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Titlebook: Gastrointestinal Surgery; Management of Comple Timothy M. Pawlik,Shishir K. Maithel,Nipun B. Merc Book 2015 Springer Science+Business Media

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Chyle Leak After Esophageal Surgerymphatic channels. The problem commonly presents as a postoperative pleural effusion that is rich in triglycerides. Large quantities, > 2 L/d, of chyle can drain from the site of lymph duct injury and can result in significant fluid and nutritional losses. Initial management involves drainage of the
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Severe Reflux-Induced Esophagitiserent degrees of esophageal damage with respective clinical presentations, which range from acute pain and severe debilitating dysphagia to life-threatening adenocarcinoma. Early intervention is essential in order to avoid irreversible damage, and since symptoms alone are not always reliable to iden
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Injury to the Right Gastroepiploic Arterys artery is critical for a successful patient outcome. In this chapter, we will review key anatomic considerations of the right gastroepiploic artery and discuss their physiologic implications during esophagectomy. Additionally, important strategies to anticipate and prevent injury to this vessel du
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Intra-Operative Solutions for Ischemic Gastric Conduits. The preserved vascular perfusion and the functional motility of the esophageal conduit are essential for a successful postoperative outcome and good quality of life for the patient. The typical esophageal replacement conduit options that are available for esophageal replacement include the stomac
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Dealing with Dumping Syndromedingly, the number of patients suffering from dumping syndrome has increased. In particular, in Korea and Japan, early gastric cancer comprises up to 60–70 % of gastric cancer; therefore, the life expectancy of patients with gastric cancer is quite high. Surgeons, therefore, must better understand d
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