The SAGES Manual of Physiologic Evaluation of Foregut Diseases


Book Description

Esophageal and gastric pathology are challenging, and the underlying physiology is complex. Advanced diagnostic testing is extensive, and the results can often be difficult to interpret. The impact of these findings on tailored treatment modalities has evolved as a result. This manual is therefore designed to present a comprehensive review of the various esophageal and gastric functional pathologies, diagnostic modalities and treatment options. Chapters included here focus on challenging functional pathologies encountered by both gastroenterologists and surgeons. Diagnostic modalities that are currently available are discussed, with accompanying deep analysis of the potential results. Within each chapter, clinical scenarios, testing/treatment options and a review of the literature for each option are included. Chapters will also focus on how to collaborate between specialties and develop a complex GI motility center, as well as the effect of common prior procedures on subsequent physiologic findings. No comprehensive resource currently exists that discusses the physiologic evaluation of foregut diseases, and none present an algorithmic approach to the management of these scenarios. This unique manual addresses and provides guidance to the approach, geared towards both gastroenterologists and surgeons.




The SAGES Manual of Foregut Surgery


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.




Foregut Surgery


Book Description

​This book provides a state-of-the-art description of the clinical evaluation, diagnosis, management, and treatment of achalasia, gastroesophageal reflux disease, paraesophageal hernia, and morbid obesity. The prevalence of such diseases is increasing worldwide due to higher awareness and improved diagnosis rate. The text is divided in three different parts, each covering detailed surgical techniques of the main foregut operations: achalasia, gastroesophageal reflux disease (GERD), and obesity. Written by experts in the field, chapters focus on the preoperative work-up, indications, and technical aspects of each operation. Foregut Surgery proves to be an irreplaceable resource for surgeons, gastroenterologists, medical students, and surgical residents that care for patients with reflux, achalasia, and morbid obesity.




The SAGES Manual of Acute Care Surgery


Book Description

This book provides a concise summation of current operative decision making and techniques for situations faced by the on-call general surgeon. This manual covers pertinent topics such as minimally invasive surgery in the trauma setting, surgical emergencies in the bariatric patient, and treatment of emergencies in pregnancy, cirrhotics, and anti-coagulated patients. The experts at SAGES pooled their knowledge and created this manual to describe the most up-to-date treatment options for the emergent surgical patient. The SAGES Manual of Acute Care Surgery aligns with the new SAGES UNIVERSITY MASTERS Program and supplements the Master’s Program Acute Care Pathway. Its goal is to help educate surgeons to bring the optimum care to the patients that they are called to see in their emergency rooms, and to help surgeons progress from the competent to the proficient and finally to the mastery level.




The SAGES Manual of Colorectal Surgery


Book Description

This book provides essential didactic content for the SAGES University Masters Program Colorectal Surgery Curriculum. Surgeons seeking to complete the competency, proficiency, or mastery curriculum of the MASTERS Colorectal Pathway for a particular anchoring colorectal procedure will find relevant educational content in this SAGES Manual. Written by experts in the field, each chapter provides detailed guidance on preoperative and peri-procedural considerations for right and left elective and emergency colorectal resections, for both benign and malignant pathologies. Technical pearls and strategies to manage pitfalls and complications are also extensively reviewed along with detailed guidance for both laparoscopic and robotic procedures. The SAGES Manual of Colorectal Surgery provides a wealth of practical guidance to surgeons along their journey to progress from competency to mastery in various minimally invasive approaches to colorectal surgery.




The SAGES Manual of Bariatric Surgery


Book Description

Morbid obesity is an epidemic as more than 2/3 of the United States population is obese and as such, has a high burden of weight-related co-morbid diseases. Bariatric surgery has proven to be effective and durable for treatment of severe obesity. Technological advances including applications of laparoscopy and endolumenal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and as providers, we have a wide spectrum of therapeutic options to treat patients. As techniques and outcomes have evolved, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The proposed textbook is designed to present a comprehensive and state-of the-art approach to the current and future status of Bariatric interventions, which has changed significantly since the first edition of the Manual. Updates in this version will include the rapidly expanding field of endoluminal bariatric procedures, with a focus on new devices and theories of mechanisms. New data regarding laparoscopic approaches to treat obesity, as well as improved longer-term data outcomes will be reviewed. Newer surgical approaches to treat metabolic disease and obesity are included, as well as proposed mechanisms of action and efficacy. Additional new sections include sections on the application of robotic technologies, special circumstances including transplantation and pregnancy, and telemedicine and social media in bariatric surgery. Sections will address the evolution in specific treatments available to patients, initial evaluation and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes. The SAGES Manual A Practical Guide to Bariatric Surgery, Second Edition aligns with the new SAGES UNIVERSITY MASTERS Program. The Manual supplements the Bariatric Surgery Pathway from Competency to Proficiency to Mastery. Whether it’s for Biliary, Hernia, Colon, Foregut or Bariatric, the key technical steps for the anchoring bariatric procedures are highlighted in detail as well as what the reader needs to know to successfully submit a video clip to the SAGES Facebook Channels for technical feedback. Readers will also learn about how to count credits for Bariatric from the other Master Program Series, Guidelines, Top 21 Videos, Pearls, FLS, FES, FUSE, SMART and Annual SAGES Meeting. The Masters Program promotes lifelong deliberate learning.




The SAGES Manual of Pediatric Minimally Invasive Surgery


Book Description

This manual provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for adult and pediatric surgeons at all stages of experience with interest in the use of minimally invasive surgical techniques in children. This book will review the pediatric surgical disorders that are currently treatable with these techniques. After a basic summary of the disorder, the preoperative evaluation and preparation is presented. Each chapter focuses on a detailed discussion of the surgical procedure, inclusive of anesthesia, positioning, instrumentation, and materials. Emphasis is placed on technique and tips for particularly challenging aspects of the operation. A description of the expected postoperative course and common complications of each procedure follows. The outcomes literature to include any advances since the original outcomes and expected future advances for the diagnosis and procedure is presented. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information.




Laparoscopic Ventral Hernia Repair


Book Description

Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.




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.