Moore [9] • Medical bleeding due to coagulopathy • Inaccessible major venous injury • Need for a time-consuming procedure in an under-resuscitated patient • Need for control of extra-abdominal, life-threatening injury • Inability to close…
Complications of bariatric surgery Short-term (first 30–90 days) Long-term Nausea/vomiting Fistulae •Gastro-gastric, gastro-cutaneous, etc. Dehydration Diarrhea •Maldigestion, malabsorption, bacterial overgrowth Fatigue Dumping Anastomotic stricture Reactive hypoglycemia Leaks/sepsis Failure to maintain…
5. Tait IS, Krige JE, Terblanche J. Endoscopic band ligation of esophageal varices. Br J Surg. 1999;86(4):437–46.PubMedCrossRef 6. Barkun AN, Bardou M, Kuipers EJ, Sung J, Hunt RH, Martel M,…
Systemic inflammatory response syndrome (SIRS) criteria Two or more of the following criteria must be present: •Body temperature less than 36°C or greater than 38°C •Heart rate greater than 90…
Etiology Frequency (%) Duodenal ulcer 33.2 Gastric ulcer 16.9 Varices 11.5 Gastric erosions 10.4 Neoplasms 5.2 Esophagitis 4.3 Mallory–Weiss lesions 3.2 Anastomotic ulcer 3.0 Vascular malformations 2.8 Rare causes, including…
Fig. 16.1 Paraesophageal hernia types. A type I hernia is characterized by an upward dislocation of the gastroesophageal (GE) junction and the cardia of the stomach through the attenuated phrenoesophageal…
Introduction One of the primary roles of the kidneys is to filter waste material from the blood. The inability of the kidneys to do this leads to renal failure. Acute…
Risk stratification Procedure examples Vascular (reported cardiac risk often more than 5%) Aortic and other major vascular surgery Peripheral vascular surgery Intermediate (reported cardiac risk generally 1–5%) Intraperitoneal and intrathoracic…
Cytokine Action IL-1β (beta) Increased vascular permeability and apoptosis of epithelial cells IL-8 Increased neutrophil aggregation and activation TNF-α (alpha) Induction of inflammation, cachexia, and increased transcription of cytokines TGF-β…
Goals to prevent MOF •Prevent ventilatory failure by early support, not allowing the lungs to fail and produce hypoxemia. •Avoid fluid overload, maintaining a urine output of 25–50 ml/h and…
