SLEEVE GASTRECTOMY, LAPAROSCOPIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on SLEEVE GASTRECTOMY, LAPAROSCOPIC

INDICATIONS Print Section Listen The vertical sleeve gastrectomy is an accepted primary or staged bariatric procedure with indications that follow current NIH guidelines. Body mass index (BMI) of greater than…

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ROUX-EN-Y GASTRIC BYPASS, LAPAROSCOPIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on ROUX-EN-Y GASTRIC BYPASS, LAPAROSCOPIC

INDICATIONS Print Section Listen Selection of patients for bariatric procedures is based on evidence-based guidelines. Patients must have failed dietary therapy and have a body mass index (BMI) greater than…

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ROUX-EN-Y GASTROJEJUNOSTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on ROUX-EN-Y GASTROJEJUNOSTOMY

INDICATIONS Print Section Listen The diversion of bile away from the gastric outlet that has been altered by pyloroplasty or some type of gastric resection may be indicated in an…

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FUNDOPLICATION

Jan 6, 2019 by in CARDIOLOGY Comments Off on FUNDOPLICATION

INDICATIONS Print Section Listen Fundoplication may be considered in certain patients with symptomatic reflux gastritis associated with esophagitis or refractory to maximal medical therapy. Esophagitis with stricture and paraesophageal hernia…

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PYLOROMYOTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on PYLOROMYOTOMY

INDICATIONS Print Section Listen Pyloromyotomy (Fredet–Ramstedt operation) is done in infants with congenital hypertrophic pyloric stenosis. PREOPERATIVE CARE Print Section Listen The diagnosis is established by the characteristic history of…

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FUNDOPLICATION, LAPAROSCOPIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on FUNDOPLICATION, LAPAROSCOPIC

INDICATIONS Print Section Listen Symptomatic gastroesophageal reflux disease is the most common indication for laparoscopic fundoplication using the floppy 360-degree Nissen technique. The clinical presentation and diagnostic workup are described…

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ESOPHAGEAL MYOTOMY, LAPAROSCOPIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on ESOPHAGEAL MYOTOMY, LAPAROSCOPIC

INDICATIONS Print Section Listen The manifestations of achalasia include chest pain, dysphagia, and in late situations malnutrition. Most patients have been treated for some length of time for the presumptive…

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TOTAL GASTRECTOMY, STAPLED

Jan 6, 2019 by in CARDIOLOGY Comments Off on TOTAL GASTRECTOMY, STAPLED

INDICATIONS Print Section Listen The indications and preoperative preparations are specific and are reviewed in Chapter 31, where the commonly used methods of reconstruction are shown with hand-sewn anastomoses. Many…

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TOTAL GASTRECTOMY

Jan 6, 2019 by in CARDIOLOGY Comments Off on TOTAL GASTRECTOMY

INDICATIONS Print Section Listen Total gastrectomy may be indicated in treating extensive stomach malignancies. This radical procedure is not performed when carcinoma with distant metastasis to the liver or pouch…

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HEMIGASTRECTOMY, BILLROTH II STAPLED

Jan 6, 2019 by in CARDIOLOGY Comments Off on HEMIGASTRECTOMY, BILLROTH II STAPLED

INDICATIONS Print Section Listen The Billroth II gastric resection is one of the most commonly performed procedures for malignancy of the stomach or for the control of gastric hypersecretion in…

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