DILEMMAS IN ABDOMINAL SURGERY. A CASE-BASED APPROACH

• Oesophagus
Chapter 1 Acute presentation - Boerhaave's Syndrome
Chapter 2 Endoscopic Biopsy demonstrating High grade Dysplasia in Barrett's Oesophagus
Chapter 3 Dysphagia 6 weeks following accidental corrosive ingestion
Chapter 4 Symptomatic Giant Hiatus Hernia with Intrathoracic Stomach
Chapter 5 Non-metastatic esophageal cancer with enlarged carinal lymph nodes with previous sleeve gastrectomy
Chapter 6 Post Esophagectomy Mediastinal Leak
Chapter 7 Post Esophagectomy (for esophageal cancer) Neck leak
• Stomach
Chapter 8 Obese patient (BMI 32) with reflux disease and diabetes mellitus
Chapter 9 Locally advanced Resectable Gastric cancer
Chapter 10 Locally advanced Unresectable Gastric cancer
Chapter 11 Post Total Gastrectomy complications – Duodenal stump leak
Chapter 12 Post Total Gastrectomy complications – Esophago-jejunal anastomosis leak
Chapter 13 Metastatic Gastric GIST - with bleeding
• Duodenum
Chapter 14 2cm D1-2 anterior perforation presenting 24 hours later
Chapter 15 Biliary Leak after Pancreatoduodenectomy for duodenal
neuroendocrine tumours
Chapter 16 Duodenal neuroendocrine tumors: a discrete 1 cm lesion on D2 - antipancreatic surface v/s pancreatic surface
• Small and large Intestine
Chapter 17 Crohn’s Disease: Multiple diffuse strictures with 3 episodes of subacute intestinal obstruction in 1 year on Monoclonal Antibodies
Chapter 18 An acute embolic event affecting the Superior Mesenteric Artery
Chapter 19 Post-colonic anastomotic leak
Chapter 20 Toxic Megacolon in Crohn’s colitis
Chapter 21 Colonic Perforation: Pelvic collection with air in a 40-year old haemodynamically stable patient
Chapter 22 Non-obstructing small bowel neuroendocrine tumor with liver metastasis
• Rectum
Chapter 23 Trans-sphincteric fistula in ano with external opening 3cm from anal verge
Chapter 24 FAP: 19-year old patient with severe rectal involvement
Chapter 25 Management of Rectal Cancer in a young woman
• Gallbladder and Biliary Tree
Chapter 26 Acute Cholecystitis – 4 days duration with a palpable lump
Chapter 27 Intra-operative cholangiogram shows < 1cm stone at the lower end
Chapter 28 7mm Incidentally detected Gallbladder Polyp
Chapter 29 Gallbladder Cancer with obstructive jaundice and periportal lymph node
Chapter 30 Mid common bile duct cholangiocarcinoma involving the portal vein and right branch of hepatic artery
• Liver
Chapter 31 Hydatid cyst of the liver
Chapter 32 Pyogenic Liver abscess
Chapter 33 Hepatocellular Carcinoma: 10 cm lesion in a Child-Pugh A Cirrhotic Patient
Chapter 34 Metastatic Colorectal Cancer: 3 Discrete 2cm lesions in the right lobe with a 1cm central lesion in the segment 2/3
Chapter 35 Metastatic colorectal cancer bilobar metastatic disease that has completely disappeared following systemic chemotherapy
• Pancreas
Chapter 36 Pyrexia 2 weeks after an attack of alcohol-induced acute pancreatitis
Chapter 37 10-Year History of Chronic Pancreatitis Presents with Pancreatic Head Mass
Chapter 38 Chronic Pancreatitis - Small duct disease with uncontrolled pain
Chapter 39 Multifocal branch duct IPMN with 3cm lesion in head of pancreas in a 55-year-old lady
Chapter 40 Resectable pancreatic cancer post Roux-en-Y gastric bypass for obesity
Chapter 41 Managing a Grade C Pancreatic Fistula After Pancreatoduodenectomy
Chapter 42 Acute necrotizing pancreatitis post Pancreatoduodenectomy
• Spleen
Chapter 43 Grade 3 isolated splenic laceration with haemodynamic instability
• Inferior Vena Cava (IVC)
Chapter 44 Malignant IVC Leiomyosarcoma: approach to a 37-year old patient in whom the tumour involves the right renal vein

This book covers the management of surgical diseases "through the eyes" of a clinician by providing an evidence-based approach to specific clinical dilemmas. The chapters take the reader through a step-by-step "decision-making" approach to commonly encountered, but difficult to manage, situations where the editors share their rationale behind the process. Emphasis is placed on the use of tables and algorithms to simplify understanding. They aim to empower the readers with the ability to manage complex abdominal surgery scenarios in a streamlined manner, thus improving the care and outcome of patients.

Key Features
• Targets specific, difficult to manage scenarios
• Provides expert opinion/advice on how to tackle tricky situations
• Covers both benign and malignant cases
• Discusses an evidence-based approach

* Examines surgical dilemmas through illustrations

Authors
• Savio George Barreto, MBBS, MS, FRACS, PhD, Division of Surgery and Perioperative Medicine, Flinders Medical Centre and SA Portfolio Advisor, Advanced Studies and Senior Lecturer, College of Medicine and Public Health, Flinders University, Adelaide, Australia
• Shailesh V. Shrikhande, MBBS, MS, MD, Deputy Director, Gastrointestinal and Hepato-Pancreato-Biliary Surgical Services, Department of Surgical Oncology, Tata Memorial Center, Mumbai, India