1st Edition
Dilemmas in Abdominal Surgery A Case-Based Approach
This book covers the management of surgical diseases "through the eyes" of a clinician by providing an evidence-based approach to specific clinical dilemmas. The chapters take the reader through a step-by-step "decision-making" approach to commonly encountered, but difficult to manage, situations where the editors share their rationale behind the process. Emphasis is placed on the use of tables and algorithms to simplify understanding. They aim to empower the readers with the ability to manage complex abdominal surgery scenarios in a streamlined manner, thus improving the care and outcome of patients.
Key Features
- Targets specific, difficult to manage scenarios
- Provides expert opinion/advice on how to tackle tricky situations
- Covers both benign and malignant cases
- Examines surgical dilemmas through illustrations
Table of Contents
Oesophagus
Chapter 1 Acute presentation - Boerhaave's Syndrome
Jon Shenfine
Chapter 2 Endoscopic Biopsy demonstrating High grade Dysplasia in Barrett's Oesophagus
David I. Watson
Chapter 3 Dysphagia 6 weeks following accidental corrosive ingestion
Vikram Kate, R. Kalayarasan, N. Ananathakrishnan
Chapter 4 Symptomatic Giant Hiatus Hernia with Intrathoracic Stomach
Tim Bright
Chapter 5 Non-metastatic esophageal cancer with enlarged carinal lymph nodes with previous sleeve gastrectomy
Apurva Ashok, Devayani Niyogi, Virendra Kumar Tiwari, Sabita Jiwnani, George Karimundackal, C S Pramesh
Chapter 6 Post Esophagectomy Mediastinal Leak
Devayani Niyogi, Virendra Kumar Tiwari, Apurva Ashok, Sabita Jiwnani, George Karimundackal, C S Pramesh
Chapter 7 Post Esophagectomy (for esophageal cancer) Neck leak
W.K. Ooi, S.M. Lagarde, B.P.L. Wijnhoven
Stomach
Chapter 8 Obese patient (BMI 32) with reflux disease and diabetes mellitus
Jacob Chisholm & Lilian Kow
Chapter 9 Locally advanced Resectable Gastric cancer
Savio G. Barreto & Shailesh V. Shrikhande
Chapter 10 Locally advanced Unresectable Gastric cancer
Manish S Bhandare, Vikram A Chaudhari, Shailesh V Shrikhande
Chapter 11 Post Total Gastrectomy complications – Duodenal stump leak
Kailash Kurdia & Rajneesh Kumar Singh
Chapter 12 Post Total Gastrectomy complications – Esophago-jejunal anastomosis leak
Kailash Kurdia & Rajneesh Kumar Singh
Chapter 13 Metastatic Gastric GIST - with bleeding
Inian Samarasam & Senthilnathan K.
Duodenum
Chapter 14 2cm D1-2 anterior perforation presenting 24 hours later
Peush Sahni & Rajesh Panwar
Chapter 15 Biliary Leak after Pancreatoduodenectomy for duodenal
neuroendocrine tumours
Gayatri Balachandran and Sadiq S. Sikora
Chapter 16 Duodenal neuroendocrine tumors: a discrete 1 cm lesion on D2 - antipancreatic surface v/s pancreatic surface
Valentina Andreasi, Stefano Partelli, Francesca Muffatti, Massimo Falconi
Small and large Intestine
Chapter 17 Crohn’s Disease: Multiple diffuse strictures with 3 episodes of subacute intestinal obstruction in 1 year on Monoclonal Antibodies
Lohith Umapathi, Divya Manikandan, Govind Nandakumar
Chapter 18 An acute embolic event affecting the Superior Mesenteric Artery
Edward Travers, Alain Nguyen, Savio George Barreto
Chapter 19 Post-colonic anastomotic leak
Anu Behari
Chapter 20 Toxic Megacolon in Crohn’s colitis
Dayan De Fontgalland
Chapter 21 Colonic Perforation: Pelvic collection with air in a 40-year old haemodynamically stable patient
Varughese Mathai
Chapter 22 Non-obstructing small bowel neuroendocrine tumor with liver metastasis
Mufaddal Kazi, Manish S Bhandare, Vikram A Chaudhari, Shailesh V Shrikhande
Rectum
Chapter 23 Trans-sphincteric fistula in ano with external opening 3cm from anal verge
Parvez Sheikh & Atef Baakza
Chapter 24 FAP: 19-year old patient with severe rectal involvement
Paul Kolarsick & Steven Wexner
Chapter 25 Management of Rectal Cancer in a young woman
Dayan De Fontgalland
Gallbladder and Biliary Tree
Chapter 26 Acute Cholecystitis – 4 days duration with a palpable lump
Takanori Morikawa & Michiaki Unno
Chapter 27 Intra-operative cholangiogram shows < 1cm stone at the lower end
Michael Cox
Chapter 28 7mm Incidentally detected Gallbladder Polyp
Nisar Hamdani & V. K. Kapoor
Chapter 29 Gallbladder Cancer with obstructive jaundice and periportal lymph node
Arindam Mondal, Vikram A Chaudhari, Manish Bhandare, Shailesh V. Shrikhande
Chapter 30 Mid common bile duct cholangiocarcinoma involving the portal vein and right branch of hepatic artery
Charles Kimbrough & Timothy Pawlik
Liver
Chapter 31 Hydatid cyst of the liver
Rajeev Joshi, Murtaza Dadla, Sandeep Sangale
Chapter 32 Pyogenic Liver abscess
Rajeev Joshi, Murtaza Dadla, Sandeep Sangale
Chapter 33 Hepatocellular Carcinoma: 10 cm lesion in a Child-Pugh A Cirrhotic Patient
Masakazu Yamamoto, Shun-ichi Ariizumi
Chapter 34 Metastatic Colorectal Cancer: 3 Discrete 2cm lesions in the right lobe with a 1cm central lesion in the segment 2/3
Ganesh Nagarajan & Kaushal Kundalia
Chapter 35 Metastatic colorectal cancer bilobar metastatic disease that has completely disappeared following systemic chemotherapy
Yuki Kitano & Rene Adam
Pancreas
Chapter 36 Pyrexia 2 weeks after an attack of alcohol-induced acute pancreatitis
John A. Windsor
Chapter 37 10-Year History of Chronic Pancreatitis Presents with Pancreatic Head Mass
Courtney E. Barrows & Tara S. Kent
Chapter 38 Chronic Pancreatitis - Small duct disease with uncontrolled pain
Michael F. Nentwich, Jakob R. Izbicki
Chapter 39 Multifocal branch duct IPMN with 3cm lesion in head of pancreas in a 55-year-old lady
Atsushi Oba, Robert J. Torphy, Richard D. Schulick, Marco Del Chiaro
Chapter 40 Resectable pancreatic cancer post Roux-en-Y gastric bypass for obesity
Sarah Bormann & Savio George Barreto
Chapter 41 Managing a Grade C Pancreatic Fistula After Pancreatoduodenectomy
Maxwell T. Trudeau & Charles M. Vollmer
Chapter 42 Acute necrotizing pancreatitis post Pancreatoduodenectomy
Ibrahim Büdeyri, Onur Bayram, Christoph W. Michalski, Jörg Kleeff
Spleen
Chapter 43 Grade 3 isolated splenic laceration with haemodynamic instability
Maria Grazia Sibilla, Sofia Battisti, Federico Coccolini
Inferior Vena Cava (IVC)
Chapter 44 Malignant IVC Leiomyosarcoma: approach to a 37-year old patient in whom the tumour involves the right renal vein
Richard Smith
Biography
Savio George Barreto, MBBS, MS, FRACS, PhD, Division of Surgery and Perioperative Medicine, Flinders Medical Centre and SA Portfolio Advisor, Advanced Studies and Senior Lecturer, College of Medicine and Public Health, Flinders University, Adelaide, Australia
Shailesh V. Shrikhande, MBBS, MS, MD, Deputy Director, Gastrointestinal and Hepato-Pancreato-Biliary Surgical Services, Department of Surgical Oncology, Tata Memorial Center, Mumbai, India
This case-based book discusses a variety of clinical situations that general surgeons may encounter, and reviews a diverse variety of pathologies encountered in the abdomem. The chapters are all well done and do an excellent job of approaching each case with a succinct yet comprehensive review of the subject matter. Each chapter is clearly written and concise in its message. The pictures and diagrams are very well reproduced and clearly add to the overall message. This book is clearly written for senior surgical residents or practicing general surgeons. The topics that are discussed are well reviewed, providing the readers with expert opinion as well as pertinent, up-to-date literature. For a newly minted general surgeon or senior resident, this will be a good resource.
Peter Nau, MD, MS, FACS(University of Iowa Hospitals and Clinics)
