Download Current Diagnosis Treatment in Gastroenterology by Scott Friedman, Kenneth McQuaid, James Grendell PDF
By Scott Friedman, Kenneth McQuaid, James Grendell
A entire, clinically centred reference masking all of the very important gastrointestinal, hepatic, biliary, and pancreatic illnesses. Now with thirteen thoroughly revised chapters, the second one version good points up to date, reasonable diagnostic methods and healing options.
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26. Esteban Varela J, Nguyen NT. S. utilization of bariatric surgery at academic medical centers. Surg Obes Relat Dis. 2015;11(5):987–90. 2015. 008. 27. Zellmer JD, Mathiason MA, Kallies KJ, Kothari SN. Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. Am J Surg. 2014;208(6):903–10. 002; discussion 9–10. 28. Topart P, Becouarn G, Ritz P. Comparative early outcomes of three laparoscopic bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch.
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Intraoperative upper endoscopy may be performed at the time of diagnostic laparoscopy to rule out an intraluminal bleed from the gastrojejunostomy. The bleeding anastomosis may need to be opened to achieve hemostasis or to evacuate intraluminal clot. Peeters et al. reported one intraluminal bleed out of 796 RYGB in which a laparotomy was performed. An enterotomy was made distal to the jejunojejunostomy for clot removal [5]. Gastrostomy tube placement for decompression of the excluded stomach may also be necessary [4].