Imaging Complications of Gastrointestinal and Biliopancreatic Endoscopy Procedures


Book Description

This practically oriented book illustrates and reviews the imaging appearances of the common and unusual complications that may occur after upper gastrointestinal endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), colonoscopy, polypectomy, stricture dilatation, and stent placement. Detailed attention is devoted to the assessment of complications after percutaneous endoscopic gastrostomy (PEG) positioning, the issues associated with video capsule retention after small bowel capsule endoscopy, and iatrogenic colonic perforations in patients with inflammatory bowel diseases. A dedicated chapter explains the expanding role and possibilities of interventional radiology in the treatment of such complications. The pivotal role of multidetector computed tomography (CT) in the detection and grading of endoscopy-specific iatrogenic complications is highlighted. In addition, normal imaging appearances are presented for comparison and information is provided on such aspects as the mechanisms of complications, patient- and procedure-related risk factors, clinical features, and treatment options according to established guidelines. The book will be invaluable in enabling gastroenterologists, general surgeons, and radiologists to diagnose and treat endoscopy-related complications in timely fashion.




Biliopancreatic Endoscopy


Book Description

This book aims to provide the basic technology and recent advances in biliopancreatic endoscopy. The method of Endoscopic retrograde cholangiopancreatography (ERCP) is popularly applied to enlarge the papillary orifice for removal of biliary and pancreatic stones, to relieve obstruction of distal bile duct or pancreatic duct by nasobiliary / nasopancreatic drainage or stenting, and to remove the premalignant tumor of papilla in recent four decades. The diagnostic role of ERCP is already replaced by the noninvasive images such as abdominal sonography, computed tomography, magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasonography (EUS). This book will be contributed by the senior members of the Digestive Endoscopy Society of Taiwan (DEST) who are the leading ERCPists of the medical centers and teaching hospitals in Taiwan. There are 21 chapters, including the various techniques of therapeutic ERCP and EUS, how to approach the difficult cases and prevent complications. Recently, many new facilities and techniques develop to solve the difficult problems, but those new methods may have potential hazard to the patients, particularly in the inexperienced hands. We will share our clinical experience and comments on the recent literatures, to illustrate the standard operative procedures of biliopancreatic endoscopy, and focus on the patients’ safety as well as efficacy. We hope this book will be helpful for the readers in clinical application and facilitate the junior doctors to choose the cost-effective and safe procedure to help their patients in the future.




Laparoscopic Sleeve Gastrectomy


Book Description

This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.




Prevention and Management of Complications in Bariatric Surgery


Book Description

As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.




Pancreatitis and Its Complications


Book Description

World-renowned experts and opinion-makers comprehensively review the clinical challenges of managing acute and chronic pancreatitis and explain the basic science that underlies these management strategies. The authors provide up-to-date discussions of the pathophysiology, epidemiology, diagnostic strategies, treatment, and complications of the diseases.




Metabolism and Pathophysiology of Bariatric Surgery


Book Description

Pathophysiology of Bariatric Surgery: Metabolism, Nutrition, Procedures, Outcomes and Adverse Effects uses a metabolic and nutritional theme to explain the complex interrelationships between obesity and metabolic profiles before and after bariatric surgery. The book is sectioned into seven distinct areas, Features of Obesity, Surgical Procedures, Nutritional Aspects, Metabolic Aspects, Diabetes, Insulin Resistance and Glucose Control, Cardiovascular and Physiological Effects, and Psychological and Behavioral Effects. Included is coverage on the various types of bariatric surgery, including Roux-en-Y gastric bypass, gastric banding, sleeve gastrectomy, biliopancreatic diversion, and jejunoileal bypass, as well as the variations upon these procedures. - Provides information on diet, nutrition, surgical procedures, outcomes, and side effects in relation to bariatric surgery in one comprehensive text - Contains a Dictionary of Terms, Key Facts, and Summary Points in each chapter - Includes access to a companion website with accompanying videos




Clinical Algorithms in General Surgery


Book Description

As the field of general surgery continues to expand, the diagnostic and therapeutic pathways are becoming more complex. The diagnostic modalities available to the clinician can be both very helpful but also overwhelming considering the findings can often determine the scope of treatment for a patient. This text will take the major pathologies of the systems commonly studied in general surgery and present them in a unique format based upon algorithms. The algorithms will begin with the clinical presentation of the patient, work its way through the various diagnostic modalities available to the surgeon, and finally allow the physician to make a decision regarding treatment options based upon various patterns in the algorithms. This text will become a very useful resources for surgeons as it allows complex clinical pathways to be conveniently organized in logical algorithms. It will become a concise yet comprehensive manual to assist in clinical decision making. All algorithms will be reviewed by experts in their field and include the most up-to-date clinical and evidence-based information. Clinical Algorithms in General Surgery provides a useful resource for surgeons in clinical practice as well as surgical residents, and surgical attendings who are preparing for board examinations. See sample algorithm in Attachments.




Trauma Centers and Acute Care Surgery


Book Description

This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.




Bariatric Surgery Complications


Book Description

This text provides a background of scientific evidence to understand the complications that occur after bariatric surgery for all providers responsible for care after surgical intervention. Written by experts and based on current peer reviewed literature, the text provides a focused approach to the identification and treatment of bariatric surgery complications. To establish a context for providers, the initial section concentrates on presenting the current procedures as well as risks and expected benefits of each with an emphasis on mechanism of action. It examines the issue of weight regain from the aspect of heterogeneity in order to present the perspective that every procedure has risk of weight regain. The text provides guidance to those front line providers who manage acute emergencies and chronic long term problems. State of the art management of complications like leaks, bleeding, ulcers, blood clots and pneumonia are discussed for all procedures in addition to the management of rapid remission of obesity related disease like Type 2 Diabetes and coagulopathies (Leiden Factor V, Protein C and S) that occur commonly in patients with obesity. Each chapter features a review of the current literature in an easy to reference table format and where appropriate an algorithm to focus the reader on the process of care for any given presenting sign or symptom. Bariatric Surgery Complications will be of great value to fellows in minimally invasive surgery, general surgeons, emergency room physicians, gastroenterologists, primary care physicians, medical students and residents in surgery rotations, integrated health personnel.




Staging Laparoscopy


Book Description

Included here is a discussion of the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.