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.
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Table of Contents:
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
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