Aurora D. Pryor – författare

Now published in partnership with the Society for Surgery of the Alimentary Tract, Shackelford's Surgery of the Alimentary Tract, 9th Edition, offers lavishly illustrated, authoritative guidance on endoscopic, robotic, and minimally invasive procedures, as well as current medical therapies. An all-new editorial team led by Drs. Syed A. Ahmad and Aurora D. Pryor provides a fresh perspective on both content and organization, incorporating new and diverse images and illustrations, new videos, and new contributing authors who represent a “who’s who” of international experts in the field. A must-have reference for more than 60 years, this significantly revised, two-volume reference is your one-stop resource for proven, systematic approaches to all relevant adult and pediatric GI disorders and operations.Includes new or significantly revised content on endoscopic management of esophageal, gastric and rectal disease; surgical management of chronic pancreatitis; cystic diseases of the pancreas; islet autotransplantation; gallbladder cancer; transplantation for oncologic indications; hepatic artery infusion pumps; adrenal tumors; retroperitoneal sarcomas; and much moreOffers updated management schemas and approaches, a new, condensed focus on anatomy and physiology, and inclusion of landmark clinical trialsDiscusses recent, major advances in minimally invasive surgery and robotic surgery.Reflects new endoluminal approaches to benign and malignant diseases, new treatment algorithms based on recent clinical trials, and an emphasis on minimally invasive approaches to complex GI operationsContains an abundance of beautifully detailed intraoperative and laparoscopic photographs, as well as radiographs and line drawings, to enhance and clarify the text.Provides new videos that highlight surgical procedures, synoptic operative reports, and new technologies that today’s surgeons need to be familiar withFeatures a new team of Associate Editors who have overseen extensive updates and revisions in areas of their particular expertise: Esophageal: Dr. Christy M. Dunst; Stomach/Small Bowel: Dr. Anne O. Lidor; Hernia: Dr. Ajita S. Prabu; Colorectal: Dr. Patricia Sylla; Pancreas: Dr. Matthew H.G. Katz; and Liver: Dr. Michael I. D’AngelicaPresents essential information, such as lists of differential diagnoses, in tabular format for quick referenceAn eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

Gastrointestinal bleeding is an age-old problem. The original description of g- trointestinalbleedingmayhavebeenfromGalenandhisworkconnectingdyspepsia andmelanoticstool. Thechangesinourmanagementofgastrointestinalbleeding overthecenturieshavebeendrivenbynaturalalterationsinthespectrumofdiseases, expanding our understanding of these diseases and the never ending advances in technologyandpharmacologythathaveoccurredrelativetoGIdiseases. Academic interestingastrointestinalbleedingpeakedinthelasthalfofthetwentiethcentury withtheexpandingroleofsurgery,thediscoveryofacid-basedpepticulcerthe- pies,andtheriseof?exibleendoscopyandculminatedinthedescriptionofh. pylori as a causative agent for ulcer disease. More recently there has been a decrease incidenceinbleedingdiseasesofthegutandthereforeadecreasinginterestinthe scholarlywritingaboutthesediseases. Therehasnotbeenamajortextbookwritten aboutgutbleedinginover10yearsandthereforetheintentionofthistextbookisto ?llthatvoidbyprovidingareviewofacomprehensiveapproachtouppergut,mid, andlowergutbleeding. CliniciansatDukeUniversitywhohaveacommoninterestinthegastrointes- naltracthavecollaboratedintheconstructionofthistext.Thisefforthasbrought together surgeons, gastroenterologists, and radiologists, to carefully chronicle the presentation, diagnosis, and management of modern day causes of gastrointes- nal bleeding. These co-authors concentrate on some of the latest innovations in the endoluminal and minimally invasive techniques that characterize the current approaches to these diseases. Emphasis has been placed on capsule endoscopy, double-balloon endoscopy, laparoscopic peptic ulcer surgery, and angiographic diagnosis and management techniques. The text has been written in such a way thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe diseasespresent. Wehopethatthistextprovidesafoundationforlearningformedicalstudents, interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v Acknowledgment TheeditorswouldliketothankMs. VirginiaCashforherhelpinthepreparation andcoordinationofthetext. vii Contents Part I Upper GI Bleeding Stabilization of Patients Presenting with Upper Gastrointestinal Bleeding...3 ErrolL. BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal Bleeding...13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan Management of Esophageal Variceal Bleeding ...23 KekiBalsaraandLisaPickett Management of Dieulafoy's Lesions ...31 SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner, MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic Ulcer Disease ...39 JamesC. PadussisandTheodoreN. Pappas Management of Unusual Sources of Upper GI Bleeding...65 ElisabethTracyandJanetTuttle-Newhall Mallory-Weiss Syndrome...79 JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small Bowel Tumors...85 KeriE. LunsfordandAuroraD. Pryor Management of Bleeding from the Bile Duct ...103 CarlosE. MarroquinandBridgetM. Marroquin Management of Bleeding from the Pancreas...

With an emphasis on the “hows and whys” of contemporary surgery,Operative Techniques in Foregut Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this concise, stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Aurora D. Pryor, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.  Provides comprehensive, step-by-step guidance on surgery of the esophagus and diaphragm, as well as treatment of paraesophageal hernias, gastroesophageal reflux, esophageal cancer, and esophageal perforation  Covers open as well as laparoscopic and endoscopic procedures in esophageal and foregut surgery, including relevant content on trauma  Features 38 new videos on the VST Ebook, personally selected by contributing authors and editors, including treatment of gastroesophageal reflux, treatment of esophageal cancer, surgery of the abdominal wall, and surgery of the stomach and duodenum, and many more! Contains extensive updates throughout, including new coverage of the American Board of Surgery’s SCORE Curricula for General Surgery and for Complex General Surgical Oncology  Follows the same format for each procedure: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications  Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech.

This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases.  How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with.  The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described.  Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology.  There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development.   The book describes the national perspective of paying for new technology, and provides one insurance company’s approach to the introduction of innovative therapy.       The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.

This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases.  How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with.  The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described.  Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology.  There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development.   The book describes the national perspective of paying for new technology, and provides one insurance company’s approach to the introduction of innovative therapy.       The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.

The latest edition of this text provides a practical reference for physicians and other health care providers caring for patients with gastrointestinal bleeding. Similar to the previous edition, this volume addresses common problems associated with gastrointestinal bleeding and discusses in a logical and step-wise fashion appropriate options for patient care. The text is structured based on the location of bleeding, with common, rare and unknown sources being addressed. It also includes updated and new chapters focusing on the newest advances in imaging and interventional modalities in the care of patients with GI bleeding, as well as highly practical presentations of typical patients seen in clinical practice.Written by world renowned experts in gastrointestinal diseases, Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management, Second Edition is a valuable resource in the management of gastrointestinal bleeding both for those currently in trainingand for those already in clinical practice.

The latest edition of this text provides a practical reference for physicians and other health care providers caring for patients with gastrointestinal bleeding. Similar to the previous edition, this volume addresses common problems associated with gastrointestinal bleeding and discusses in a logical and step-wise fashion appropriate options for patient care. The text is structured based on the location of bleeding, with common, rare and unknown sources being addressed. It also includes updated and new chapters focusing on the newest advances in imaging and interventional modalities in the care of patients with GI bleeding, as well as highly practical presentations of typical patients seen in clinical practice.Written by world renowned experts in gastrointestinal diseases, Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management, Second Edition is a valuable resource in the management of gastrointestinal bleeding both for those currently in trainingand for those already in clinical practice.