Gastric and Oesophageal Surgery

368 Pages·2014·11.149 MB·English

by  Chaudry, M. Asif, Mughal, Muntzer, Thrumurthy, Sri G

OXFORD MEDICAL PUBLICATIONS
Gastric and
Oesophageal
Surgery
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Gastric and
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Edited by
M. Asif Chaudry
Upper Gastrointestinal Surgeon,
St Thomas’ Hospital, London, UK
Sri G. Thrumurthy
Core Surgical Trainee, Kingston Hospital,
Kingston-upon-Thames, UK
Muntzer Mughal
Honorary Clinical Professor and Head of Upper
Gastrointestinal Services, University College Hospitals,
London, UK
1
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v
Contents

Acknowledgements vi
Contributors vii
Abbreviations ix
1 Gastric anatomy and physiology 1
2 Oesophageal anatomy and basic physiology 21
3 Oesophageal physiology, clinical evaluation
of oesophageal motility disorders,
and gastro-oesophageal refl ux disease 33
4 Surgical management of gastro-oesophageal
refl ux disease and hiatus hernia 69
5 Benign gastric and duodenal disease 95
6 Barrett’s oesophagus 125
7 Preoperative assessment and perioperative care 149
8 Oesophageal cancer 171
9 Gastric cancer 229
10 Bariatric surgery 291
11 Upper gastrointestinal perforation 327
Index 343
vi
Acknowledgements
For our teachers, from cradle to clinic—MAC
To my parents and greatest role models, Thrumurthy and Sobanah; to
my outstanding wife and best friend, Ayishwarriyah; and to my baby sis-
ter, Sasha. To Asif, for standing steadfast against adversity. To Professor
Mughal, my mentor and ambition—SGT
To John Bancewicz, for stimulating my interest in oesophago-gastric dis-
ease and for setting an example through his caring, compassionate and
patient centred approach in delivering clinical care—MM
vii
Contributors
Professor Stephen E A Attwood, Consultant Surgeon and Honorary
Professor, Durham University, Northumbria Healthcare Foundation
Trust, North Shields, UK
Dr M Adil Butt, Senior Research Associate, Gastroenterology and
Laser Medicine, National Medical Laser Centre, University College
London; Specialist Registrar in Gastroenterology, University College
Hospital, UK
Mr M Asif Chaudry, Upper Gastrointestinal Surgeon, St Thomas’
Hospital, London, UK
Dr Jason Dunn, Consultant Gastroenterologist, Guy’s and St Thomas’
Hospital, UK
Professor Alastair Forbes, Professor of Gastroenterology and Clinical
Nutrition, University College London Hospitals NHS Foundation Trust,
London, UK
Dr Rehan Haidry, Consultant Gastroenterologist, University College
London Hospitals NHS Foundation Trust, London, UK
Mr Christopher J Lewis, Consultant Upper Gastrointestinal and
General Surgeon, Wrightington Wigan and Leigh NHS Foundation
Trust, UK
Dr Laurence B Lovat, Reader in Gastroenterology and Laser Medicine
and Head of Research Department of Tissue and Energy, University
College London; Consultant Gastroenterologist, University College
Hospital, UK
Professor Muntzer Mughal, Honorary Clinical Professor and Head
of Upper Gastrointestinal Services, University College Hospitals,
London, UK
Mr James S Pollard, Specialist Registrar, University Hospital of South
Manchester, NHS Foundation Trust, Manchester, UK
Mr Kishore G Pursnani, Consultant Upper GI Surgeon, Lancashire
Teaching Hospitals NHS Foundation Trust, Preston, UK
Dr Sangeeta Sharma, Consultant Anaesthetist, Lancashire Teaching
Hospitals NHS Foundation Trust, Preston, UK
Professor Daniel Sifrim, Professor of Gastrointestinal Physiology,
Barts and the London School of Medicine and Dentistry, Queen Mary
University of London, London, UK
viii CONTRIBUTORS
Miss Tania S de Silva, Specialist Registrar in General Surgery, Kent
Surrey and Sussex Deanery, UK
Mr Sri G Thrumurthy, Core Surgical Trainee, Kingston Hospital,
Kingston-upon-Thames, UK
Mr Paul D Turner, Consultant Upper GI Surgeon, Lancashire Teaching
Hospitals NHS Foundation Trust, Preston, UK
Mr Jeremy B Ward, Consultant Upper GI Surgeon, Lancashire
Teaching Hospitals NHS Foundation Trust, Preston, UK
Mr Sean Woodcock, Consultant Bariatric Surgeon, Northumbria
Healthcare NHS Foundation Trust, North Shields, UK
Dr Elaine Young, Consultant Clinical Oncologist, Rosemere Cancer
Centre, Lancashire Teaching Hospitals NHS Foundation Trust,
Preston, UK