By Surya S. A. Y. Biere M.D. (auth.), Miguel A. Cuesta, H. Jaap Bonjer (eds.)
The notion for this publication is to supply a scientific description of the main widespread problems taking place within the 3 elements of the digestive tract: HPB, higher GI and colorectal tracts. each hassle, from esophageal to the rectum, is defined systematically via or 3 functional circumstances as has been taken care of by means of real surgical practices of authors serving as physician practitioners. Description of the case, presentation of indication for surgical procedure, form of fundamental surgical intervention and hassle is defined textually but additionally and via medical indicators, laboratory assessments, radiological stories (CT scans and schematic drawings) and different equipment used for analysis and remedy.
The reader could have entry to a pragmatic booklet during which each present worry should be simply famous, besides appropriate info as consultant for an sufficient treatment.
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Additional resources for Case Studies of Postoperative Complications after Digestive Surgery
No Z-line could be determined, and there were no signs of hiatal hernia or esophagitis. After discussing all the surgical treatment options with the patient, she was determined to undergo an esophagectomy with a gastric tube reconstruction in order to relieve dysphagia in a definitive way, and the endosopic surveillance of the esophagus could be abandoned. Operation Description An open transhiatal esophagectomy was performed with an end-to-end esophagogastrostomy with PDS 3/0 running suture. Postoperative Course: Identification and Treatment of the Complication The postoperative course was uncomplicated and the patient was discharged on day 7.
A. J. 1007/978-3-319-01613-9_6, © Springer International Publishing Switzerland 2014 33 34 R. Gorter Pathology Radically resected T3N1 adenocarcinoma of the esophagus. Postoperative Course: Identification and Treatment of the Complication Postoperatively, the patient was admitted to the intensive care unit. On the chest radiograph a large pneumothorax was diagnosed on the right side and a second chest tube was inserted (Fig. 1). The second postoperative day, the patient was detubated, but during the following days, he became increasingly dyspnoic and oxygenation was poor.
Endoscopy revealed an ulcerative adenocarcinoma of the esophagus at 28–34 cm from the incisors. Based on CT scans and endosonograpy, the tumor was staged as T3N1M0. 8 Gy, total 41,4 Gy ) the patient was admitted for open transthoracic esophagectomy with two-field lymphadenectomy followed by a right cervical gastric conduit anastomosis with the esophagus. R. D. A. J. 1007/978-3-319-01613-9_6, © Springer International Publishing Switzerland 2014 33 34 R. Gorter Pathology Radically resected T3N1 adenocarcinoma of the esophagus.