4. Preparation for stone extraction 90 5. Technique 90 6. Results 91 7. Complications 91 8. Discussion 91 Index of Subjects 99 CHAPTER 1 INTRODUCTION This book was conceived as a descriptive atlas of most reliable indication for common bile duct ex­ routine biliary surgery i. e. , cholecystectomy and ploration. The cholangioscope allows a visual ex­ exploration of the common bile duct. For the pro­ ploration of the biliary tree and permits the re­ ject the two authors worked together for one week moval of common bile duct calculi and other as biopsy under direct visual con­ at Ninewells Hospital and Medical School, Dundee procedures such on a series of patients with biliary tract disease trol. Both procedures have been described in detail especially selected for the exercise. With the con­ with emphasis on the practical aspects of their use. sent of the Tayside Health Board and the patients The era of blind bilary surgery is over and the concerned, all the operations and peri-operative sooner this message is received by all concerned, procedures were filmed by the photographic mem­ the better the outcome of biliary surgical practice bers of the team, Mr. and Mrs. Paz-Partlow. Ad­ overall. ditional case material has been obtained from It has not been our intention to produce a com­ Cedars Sinai Medical Center, Los Angeles.Trade Review`...excellently illustrated... ...of value to all surgeons performing biliary tract surgery.' Gastrointestinal Endoscopy, 31:5 (1985) `...an easy to read and excellent cooperative project from Scotland and the USA between a surgeon, endoscopist and radiologist. It can be commended to abdominal surgeons and will make a useful contribution to safer cholecystectomy.' Journal of the Royal Society of Medicine, 78 (1985) `...should be of help to all surgeons in training.' British Medical Journal, 219 (1985) Table of Contents1. Introduction.- 2. Review of existing problems in biliary tract surgery.- 3. Surgical approach and principles.- 1. Introduction.- 2. Prophylactic measures.- 2.1. Infectious complications.- 2.2. Haemorrhagic complications.- 2.3. Renal failure.- 3. Pre-operative biliary decompression in the jaundiced patient.- 4. Operative principles.- 4.1. Surgical access.- 4.2. Patient positioning.- 4.3. Appropriate incision.- 4.4. Illumination of the operating field.- 4.5. Packing.- 4.6. Exposure of relevant anatomy.- 5. Drainage of the supracolic compartment after biliary operations.- 4. Operative cholangiography (in cooperation with J.A. Hamlin and M. Paz-Partlow).- 1. Introduction.- 2. Common bile duct explorations.- 3. Unsuspected stones.- 4. Cannulation techniques.- 5. Initial and/or completion cholangiograms.- 6. Standard technique.- 6.1. Technique and equipment.- 6.2. Patient’s positioning.- 6.3. Scout film.- 6.4. Injected volume.- 6.5. Contrast material.- 6.6. Coordination of exposure.- 6.7. Mobile C-arm fluoroscope.- 7. Fluoro-cholangiography.- 7.1. Easy positioning of the patient.- 7.2. Optimal beam collimation.- 7.3. Shorter exposure time.- 7.4. Automatic exposure control.- 7.5. Minimal technician activity.- 7.6. Control of the exposure sequence.- 7.7. Serial films.- 7.8. Decreased examination time.- 7.9. Indirect radiography.- 8. Anomalies of surgical importance.- 8.1. Short cystic duct.- 8.2. Drainage of cystic duct in the right hepatic duct.- 8.3. Aberrant ducts.- 8.4. Ductal diverticula and choledochocele.- 8.5. The acute or emergency case.- 9. General aspects.- 10. Radiation protection.- 11. The cystic duct.- 12. Cholecysto-cholangiogram.- 13. The choledocho-cholangiogram.- 13.1. Direct needle puncture.- 13.2. Butterfly needle puncture.- 13.3. Special needle clamp.- 13.4. T-tube insertion.- 14. Contact selective cholangiography.- 15. Reason for failure for operative cholangiography.- 15.1. Overfilled ducts.- 15.2. Underfilled ducts.- 15.3. Poor quality films.- 15.4. Improper positioning.- 15.5. Obscured field.- 16. Artifacts.- 17. Complications of operative cholangiography.- 18. Reformed calculi.- 19. Complications of T-tube removal in the post-operative period.- 20. Results of operative cholangiography.- 20.1. Advantages.- 20.2. Disadvantages.- 5. Operative biliary endoscopy (cholangioscopy) (in cooperation with M. Paz-Partlow).- 1. Introduction.- 2. Instrumentation.- 2.1. Accessories.- 3. Technique.- 3.1. Mobilization of the duodenum.- 3.2. Endoscopic appearance.- 3.3. The cystic stump remnant.- 4. Endoscopic anatomy and pathology.- 4.1. Normal findings.- 4.2. Cholangitis.- 4.3. Calculi.- 4.4. Ampullary stenosis.- 4.5. Neoplasms.- 4.6. Miscellaneous.- 5. Repeated cholangioscopy.- 6. Complications.- 7. General aspects.- 7.1. Sterilization.- 7.2. Maintenance.- 8. Evaluation of results.- 9. Conclusions.- 6. Biliary manometry and debimetry.- 1. Introduction.- 2. Usage.- 3. Pharmacolgy of the sphincter of Oddi (SO).- 3.1. Effect of hormones and peptides.- 3.2. Effect of pharmacological agents.- 4. Biliary pressure indices.- 4.1. Resting (initial, interdigestive) pressure.- 4.2. Passage (yield, opening) pressure.- 4.3. Filling pressure curves.- 4.4. Residual pressure.- 4.5. Flow rate (debimetry).- 4.6. Incremental pressure and recovery time.- 5. Dynamic (transducer) manometry.- 5.1. Endoscopic sphincter zone activity.- 5.2. Technique of operative biliary manometry.- 6. Disorders of the sphincter of Oddi.- 6.1. Iatrogenic stricture.- 6.2. Papillitis/Oedema.- 6.3. Papillary stenosis (choledocho-duodenal junctional stenosis).- 6.4. Functional disorders.- 7. Exploration of the common bile duct.- 1. Introduction.- 2. Technique of CBD exploration.- 2.1. Mobilization of duodenum and head of pancreas.- 2.2. Exposure of the CBD.- 2.3. Choledochotomy.- 2.4. Cholangioscopy.- 2.5. Additional procedures.- 2.6. Insertion of T-tube.- 2.7. Closure of choledochotomy wound.- 3. Trans-duodenal exploration od CBD.- 4. Intra-hepatic calculi.- 5. Assessment of terminal end of the CBD and sphincteric region.- 6. Post-operative removal of T-tube.- 7. Conclusion.- 8. Postoperative removal of retained stones through the T-Tube tract (in cooperation with J.A. Hamlin).- 1. Introduction.- 2. Stone extraction via the T-tube.- 3. Endoscopic method.- 4. Preparation for stone extraction.- 5. Technique.- 6. Results.- 7. Complications.- 8. Discussion.- Index of Subjects.

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Book SynopsisIschemic colitis is becoming increasingly one of the most important conditions involving the colon. This is due to a combination of multiple factors: (1) increasing age of the world population due to improved public health conditions and advances in medicine; (2) diagnostic advances in recognizing the condition; and, (3) education of physicians who suspect the disease in elderly individuals with colonic symptoms. The disease is a great masquerader of other conditions and can be mistaken for ulcerative colitis, Crohn's disease or almost any other inflammatory disease of the large bowel. It can have shallow ulcers, deep ulcers, filiform polyps, and pseudomembrane. It can produce fistulae or toxic megacolon. The thumb­ printing and other acute findings are not always seen and the site of involvement may be atypical. It is therefore so important to have a book dealing with this condition extensively and in detail. This scholarly presentation based on large clinical experience significantly contributes to the knowledge of this important disease that will assume even more importance as other conditions involving the colon are successfully treated. As physicians, radiologists and even pathologists have difficulty in diagnosing this condition that appears under multiple guises the information contained here should be invaluable. Alexander R. Margulis, M. D. March 1984, San Francisco PREFACE First of all, I would like to congratulate the authors on their successful publication of this monograph with many diagnostic radiographs of new touch taken by the modern technique.Trade Review`This book is of value and interest to clinicians, radiologists and pathologists.' Australian Radiology, 29:3 (1985) `...an ideal source of reference. Any physician dealing with ischemic colitis, should find invaluable the detailed analyses of clinical presentations, anatomic distribution, laboratory investigation, radiographic studies, endoscopy, and the results of various therapeutic modalities employed.' Radiology (June 1985) `This book should be in all libraries as a reference work, and on the shelves of all practicing physicians.' The American Journal of Gastroenterology, 80:2 (1985) `...a tremendous data base for anyone with a special interest in this subject. This volume is a gold mine as a literature review and data base for those with a special interest in ischemic colitis...' American Journal of Roentgenology, 144 (1985) `...recommend this monograph to gastroenterologists, radiologists, pathologists, and surgeons as an aid to the interpretation and understanding of ischaemic colitis.' The Journal of Clinical Pathology (April 1985) `Dr Reeders and his colleagues have provided us with an up-to-date review of an increasingly clinical condition. This is a timely summary of ischemic colitis with an invaluable source of references.' The Lancet Table of Contents1 Introduction.- 2 Vasculature of the colon.- 3 Pathophysiology of ischaemic colitis.- I: Literature Review (1950–1982).- 4 Aetiology of ischaemic colitis.- 5 Classification of ischaemic colitis.- 6 Variations in the incidence of ischaemic colitis with age and sex of the patient.- 7 Associated diseases.- 8 Clinical presentation.- 9 Anatomical distribution of ischaemic colitis.- 10 Laboratory investigations.- 11 Radiological aspects in diagnosis of ischaemic colitis.- 12 Endoscopy in diagnosis of ischaemic colitis.- 13 Histopathology of ischaemic colitis.- 14 Other diagnostic procedures.- 15 Differential diagnosis of ischaemic colitis, ulcerative colitis and Crohn’s disease of the colon.- 16 Therapeutic methods for ischaemic colitis.- II: Clinical Study: 199 Patients With Ischaemic Colitis.- 17 Aetiology of ischaemic colitis.- 18 Classification and definitions of the different forms of ischaemic colitis.- 19 Variations in the incidence of ischaemic colitis with age and sex of the patient.- 20 Associated diseases.- 21 Clinical presentation.- 22 Anatomical distribution of ischaemic colitis.- 23 Laboratory investigations.- 24 Radiological aspects in diagnosis of ischaemic colitis.- 25 Endoscopy in diagnosis of ischaemic colitis.- 26 Histopathology of ischaemic colitis.- 27 Therapeutic methods for ischaemic colitis.- III:.- 28 Discussion.- 29 Literature and references.- Index of subjects.

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Book SynopsisFew human illnesses today are so challenging, medically, scientifically, and socio-economically, as the "nonspecific" inflammatory bowel diseases (IBD): ulcerative colitis and Crohn's disease. Originating several centuries ago but essentially diseases of the 20th century, often attacking children and young adults, involving all bodily systems as well as the gastrointestinal tract, ulcerative colitis and Crohn's disease have emerged in recent decades as among the more "glamorous" unsolved diseases, presenting unusual opportunities for insightful clinical and investigative study. Many of the prevailing concepts originated during the early and mid 20th century. The purpose of Origins and Directions of Inflammatory Bowel Disease is to review these earlier studies and their evolution "from the mystical to the molecular," and guide investigators and physicians through the challenging clinical and scientific maze of IBD.Table of ContentsUlcerative colitis.- Early IBD-related events.- Beginnings.- Increasing clinical recognition.- Initial pathology of ulcerative colitis and its pathogenic implications.- Pathology — electron microscopy — ulcerative colitis.- “Natural” and experimental ulcerative colitis.- References.- Crohn’s disease.- Origins.- Early clinical recognition.- Animal and experimental Crohn’s disease.- Abdominal trauma.- The early Mt. Sinai (New York) experience.- More early 20th century reports (CD).- Crohn’s disease of the colon — delayed recognition.- Early pathology of Crohn’s disease.- Electron microscopy — Crohn’s disease.- Origin of eponym of Crohn’s disease.- References.- Etiology of pathogenesis of IBD — origins and directions.- Epidemiology.- Psychogenic aspects (UC, CD).- Microbial aspects — ulcerative colitis.- Microbial aspects — Crohn’s disease.- Immune mechanisms.- M cell.- Epithelial permeability.- Inflammation (cytokines, lymphokines).- Genetic aspects of inflammatory bowel disease — early observations.- Concluding commentary.- References.- The early treatment of inflammatory bowel disease.- References.- References.- Additional early publications on inflammatory bowel disease.

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Book SynopsisThe basis of this book is a ten-lecture course on the control of gastrointesti­ nal motility given each year to the final year undergraduate students in Physiology at Sheffield University. A naive thought led me to believe that the conversion of my lecture notes into the present book would be a relatively easy task. I now know differently. As there is no equivalent undergraduate course elsewhere that I know of, it would be dishonest of me to claim this book to be an undergraduate text. The comprehensive way in which I have dealt with the subject, together with the inclusion of the most up-to-date material, make the book more relevant to postgraduate students of physiology, medicine and related sciences who require an introduction to the field of gastrointestinal motility and its control. I have, however, attempted to present the current concepts on the physiological mechanisms regulating motility in a way which under­ graduates, as well as postgraduates, will find readable, informative and, hopefully, enjoyable.Table of Contents1 Gastrointestinal smooth muscle.- 2 Intramural ganglia and mechanisms of peristalsis.- 3 Extrinsic innervation.- 4 Neurocrines, endocrines and paracrines.- 5 The oesophagus.- 6 The stomach.- 7 The small intestine.- 8 The large intestine.- 9 The co-ordination of gastrointestinal motility: the fasted state.- 10 The co-ordination of gastrointestinal motility: the fed state.- References.- Further reading.

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Book SynopsisDDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assess­ is on what to do best for the ment and investigations, but the emphasis patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the com­ munity and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and rela­ tively untried methods compared with those that are 'old' and well proven. Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1. Gastro-oesophageal Reflux.- 2. Dysphagia.- 3. Nausea and Vomiting.- 4. Uncomplicated Peptic Ulcer.- 5. Complicated Peptic Ulcer.- 6. Surgical Management of Peptic Ulcer.- 7. Gastrointestinal Bleeding.- 8. Acute Abdominal Pain.- 9. Chronic Abdominal Pain.- 10. Acute Diarrhoea.- 11. Chronic Diarrhoea.- 12. Malabsorption.- 13. The Irritable Bowel Syndrome.- 14. Ulcerative Proctocolitis and Crohn’s Disease.- 15. Diverticular Disease of the Colon.- 16. Constipation and other Problems with Defaecation.- 17. Miscellaneous Gastrointestinal Problems.- 18. Jaundice and Common Liver Diseases.- Appendix: Patient Information Sheets and Diets.

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Book SynopsisThe second edition of this atlas has been extensively revised to provide an up-to-date and comprehensive overview of therapeutic gastrointestinal endoscopy for upper and lower gastrointestinal diseases. The coverage ranges from basic but highly effective procedures like cold snare polypectomy and variceal ligation to sophisticated procedures such as peroral endoscopic myotomy and endoscopic submucosal dissection. New instruments, for example over-the-scope clips and various stents, are introduced in the relevant chapters. Furthermore, several chapters have been added to cover cutting-edge technologies for endoscopic treatment of complex conditions, including refractory gastroesophageal reflux disease and duodenal neoplasia. Many pictures have been exchanged for newer ones, most of them high-definition endoscopy photos, and schematic illustrations are used to ensure clear understanding of complex therapeutic procedures. As in the first edition, special tips of practical value are highlighted and potential pitfalls are identified, but in addition instructive cases have been added at the end of chapters. The second edition of Therapeutic Gastrointestinal Endoscopy will be an essential resource for all therapeutic endoscopists.Table of Contents1. Endoscopic treatment for esophageal varices.- 2. Endoscopic treatment for gastric varices.- 3. Endoscopic treatment for nonvariceal upper GI bleeding.- 4. Endoscopic treatment for lower gastrointestinal bleeding.- 5. Removal of gastrointestinal foreign bodies.- 6. Endoscopic mucosal resection for upper GI neoplasia.- 7. Endoscopic submucosal dissection for esophageal neoplasia.- 8. Endoscopic submucosal dissection for gastric neoplasia.- 9. Endoscopic management of non-ampullary duodenal neoplasia.- 10. Colonoscopic polypectomy.- 11. Endoscopic submucosal dissection for colorectal neoplasia.- 12. Ablation therapy for gastrointestinal neoplasia.- 13. Endoscopic treatment of GI subepithelial tumors.- 14. Endoscopic dilation of esophageal strictures.- 15. Stent placement for malignant esophageal obstruction.- 16. Endoscopic management for pyloric stricture : dilation, stenting, and pyloromyotomy (G-POEM).- 17. Endoscopic treatment for Achalasia.- 18. Endoscopic dilation and stenting for colorectal stricture.- 19. Percutaneous endoscopic gastrostomy.- 20. Endoscopic treatment for gastrointestinal perforation and leakage.- 21. Therapeutic small bowel endoscopy.- 22. EUS-guided sampling for subepithelial tumors.- 23. Endoscopic treatment of refractory gastroesophageal reflux disease.

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Book SynopsisThis comprehensive, illustrated guide presents representative general surgery, including gastrointestinal tract, hepatobiliary and inguinal hernia. Surgery is generally based on the microanatomy; however, in practice surgery involves more dynamic and floating anatomy. In the last decade, the methods have been constantly improved, shedding new light on classical anatomical science. Laparoscopic is one such methodology. All illustrations presented in this book have been drawn by the author – a pioneering surgeon – and show real-world procedures. All the methods introduced are practical and have been refined based on the precise clinical and embryological anatomy. This unique book offers readers essential insights into efficient and high-integrity surgeries in abdominal region. As such, it is a valuable resource for all gastrointestinal surgeons.Table of Contents1. Anatomy of the Stomach: Theoretical.- 2. Anatomy of the Stomach: Simplified.- 3. Distal Gastrectomy.- 4. Total Gastrectomy.- 5. Esophagectomy.- 6. Right Hemicolectomy.- 7. Anatomy of the Rectum.- 8. Appendectomy.- 9. Sigmoidectomy.- 10. Low Anterior Resection of the Rectum.- 11. Abdominoperineal Resection of the Rectum.- 12. Operation for Rectal Prolapse (Altemeier's Operation).- 13. Hemorrhoidectomy.- 14. Right Hepatectomy.- 15. Lateral Segmentectomy of the Liver.- 16. Laparoscopic Cholecystectomy.- 17. Open Cholecystectomy.- 18. Pancreatoduodenectomy.- 19. Anatomy of the Inguinal Canal.- 20. Repair of Inguinal Hernia.

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Book SynopsisThis book is written to simplify complex topics of neonatal and pediatric liver and metabolic diseases which are encountered by clinicians on a day to day basis. Neonatal and early pediatric liver diseases are very much different from adult liver diseases. Most of them are either structural diseases or genetically modulated metabolic disorders affecting liver. They all look same; however the underlying etiology could be quite different. This book thoroughly covers various neonatal and pediatric liver and metabolic diseases through a unique clinical case based approach via a vast clinical experience of the author. The book presents more than 50 unique cases and presents real life learning scenario with various examples facilitating better understanding of the disease and the ways to analyze it. The book uses a simple language and presents line diagrams and algorithms facilitating learning. This book shall be a valuable resource for practicing general pediatricians, pediatric residents and gastroenterologists with involvement in pediatric liver and liver related metabolic diseases. Table of ContentsNeonatal and Pediatric liver Diseases1.1 Neonatal and pediatric liver diseases1.2 Neonatal jaundice:1.3 1.3 Liver Function Tests:1.4 Investigating a case of neonatal jaundice:1.5 Treatment in a case of Conjugated hyperbilirubinemia till a definitive diagnosis is made:Basic understanding of Inborn Error of Metabolism and Metabolic disorders:• Clinical presentation of Inborn Errors of Metabolism (IEM):• Investigations of Inborn Errors of Metabolism (IEM):******************Cases:Case 1: 20 month old child with recurrent convulsions.Case 2: A 9 year old boy presenting with hepatitis, epistaxis and bleeding from gums.Case 3: Lightening strikes at one place thrice!! Case 4: A worried couple with a child having jaundice.Case 5: A 2 year old child who had recurrent hematemesis and bleeding per rectum.Case 5: A 2 year old child who had recurrent hematemesis and bleeding per rectum. Case 6: A child who had lost appetite and interest. Case 7: A year old child with chronic diarrhea and failure to thrive.Case 8: A 3 year old male with recurrent diarrhea and chest infection Case 9: 11 months old twins with Inborn errors of metabolism. Case 10: A child with recurrent diarrhea Case 11: A 3 month old child with recurrent fever, diarrhea, failure to thrive and electrolyte disturbances. Case 12: A 13-Year-Old girl with chronic abdominal Pain and Vomiting. Case 13: A 6 month old child with neonatal cholestasis and generalized edema. Case: 14. A 6 weeks old child who had progressive jaundice and creamy white stools.Case: 15. Milk brandingCase 16: An 8 year old son of a lady executive who was a keen “net” searcher.Case 17: Neo rich parents who wanted best for their child!Case 18: A case of “Criggler-Najjar syndrome”.Case: 19. A pleasant child who developed prolonged jaundice Case 20: Prolonged neonatal jaundice and cardiac defects:Case 21: Neonatal jaundice in a child with ocular problem:Case 22: A 3 year old girl with unexplained vomiting and failure to thrive.Case 23: A 3 year old boy with failure to thrive and progressively stiffening muscles.Case 24: A 2 month old child with neonatal ascites.Case 25: A patient with sickle cell anemia with sudden onset of jaundice.Case 26: A 7 year old boy with recurrence of jaundice.Case 28: An eight year old boy with recurrent jaundice. Case 29: A 3 yr. old with huge liver and abnormal liver functions. Case-30: A fifteen year old boy with prolonged jaundiceCase-31: A young girl with recurrent jaundice and vague RUQ mass.Case-32: A young boy with ascites.Case 33: Two cases of recurrence of jaundice.Case 34: A 12 years old boy with “obstructive jaundice”.Case 35: 11 years old boy with jaundice and bleeding PR.Case 36: A young boy with failed renal transplant and sudden onset of ascites.Case 37: A 2-Year-Old Boy with Diarrhea, Failure to thrive, and HepatomegalyCase 38: A child with “recurrent attacks of asthma”Case 39: A 3 years old boy with recurrent jaundice and severe iron deficiency anemia.Case 40: 3 years old boy with huge liver.Case 41: A case of neonatal liver failureCase 42: A case of acute hepatitis and ……something more.Case 43: A case of neonatal hepatitis and failure to thrive.Case 44: An infant with sudden onset of unilateral ptosis and jaundice.Case 45: A neonate with rapidly deteriorating liver functions. Case 46: A 6 month old child with hematemesis:Case 47: A young child with persistent elevation of SGOT/ SGPT.Case 48: An infant with persistent vomiting.Case 49: A case of Fever and jaundice.Case 50: A neonate with jaundice and enlarged liver.Case 51: A case of huge hepatomegaly but no hypoglycemia.Case 52: Pregnant lady with HBsAg positivity: A paediatrician’s perspective.

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Book SynopsisThis is an open access book.The book focuses mainly on the surgical technique, OR setup, equipments and devices necessary in minimally invasive surgery (MIS). It serves as a compendium of endolaparoscopic surgical procedures. It is an official publication of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA).The book includes various sections covering basic skills set, devices, equipments, OR setup, procedures by area. Each chapter cover introduction, indications and contraindications, pre-operative patient’s assessment and preparation, OT setup (instrumentation required, patient’s position, etc.), step by step description of surgical procedures, management of complications, post-operative care. It includes original illustrations for better understanding and visualization of specific procedures.The book serves as a practical guide for surgical residents, surgical trainees, surgical fellows, junior surgeons, surgical consultants and anyone interested in MIS. It covers most of the basic and advanced laparoscopic and thoracoscopic surgery procedures meeting the curriculum and examination requirements of the residents.Table of ContentsPart 1 Basic Principles 1 Access, Pneumoperitoneum and Related Complications 2 Image Systems in Endo-Laparoscopic Surgery 3 Care and Handling of Laparoscopic Instrumentations 4 Electrosurgery and energy devices 5 Endo-laparoscopic Suturing 6 Ergonomics in Laparoscopic Surgery 7 Hemostasis in Laparoscopic Surgery 8 Imaging-Enhancing System 9 Instrumentations and Access Devices 10 Operating Room Setup and Patient Positioning in MIS 11 Surgical Smoke, Its Risks and Mitigation Strategies Part 2 Anesthesia in Laparoscopic Surgery 12 Principles of Anesthesia 13 Physiologic Considerations in Laparoscopic Surgery Part 3 Diagnostic Laparoscopy 14 Staging Laparoscopy for Intra-Abdominal Carcinoma 15 Diagnostic Laparoscopy Part 4 Emergency Laparoscopy 16 Perforated Ulcer Treatment 17 Laparoscopic Appendectomy 18 Meckel’s Diverticula 19 Emergency Groin Hernia Repair 20 Laparoscopic Subtotal Cholecystectomy 21 Adhesiolysis for Bowel Obstruction 22 Emergency Laparoscopic Small Bowel Resection 23 Laparoscopic Hartmann’s procedure Part 5 Endocrine Surgery 24 Remote Access Endoscopic Thyroidectomy 25 Transoral Endoscopic Thyroidectomy 26 Laparoscopic Adrenalectomy Abdominal Approach 27 Laparoscopic Adrenalectomy: Retroperitoneal approach Part 6 Breast Surgery 28 Endoscopy-Assisted Breast Surgery for Breast Cancer 29 Laparoscopic Omental Flap Partial Breast Reconstruction Part 7 Video Assisted Thoracic Surgery 30 Basic Principles and Advanced VATS procedures Part 8 Upper Gastrointestinal Surgery - Esophageal Surgery 31 Achalasia 32 Resection of Gastroesophageal Junction Submucosal Tumours (SMTs) 33 Transoral Endoscopic Zenker Diverticulotomy 34 Gastroesophageal Reflux Disease 35 Hiatal Hernia 36 Esophageal Cysts 37 McKeown Esophagectomy Part 9 Upper Gastrointestinal Surgery - Gastric Surgery 38 Gastric Gastrointestinal Stromal Tumours 39 Gastric Carcinoma : Subtotal and Total Gastrectomy Part 10 Bariatric Procedures 40 Laparoscopic Gastric Banding for Morbid Obesity 41 Laparoscopic Sleeve Gastrectomy 42 LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS (LRYGB) 43 One Anastomosis Gastric Bypass (OAGB) Part 11 Hepatobiliary Surgery - Gallbladder 44 Elective Cholecystectomy Part 12 Hepatobiliary Surgery - Common Bile Duct Stones 45 Laparoscopic Choledochotomy for Bile Duct Stones Part 13 Hepatobiliary Surgery - Liver 46 Hepatic cyst/ abscess 47 Laparoscopic Wedge Liver Resection 48 Laparoscopic Left Liver Resection 49 Laparoscopic Right Hepatectomy Part 14 Pancreas 50 Laparoscopic internal drainage of pancreatic pseudocysts 51 Laparoscopic Distal Pancreatectomy 52 Laparoscopic Pancreaticoduodenectomy Part 15 Spleen 53 Laparoscopic Splenectomy 54 Intraoperative Splenic Injuries Part 16 Inguinal Hernia 55 Transabdominal Pre-peritoneal approach (TAPP) 56 Totally Extra-peritoneal approach in Inguinal Hernia Repair 57 Laparoscopic Management of Recurrent and Re-Recurrent hernia 58 Laparo-endoscopic approach to Complex Inguinal Hernia Part 17 Incisional/ Ventral Hernia Repair 59 Laparoscopic Intraperitoneal Onlay Mesh (IPOM) and IPOM plus 60 Extraperitoneal Ventral Hernia Repair 61 Endoscopic anterior component separation technique (eACS) 62 Role of Botulinum Toxin-A in Chemical Component Separation Technique. 63 Endo-Laparoscopic Repair of Lateral Ventral Hernia Part 18 Diastasis Recti 64 Posterior Plication or Combined Plication of the Recti Diastasis 65 Endo-laparoscopic retromuscular repair 66 Endoscopic Subcutaneous Onlay Laparoscopic Approach Part 19 Other Hernias 67 Minimally Invasive Surgery for Diaphragmatic Hernia 68 Laparoscopic Parastomal Hernia Repair Part 20 Colorectal Surgery 69 Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision and Central Vascular Ligation (CME/CVL) for Right sided Colon Cancer 70 LAPAROSCOPIC LEFT HEMICOLECTOMY 71 Anterior Resection 72 Laparoscopic Abdominoperineal Resection 73 Laparoscopic Total Colectomy 74 Laparoscopic Ventral Mesh Rectopexy Part 21 Robotic Surgery 75 Robotic Surgery - Operating Room Set Up and Docking Part 22 Other Laparoscopic Procedures 76 Laparoscopic Varicocoelectomy 77 Laparoscopic Paediatric Inguinal Hernia Repair

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Book SynopsisWritten by an interdisciplinary team of experts, this book contains historical information as well as current update on renal replacement therapy. New technology and techniques are presented in a concise, easy-to-read style that keeps the reader interested.The contributors include physicians who practise uremia therapy since its conception to more recent graduates, along with surgeons, pioneers and physicians who are patients themselves, thus giving readers the broadest perspective.The aim of the book is to update the reader on renal replacement therapy as of 2009. It is a textbook that can be read cover to cover and still serve as a fine reference guide. The book is targeted at anyone interested in kidney replacement therapy, from students and patients to the professorial level.Table of ContentsContemporary Therapy circa 2009: Peritoneal Dialysis (M C Mallappallil); Hemodialysis (Y Woredekal); Hemofiltration (H Ghali); Home Hemodialysis (B G Delano); Self Care Hemodialysis (S H Bray); Kidney Transplantation (F Tedla); Opting for Death (A Joseph); Projected Therapy circa 2012: Bowel as Kidney (E A Friedman); Xenografted Kidneys (M O Salifu); Wearable Artificial Kidney (WAC) (V Gura).

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