Acute appendicitis is one of the most common surgical abdominal emergencies worldwide, with a lifetime risk of 8.6% for males and 6.7% for females. This compilation discusses how while non-operative treatment of appendicitis has been proposed as an alternative to surgery, appendicectomy remains the mainstay of treatment in most cases and techniques have shifted from open to laparoscopic methods. The current knowledge in pathogenesis, diagnosis, and clinical management of acute appendicitis is also discussed. Next, the authors present an updated review chapter of appendicitis regarding its prevalence and risk factors, particularly how the diagnosis of appendicitis is based on a history of diffuse abdominal pain, which usually starts in the central region of the abdomen and migrates to the lower right quadrant of the abdomen. The residual remnant or "stump" of the appendix after an initial appendectomy may become inflamed causing what is commonly referred to as stump appendicitis. Treatment with antibiotics may be attempted as an alternative to surgery; however, the vast majority of cases require definitive surgical excision of the remnant appendix. The authors propose that keeping this disease in the differential is important in reducing complications associated with delayed diagnosis.

You may not realize it, but everyone has hemorrhoids. They are a natural-and important-feature of the human body. However, like every other feature of the body, problems can arise with hemorrhoids and cause pain and fear if the symptoms are not understood. What Doctor Krajewski offers in this book is an easy-to-understand medical explanation of what hemorrhoids are, how they aid our gastrointestinal health, what your symptoms are telling you about your hemorrhoids, and what your treatment options are, depending on the severity of the problem you are facing. If you have questions about hemorrhoids, this book will empower you and help you get the treatment you need.

Percutaneous endoscopic gastrostomy (PEG) tubes are placed more than 125,000 times a year in the Unites States alone, making it one of the most common therapeutic endoscopic procedures. The editor, Eric Mark Pauli, along with his co-editor Dr. Jeffrey Marks had the good fortune of training with Dr. Jeffrey Ponsky, the recognized co-developer of the technique. PEG is deceptively simple. You do not need to complete a fellowship to understand it. In the majority of patients, PEG is a 10 minute procedure that requires minimal pre-operative evaluation, a moderate amount of surgical/endoscopic skill and minimal post-operative follow up. The trick to being good at PEG lies in recognizing those circumstances that require more forethought, more patient/family discussion, more endoscopic skills, more post-operative management. If such recognition is followed up with appropriate action, few patients should be deemed un-PEGable and complications should be kept to an absolute minimum. The purpose of this book is twofold. First, for the individual who is new to performing PEG, it provides an overview of the basic management strategies and endoscopic techniques as they are performed by recognized experts in their respective fields. Second, for the practitioner who already performs PEG, the editor hope that it exposes them to alternative techniques and more advanced therapeutic options such that they can offer the procedure to more patients in an even safer fashion.

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and "tricks of the trade" to avoid potential complications, this book is essential to all medical professions treating such patients. Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

Obesity is a multifactorial global epidemic with associated risk factors for an array of vascular, metabolic, psychological and economical consequences. Bariatric surgery has revealed a significant link between gastrointestinal metabolism and obesity that extends to resolution of many metabolic diseases including type 2 diabetes and cardiovascular disease risk. Bariatric surgery offers the most effective results and Roux-en Y gastric bypass (RYGB) is the most commonly performed bariatric surgery worldwide. The effective weight loss achieved by RYGB is thought to be caused by the re-arrangement of the gastrointestinal tract leading malabsorption and restriction of the ingested nutrients, and consequently resulting in alterations in the gut hormone levels. The first chapter of this book briefly summarises the current literature on the changes in the gastrointestinal hormones following RYGB. Chapter Two studies the role of bariatric surgery in the resolution of obesity and type 2 diabetes. Chapter Three discusses how to treat a type 2 diabetes patient post-bariatric surgery. The last chapter discusses the recent findings of the relationship between gastric bypass and four different skin disorders.

Achieve the best outcomes with expert, practical, highly visual guidance! Operative Techniques in Colon and Rectal Surgery features just the colorectal surgery content from Operative Techniques in Surgery, the comprehensive 2-volume set edited by Michael W. Mulholland, MD, PhD. Ideal for practitioners who wish to focus on mastering today's best colorectal surgery procedures, it takes you step-by-step through each technique in a consistent manner, using concise, bulleted text, full-color illustrations, and full-color intraoperative photographs to clearly convey exactly what to look for and how to proceed. Key Features Global contributors known for their technical expertise share their knowledge and skills. Comprehensive coverage keeps you up to date on small intestine procedures, surgery of the colon, appendix, rectum, and anus, as well as rectal resections. Full-color, step-by-step explanations of operative procedures help you master each technique, avoid complications, and anticipate outcomes. Each clinical issue is discussed in the same easy-to-follow format: definition, differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications. Bulleted text and tables allow for quick and easy reference, while intraoperative photographs provide a surgeons-eye view of each procedure. Ideal for anyone involved in colon and rectal surgery, colorectal fellows, practitioners, and general surgeons. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.

The incidence of gastric carcinoma is declining, but this form of cancer is still the fourth most common cause of malignancy world-wide and the second most common cause of cancer-related deaths. This book is structured in eleven chapters, written by acknowledged experts in the field of gastric cancer and includes the most interesting topics including surgical anatomy, clinical staging, analysis of prognostic factors in early and advanced stages, sentinel node biopsy results, surgical standard, laparoscopic and robotic techniques of gastrectomy with D2 lymphadenectomy, perioperative and postoperative complications, neoadjuvant and adjuvant therapies and preoperative, perioperative and postoperative nutrition. This book is proposed to be useful both for surgeons in training and experienced surgeons for its completeness and actuality of the treated topics.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

For the most honest, objective opinion, HealthScouter provides a patient's view of the most common medical problems. Including hundreds of quotes, questions, and answers from patients themselves, this guide provides comprehensive information about a single condition for from perspective that matters: the patient's perspective. Understand how current patients approach their medical challenges, and help overcome your own. This reference will help you see through obscure medical jargon and limited treatment options and empower you to better understand the issues that really matter: Diagnosis + Symptoms + What to Expect + Treatment Options + Medical Terminology

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

The popular series - A Companion to Specialist Surgical Practice - provides senior surgical trainees with a concise learning and revision source, and the practising surgeon with a regular update in a particular sub-specialty. Each volume in the series gives a current summary of the key topics within the specialty and concentrates on recent developments. As in the previous edition, evidence-based practice is indicated where appropriate - icons are used throughout the books to highlight sections of text and key references which are considered to be associated with reasonable evidence, i.e. are supported by randomized clinical trials, systematic literature reviews, meta-analysis or observational studies.

This book is a topical review of issues the editors consider to be 'hot topics' and will be of interest to qualified consultant colorectal surgeons and those performing general surgery with an interest in colorectal surgery. In addition, the topics picked are likely to be ones that candidates taking the Intercollegiate Examination in General Surgery will be quizzed upon. It is not intended to be a textbook covering all aspects of colorectal surgery. Rather, it is meant to be an up-to-date view of current and probable near future advances. Frontiers in neoplasia, inflammatory bowel disease, anal disorders and management are covered by acknowledged experts, known to be active in the field. The implications of deep pelvic dissection and pouch surgery in males and females are sensitively explored. Each chapter contains three main sections entitled 'What is the problem/issue?', 'Where are we now?' and 'Where are we going?'. Referencing for the first two is key and current; the last section is speculative with the occasional reference. This volume should find a place on the coloproctologist's bookshelf as an exciting review of contemporary themes, complementing traditional textbooks.

This new handbook teaches and explains the key principles in the management of complex pediatric colorectal diagnoses. By using case-based presentations, radiographic images, operative images with Multiple Choice Questions to test knowledge, this book serves as an invaluable educational tool. 'Learning Points' are included and the text includes comprehensive explanatory chapters. The 60 cases included encompass the full range of pediatric conditions, and the additional learning material completes this unique handbook. The e-book further enhances the learning experience for all clinicians involved in the treatment of children suffering from colorectal disorders.

This is a new reference edited by two leading authorities in the field of minimally invasive surgery that differentiates itself from other similar titles by providing a stronger emphasis on incorporating newer technologies. The book discussed the incorporation of flexible endoscopy into surgical practice, harvesting the expertise of gastroenterologists and surgical endoscopists. It also discusses minimally invasive operative procedures such as laparoscopically assisted vaginal hysterectomy.

Gastric cancer is the fourth most common cancer in the world. Most gastric cancers are diagnosed in advanced stages, and the prognosis remains poor. The 5-year survival rate is 40-60% in eastern countries and around 25% in the west. Among advanced gastric cancer cases, peritoneal implantation is one of the most common forms of metastasis and around 14% of cases present peritoneal metastases at initial diagnosis, presenting a survival of 3-6 months. Until the early 1990s it was considered a terminal disease. But today these patients have some opportunities to be treated with curative intent or to prolong their life. Although the prognosis remains poor, there are some treatment options including cytoreductive surgery, neoadjuvant therapy, and some forms of intraperitoneal chemotherapy with or without hyperthermia. These are aggressive treatments, so we must be careful when selecting patients. Imaging and preoperative staging are also crucial in selecting patients for appropriate treatment. The surgical technique is described and a detailed demonstration video is available in the e-book version. New forms of treatment such as PIPAC and new scientific advances and future perspectives are discussed. This book is an update on this topic and attempts to provide an overview for all medical personnel involved in the treatment of these patients.

Written by an interdisciplinary team of experts, this book contains historical information as well as current update on renal replacement therapy. New technology and techniques are presented in a concise, easy-to-read style that keeps the reader interested.

The contributors include physicians who practise uremia therapy since its conception to more recent graduates, along with surgeons, pioneers and physicians who are patients themselves, thus giving readers the broadest perspective.

The aim of the book is to update the reader on renal replacement therapy as of 2009. It is a textbook that can be read cover to cover and still serve as a fine reference guide. The book is targeted at anyone interested in kidney replacement therapy, from students and patients to the professorial level.

Paediatric gastrointestinal endoscopy has been greatly improving since its introduction and it is continuously evolving due to the tools' improvement and the specific training of the staff. Currently this technique can be performed in children of all age including preterm infants. This book illustrates the specific performance techniques of gastrointestinal endoscopy in pediatric age both with regard to diagnosis of gastrointestinal pathologies and their operative use in the upper and lower gastrointestinal tract. One of the most famous international paediatric endoscopists tells us the history of pediatric GI endoscopy, its achievements, and where it is going. Moreover in the first part of the book the preparatory stages to gastrointestinal endoscopy are widely discussed. Afterwards, specific chapters discuss the examination of the ileum with new instruments from single- and double-balloon enteroscopy, to wireless capsule endoscopy. Furthermore some authoritative authors illustrate the management of GI endoscopy in particular situations such as cystic fibrosis, gastrointestinal tumours, graft-versus host disease, and some others deal with the management of complications that can occur during endoscopic procedures. Finally a special focus is given on endoscopic ultrasound and the application of new optical techniques, fields continuously evolving both in technology tools and in diagnostic applications mainly in the paediatric age.