Gastrointestinal and Colorectal Anesthesia


Book Description

This resource stands as the only authoritative text to specifically focus on developments and best practices in anesthesiology for procedures affecting the gastrointestinal tract and related appendages. This book provides in-depth coverage of topics such as risk assessment, stress response, and scoring, as well as spans anesthetic trends and practi




Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care


Book Description

After a long period of neglect, the gastrointestinal tract is increasingly being recog nized as an important target of anesthetics and anesthesia-related processes, as well as of conditions and treatments related to peri- and postoperative period and inten sive care. Drugs used in anesthesia and intensive care and physiological or pathologi cal changes in the perioperative period affect the digestive system in its function from the pharynx to the colon. Prolonged postoperative ileus or stasis of propulsive peri stalsis in the critically ill or multiply injured patient may impair enteral nutrition and give rise to complications such as sepsis or multiple organ failure. In view of this new understanding of the clinical relevance of gut function, we felt that a book on problems of the gastrointestinal tract in anesthesia, the perioperative period, and intensive care was badly needed. The present volume is the product of an international symposium which brought together physiologists, pharmacologists, experimental and clinical anesthetists, gastroenterologists, surgeons, and intensive care physicians to discuss all major contemporary aspects of bowel function in health and under the influence of anesthesia, surgery, and intensive care.




The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery


Book Description

This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.




Gastrointestinal Surgery Series: Colorectal Surgery


Book Description

This book is a concise guide to colorectal surgery for general surgeons, gastroenterologists and trainees. Beginning with a description of the surgical anatomy and embryology of the rectum, the following chapters discuss different surgical techniques for the treatment of rectal cancer, including transanal endoscopic microsurgery, neoadjuvant treatment and laparoscopic surgery. Newer and more aggressive approaches to the management of peritoneal carcinomatosis and rectal prolapse are also covered. Content is enhanced by clinical, pathological and genetic data, as well as images and illustrations. Key points Concise guide to colorectal surgery for general surgeons, gastroenterologists and trainees Covers different surgical techniques for treatment of rectal cancer Includes newer and aggressive approaches to management of peritoneal carcinomatosis Content enhanced by clinical, pathological and genetic data




Anesthetic Care for Abdominal Surgery, An Issue of Anesthesiology Clinics


Book Description

Because anesthesia and surgery affect every system in the body, there are many different forms of anesthesia. This issue will cover the risks to recovery of 6 major specialty areas in abdominal surgery, as well as major open and laparoscopic abdominal surgery.




Handbook of Colorectal Surgery


Book Description

Completely revised and expanded to include technological advances, the second edition of this text illustrates key anatomical structures, examination procedures and surgical techniques for proper diagnosis, management and treatment of patients with colorectal disorders, providing extensive coverage of various methods in preoperative preparation and




Handbook of Colorectal Surgery


Book Description

Colorectal surgery is a key part of the general surgeon’s remit and it is essential for the surgeon to be aware of the range of preoperative, perioperative and disease management issues. This practical book provides practical knowledge and guidance necessary to manage colorectal diseases. A wide range of topics is included, including examination procedures, diagnostics, preoperative preparation and assessment, pain management and surgical skills and techniques. Key Points Concisely outlines practical information and guidance for any healthcare practitioner involved in the treatment and management of colorectal disorders Provides an overview of disease processes to assist with clinical treatment and diagnosis This revised 3rd Edition contains up-to-date information on advances in minimally invasive surgery, treatment and management of colon and rectal cancer, and haemorrhoids and fistulas.




The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery


Book Description

This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.




Gordon and Nivatvongs' Principles and Practice of Surgery for the Colon, Rectum, and Anus


Book Description

The most comprehensive and authoritative reference available today on colorectal surgery This revised fourth edition of Gordon and Nivatvongs' Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions' reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts. Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine, "wait and watch" principles, outpatient management of anorectal surgery, and large bowel obstruction. Key Highlights Thirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesions A multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocols The use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodeling Superb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and management As the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.




Advanced Colonoscopy and Endoluminal Surgery


Book Description

Each chapter of this new book on advanced lower GI endoscopy and endoluminal surgery focuses on the thought process and step-wise technical approach to the condition and procedure listed. By using this unique method, practitioners ranging from surgeons-in-training, gastroenterologists-in-training and those early in their career to senior colorectal specialists and gastroenterologist who want to incorporate or improve their advanced endoscopic skills will be able utilize techniques and learn from this gathering of experts. The guiding principle of this work is to create a resource for surgeons and gastroenterologists that extends beyond the currently available texts, and that surgeons and gastroenterologists can turn to when wanting to “brush up” on techniques, find a useful “tip or trick” for a complex patient, or simply learn a reproducible methods for advanced endoscopic procedures. This unique book highlights current knowledge, demonstrates standards of medical care, and provides clear step-by-step reproducible techniques even for the most advanced procedures. Beyond the simple application of technical knowledge the book addresses the deeper questions about the optimal “next step” in dealing with more complex patients (i.e., difficult polyps, gastrointestinal bleeding, IBD). International experts also address future challenges and innovations in lower gastrointestinal endoscopy. Finally, it focuses on specific “tips and tricks” that experts in the field have learned. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Throughout the text, each author provides an ongoing narrative of his/her individual techniques along with color illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos will give the reader an up-front look into technical aspects of EMR, ESD, endoscopic stent placements, CELS, as well as NOTES. The editors and contributors to this book are those with nationally and internationally recognized expertise in lower gastrointestinal endoscopic and endoluminal interventions, have taught many international courses, and have numerous peer-reviewed publications. This book will be useful to colorectal surgeons, general surgeons, and gastroenterologists who want to learn or improve their skills in lower gastrointestinal endoscopy and advanced endoscopic interventions. Furthermore, this book will be of particular interest to the surgeons-in-training, and gastroenterologist-in-training that are often called upon to manage a variety of colorectal conditions through an endoscopic approach. This would ultimately serve as an invaluable reference for any physician or surgeon with a vested interest in caring for patients with simple or complex colorectal disease.