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Can We Accurately Identify Peritoneal Metastases Based on Their Appearance? An Assessment of the Current Practice of Intraoperative Gastrointestinal Cancer Staging
Peritoneal lesions are common findings during operative abdominal cancer staging. The decision to perform biopsy is made subjectively by the surgeon, a practice the authors hypothesized to be imprecise. This s...
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Chapter
Introduction: General Principles
A competent surgeon must be aware of all the general aspects of a surgical procedure to be able to perform specific interventions successfully and expeditiously. The old adage that “exposure, exposure, and exp...
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Chapter
Introduction: Esophagus, Stomach, and Duodenum
This section presents the ambitious field of open and laparoscopic surgery in benign and malignant diseases of the esophagus, stomach, and duodenum.
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Chapter
Sphincterotomy/Sphincteroplasty for Papillary Dysfunction: Stenosing Papillitis
Simple division (5 mm) of the anterior surface of the sphincter of Oddi (sphincterotomy) was utilized in the mid 20th century for presumed biliary-pancreatic pain from sphincter of Oddi dysfunction (biliary dy...
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Chapter
Management of Abdominal Wall Hernias in the Bariatric Patient
Abdominal wall hernia and obesity are associated closely. Many patients being considered for bariatric surgery have an abdominal wall hernia— either a primary umbilical hernia or an incisional hernia after pre...
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Operations for Morbid Obesity
The prevalence of obesity has increased dramatically over the past several decades worldwide and is currently reaching epidemic proportions. In the United States, two thirds of individuals are considered overw...
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Chapter
Introduction: Pancreas
The past two decades have witnessed the exploding evolution of surgical thought and approach toward pancreatic diseases and the role of operative intervention. New operations, escalating technology (especially...
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Denervation: Pain Management
The pain of both benign and malignant pancreatic disease can be incapacitating. Attempts to relieve pancreatic pain by extensive operative denervation have proved to be ineffective. Newer, less invasive techni...
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Pancreas-Sparing Duodenectomy
Pancreas-sparing duodenectomy (PSD) is reserved for premalignant lesions of the duodenal mucosa and the papilla of Vater, when local excision is not appropriate owing to the size or multiplicity of the lesions...
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Necrosectomy
Severe acute pancreatitis remains a life-threatening disease. The first phase (about 7 days) is characterized by formation of pancreatic and peripancreatic necrosis and development of a systemic inflammatory r...
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Clinical Presentation, Etiology, and Diagnostic Considerations
The diagnosis of MVT is often overlooked and delayed either until operative exploration for intestinal ischemia or until a cross-sectional imaging procedure is performed. One key to the diagnosis of MVT is cli...
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Treatment of Mesenteric Venous Thrombosis
Once the diagnosis of mesenteric venous thrombosis (MVT) is made, treatment varies with the form of MVT (acute, subacute, or chronic MVT). As with acute arterial mesenteric ischemia, acute MVT is a surgical em...
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Introduction to Pancreatic Cystic Neoplasms
ver the last three decades, pancreatic cystic neoplasms (PCNs) are being appreciated and recognized with increasing frequency, primarily as a result of increased awareness of these neoplasms and their natural ...
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Prognosis and Follow-Up
Regular follow-up is not necessary following curative resection of SCNs and MCNs without an invasive component. In these patients, radical surgery achieves cure. In contrast, a regular follow-up is required in...
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Incidence and Epidemiology of Pancreatic Cystic Neoplasms
Cystic pancreatic lesions are observed in about 1 in 100 hospitalized patients. These lesions represent a diverse spectrum of diseases, encompassing traumatic, infections, congenital, and neoplastic etiologies...
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Clinical Features and Laboratory Investigation
PCNs are often incidentally diagnosed in asymptomatic patients, typically following investigation for vague and unrelated abdominal complains. In symptomatic patients, clinical presentation includes often nons...
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Treatment of Pancreatic Cystic Neoplasms
Surgery remains the cornerstone in the management of PCNs. Resection may achieve cure and long-term survival, relief of symptoms, and diagnostic certainty. The type of surgery depends on the subtype and the lo...
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Book and Reference Work
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Chapter
Total Pancreatectomy for Treatment of Pancreatic Adenocarcinoma
Successful total pancreatectomy was first performed in 1942 by Priestley at the Mayo Clinic in Rochester, Minnesota for an insulinoma (1). In 1944, Fallis at the Henry Ford Hospital in Detroit, Michigan undertook...
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Article
Sexual Abuse Survivors and Psychiatric Hospitalization after Bariatric Surgery
Some investigators have postulated that a history of being the victim of childhood sexual abuse may impact outcome of bariatric surgery.
