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Vagotomy

Author : F. Holle

Publisher : Springer Science & Business Media

Page : 432 pages

File Size : 40,7 MB

Release : 2012-12-06

Category : Medical

ISBN : 364265889X

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Book Description

This monograph is a summary of observations collected over the past ten years on vagal denervation of the stomach and the functional pathology of the vagotomized stomach. It is primarily a continuation of the work we (Holle and Heinrich, 1954) began with fundectomy - the prototype of proximal dener vation of the stomach. This was the starting point for the develop ment of selective proximal vagotomy (SPV). Between 1961 and 1964 the SPY technique was developed to the extent that it could be applied clinically from January 1,1964. Like most clinical innovations, the development took place in several stages. A report on the first 235 surgical cases (1961-1967) appeared in 1968 in F. Holle's Special Surgery of the Stomach, pp. 508-509, and in 1969 in Surgery of the Stomach and Duodenum by Harkins and Nyhus, 2nd edition, pp. 629-634. Since that time it has been possible to demonstrate on the basis of 1200 operated cases as well as animal experiments that the new technique we introduced represents a successful, nonresecting surgical treatment of gastric and duodenal ulcers. It is important to have a long series of clinical cases from the same source, because it is not until a large number of individual observations have been collected concern ing complications of diagnosis, indications and technique that is it possible to analyse the relationships between them.





Postgastrectomy and Postvagotomy Syndromes

Author : H. D. Becker

Publisher : Springer Science & Business Media

Page : 239 pages

File Size : 18,93 MB

Release : 2012-12-06

Category : Medical

ISBN : 3642673503

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Book Description

Besides the mortality rate the value of an operative procedure is measured against the incidence and the degree of undesirable postoperative sequelae. In the surgical treatment of gastroduo denal ulcerations vagotomy is now competing with the success fully established resection therapy. Since this latter method has been further developed during the last years and late results are rare, a comparison between both types of operation is difficult. Meritoriously, the authors have tried to perform a comprehensive analysis. Due to the complexity of postoperative syndromes the diagnostic procedure and treatment can be successful only after integrated cooperation by gastroenterologists and surgeons. This is documented by the current monograph which originates from a cooperation of several years and an active exchange of scientific will facilitate the indica and practical experience. The monograph tion for the primary surgical procedure by critical confrontation of the postoperative syndromes and provide advice in treating postoperative complaints. We hope that the monograph will have the expected impact, which means the spreading of the actual knowledge of post gastrectomy and postvagotomy syndromes.



Vagotomy and Pyloroplasty

Author : F. Holle

Publisher : Springer Science & Business Media

Page : 232 pages

File Size : 33,59 MB

Release : 2012-12-06

Category : Medical

ISBN : 3642676529

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Book Description

The preceding monograph: ''Vagotomy - latest advances", Springer-Verlag, 1974 ed. by F. Holle and S. Andersson reported an innovation in surgery: the so-called "selective proximal vago tomy (spv) with pyloroplasty (pypl)". The usefulness of the method was put to the test in cases of peptic ulcer disease and in dog experiments. No claim was made - as some reviewers erroneously supposed - that the method was a comprehensive presentation of the surgery of peptic ulcer disease or even that it offered a patent solution to this subject Instead, it should be regarded as the initial step towards this goal. The clinical results obtained during the years 1964-74 encouraged us to pursue this line of approach with a view of reaching a stomachpreserving or non-resective method in peptic ulcer surgery and to test the appli cability of the method to other benign disorders of the stomach. After 16 years of testing and experience with over 2000 cases S (Dec. 1t. 1979) of selective proximal vagotomy with pyloroplasty, supplemented by advanced studies on the pathophysiology of the method, an additional volume is now proposed: "Vagotomy and Pyloroplasty, advances 1975-1980", Springer-Verlag 1980. This subsequent volume deals primarily with improvements and findings made during the last 5 years. It also refers to important questions concerning the practical performance of the method which arose from congresses and discussions in this field. These are: 1. Definition, efficiency and effects of the model: spv + pypl. 2.



Gastrointestinal Surgical Techniques in Small Animals

Author : Eric Monnet

Publisher : John Wiley & Sons

Page : 351 pages

File Size : 39,97 MB

Release : 2020-06-30

Category : Medical

ISBN : 1119369207

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Book Description

Gastrointestinal Surgical Techniques in Small Animals überzeugt durch die detailreiche Beschreibung von Operationstechniken, die bei der Behandlung des Magen Darm-Trakts von Hunden und Katzen zum Einsatz kommen. Jedes Kapitel beschreibt ein Operationsverfahren in aller Ausführlichkeit, ergänzt um hochwertige Illustrationen zu jedem Operationsschritt. Tipps und Tricks für ein erfolgreiches Operationsergebnis werden vorgestellt, ebenso mögliche Komplikationen. Auf der begleitenden Website können Videoclips zu den verschiedenen Verfahren abgerufen werden. - Logischer Aufbau nach anatomischen Abschnitten. Jedes Kapitel beschreibt ein bestimmtes Operationsverfahren, die Indikationen und Kontraindikationen und gibt Entscheidungshilfen. Tipps und Tricks werden vorgestellt, ebenso mögliche Komplikationen. - Beschreibt im Detail Operationen des Magen-Darm-Trakts bei Hunden und Katzen. - Präsentiert die neuesten Erkenntnisse zu dem Fachgebiet. - Begleitende Website mit den Videoclips der verschiedenen Techniken. Gastrointestinal Surgical Techniques in Small Animals ist ein Muss für Veterinärchirurgen und Veterinärmediziner für Kleintiere.



Atlas of Robotic Upper Gastrointestinal Surgery

Author : Omar Yusef Kudsi

Publisher : Springer Nature

Page : 291 pages

File Size : 26,6 MB

Release : 2021-11-11

Category : Medical

ISBN : 3030865789

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Book Description

Deep knowledge of anatomy and surgical technique will continue to remain the foundation of surgery despite advancement in surgical technology. Robotic surgery usage has increased drastically in the last decade. More than ever before, surgical community in great need for an updated atlas in the various upper GI surgical procedures and techniques available. This atlas demonstrates how to perform the most common Upper GI robotic procedure via a set of high-quality state-of-the-art annotated images showing step-by-step guidance providing pertinent and concise procedure descriptions spanning benign and malignant upper GI problems. Robotic upper GI procedures are considered technically demanding with attention to details thus are considered great teaching procedures especially with dual robotic consoles, simulation, and teleproctoring. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy during upper GI procedures. Atlas of Robotic Upper Gastrointestinal Surgery will provide a comprehensive, insightful and state-of-art review of this field, and will serve as a valuable visual resource for surgeons, surgeons in training, and students with an interest in robotic upper GI surgery. All chapters are written by an international group of experts in their field, to provide a comprehensive atlas for specialists and trainees, this illustrated book will give a current and concise summary of all key topics and recent developments in upper GI surgery.



The SAGES Manual of Foregut Surgery

Author : Jayleen Grams

Publisher : Springer

Page : 966 pages

File Size : 45,63 MB

Release : 2018-10-06

Category : Medical

ISBN : 9783319961217

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Book Description

The field of benign foregut surgery continues to evolve with new diagnostic methods and treatment modalities. The text lays the foundation in understanding the foregut through review of the anatomy and physiology, followed by subsequent chapters focusing on the diagnosis and management of specific benign diseases of the foregut: gastroesophageal reflux disease and diaphragmatic hernia, Barrett’s esophagus, disorders of esophageal dysmotility, benign esophageal and gastric tumors, peptic ulcer disease and gastric outlet obstruction, and gastroparesis. Written by experts, each of these sections addresses the evaluation and management of the disease process, technical conduct of the most common endoscopic and surgical procedures, postoperative management including complications, and revisional operations. Additionally, expert commentary will serve to highlight and clarify controversies in the field. The SAGES Manual of Foregut Surgery provides a comprehensive, state-of- the art review and will serve as a valuable resource for clinicians and surgeons.



Medical Management of the Surgical Patient E-Book

Author : Geno J. Merli

Publisher : Elsevier Health Sciences

Page : 859 pages

File Size : 11,20 MB

Release : 2008-04-08

Category : Medical

ISBN : 1437710581

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Book Description

This practical handbook delivers complete, to-the-point, evidence-based guidance on the preoperative, perioperative, and post-operative medical care of surgical patients. Each chapter focuses on a particular area of clinical concern, with concise presentations of pathophysiology, assessment and management options, the latest drug treatment information, and essential information on risk stratification and quality improvement. The result is an invaluable source on the management of surgical patients with co-existing medical problems that may be affected by surgery, as well as how to approach medical complications that may occur during or following surgical procedures. Comprehensive discussions at the beginning of each chapter emphasize consultation in surgical patient management. A concise, bulleted format lets you absorb key information at a glance. Extensively updated chapters. Easy-to-read tables present key information on each disorder, including classification, causes, risk factors and indexes, drug treatment information, mortality rates, laboratory findings, and postoperative complications. Recommendations accompanied by an assessment of the quality of supportive evidence, including randomized controlled trials, population based reviews, and consensus guidelines. A topical index takes you immediately to the answers you need. A new, smaller design makes the book easy to carry with you anywhere.



Motor Function of the Pharynx, Esophagus, and Its Sphincters

Author : Ravinder Mittal

Publisher : Morgan & Claypool Publishers

Page : 87 pages

File Size : 39,6 MB

Release : 2011

Category : Medical

ISBN : 1615043330

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Book Description

Deglutition or a swallow begins as a voluntary act in the oral cavity but proceeds autonomously in the pharynx and esophagus. Bilateral sequenced activation and inhibition of more than 25 pairs of muscles of mouth, pharynx, larynx, and esophagus is required during a swallow. A single swallow elicits peristalsis in the pharynx and esophagus along with relaxation of upper and lower esophageal sphincters. Multiple swallows, at closely spaced time intervals, demonstrate deglutitive inhibition; sphincters remain relaxed during the entire period, but only the last swallow elicits peristalsis. Laryngeal inlet closure or airway protection is very important during swallow. Upper part of the esophagus that includes upper esophageal sphincter is composed of skeletal muscles, middle esophagus is composed of a mixture of skeletal and smooth muscles, and lower esophagus, including lower esophageal sphincter, is composed of smooth muscles. Peristalsis progresses in seamless fashion, despite separate control mechanism, from the skeletal to smooth muscle esophagus. The esophagus's circular and longitudinal muscle layers contract synchronously during peristalsis. Sphincters maintain continuous tone; neuromuscular mechanisms for tonic closure in the upper and lower esophageal sphincters are different. Lower esophageal sphincter transient relaxation, belching mechanism, regurgitation, vomiting, and reflux are mediated via the brain stem. Table of Contents: Introduction / Central Program Generator and Brain Stem / Pharynx-Anatomy, Neural Innervation, and Motor Pattern / Upper Esophageal Sphincter / Neuromuscular Anatomy of Esophagus and Lower Esophageal Sphincter / Extrinsic Innervation: Parasympathetic and Sympathetic / Interstitial Cells of Cajal / Recording Techniques / Motor Patterns of the Esophagus-Aboral and Oral Transport / Deglutitive Inhibition and Muscle Refractoriness / Peristalsis in the Circular and Longitudinal Muscles of the Esophagus / Neural and Myogenic Mechanism of Peristalsis / Central Mechanism of Peristalsis-Cortical and Brain Stem Control / Peripheral Mechanisms of Peristalsis / Central Versus Peripheral Mechanism of Deglutitive Inhibition / Neural Control of Longitudinal Muscle Contraction / Modulation of Primary and Secondary Peristalsis / Neural Control of Lower Esophageal Sphincter and Crural Diaphragm / Lower Esophageal Sphincter / Swallow-Induced LES Relaxation / Crural Diaphragm Contribution to EGJ and Neural Control / Transient LES Relaxation and Pharmacological Inhibition / Compliance of the EGJ / References



Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery

Author : M. Asunción Acosta

Publisher : Springer Nature

Page : 368 pages

File Size : 44,77 MB

Release : 2021-03-03

Category : Medical

ISBN : 3030551768

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Book Description

This Atlas comprehensively covers minimally invasive operative techniques for benign and malignant cancer surgery of the esophagus and stomach. It provides easy-to-follow instructions accompanied by a range of pictures and illustrations, as well as a collection of interactive videos to aid the reader in developing a deeper understanding of each surgical procedure. Techniques covered include minimally invasive surgical treatment for esophageal and gastric cancer including different approaches such as thoracoscopic, transhiatal, laparoscopic, and robot-assisted resections. These chapters include different types of cervical and intrathoracic anastomoses after esophageal resections, and different anastomoses and reconstructions after gastrectomy. Moreover, the Atlas includes an extensive description of minimally invasive procedures in bariatric surgery including sleeve resection, gastric bypass, biliopancreatic diversion, and others. Minimally invasive approaches for other benign pathologies such as benign tumors and treatment of gastroduodenal ulcer complications are also depicted. All chapters, written by a renowned and experienced international group of surgeons and their teams, are focused on practical step-by-step description of the techniques. Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery systematically describes the most frequently performed surgical procedures of the esophagus and stomach and is a valuable resource for all practicing surgeons and trainee general surgeons dedicated to upper gastrointestinal surgery, such as bariatric and surgical oncologists.