Basicmedical Key

■  The other common imaging study used to diagnose gallbladder pathology is a nuclear medicine test called either hepatobiliary scintigraphy or a hepatobiliary iminodiacetic acid (HIDA) scan (commonly referred to as…

Waddah B. Al-Refaie DEFINITION ■  Subtotal gastrectomy is removal of 70% to 80% of distal stomach. This is performed when the necessary 5- to 6-cm proximal margin can be obtained while…

Matthew M. Hutter DEFINITION ■  Sleeve gastrectomy or partial vertical gastrectomy is defined as the creation of tubular, sleeve-shaped, lesser curve–based stomach by resection of the greater curvature of the gastric…

■  Upper endoscopy evaluates for esophageal injury and Barrett’s esophagus secondary to GERD while excluding malignant pathology with biopsies as necessary. Endoscopy allows the surgeon to evaluate for the presence of…

Klaus Mönkemüller DEFINITION ■  Barrett esophagus (BE) is a strong risk factor for esophageal adenocarcinoma.1 ■  The annual risk of BE progression to adenocarcinoma ranges from 01.12% to 0.61%.1,2 ■  The traditional treatment…

■  The left lateral section of the liver is mobilized to expose the lesser curve of the stomach and the esophageal hiatus: The left triangular ligament is incised. This is avascular….

■  Esophageal manometry is the gold standard for the diagnosis of achalasia. Lack of peristalsis and absent or incomplete LES relaxation in response to swallowing are the key criteria for the…

■  Pad pressure points along arms and legs and secure the knees in the locked position. Pillow cases or folded sheets and 2-in silk tape can be used to keep the…

■  Combined multichannel intraluminal impedance and pH testing (MII-pH) detects episodes of reflux, regardless of the pH of the refluxate, by identifying changes inducted by the presence of liquids and gas…

■  Please refer to the appropriate chapter for further details. TECHNIQUES ACCESS AND PORT PLACEMENT ■  Same as Minimally Invasive Distal Gastrectomy, except for the camera port, which is placed routinely two…