Further it is the responsibility of the health care provider to ascertain the Food and Drug Administration status of each drug or device used in their clinical practice. The publisher, editors, and authors are not responsible for errors or omissions or for any consequences from the application of the information presented in this book and make no warranty, express or implied, with respect to the contents in this publication.
Gastrointestinal surgery books download
This publication is printed on acid-free paper. For those organizations that have been granted a photocopy license from the CCC, a separate system of payment has been arranged and is acceptable to Humana Press Inc. Printed in the United States of America. Wu [et al.
Clinical gastroenterology Includes bibliographical references and index. ISBN alk. Gastrointestinal system Surgery.
Wu, George Y. Digestive System Surgical Procedures methods. WI I ] RD I '. To the memory of my parents, whose guidance has provided me with inspiration for all of my accomplishments in life. To my teachers who have inspired me by their example, to my students who teach me still by their questions and curiosity, to my patients whose lessons I have tried to absorb, and to my family whose patience and tolerance of these endeavors make it all worthwhile.
To begin with, modern phar- macology has virtually eliminated some kinds of surgery altogether. If one were to take a peek at a typical operating room schedule in a busy hospital of the s, gastrectomies of one kind or another would have constituted a large block of the major surgeries.follow url
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Exciting new approaches to treating inflammatory bowel diseases and their complications—such as fistulas— with anticytokine therapy may one day have a similarly profound effect on surgery for this condition as well. Beyond pharmaceutics, advances in imaging techniques have greatly facilitated the identification and characterization of pathology in the gastrointestinal tract in a way that would have been unimaginable only a few years ago. Just to visualize the pancreas in some way was a horrendous task until abdominal ultrasound, magnetic resonance imaging, or computer tomography made it simple.
The fact that the gut is a hollow organ that can be accessed through the mouth, anus, or even through the wall of the abdomen has been fully exploited with fiberoptic endoscopes that can bend around corners with ease and permit surgery to be conducted through them. Today, of course, laparoscopic surgery has virtually eliminated open cholecystec- tomy and threatens to make other complex surgeries, such as fundoplication or colec- tomy, obsolete.
Other advanced technologies, such as transhepatic intravenous porta-systemic shunts, have practically converted dangerous and difficult operations to relieve portal pressure in liver disease to an outpatient procedure.
Gastrectomies, cholecystectomies, fundoplications, colectomies, and porta-caval shunts all have to be performed on patients. The surgeon of today must be equally adept at performing traditional abdominal surgery as well as surgery through scopes, percutaneous wires, and the like. To begin with, the internist now has many options to choose from in treating patients with abdominal illnesses.
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It is important for the internist to understand the advantages and limitations of the differ- ent therapeutic approaches that might be taken. Thorough discussion and collabora- tion of an internist with the surgeon, both being well-informed on the approaches to therapy, will inevitably provide the best outcome for the patient. Beyond initial vii This is trial version www. It goes without saying that internists must be adept at handling the sequelae of surgery, some of which may have profound effects on normal physi- ological function.
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It is carefully written in language that would have meaning to an inter- nist. In a logical way, each topic is approached from the standpoints of pathophysiology, diagnostic evaluation, treatment, and sequelae. Each chapter is accompanied by clear and simple diagrams that depict the essentials of the operation performed. It is meant not only for the practicing internist but is equally appropriate for all students or other trainees in medicine who are bound to see patients who undergo surgery for gastrointes- tinal illness.
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- An Internist's Illustrated Guide to Gastrointestinal Surgery.