Atlas of Complicated Abdominal Emergencies Tips on by Ti Thiow Kong, Davide Lomanto

By Ti Thiow Kong, Davide Lomanto

This booklet is novel in that it's a unmarried quantity providing helpful sensible information within the functionality of the huge variety of approaches utilized by gastroenterologists, interventional radiologists and surgeons within the present administration of advanced belly emergencies and aggravating accidents. Emphasis is put on sensible counsel which may be life-saving. The members are skilled employees individuals from the nationwide collage clinic, Singapore. via a step by step narrative and an abundance of clinical illustrations, the individuals impart to the reader how most sensible to accomplish and conquer problems encountered within the administration of complex belly emergencies. studying is stronger by means of movies clips of techniques recorded reside, within the DVD-ROM that accompanies the booklet. Readership: Surgeons lower than education and specialists in surgical procedure gastroenterologists, and radiologists.

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Extra resources for Atlas of Complicated Abdominal Emergencies Tips on Laparoscopic and Open Surgery, Therapeutic Endoscopy and Interventional Radiology

Example text

Aspirin, dipyridamole or clopidogrel) should have their medications stopped temporarily, as the risk of continued bleeding usually outweighs the risk of thrombosis. In patients who are taking warfarin for a mechanical cardiac valve, high doses of vitamin K (10 mg) should not be given. 5 are generally accepted to be adequate. 5) should have endoscopy delayed till the coagulopathy is corrected. 5 For patients on anti-platelet therapy, these medications should be stopped and platelets can be transfused if needed to correct the functional platelet defect.

No varices were seen on the lesser curve. and are not associated with oesophageal varices. These occur very infrequently. Varices with red signs (red wale, cherry red spots, hematocystic spots), regardless of size, and large varices (which have thin walls) are at an increased risk of bleeding. Stigmata of recent variceal haemorrhage include the white nipple sign (which represents a fibrin clot), hematocystic spot, adherent clot and ulceration (Fig. 8). 8. 6. Endoscope in retroflexed position showing large gastrooesophageal varices type 1 (GOV1) traversing from the lesser curve and into the oesophagus.

N Engl J Med 340(10): 751–756. 23. Kim S, Duddalwar V. (2005) Failed endoscopic therapy and the interventional radiologist: non-variceal upper gastrointestinal bleeding. Tech Gastrointest Endosc 7: 148–155. 24. Ljungdahl M, Eriksson LG, Nyman R, Gustavsson S. (2002) Arterial embolization in management of massive bleeding from gastric and duodenal ulcers. Eur J Surg 168: 384–390. 25. Poultsides GA, Kim CJ, Orlando R 3rd, et al. (2008) Angiographic embolization for gastroduodenal hemorrhage: safety, efficacy, and predictors of outcome.

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