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By Giuseppe Galloro
Owing to the changes in visceral anatomy, many endoscopists, and particularly trainees, event problems while appearing endoscopic surveys or tactics in sufferers who've formerly passed through surgical procedure to the digestive tract. during this richly illustrated e-book, knowledgeable within the box presents a close assessment of endoscopic follow-up of gastrointestinal (esophageal, gastric, and colorectal) anastomosis. either basic appearances and pathological stipulations concerning problems are absolutely lined. The technique, timing, protocols, and function of diagnostic endoscopy are first mentioned. Endoscopic remedies for the answer of alternative medical difficulties with regards to recurrences, stenoses, dehiscences, and fistulas are then evaluated step-by-step due to top of the range photographs. despite point of expertise, endoscopists and gastroenterologists will locate Endoscopic Follow-up of Digestive Anastomosis to be a useful resource of data and reduction to therapy during this very important quarter, which too frequently gets insufficiently designated attention.
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Extra resources for Endoscopic Follow-up of Digestive Anastomosis
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Endoscopic examination after total gastrectomy for gastric cancer has an important but limited role in the management of tumor recurrence. 3 Bariatric Surgery The performance of bariatric surgery is escalating in order to treat the obesity epidemic, with multiple procedures that include: • Roux-en-Y gastric bypass (Fig. 2) • Vertical banded gastroplasty (Fig. 3) • Laparoscopic adjustable gastric banding (Fig. 4) • Sleeve gastrectomy (Fig. 5) • Sleeve gastrectomy with duodenal switch (Fig. 6) Formerly, many of the complications following bariatric surgery were approached by reoperation, but currently, endoscopy plays an important role in the evaluation and management of postoperative upper gastrointestinal symptoms.
The main limitation of CE in this specific setting, as reported above, is its low specificity (difficulty in distinguishing between surgical outcomes, postsurgical complications, or possible local recurrence of primary disease). , lymphomas) (Figs. , radiological) commonly used in the process of staging and restaging [58, 59]. 3 Small Bowel Tumors Small bowel tumors are a small proportion of gastrointestinal neoplasms; accounting for 1–3 % of all primary gastrointestinal tumors [53]. Nevertheless, recent studies suggest that the incidence of these diseases is increasing [53, 54].
Focusing the attention on operated patients, some authors reported an increased risk of perforation in patients with recently performed anastomosis [29]. On the other hand, the abdominal adhesions, which can arise after small bowel resection, can make DAE difficult to perform, less successful in exploring the small bowel, and more risky for the patients [27]. 1 Preventing Postsurgical Complications The most common complication of intestinal anastomosis is the development of ulcers [30]. 1 years.