Dilemmas in Abdominal Surgery: A Case-Based Approach

Description:

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:

Part 1: Esophagus

1. Acute Presentation (Boerhaave’s Syndrome)

2. Endoscopic Biopsy Demonstrating High-Grade Dysplasia in Barrett’s Esophagus

3. Dysphagia Six Weeks Following Accidental Corrosive Ingestion

4. Symptomatic Giant Hiatal Hernia with Intrathoracic Stomach

5. Non-Metastatic Esophageal Cancer with Enlarged Carinal Lymph Nodes with Previous Sleeve Gastrectomy

6. Post-Esophagectomy Mediastinal Leak

7. Post-Esophagectomy (for Esophageal Cancer) Neck Leak

Part 2: Stomach

8. Obese Patient (BMI 32) with Reflux Disease and Diabetes Mellitus

9. Locally Advanced Resectable Gastric Cancer

10. Locally Advanced, Unresectable Gastric Cancer

11. Post Total Gastrectomy Complications: Duodenal Stump Leak

12. Post Total Gastrectomy Complications: Esophagojejunal Anastomosis Leak

13. Metastatic Gastrointestinal Stromal Tumor with Bleeding

Part 3: Duodenum

14. Two Centimeter D1–2 Anterior Perforation Presenting 24 Hours Later

15. Biliary Leak after Pancreatoduodenectomy for Duodenal Neuroendocrine Tumors

16. Duodenal Neuroendocrine Tumors: A Discrete 1 cm Lesion on D2 – Antipancreatic Surface vs Pancreatic Surface

Part 4: Small and Large Intestines

17. Crohn’s Disease: Multiple Diffuse Strictures with Three Episodes of Subacute Intestinal Obstruction in One Year on Monoclonal Antibodies

18. An Acute Embolic Event Affecting the Superior Mesenteric Artery

19. Post-Colonic Anastomotic Leak

20. Toxic Megacolon in Crohn’s Colitis

21. Colonic Perforation Pelvic Collection with Air in a Hemodynamically Stable Patient

22. Non-Obstructing Small Bowel Neuroendocrine Tumor with Liver Metastasis

Part 5: Rectum

23. Transsphincteric Fistula-in-Ano with External Opening 3 cm from Anal Verge

24. Familial Adenomatous Polyposis: 19-Year-Old Patient with Severe Rectal Involvement

25. Management of Rectal Cancer in a Young Woman

Part 6: Gallbladder and Biliary Tree

26. Acute Cholecystitis: Four Days Duration with a Palpable Lump

27. Intraoperative Cholangiogram Shows <1 cm Stone at the Lower End

28. Incidentally Detected 7 mm Gallbladder Polyp

29. Gallbladder Cancer with Obstructive Jaundice and Periportal Lymph Node

30. Mid Common Bile Duct Cholangiocarcinoma Involving the Portal Vein and Right Branch of the Hepatic Artery

Part 7: Liver

31. Hydatid Cyst of the Liver

32. Pyogenic Liver Abscess

33. Hepatocellular Carcinoma: 10 cm Lesion in a Child-Pugh Class A Cirrhotic Patient

34. Metastatic Colorectal Cancer: Three Discrete 2 cm Lesions in the Right Lobe with a 1 cm Central Lesion in the Segment 2/3

35. Metastatic Colorectal Cancer Bilobar Metastatic Disease That Has Completely Disappeared Following Systemic Chemotherapy

Part 8: Pancreas

36. Pyrexia Two Weeks after an Attack of Alcohol-Induced Acute Pancreatitis

37. Ten-Year History of Chronic Pancreatitis Presents with Pancreatic Head Mass

38. Chronic Pancreatitis: Small Duct Disease with Uncontrolled Pain

39. Multifocal Branch Duct Intraductal Papillary Mucinous Neoplasm with 3 cm Lesion in Head of Pancreas

40. Resectable Pancreatic Cancer Post Roux-en-Y Gastric Bypass for Obesity

41. Managing a Grade C Pancreatic Fistula after Pancreatoduodenectomy

42. Acute Necrotizing Pancreatitis Post-Pancreatoduodenectomy

Part 9 Spleen

43. Grade 3 Isolated Splenic Laceration with Hemodynamic Instability

Part 10 Inferior Vena Cava

44. Malignant Inferior Vena Cava Leiomyosarcoma: Approach to a Tumor Involving the Right Renal Vein

Index