■ 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…
Klaus Mönkemüller DEFINITION ■ Barrett’s esophagus (BE) is an acquired condition due to a change in the normal esophageal squamous epithelium to columnar epithelium containing goblet cells. This metaplastic change can…
■ Hernias are frequently diagnosed on computed tomography (CT) for abdominal pain, although this is not the initial test to obtain if you are most suspicious of hiatal hernia. It will,…
■ Esophagitis, Barrett’s changes, and/or stricture SURGICAL MANAGEMENT Preoperative Planning ■ Because the Collis gastroplasty is an adjunctive procedure during gastric fundoplication, the principles of a proper antireflux procedure (wrap) or gastropexy…
Workforce-planning An ongoing business process aimed at ensuring the right people with the right skills are in the right place at the right time and at the right cost Workforce-planning…
Evidence-based management ‘Translating principles based on best evidence into organisational practices’ (Rousseau, 2006, p. 256) Studies have found that health service managers believe using evidence will improve management effectiveness (Adily…
Organisation A group of individuals who interact with each other to achieve a common goal Researchers have identified many different types of organisations (McKenna, 1998). The term organisation includes a…
Project ‘A unique set of inter-related activities designed to produce a set of deliverables and achieve a defined goal within clearly defined time, cost and quality constraints’ (Dwyer, Liang, Thiessen…
Self-management A behavioural process involving the exercise of choice in which the individual is aware of possible alternative actions and appreciative of the consequences (Manz & Sims, 1980; Markham &…
