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Management of complications from foregut surgery

 

Presented by L Michael Brunt at the Masters Series: The SAGES Masters Take You to Foregut School held during the 2017 SAGES Annual Meeting in Houston, TX on Wednesday, March 22, 2017


Keyword(s): abdominal pain, acute reherniation, algorithm, antiemetics, aorta, balloon dilatation, belching, bile stain, bipolar, bleeding, blunt dissection, Bougie, bowel peforation, capsular tear, cardiac, cardiac injury, cardiac tamponade, chest pain, chest tube, chest xray, clip, clips, complications, conservative management, contrast swallow, conversion rate, CT, diaphragm, diaphragmatic, diaphragmatic closure, dilated esophagus, dissect, drainage, dysphagia, dyspnea, edema, endoscopically, endoscopy, endotrachial tube, energy devices, esophageal lengthening, esophageal manometry, esophageal perforation, esophagus, ET tube, exposure, extravasation, fever, foregut surgery, G-J tube, gastric perforation, gastroesophageal junction, gastrohepatic ligament, gastrointestinal, GEJ, GI, Heller myotomy, hernia sac, hiatal closure, hiatal hernia repair, high resolution manometry, HRM, imaging, inferior vena cava, injury, instrument, intraoperatively, IVC, J-tube, laparoscopic antireflux surgery, laparoscopically, LARS, leak test, leaks, left hepatic artery, left hepatic vein, length of stay, lesser curvature, liquids, LOS, management, masters series, mediastinum, mesh, morbidity, mortality, motility, mucosa, NSQIP, obstruction, omentum, open, pain, paraesophageal hernia repair, partial fundoplication, PEG, PEHR, percutaneous, perforation, peristalsis, phrenic vessels, pleural effusion, PONV, postoperative nausea & vomiting, postoperative obstruction, postopertively, Prolene, radiologic, recurrence, redo hiatal hernia repair, reoperation, retraction, retroesophageal space, right crus, robotic, scissors, septic, sharp dissection, short esophagus, short gastrics, short of breath, SOB, spleen, splenectomy, splenic artery, staple, staple line, stent, stitch, stomach, subxiphoid, Surgicel, suture, sutures, suturing, swallowing, tacking, tacks, tamponade, topical hemostatics, traction, traction injury, transabdominal exploration, transthoracic exploration, ultrasonic coagulator, vagus nerve, wrap

Prevalence of surgical complications after LARS–39 sec Clin Gastroenterol Hepatol 2013

Foregut surgery complications: Bleeding–2:05

Avoidance of bleeding: General principles–2:40

Bleeding: Spleen–3:15

Bleeding: Replaced left hepatic artery–4:34

Bleeding: Left hepatic vein/IVC–5:04

Bleeding: Aorta–5:52 Surg Endosc 2013

Bleeding: Cardiac–8:16 Ann Thorac Surg 2012

Surg Endosc 2000

Perforation–9:04 Surg Endosc 2014

Perforation: Intraop management–11:06

Perforation: Other risk factors–12:28

Perforation: Postop detection–12:43

Postoperative leak: Managment–13:15

Perforation post esophageal lengthening–13:51

Postop obstruction: Avoidance–14:58

Postop obstruction: Acute reherniation–15:38

Early postop obstruction: Fundoplication–16:50

Late postop obstruction–17:59

Summary–19:02

Q&A session–19:52

432

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Related

Video Uploaded By:
SAGES Webmaster
Uploaded on
03/22/2017
Learning Themes
Foregut
Sources
2017 Annual Meeting
Masters Level
200
Video Authors
Brunt L
Video Institutions
Washington University School of Medicine--St Louis MO

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