Multidisciplinary Approaches to Common Surgical Problems

Emergent general surgical diseases are the most frequent causes of in-hospital deaths and are the most costly diseases to treat. The purpose of this book is to provide clinicians with an understanding of their roles and that of other disciplines for the treatment of acute and emergent surgical diseases. It is also designed to give a clear pathway for using multiple disciplines to manage these diseases. The text details over 20 problems routinely seen in clinical practice and approaches the disease from the perspective of experts within the different specialties. It provides a comprehensive, evidenced-based overview and the most up-to-date technology available in clinical practice. An emphasis on new, less invasive techniques that may have a broader range of indications in the future is also included. Ultimately the reader will have a better understanding of these acute problems, the other specialties they work with, and when to integrate these other specialties when they encounter these urgent clinical scenarios. Front Matter ....Pages i-xxi Front Matter ....Pages 1-1 Surgery for Acute Bariatric Complications (Mohamad Rassoul A. Abu-Nuwar, Souheil Adra, Daniel B. Jones)....Pages 3-13 Radiology in the Acute Bariatric Patient (Dustin R. Roberie, Thomas F. Murphy)....Pages 15-24 Interventional Endoscopy: Endoluminal Therapy – Stenting, Clipping, and Suctioning (Brian Hodgens, Racquel S. Bueno)....Pages 25-39 Acute Nonsurgical Complications of Weight Loss Surgery (Freeman J. Condon, Robert Lim)....Pages 41-45 Front Matter ....Pages 47-47 Initial Presentation, Evaluation and Management of Acute Anorectal Malignancies (Anjali S. Kumar)....Pages 49-60 Endoscopic and Transanal Approaches for Acute Anal and Rectal Cancers (John McClellan, Anjali S. Kumar)....Pages 61-67 Abdominal and Perineal Operative Considerations for Acute Presentations of Anal and Rectal Malignancies (Joselin Anandam, John Abdelsayed)....Pages 69-79 The Role of Radiology in Obstructing or Bleeding Anal and Rectal Cancers (Thomas F. Murphy)....Pages 81-88 Role of Chemoradiation in Obstructing or Bleeding Anal and Rectal Cancers (Daniel Desmond, Tamie L. Kerns)....Pages 89-94 Front Matter ....Pages 95-95 Obstructing and Bleeding Colon Cancer: Surgical Management (Fia Yi)....Pages 97-103 Endolumenal Therapies for Bleeding and Obstructing Colorectal Malignancy (Kristen T. Crowell, Eric M. Pauli)....Pages 105-112 Front Matter ....Pages 113-113 Complications of Inflammatory Bowel Disease: Initial Medical Management and Role of Endoscopy (Nicholas R. Crews, Matthew E. Bohm)....Pages 115-122 Inflammatory Bowel Disease (Kelli B. Ishihara, John Mayo, Suzanne Gillern)....Pages 123-129 Front Matter ....Pages 131-131 Incarcerated Paraesophageal Hernia: Incidence, Presentation, and Initial Management (Will Cole)....Pages 133-136 Surgical Management of Complicated Paraesophageal Hernias (Angela M. Kao, Paul D. Colavita)....Pages 137-147 Front Matter ....Pages 149-149 Gallstone Disease and the Timing of Cholecystectomy for Acute Cholecystitis and Gallstone Pancreatitis (Dylan Russell)....Pages 151-159 Choledocholithiasis and Cholangitis: Incidence, Initial Management, and Surgical Management (Freeman J. Condon)....Pages 161-166 Endoluminal Therapy for Choledocholithiasis and Cholangitis (Aditya Gutta, Mark A. Gromski)....Pages 167-178 Percutaneous Transhepatic Cholangiography and the Role of Interventional Radiology in Biliary Obstructions (Jonathan Marshall)....Pages 179-185 Common Bile Duct Exploration (Nicole Laferriere)....Pages 187-192 Front Matter ....Pages 193-193 Diverticulitis: Incidence and Initial Management (Dominic M. Forte, Andrew T. Schlussel)....Pages 195-205 Acute Diverticulitis: Imaging and Percutaneous Drainage (J. Matthew Meadows)....Pages 207-216 Diverticulitis: Surgical Therapy (Dominic M. Forte, Andrew T. Schlussel)....Pages 217-225 Front Matter ....Pages 227-227 Coagulopathy in Cirrhotic Patients: Evaluation and Management (Richard Smith)....Pages 229-244 Gastrointestinal Bleeding as a Result of Portal Hypertension (Jonathan Marshall)....Pages 245-256 Bleeding Cirrhotic Patients: Endoscopic Therapy (John H. Holden, Umer A. Bhatti)....Pages 257-266 Hernia Repair in Patients with Cirrhosis (Richard Smith)....Pages 267-277 Front Matter ....Pages 279-279 Mesenteric Ischemia: When to Operate, What to Resect, and When to Reoperate (Dwight C. Kellicut, Kelli B. Ishihara)....Pages 281-286 Radiology for Acute Mesenteric Ischemia (Bryan J. Stevens, Brian H. Ching)....Pages 287-293 Front Matter ....Pages 295-295 Acute Pancreatitis (Andrew Han, Mark A. Gromski)....Pages 297-304 Front Matter ....Pages 305-305 Perioperative and Hypertensive Crisis Management of Pheochromocytomas (Becky Thai Muldoon, Kevin F. Brown, Diane U. Elegino-Steffens)....Pages 307-314 Hypertensive Crisis Due to Pheochromocytoma (Benjamin Tabak)....Pages 315-320 Front Matter ....Pages 321-321 Esophageal Obstruction and Perforation: Incidence, Etiologies, Presentation, and Management (Mia DeBarros, Daniel G. Cuadrado)....Pages 323-339 Esophageal Occlusive Disease: Endolumenal Therapy (Nicholas R. Crews, Mark A. Gromski, Mohammad A. Al-Haddad)....Pages 341-351 Esophageal Occlusion: Role of Chemoradiation Therapy (Caroline E. Murphy, David Padro)....Pages 353-359 Front Matter ....Pages 361-361 The Physiology of Pregnant Patients in Need of Acute Surgical Care (Candace Giles, Alan P. Gehrich, Caela Miller)....Pages 363-369 Radiology in the Pregnant Patient with Acute Abdominal Pain (Mustafa M. Alikhan)....Pages 371-378 Multidisciplinary Approach to Acute Care Surgical Emergencies in Pregnancy (Michael Cripps)....Pages 379-389 Front Matter ....Pages 391-391 Management of Ruptured Hepatic Tumors (Jillian Piaggione, Richard Smith)....Pages 393-402 Front Matter ....Pages 403-403 Surgery: When to Operate and When to Resuscitate and What Kind of Operation? (Deepika Koganti, Alec Beekley)....Pages 405-411 Endoscopic Management of Non-variceal Acute Gastrointestinal Bleeding (Franklin Goldwire)....Pages 413-419 Interventional Radiology in GI Hemorrhage (Christopher Nicholas)....Pages 421-428 Front Matter ....Pages 429-429 Empyema: Incidence and Medical Management (Kinsley Hubel, Jessica Bunin)....Pages 431-438 Surgical Management of Acute Empyema (Dylan Russell, Neil Stockmaster)....Pages 439-444 Front Matter ....Pages 445-445 Bleeding from Immune Thrombocytopenia: Medical Management – Steroids, Immunoglobulins, and New Therapies (Jeffrey Lew, Jeffrey Berenberg)....Pages 447-452 Immune Thrombocytopenia: Incidence, Diagnosis, Presentation, and Surgical Management (Kenneth John Bogenberger, Chan W. Park)....Pages 453-460 Front Matter ....Pages 461-461 Esophageal Achalasia (Chan W. Park, Brooke Pati)....Pages 463-471 Esophageal Achalasia: Endoluminal Therapy (Brett C. Parker, Eleanor C. Fung)....Pages 473-476 Surgical Therapy of Esophageal Achalasia: Peroral Endoscopic Myotomy (Patricia Martinez Quinones, Bradley R. Zagol)....Pages 477-480 Back Matter ....Pages 481-493