Oesophagogastric Surgery: A Companion to Specialist Surgical Practice, 6e

Description:

Oesophagogastric Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

For this Sixth Edition the authorship team across the series has been expanded to include additional European and World experts, with an increased emphasis on global practice. Throughout all six volumes the contents have been extensively revised in line with recently published evidence. Detailed supportive key references are provided and are also included within the comprehensive list of references in the accompanying virtual . Links to recommended online videos have been added where appropriate.

The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within the major sub-specialties of general surgery.

Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

This new Sixth Edition includes contributions from a number of world renowned authors which reflects the global nature of oesophagogastric surgery. In particular, to reflect the increasing role of bariatric surgery, there are three new chapters covering obesity, bariatric surgical procedures, and the follow up and outcomes of bariatric surgery. Other chapters have been extensively revised by world experts and include up to date evidence and advances in the assessment, management, and treatment of oesophagogastric disease.

Table of Contents:

1: Pathology of oesophageal and gastric tumours

Oesophagus

Stomach

2: Epidemiology, genetics and screening for oesophageal and gastric cancer

Introduction

Definitions

Epidemiology

Aetiology

Prevention of oesophageal and gastric cancer

Genetics of oesophageal and gastric cancer

Summary and future perspectives

3: Staging of oesophageal and gastric cancer

Acknowledgements

Introduction

The multidisciplinary team (MDT)

Staging classifications

Clinical assessment

Restaging following neoadjuvant or radical therapy

Future developments

4: Preoperative assessment and perioperative management in oesophageal and gastric surgery

Introduction

Physiological stress during the treatment of oesophagogastric malignancy

Diagnosis

Multidisciplinary team evaluation

Neoadjuvant therapy

Preoperative assessment

Anaesthetic technique

Oesophagogastric clinical pathways

5: Surgery for cancer of the oesophagus

Introduction

Surgical pathology

Surgical anatomy

Patient selection and assessment

Principles of oesophagectomy

Technique of anastomosis

Postoperative management

Postoperative complications

Overall results of single-modality surgical therapy

Summary and future research

6: Treatment of early oesophageal cancer

Definition of early oesophageal cancer

Investigations/staging

Management of early oesophageal cancer

Role of a multidisciplinary team

Conclusion

7: Surgery for cancer of the stomach

Introduction

Modes of spread and areas of potential failure after gastric cancer surgery

The concept of radical gastric cancer surgery

Principles of radical gastric cancer surgery

Technique of gastric resection with D2 lymphadenectomy

Reconstruction after gastric resection

Early postoperative complications

Late sequelae and complications

8: Endoscopic and surgical treatment of early gastric cancer

Introduction

Classification of early gastric cancer

Endoscopic treatment

Surgical resection

9: Radiotherapy and chemotherapy in treatment of oesophageal and gastric cancer

Acknowledgements

Introduction

Oesophageal cancer

Small cell oesophageal cancer

Gastric cancer

Palliative chemotherapy

Future strategies

10: Palliative treatments of carcinoma of the oesophagus and stomach

Symptoms and signs of advanced oesophageal and gastric cancer

Patient selection and multidisciplinary teams

Palliative treatments for cancer of the oesophagus and gastric cardia

Endoscopic methods of relieving luminal obstruction

Management of aero-digestive fistulas

Palliative treatments for gastric cancer

Summary

11: Other oesophageal and gastric neoplasms

Introduction

Gastrointestinal stromal tumours (GISTs)

Gastric lymphoma

Neuroendocrine gastroenteropancreatic tumours (GEP-NETs)

Rarities

12: Pathophysiology and investigation of gastro-oesophageal reflux disease

Introduction

Definition

Epidemiology

Symptoms

Normal oesophageal anatomy

Normal oesophageal physiology

Antireflux mechanisms

Oesophageal muscosal defence mechanisms

Risk factors for reflux

Oesophageal dysmotility and GORD: cause or effect?

Role of duodeno-gastro-oesophageal reflux

Symptoms: mechanisms and variability

Investigation and diagnosis

Suggested diagnostic pathway

13: Treatment of gastro-oesophageal reflux disease

Introduction

Medical treatment

Surgical treatment

Laparoscopic antireflux surgery

Synthesis of the results from prospective randomised trials

Endoscopic therapies for reflux

Conclusion

14: Revisional oesophagogastric surgery

Introduction

Revisional antireflux surgery

Revisional surgery for recurrent para-oesophageal herniation

Revisional surgery for other benign diseases of the oesophagus

Revisional surgery for benign and malignant diseases of the stomach

Small stomach syndrome and revisional surgery after total gastrectomy

Conclusion

15: Barrett’s oesophagus

A note on current guidelines

Definition

Endoscopic evaluation

Biopsy protocol

Histology

Prevalence

Risk factors and screening

Advances in molecular and genetic understanding, and prospect of biomarkers

Dysplasia

Surveillance

Management

Organisational issues

16: The management of achalasia and other motility disorders of the oesophagus

Acknowledgement

Introduction

Achalasia

Investigations

Treatments

Secondary achalasia

Distal oesophageal spasm and nutcracker oesophagus

Non-specific oesophageal motility disorders

Oesophageal diverticula

17: Paraoesophageal hernia and gastric volvulus

Introduction

Epidemiology

Anatomy and natural history

Presentation and diagnosis

Operative indications

Operative approaches

Current controversies in paraoesophageal hernia management

Acute gastric volvulus

18: Oesophageal emergencies

Introduction

Perforation of the oesophagus

Caustic injuries

Ingestion of foreign bodies

Conclusion

19: Obesity and assessment for metabolic surgery

Introduction

Pathophysiology of obesity and obesity-related diseases

The mechanisms of action of bariatric procedures and the rationale for metabolic surgery

Rationale for metabolic surgery

Indications for bariatric surgery

The ‘specialist bariatric unit’

The multidisciplinary team

The role of weight management programmes

Multidisciplinary assessment of patient suitability for metabolic surgery

Conclusion

20: Bariatric operations and perioperative care

Selection of procedure

General preoperative care

General considerations for surgery

Postoperative management of significant comorbidities

The operations

Management of early postoperative complications

Outcomes of bariatric surgery

21: Follow-up and late complications of bariatric surgery

Follow-up and long-term outcomes after bariatric surgery

Long-term complications after bariatric surgery

Nutritional complications after bariatric surgery

Weight regain

Revisional bariatric surgery

Cost-effectiveness and economic benefits of bariatric surgery

Future role of bariatric surgery

Index