Severity in acute pancreatitis: original versus revised Atlanta classification 1993 2013 Mild acute pancreatitis Mild acute pancreatitis Absence of organ failure Absence of organ failure Absence of local complications Absence…
Fig. 12.1 a Anterior displacement of the duodenum by tortuous aortic graft placement resulting in aorto-duodenal fistula (b) The fistulas are usually all characterized structurally as being stuck to the aorta…
Fig. 17.1 CXR showing elevated left hemidiaphragm with permission from Kadian et al. [9, Fig. 2] The clinical management of a bleeding splenic injury in a complicated surgical patient should, as in…
Religion Mean ISS Type of injury Case of injury (%) Mortality (%) Jehovah’s Witnesses 10.3 ± 9 (NS) Blunt (82) MC (39) 11.0 (NS) Catholic 10.3 ± 11 Blunt (68) MVC (39) 6.9 Baptist 8.9 ± 10…
Fig. 9.1 The assistant grasps the fundus cephalad and retracts this toward the patient’s right shoulder. This reduces redundancy in the infundibulum and exposes the cystic duct. A second grasper retracts…
Fig. 20.1 Leak demonstrated on UGI 2 weeks after laparoscopic sleeve gastrectomy Of note, many practices obtain routine UGI as part of postoperative algorithm for management, whether the patient is or is not…
Fig. 21.1 Full-thickness ischemia of stoma While edema and venous engorgement in the immediate postoperative period is common, this was a case of stoma necrosis, which is one of the more…
Abscess type Causative organism Patient population Treatment Pyogenic Polymicrobial (biliary and enteric organisms most likely); Klebsiella spp. increasing in incidence Recent biliary intervention; Multiple medical comorbid conditions; Immunocompromised Broad-spectrum antibiotics;…
Small intestine Large intestine Proximal Distal Competent ileocecal valve Non-competent ileocecal valve Anorexia Present Variable Variable Variable Vomiting Present: bilious, large quantity, non-malodorous Usually present: feculent/particulate, small volume, foul…
Fig. 7.1 A management algorithm for parapneumonic effusion. Reproduced with permission from Moore et al. [63, Fig. 1], with permission courtesy of Wolters Kluwer Health, Inc After tube placement, vigilant follow-up of…
