Basicmedical Key

Waddah B. Al-Refaie DEFINITION ■  Total gastrectomy is removal of the stomach in its entirety including the gastroesophageal (GE) junction. This is typically performed for patients with proximal gastric cancer, including…

■  Endoscopic ultrasound (EUS) is a critical staging technique for esophageal cancer (FIG 2). The EUS determines the depth of invasion of the tumor into the esophageal wall (T stage). Esophageal…

PATIENT HISTORY AND PHYSICAL FINDINGS ■  A detailed history and physical must be performed focusing on heartburn and reflux symptoms, response to medical treatment as well as the characteristics and degree…

■  The AGB differs from other bariatric procedures in three main ways: It is adjustable, reversible, and involves no cutting or stapling of the stomach. ■  The AGB is an exclusively restrictive…

■  The C-arm fluoroscopy unit should be positioned to the patient’s right with the screen monitor clearly visible to the operating surgeon. ■  The bed should have a footboard placed and the…

■  When an antrectomy is performed for complicated peptic ulcer disease, a vagotomy may be included to reduce the chance of anastomotic ulcer formation in patients who are not candidates for…

Kocher Maneuver ■  A Kocher maneuver is performed to facilitate exposure of the duodenum and pylorus and to eliminate tension on the suture line. A forceps is used to grasp the…

■  The blood supply of the anterior abdominal wall is slightly more complex (FIG 2). The rectus muscle receives its blood supply both laterally from the intercostal vessels and from a…

Ashley Augspurger Davis DEFINITION ■  Truncal vagotomy is defined as the division of the anterior and posterior vagus nerves, which innervate the stomach and remainder of the gastrointestinal (GI) tract, at…

Rebeccah B. Baucom DEFINITION ■  Inguinal hernias can be divided into indirect, direct, and femoral based on location. ■  Inguinal hernia repair is one of the most common procedures performed by general…