Shackelford's Surgery of the Alimentary Tract (2Vol), 8/e > General Surgery

For more than 60 years, Shackelford's Surgery of the Alimentary Tract has served as the cornerstone reference in this fast-moving field. With comprehensive coverage of all aspects of GI surgery, the 8th Edition, by Drs. Charles J. Yeo, Steven R. DeMeester, David W. McFadden, Jeffrey B. Matthews, and James W. Fleshman, offers lavishly illustrated, authoritative guidance on endoscopic, robotic, and minimally invasive procedures, as well as current medical therapies. Each section is edited by a premier authority in GI surgery; chapters reflect key topics and are written by a "who's who" of international experts in the field. It's your one-stop resource for proven, systematic approaches to all relevant adult and pediatric GI disorders and operations

New to this Edition

Discusses recent, major advances in minimally invasive surgery and robotic surgery, personalized therapy based on genomics and proteomics, and new pharmacologic treatments of various GI diseases.

Includes all-new information on laparoscopy for rectal cancer, sacral nerve stimulation for incontinence and constipation, management of Crohn's disease and ulcerative colitis, advances in immunosuppression for transplant patients, and new therapies for inflammatory bowel disease.

Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Key Features

Features an abundance of beautifully detailed intraoperative and laparoscopic photographs, as well as radiographs and line drawings, to enhance and clarify the text.

Presents essential information, such as lists of differential diagnoses, in tabular format for quick reference.

Author Information
By Charles J. Yeo, MD, FACS, Samuel D. Gross Professor and Chairman, Department of Surgery, Sidney Kimmel Medical College at Thomas Jefferson Universityy, Philadelphia, PA

VOLUME 1

SECTION I

Esophagus and Hernia

PART ONE

Anatomy and Physiology of the Esophagus

1 Esophageal Sphincters in Health and Disease

2 Esophageal Body in Health and Disease

3 Esophageal Mucosa in Health and Disease

4 Relevant Anatomic Relations of the Esophagus

PART TWO

Diagnostic Evaluation of the Esophagus

5 Esophageal Symptoms and Selection of Diagnostic Tests

6 Radiology of the Esophagus:Barium, Computed Tomography Scan, Positron Emission Tomography Scan, Magnetic Resonance Imaging

7 Endoscopic Evaluation of the Esophagus and Endoscopic Ultrasonography of the Esophagus

8 High-Resolution Esophageal Motility: Techniques and Use in the Diagnosis of Esophageal Motility Disorders and for Surgical Decision Making

9 pH and Impedance Evaluation of the Esophagus

10 Novel Diagnostic Technologies: Mucosal Impedance, Optical Coherence Tomography, Endomicroscopy

PART THREE

Esophageal Motility Disorders and Diverticula

11 Cricopharyngeal Dysfunction and Zenker Diverticulum

12 Surgical Management of Mid- and Distal Esophageal Diverticula

13 Epidemiology, Diagnosis, and Medical Management of Achalasia

14 Endoscopic and Surgical Therapies for Achalasia

PART FOUR

Gastroesophageal Reflux Disease

15 Gastroesophageal Reflux Disease: Definition and Scope of the Problem in the United States of America and Worldwide

16 Etiology and Natural History of Gastroesophageal Reflux Disease and Predictors of Progressive Disease

17 Respiratory Complications of Gastroesophageal Reflux Disease

18 Acid-Suppression Therapy for Gastroesophageal Reflux Disease and the Therapeutic Gap

19 Fundoplication for Gastroesophageal Reflux Disease

20 Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease

21 Endoscopic Management of Gastroesophageal Reflux Disease

22 Options to Address Delayed Gastric Emptying in Gastroesophageal Reflux Disease

23 Management of Failed Fundoplications, End-Stage Gastroesophageal Reflux Disease, and Scleroderma

24 Esophageal Complications of Bariatric Procedures

PART FIVE

Paraesophageal Hernia

25 Paraesophageal Hernia: Etiology, Presentation, and Indications for Repair

26 Laparoscopic Paraesophageal Hernia Repair: Technique, Outcomes, and Management of Complications

27 Open Paraesophageal Hernia Repair

28 Diaphragmatic Relaxing Incisions for Crural Tension During Hiatal Hernia Repair

29 Collis Gastroplasty for a Foreshortened Esophagus

30 Mesh at the Hiatus

PART SIX

Barrett Esophagus

31 Controversies in the Definition of Barrett Esophagus

32 Epidemiology of Barrett Esophagus and Risk Factors for Progression

33 Medical and Surgical Therapy for Gastroesophageal Reflux Disease and Barrett Esophagus

34 Ablation for Patients with Barrett Esophagus or Dysplasia

PART SEVEN

Esophageal Cancer

35 Epidemiology, Risk Factors, and Clinical Manifestations of Esophageal Cancer

36 Esophageal Cancer Diagnosis and Staging

37 Endoscopic Management of High-Grade Dysplasia and Superficial Esophageal Carcinoma

38 Neoadjuvant and Definitive Therapy for Esophageal Cancer

39A Surgical Approaches to Remove the Esophagus: Open

39B Surgical Approaches to Remove the Esophagus: Minimally Invasive

39C Surgical Approaches to Remove the Esophagus: Vagal-Sparing

39D Surgical Approaches to Remove the Esophagus: Robotic

40 Extent of Lymphadenectomy for Esophageal Cancer

41 Options for Esophageal Replacement

42 Palliative Therapy for Esophageal Cancer

43 Anastomotic Complications After Esophagectomy: Frequency, Prevention, and Management

PART EIGHT

Miscellaneous Esophageal Conditions

44 Nonreflux Esophagitis

45 Esophageal Duplication Cyst

46 Submucosal Tumors in the Esophagus and Gastroesophageal Junction

47 Caustic Esophageal Injury

48 Etiology and Surgical Management of Esophageal Perforation

49 Management of Esophageal Perforations and Leaks

PART NINE

Hernia

50 Basic Concepts and Factors Associated with Ventral Hernia Recurrence

51 Congenital Diaphragmatic Hernia

52 Ventral Hernia and Abdominal Release Procedures

53A Inguinal Hernia Repair: Laparoscopic

53B Inguinal Hernia Repair: Open

54 Lumbar, Pelvic, and Uncommon Hernias

55 Mesh: Material Science of Hernia Repair

SECTION II

Stomach and Small Intestine

56 Anatomy and Physiology of the Stomach

57 Diagnostic and Therapeutic Endoscopy of the Stomach and Small Bowel

58 Access and Intubation of the Stomach and Small Intestine

59 Surgery for Peptic Ulcer Disease

60 Zollinger-Ellison Syndrome

61 Gastric Adenocarcinoma

62 Postgastrectomy Syndromes

63 Operations for Morbid Obesity

64 Foreign Bodies and Bezoars of the Stomach and Small Intestine

65 Motility Disorders of the Stomach and Small Intestine

66 Miscellaneous Benign Lesions and Conditions of the Stomach, Duodenum, and Small Intestine

67 Surgical Diseases of the Stomach and Duodenum in Infants and Children

68 Anatomy and Physiology of the Duodenum

69 Adenocarcinoma of the Small Intestine

70 Reoperations on the Stomach and Duodenum

71 Anatomy and Physiology of the Small Intestine

72 Small Bowel Obstruction

73 Volvulus of the Stomach and Small Bowel

74 Internal Hernias: Congenital and Acquired

75 Crohn Disease and Its Surgical Management

76 Gastric, Duodenal, and Small Intestinal Fistulas

77 Small Bowel Diverticula

78 Radiation Enteritis

79 Short Bowel Syndrome

80 Gastrointestinal Carcinoid Tumors

81 Gastrointestinal Stromal Tumors

82 Gastrointestinal Lymphomas

83 Surgical Conditions of the Small Intestine in Infants and Children

84 Ileostomy

85 Suturing, Stapling, and Tissue Adhesion

86 Anatomy and Physiology of the Mesenteric Circulation

87 Mesenteric Ischemia

88 Aortoenteric Fistula and Visceral Artery Aneurysms

89 Mesenteric Arterial Trauma

VOLUME 2

SECTION III

Pancreas, Biliary Tract, Liver, and Spleen

PART ONE

Pancreas

90 Anatomy, Physiology, and Embryology of the Pancreas

91 Acute Pancreatitis

92 Chronic Pancreatitis 000

93 Pseudocysts and Other Complications of Pancreatitis

94 Endoscopic and Minimally Invasive Therapy for Complications of Pancreatitis

95 Imaging and Radiologic Intervention in the Pancreas

96 Pancreatic and Periampullary Cancer

97 Neuroendocrine Tumors of the Pancreas

98 Primary Pancreatic Cystic Neoplasms

99 Unusual Pancreatic Tumors

100 Techniques of Pancreatic Resection for Cancer

101 Minimally Invasive Pancreas Surgery

102 Pancreatic Trauma

103 Pancreatic Problems in Infants and Children

104 Pancreas and Islet Allotransplantation

105 Prevention and Management of Complications of Pancreatic Surgery

PART TWO

Biliary Tract

106 Anatomy, Embryology, Anomalies, and Physiology of the Biliary Tract

107 Imaging and Radiologic Intervention in the Biliary Tract

108 Operative Management of Cholecystitis and Cholelithiasis

109 Management of Common Bile Duct Stones

110 Biliary Dyskinesia and Sphincter of Oddi Dysfunction

111 Endoscopic Evaluation and Management of Pancreaticobiliary Disease

112 Biliary Tract Tumors

113 Prevention and Management of Bile Duct Injury

114 Operative Management of Bile Duct Strictures

115 Biliary Atresia and Biliary Hypoplasia

116 Cystic Disorders of the Bile Ducts

117 Surgical Treatment of Primary Sclerosing Cholangitis

PART THREE

Liver

118 Anatomy and Physiology of the Liver

119 Laboratory Measurement of Hepatic Function

120 Perioperative Management and Nutritional Support in Patients with Liver and Biliary Tract Disease

121 Hepatic Cysts

122 Liver Abscess

123 Management of Hepatobiliary Trauma

124 Diagnostic Operation of the Liver and Techniques of Hepatic Resection

125 Minimally Invasive Techniques of Hepatic Resection

126 Ablative Therapies for Hepatic Neoplasms

127 Hepatic Transplantation

128 Acute Liver Failure and Bioartificial Liver Support

129 Vascular Diseases of the Liver

130 Drug-Induced Liver Injury

131 Benign Hepatic Neoplasms

132 Hepatocellular Cancer

133 Management of Primary Malignant Hepatic Neoplasms Other Than Hepatocellular Cancer

134 Management of Secondary Hepatic Neoplasms

135 Management of Portal Hypertension

PART FOUR

Spleen

136 Splenic Anatomy and Physiology

137 Technique of Splenectomy

138 Minimally Invasive and Image-Guided Interventional Approaches to the Spleen

139 Management of Splenic Trauma in Adults

140 Splenic Trauma in Children

141 Splenectomy for Conditions Other Than Trauma

142 Cysts and Tumors of the Spleen

SECTION IV

Colon, Rectum, and Anus

PART ONE

Anatomy, Physiology, and Diagnosis of Colorectal and Anal Diseases

143 Operative Anatomy of the Colon, Rectum, and Anus

144 Physiology of the Colon and Its Measurement

145 Diagnostic and Therapeutic Colonoscopy

146 Magnetic Resonance Imaging Staging of Rectal Cancer

147 Ultrasonographic Diagnosis of Anorectal Disease

PART TWO

Benign Colon, Rectal, and Anal Conditions

148 Diagnosis and Management of Fecal Incontinence

149 Surgical Treatment of Dysmotility Disorders of the Colon

150 Pelvic Floor Dysfunction

151 Rectovaginal and Rectourethral Fistulas

152 Current Approaches to Complete Rectal Prolapse and Internal Intussusception

153 Pilonidal Disease and Perianal Hidradenitis

154 Emergent Care of the Victim of Colorectal Trauma

155 Colonic Intussusception and Volvulus

156 Colonic Bleeding and Ischemia

157 Diverticular Disease Management

158 Hemorrhoids and Rectoceles

159 Fissure-in-Ano

160 Anal Fistula Management

PART THREE

Inflammatory Diseases

161 Concepts in Inflammatory Bowel Disease Management

162 Operative Therapy for Ulcerative Colitis: A Minimally Invasive Approach

163 Surgery for Crohn Disease: Personalizing the Operation

164 Appendix

PART FOUR

Neoplastic Disease

165 Inherited Colorectal Cancer and the Genetics of Colorectal Cancer

166 Basic Principles of the Operative Treatment of Colorectal Cancer

167A Transanal Approaches to Early Rectal Cancer: Transanal Minimally Invasive Surgery

167B Transanal Approaches to Early Rectal Cancer: Transanal Endoscopic Microsurgery and Conventional Transanal Excision

xxxii CONTENTS

168 Operations for Rectal Cancer: Low Anterior Resection-Open, Laparoscopic or Robotic, taTME, Coloanal Anastomosis

169 Abdominoperineal Resection for Rectal Cancer

170 Minimally Invasive Approaches to Colon Cancer

171 Recurrent and Metastatic Colorectal Cancer

172 Management of Metastatic Colorectal Cancer to the Liver

173 Neoplasms of the Anus: High-Grade Squamous Intraepithelial Lesions and Cancer

174 Retrorectal Tumors

175 Rare Colorectal Malignancies

176 Adjuvant and Neoadjuvant Therapy for Colorectal Cancer: Molecular-Based Therapy

PART FIVE

Techniques and Pearls

177 Prevention, Diagnosis, and Management of Anastomotic Leak

178 Ostomy Construction and Management: Personalizing the Stoma for the Patient

179 Reducing the Risk of Infection in the Elective and Emergent Colectomy Patient

180 Reoperative Pelvic Surgery

181 Evidence-Based Decision Making in Colon and Rectal Surgery

Index