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History of Surgery of the Gastrointestinal Tract

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Abstract

Four salient points can be made in any discussion of the history of gastrointestinal surgery. First, major contributions in surgical technique have been made by individual surgeons who were giants in their times. These individuals had the insight to translate scientific observations and knowledge of pathophysiology into advances in patient care. Second and equally important, the evolution of the field has been furthered by advances in allied fields, including anesthesia and critical care, radiology, gastroenterology, and bioengineering. Indeed, complex care in gastrointestinal surgery is increasingly delivered by teams of experts from all these fields. Third, the field of gastrointestinal surgery has evolved without the benefit of organized, structured training programs. The need for specialized training in complex gastrointestinal surgery is becoming increasingly appreciated, and such training is likely to be demanded by better-informed consumers if we fail to provide it. Fourth, advances in pharmacology and microbiology have had a profound effect on both the incidence and safety of surgical procedures. A poignant example is the virtual disappearance of elective surgery for peptic ulcer because of the discovery of powerful acid-suppressing pharmaceutical agents as well as recognition of the etiological significance of Helicobacter pylori eradication.

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Author information

Authors and Affiliations

  1. Department of Surgery, The University of Utah, Salt Lake City, Utah

    Sean J. Mulvihill MD FACS (Professor and Chair, Senior Director of Clinical Affairs)

  2. Huntsman Cancer Institute, The University of Utah, Salt Lake City, Utah

    Sean J. Mulvihill MD FACS (Professor and Chair, Senior Director of Clinical Affairs)

  3. UCSF Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA

    Haile T. Debas MD (Executive Director, Maurice Galante Distinguished Professor)

  4. Dean Emeritus, School of Medicine, Vice Chancellor Emeritus, Medical Affairs, Chancellor Emeritus, Department of Surgery, University of California, San Francisco, San Francisco, CA, USA

    Haile T. Debas MD (Executive Director, Maurice Galante Distinguished Professor)

Authors
  1. Sean J. Mulvihill MD FACS
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  2. Haile T. Debas MD
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Editor information

Editors and Affiliations

  1. Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  2. Divisions of Surgical Oncology and General Surgery, Department of Surgery, Stanford University Medical Center, Stanford, CA, USA

    Jeffrey A. Norton MD, FACS (Robert L. and Mary Ellenburg Professor, Chief) (Robert L. and Mary Ellenburg Professor, Chief)

  3. Departments of Surgery and Public Health, New York-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  4. Division of Critical Care and Trauma, NewYork-Presbyterian Hospital/Weill Cornell Medical College, New York, NY, USA

    Philip S. Barie MD, MBA, FCCM, FACS (Professor, Chief) (Professor, Chief)

  5. Departments of Surgery and Immunology, Duke University Medical Center, Durham, NC, USA

    R. Randal Bollinger MD, PhD, FACS (Professor) (Professor)

  6. Division of Surgical Oncology, Department of Surgery, University of Michigan, Comprehensive Cancer Center, Ann Arbor, MI, USA

    Alfred E. Chang MD, FACS (Chief, Hugh Cabot Professor of Surgery) (Chief, Hugh Cabot Professor of Surgery)

  7. Department of Surgery, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  8. Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Stephen F. Lowry MD, MBA, FACS (Professor and Chairman) (Professor and Chairman)

  9. Department of Surgery, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  10. Huntsman Cancer Institute, The University of Utah, Salt Lake City, UT, USA

    Sean J. Mulvihill MD, FACS (Professor and Chair, Senior Director of Clinical Affairs) (Professor and Chair, Senior Director of Clinical Affairs)

  11. Departments of Cardiothoracic Surgery and Surgery, New York University Medical Center, New York, NY, USA

    Harvey I. Pass MD, FACS (Professor) (Professor)

  12. Radiology, and Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

  13. Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Robert W. Thompson MD, FACS (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research) (Professor of Surgery (Section of Vascular Surgery), Vice-Chairman for Research)

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Mulvihill, S.J., Debas, H.T. (2008). History of Surgery of the Gastrointestinal Tract. In: Norton, J.A., et al. Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68113-9_41

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