Complications After Gastrointestinal Surgery

Gastrointestinal surgery is performed for a range of benign and malignant diseases in both elective and emergency settings. However, many of these operations are followed by complications, which need early detection so that they can be managed in a way that is rational, evidence-based and makes the best use of the available local resources. Complications after Gastrointestinal Surgery is an up-to-date and comprehensive reference book for practicing and aspiring gastrointestinal and general surgeons as well as for trainees and assistants. With contributions from more than 90 experts from 15 different countries, it offers a systematic description of the general aspects of surgical complications. It discusses institutional issues such as managing complications in limited-resource settings and the impact of centralisation and checklists. It also describes the ways to deal with specific post-surgery problems pertaining to different organs such as the oesophagus, the small and large intestines, pancreas and liver.

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and “tricks of the trade” to avoid potential complications, this book is essential to all medical professions treating such patients. Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

Complications following surgical procedures are not only associated with significant morbidity and mortality, but also add immensely to the psychological burden of the patient and are disappointing for the surgical team. Recent research has led to a greater understanding of the response to surgery and anaesthesia, and great advances have been made in pre-operative preparation with appropriate investigations and pharmacological prophylaxis. These have reduced the incidence of many complications, but the risks are impossible to remove completely. This wide-reaching and practical handbook covers all aspects of post-surgical complications. It is divided into two sections: the first covers general complications such as pressure sores, complications of fluid balance and problems related to anaesthesia, while the second focuses on the complications encountered in the major surgical specialties. Fully revised and updated since the previous edition, and written by a team of experts, Post-operative Complications is essential reading for all those involved in caring for surgical patients. It is particularly relevant for junior doctors and those preparing for their membership of the Royal College of Surgery (MRCS) exams.

This casebook provides a concise yet comprehensive state-of-the art review of common stomach and small intestine disorders. The casebook is divided into five parts, each of which focuses on a major disorder, symptom, or clinical scenario related to the stomach and small intestine, including dyspepsia, small bowel disorders, nausea and vomiting, chronic abdominal pain, and post-operative GI surgery challenges. Each part is comprised of cases illustrating different aspects of the subject, with each case containing sections on case presentation, objectives, epidemiology and etiology, diagnostic evaluation and treatment, case follow-up, clinical pearls, and Q&A. Some major topics presented in these cases include nausea and vomiting in the pregnant patient, gas-bloat, functional abdominal pain, post-GI surgery complications, and celiac disease and non-celiac gluten sensitivity. Written by internationally renowned experts in the field, Essential Medical Disorders of the Stomach and Small Intestine: A Clinical Casebook is a valuable resource for clinicians and practitioners who treat patients afflicted with disorders of the stomach and small intestine.

The proposal for this book is to offer a systematic description of the most frequent complications occurring in the three parts of the digestive tract: HPB, Upper GI and colorectal tracts. Every complication, from esophageal to the rectum, is described systematically through two or three practical cases as has been treated by actual surgical practices of authors serving as surgeon practitioners. Description of the case, presentation of indication for surgery, type of primary surgical intervention and complication is described textually but also and by means of clinical signs, laboratory tests, radiological studies (CT scans and schematic drawings) and other methods used for diagnosis and treatment. The reader will have access to a practical book in which every current complication can be easily recognized, along with relevant information as guide for an adequate treatment.

Complications in Equine Surgery is the first reference to focus exclusively on understanding, preventing, recognizing, managing, and prognosing, technical and post-procedural complications in equine surgery. Edited by two noted experts on the topic, the book presents evidence-based information using a clear approach, organized by body system. Featuring color images, the book contains detailed coverage of the gastrointestinal, respiratory, musculoskeletal, urogenital, and neurological systems. Each chapter contains a short introduction of the procedure with explanations of when and how the procedure is to be performed. All chapters review how to recognize and prevent technical complications and explain how to manage post-operative complications. This important text: Offers the first resource specifically focused on complications encountered in equine surgery Takes a helpful format organized by body system Provides consistently formatted chapters for ease of use Covers clinically relevant information for dealing with technical and post-operative complications Presents more than 350 color images to illustrate the concepts described Written for general practitioners and specialists, Complications in Equine Surgery is an essential resource to decreasing morbidity and mortality and increasing surgical success in horses.

This volume provides readers with the necessary information to select the most appropriate nutritional support following gastrointestinal tract surgery. Most patients are worried about resuming oral intake, particularly when the surgery has altered the GI tract normal physiology removing organs (e.g. total colectomy) or part of them, or modifying the natural sequence of the different GI tract parts (e.g. after esophagectomy or pancreatectomy). Patients may also worry about the possible complications of an inappropriate alimentation. As a matter of fact, several metabolic processes can be modified by GI tract surgery (e.g. major liver resection or pancreatectomy), thus making the nutritional support essential: and the same support is fundamental in bariatric surgery, nowadays widely used for super-obese patients. There is therefore a need for a nutritional guide in surgery and in troubleshooting postoperative cases where nutrition is a major issue This book offers nutritionists insights into the possible alterations of GI tract physiology occurring after surgery, and will be a valuable resource for surgeons, gastroenterologists, coloproctologists, nutritionists and clinical specialist nurses, seeking guidance on postoperative nutrition.

As bariatric procedures become more commonplace, the safety and quality of bariatric surgery continues to rise. Risk factors remain inconsistent from hospital to hospital and procedure to procedure, however, highlighting the necessity for comprehensive education on the prevention and management of their resulting complications. In response to this need, Prevention and Management of Complications in Bariatric Surgery is the first book to compile the most up-to-date prevention and management strategies in this field. Edited by leading experts, it provides sound recommendations for collecting, monitoring, and analyzing outcomes, with an emphasis on quality and process improvement. Its scope is tremendously comprehensive, covering everything from common complications, such as leaks, bleeding, wound infections, and venous thromboembolism; to rare-but-deadly complications, such as Wernicke's encephalopathy and rhabdomyolsis as well as the emergency management of various life-threatening complications, including internal hernia, gastric nectrosis from banding, pulmonary embolus, and bleeding. Readers also learn about early-day, late-day, and intraoperative complications, for which the authors provide evidence-based recommendations for swift and accurate diagnosis, preventive strategies, and best practices in medical and surgical management. Comprehensive and accessible, this book is a valuable resource for bariatric surgeons and surgical trainees, physicians, and nurses who participate in the perioperative care of the bariatric patient.