Gastric substitutes:
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Berlin ; Heidelberg ; New York ; Barcelona ; Hongkong ; London ;
Springer
2003
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | IX, 143 S. Ill. |
| ISBN: | 3540411046 |
Staff View
MARC
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| 245 | 1 | 0 | |a Gastric substitutes |c J. Metzger ; F. Harder ; M. von Flüe |
| 264 | 1 | |a Berlin ; Heidelberg ; New York ; Barcelona ; Hongkong ; London ; |b Springer |c 2003 | |
| 300 | |a IX, 143 S. |b Ill. | ||
| 336 | |b txt |2 rdacontent | ||
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| 650 | 4 | |a Digestive System Surgical Procedures |x methods | |
| 650 | 4 | |a Gastrectomy | |
| 650 | 4 | |a Gastrectomy |x adverse effects | |
| 650 | 4 | |a Stomach Neoplasms |x surgery | |
| 650 | 4 | |a Stomach |x Cancer |x Surgery | |
| 650 | 4 | |a Stomach |x surgery | |
| 650 | 4 | |a Treatment Outcome | |
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| 700 | 1 | |a Harder, Felix |e Verfasser |4 aut | |
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Record in the Search Index
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|---|---|
| adam_text | Contents
1 Introduction 1
2 The Consequences of a Gastrectomy 3
2.1 The Physiology of the Stomach 3
2.2 Postgastrectomy Syndromes: An Overview 4
2.3 Disturbed Gastric Function and Motility 5
2.4 Reduced Reservoir Problems
(Small Gastric Remnant) 5
2.5 The Loss of Duodenal Route 5
2.6 Dumping Symptoms 6
2.6.1 Incidence and Pathophysiology 6
2.6.2 Early Dumping 6
2.6.3 Late Dumping 6
2.6.4 A Classification and Scoring System 6
2.6.5 Therapy 7
2.7 Alkaline Reflux 7
2.7.1 Pathophysiology 7
2.7.2 Diagnosis 8
2.7.3 Barrett s Oesophagus and Oesophageal Cancer ... 8
2.7.4 Treatment and Prevention 9
2.8 Loop Syndromes 11
2.8.1 The Afferent Loop Syndrome 11
2.8.2 The Efferent Loop Syndrome 11
2.9 The Roux Stasis Syndrome 11
2.10 Postvagotomy Diarrhoea 12
2.11 Operations to Replace the Missing Pylorus 12
2.12 Quality of Life 13
2.12.1 Significance 13
2.12.2 Tools 13
References 16
VI Contents
3 Gastric Substitutes: An Overview 25
3.1 History 25
3.1.1 Pouches 25
3.1.2 Duodenal Passage 28
3.1.3 Antireflux Procedures 30
3.1.4 Large Bowel Procedures 30
3.2 Roux en Y Reconstruction 30
3.3 Operative Techniques 31
3.3.1 Small Bowel Substitutes 32
3.3.1.1 The Hunt Lawrence Rodino Pouch 32
3.3.1.2 The Longmire Interpositional Pouch 32
3.3.1.3 Oesophagojejunoplication (Siewert Peiper Pouch) . 32
3.3.1.4 Cuschieri Jejunal Pouch 33
3.3.2 Large Bowel Substitutes 33
3.3.2.1 The Ileocaecal Segment 33
3.3.2.2 Transverse Colon 34
3.3.2.3 The Left Colon Substitute with the Creation
of a His Angle as Reflux Barrier 34
3.4 The Reservoir: A Necessity? 34
3.4.1 Evidence Supporting the Use of Pouches 34
3.4.2 Against the Use of Pouches 39
3.4.3 Experimental Work 39
3.5 The Benefits of a Duodenal Passage 40
3.5.1 Retaining the Duodenal Route 40
3.5.2 Disadvantages of Preserving the Duodenal Route . . 41
3.5.3 Experimental Work 42
3.6 The Consequences of Alkaline Reflux 42 !
3.7 Pouches, the Duodenal Route j
and Antireflux Procedures 43
3.8 State of the Art in 2001 43
I
3.9 Summary 44 I
3.10 Conclusion 45
3.11 The Ideal Gastric Substitute 45
References 45
4 The Ileocaecal Segment 53
4.1 Surgical Anatomy 53
4.2 Histology 54
4.3 The Physiology of the Ileocaecal Region 55
4.3.1 Motility and Pressure Zones Which Suggest
That There Is a Physiological Sphincter 55
4.3.2 Mechanical Barrier 56
4.3.3 Regulation of the Sphincter 58
4.3.3.1 Food and Filling 58
Contents VII
4.3.3.2 Hormones 59
4.3.3.3 Nerve Supply 59
4.3.3.4 Neurotransmitters 59
4.3.3.5 Chemicals and Drugs 59
4.3.3.6 The Heal Brake 59
4.4 Loss of the Ileocaecal Valve 60
4.4.1 The Consequences of Ileocaecal Resection 60
4.4.2 Replacement of the Ileocaecal Valve 60
4.5 Summary 61
References 61
5 Ileocaecal Interpositional Graft
as a Gastric Substitute 67
5.1 Management of Gastric Cancer 67
5.1.1 Extent of Gastric Resection 67
5.1.2 Lymphadenectomy (Dl vs D2 Compartment) .... 68
5.2 The History of the Ileocaecal Segment
as a Gastric Substitute 68
5.3 Multipurpose Substitute 71
5.3.1 Bladder Replacement 71
5.3.2 Oesophagus Replacement 72
5.3.3 Biliary Drainage 73
5.3.4 Rectal Replacement 73
5.4 The Patients 75
5.5 Protocol 76
5.5.1 The Preoperative Assessment 76
5.5.2 Evaluation: The Follow Up 76
5.5.2.1 Body Weight 76
5.5.2.2 Endoscopy 76
5.5.2.3 Interview: Questionnaires 76
5.5.2.3.1 Dumping and Reflux Symptoms 76
5.5.2.3.2 The Quality of Life Score 77
5.5.2.3.3 The Eypasch Scoring System:
The Gastrointestinal Quality of Life Index Score
(GIQLI) 77
5.5.2.4 Additional Tests (Special Evaluations) 79
5.5.2.4.1 Gastric Emptying 79
5.5.2.4.2 The Glucose Tolerance Test 79
5.5.2.4.3 Manometry 79
5.5.2.5 Data Analysis 80
5.5.3 Statistical Analysis 80
5.6 Operative Technique 80
5.6.1 Position 80
5.6.2 Incision 80
5.6.3 Exploration and Determination of Operability ... 81
VIII Contents
5.7 Total Gastrectomy and Lymphadenectomy 82
5.7.1 Subdiaphragmatic Reconstruction 82
5.7.2 Oesophagoileal Anastomosis 84
5.7.3 Coloduodenal Anastomosis 86
5.7.4 Ileotransversostomy 88
5.7.5 Intrathoracic reconstruction 89
5.8 Results 90
5.8.1 Operation Data 90
5.8.2 Complications and Patients Lost to Follow Up ... 90
5.8.3 Body Weight Development 92
5.8.4 Diarrhoea, Dumping and Reflux Symptoms 92
5.8.5 Quality of Life Score 93
5.8.6 Endoscopy and Biopsy 93
5.8.7 Special Examinations 93
5.8.7.1 Gastric Emptying Rates 93
5.8.7.2 Glucose Tolerance Test 94
5.8.7.3 Manometry 94
5.9 Discussion 94
5.9.1 The Advantages of the Ileocaecal Segment
as a Gastric Substitute 94
5.9.2 A Comparison of the Ileocaecal Segment
with Other Reconstructions 96
5.9.2.1 Comparison with Small Bowel Substitutes 96
5.9.2.1.1 Morbidity and Mortality 96
5.9.2.1.2 Postoperative Body Weight Development 97
5.9.2.1.3 Dumping, Gastric Emptying Rates
and Glucose Tolerance 97
5.9.2.1.4 Alkaline Reflux 98
5.9.2.1.5 Manometry 99
5.9.2.1.6 Quality of Life 99
5.9.2.2 Comparison with Large Bowel Substitutes 99
5.9.3 Comparing Our Results With Other Authors
Who Used the Same Segment 99
5.9.4 Conclusions from the Literature 102
5.9.5 The Ileocaecal Segment as a Replacement
for the Oesophagus and Stomach 102
5.9.6 The Consequences of an Ileocaecal Transposition
on Gut Transit 102
5.10 Indications 103
5.11 Outlook 103
References 103
lleocolon Segment as Pylorus Replacement ill
6.1 Analysis Ill
6.2 Model 112
6.2.1 Animals 112
Contents IX
6.2.1.1 Anatomy 113
6.2.1.2 Physiology 114
6.2.1.3 Feeding and Housing 114
6.2.1.4 Training 114
6.2.2 Protocol 115
6.2.2.1 Aims of the Study 116
6.2.2.2 Outcome Measurements 116
6.2.3 Statistical Analysis 117
6.2.4 Body Weight and Postoperative Course 117
6.2.5 Glucose Tolerance Test 117
6.2.6 Gastroscopy and Biopsy 117
6.2.7 Scintigraphic Measurement of Gastric Transit .... 118
6.2.8 Postmortem: Blood Samples, Histology,
Immunohistology, Gastric Specimen Measurements 119
6.3 Technique 121
6.3.1 Anaesthesia 121
6.3.2 Surgical Technique 122
6.3.2.1 Resection 122
6.3.2.2 Roux en Y Reconstruction 122
6.3.2.3 Ileocolon Interpositional Graft 123
6.3.3 Postoperative Care 125
6.4 Results 126
6.4.1 Operative Procedures
and Intraoperative Complications 126
6.4.2 Postoperative Course 126
6.4.3 Body Weight 127
6.4.4 Glucose Tolerance Test 127
6.4.5 Rx Contrast Study and Gastric Emptying 129
6.4.6 Endoscopy and Histology After 3 Months 132
6.4.7 Postmortem: Blood Samples, Histology,
Immunohistology, Gastric Specimen Measurements 134
6.5 Discussion and Indications 136
6.5.1 Indications for the Procedure 139
6.6 Summary 139
6.7 Conclusion 139
References 140
Subject Index 145
|
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| id | DE-604.BV014653994 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:57:03Z |
| institution | BVB |
| isbn | 3540411046 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-012766237 |
| oclc_num | 50155701 |
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| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | IX, 143 S. Ill. |
| publishDate | 2003 |
| publishDateSearch | 2003 |
| publishDateSort | 2003 |
| publisher | Springer |
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| spelling | Metzger, Jürg Verfasser aut Gastric substitutes J. Metzger ; F. Harder ; M. von Flüe Berlin ; Heidelberg ; New York ; Barcelona ; Hongkong ; London ; Springer 2003 IX, 143 S. Ill. txt rdacontent n rdamedia nc rdacarrier Digestive System Surgical Procedures methods Gastrectomy Gastrectomy adverse effects Stomach Neoplasms surgery Stomach Cancer Surgery Stomach surgery Treatment Outcome Ersatzmagen (DE-588)4360399-3 gnd rswk-swf Ersatzmagen (DE-588)4360399-3 s DE-604 Flüe, Markus von Verfasser aut Harder, Felix Verfasser aut HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012766237&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Metzger, Jürg Flüe, Markus von Harder, Felix Gastric substitutes Digestive System Surgical Procedures methods Gastrectomy Gastrectomy adverse effects Stomach Neoplasms surgery Stomach Cancer Surgery Stomach surgery Treatment Outcome Ersatzmagen (DE-588)4360399-3 gnd |
| subject_GND | (DE-588)4360399-3 |
| title | Gastric substitutes |
| title_auth | Gastric substitutes |
| title_exact_search | Gastric substitutes |
| title_full | Gastric substitutes J. Metzger ; F. Harder ; M. von Flüe |
| title_fullStr | Gastric substitutes J. Metzger ; F. Harder ; M. von Flüe |
| title_full_unstemmed | Gastric substitutes J. Metzger ; F. Harder ; M. von Flüe |
| title_short | Gastric substitutes |
| title_sort | gastric substitutes |
| topic | Digestive System Surgical Procedures methods Gastrectomy Gastrectomy adverse effects Stomach Neoplasms surgery Stomach Cancer Surgery Stomach surgery Treatment Outcome Ersatzmagen (DE-588)4360399-3 gnd |
| topic_facet | Digestive System Surgical Procedures methods Gastrectomy Gastrectomy adverse effects Stomach Neoplasms surgery Stomach Cancer Surgery Stomach surgery Treatment Outcome Ersatzmagen |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=012766237&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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