ESOPHAGECTOMY TRANSHIATAL

Jan 6, 2019 by in CARDIOLOGY Comments Off on ESOPHAGECTOMY TRANSHIATAL

INDICATIONS Print Section Listen Transhiatal esophagectomy with cervical esophagogastrostomy is indicated for most conditions that require esophageal resection and reconstruction. Common indications include carcinoma of the esophagus or gastroesophageal junction,…

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ESOPHAGECTOMY, TRANSTHORACIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on ESOPHAGECTOMY, TRANSTHORACIC

INDICATIONS Print Section Listen Transthoracic esophagectomy is indicated for the management of surgically resectable cancers of the esophagus and gastroesophageal junction. An abdominal incision is utilized to mobilize the distal…

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THE ADJUSTABLE GASTRIC BAND, LAPAROSCOPIC

Jan 6, 2019 by in CARDIOLOGY Comments Off on THE ADJUSTABLE GASTRIC BAND, LAPAROSCOPIC

INDICATIONS Print Section Listen A surgeon may select the use of a gastric band to restrict the gastric size. The same selection criteria used for the Roux-en-Y gastric bypass apply….

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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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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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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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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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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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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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