UGI surgery (DRAFT)

Author(s):  
Corinne Owers ◽  
Roger Ackroyd

The upper gastrointestinal (UGI) tract comprises of the oesophagus, stomach, and duodenum. Although some emergency management of UGI pathology may fall to the remit of the gastroenterologists, this chapter focuses specifically on surgical management of both benign and malignant pathology of these organs. UGI pathology contributes a significant amount to the on-call emergency workload for the general surgeon, as well as the UGI specialist. Subjects covered include the diagnosis and management of common pathologies in the upper gastrointestinal tract that are clinically relevant to those working in general surgery, including: gastro-oesophageal reflux (GORD) and ulcer disease, UGI bleeding, oesophagogastric cancer and bariatric surgery.

2020 ◽  
Vol 3 (2) ◽  
pp. 01-03
Author(s):  
Vladimirov M

Obesity is associated with an increased risk of cancer development in the upper gastrointestinal tract. One own case of a female patient with gastric carcinoma after sleeve gastrectomy was the reason to review the literature about the frequency and the genesis of gastric carcinoma after bariatric surgery. Additional to our case 3 further patients with gastric carcinoma after sleeve gastrectomy and 33 patients with carcinomas of the upper gastrointestinal tract after other bariatric operations are reported in the literature. Due to a lack of registry studies the incidence of gastric cancer after bariatric surgery cannot be calculated. Early diagnostics should be performed in symptomatic patients and in patients with unspecific symptoms after bariatric surgery to avoid a delay of the diagnosis of potential carcinomas of the upper gastrointestinal tract.


Endoscopy ◽  
2007 ◽  
Vol 39 (07) ◽  
pp. 625-630 ◽  
Author(s):  
P. Eisendrath ◽  
M. Cremer ◽  
J. Himpens ◽  
G.-B. Cadière ◽  
O. Le Moine ◽  
...  

2021 ◽  
pp. 44-52
Author(s):  
S. V. Tikhonov ◽  
K. A. Anisimova ◽  
V. D. Dekkanova ◽  
K. V. Papin ◽  
N. V. Rodionova ◽  
...  

Obesity is the 21st century pandemic. By 2025 6 % of men and 9 % of women will suffer from morbid obesity. For morbid obesity bariatric surgery is the main treatment option. The presence of pathology of the upper gastrointestinal tract (GERD) determines the choice of surgical intervention. The study involved 68 patients 47.1 ± 10.2 years with morbid obesity. Patients had the following gastroenterological pathologies: erosive esophagitis – 6 (8.8 %), hiatal hernia – 9 (13 %), erosive and ulcerative lesions of the stomach and duodenum – 13 (19 %). Heartburn disturbed 38 (55 %), regurgitation – 17 (25 %), severity and feeling of fullness in the epigastrium – 29 (42 %), pain or burning in the epigastrium – 8 (11 %) patients. Fifty (73.5 %) patients underwent laparoscopic sleeve gastrectomy, 18 (26.5 %) patients – laparoscopic Roux-en-Y gastric bypass. Comprehensive preoperative examination (x-ray of the upper gastrointestinal tract with barium, daily pH impedance measurement, esophageal manometry) and phenotyping of GERD lead to reduction of GERD symptoms in patients with morbid obesity after sleeve gastrectomy.


2004 ◽  
Vol 14 (3) ◽  
pp. 313-317 ◽  
Author(s):  
Ravi N. Sharaf ◽  
Elizabeth H. Weinshel ◽  
Edmund J. Bini ◽  
Jonathan Rosenberg ◽  
Christine J. Ren

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