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Stomach

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Cognitive Pearls in General Surgery

Abstract

This chapter covers the anatomy and surgical mobilization of the stomach, based on its rich blood supply. The anatomic and physiologic elements of gastric secretion are explained, and in this context, the different vagotomy techniques are presented. The anatomical rationale for gastric resections in the treatment of gastric cancer is presented, as are the different options for gastric reconstructions and the management of complications thereof.

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References

  1. Aspelund G, Langer JC. Current management of hypertrophic pyloric stenosis. Semin Pediatr Surg. 2007;16(1):27–33.

    Article  PubMed  Google Scholar 

  2. Naik-Mathuria B, Olutoye OO. Foregut abnormalities. Surg Clin N Am. 2006;86(2):261–84, viii.

    Article  PubMed  Google Scholar 

  3. Godshall D, Mossallam U, Rosenbaum R. Gastric volvulus: case report and review of the literature. J Emerg Med. 1999;17(5):837–40.

    Article  CAS  PubMed  Google Scholar 

  4. Soybel DI. Anatomy and physiology of the stomach. Surg Clin N Am. 2005;85(5):875–94, v.

    Article  PubMed  Google Scholar 

  5. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg. 1994;220(1):50–2.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Larsson LI. Developmental biology of gastrin and somatostatin cells in the antropyloric mucosa of the stomach. Microsc Res Tech. 2000;48(5):272–81.

    Article  CAS  PubMed  Google Scholar 

  7. Sachs G, Weeks DL, Melchers K, Scott DR. The gastric biology of Helicobacter pylori. Annu Rev Physiol. 2003;65:349–69.

    Article  CAS  PubMed  Google Scholar 

  8. Bech FR. Celiac artery compression syndromes. Surg Clin N Am. 1997;77(2):409–24.

    Article  CAS  PubMed  Google Scholar 

  9. Gloviczki P, Duncan AA. Treatment of celiac artery compression syndrome: does it really exist? Perspect Vasc Surg Endovasc Ther. 2007;19(3):259–63.

    Article  PubMed  Google Scholar 

  10. Loukas M, Pinyard J, Vaid S, Kinsella C, Tariq A, Tubbs RS. Clinical anatomy of celiac artery compression syndrome: a review. Clin Anat. 2007;20(6):612–7.

    Article  PubMed  Google Scholar 

  11. Donahue PE, Griffith C, Richter HM. A 50-year perspective upon selective gastric vagotomy. Am J Surg. 1996;172(1):9–12.

    Article  CAS  PubMed  Google Scholar 

  12. Skandalakis LJ, Donahue PE, Skandalakis JE. The vagus nerve and its vagaries. Surg Clin N Am. 1993;73(4):769–84.

    CAS  PubMed  Google Scholar 

  13. Turnage RH, Sarosi G, Cryer B, Spechler S, Peterson W, Feldman M. Evaluation and management of patients with recurrent peptic ulcer disease after acid-reducing operations: a systematic review. J Gastrointest Surg. 2003;7(5):606–26.

    Article  PubMed  Google Scholar 

  14. Bech-Knudsen F, Toftgaard C. Exulceratio simplex dieulafoy. Surg Gynecol Obstet. 1993;176(2):139–43.

    CAS  PubMed  Google Scholar 

  15. Kim HJ, Karpeh Jr MS, Brennan MF. Standardization of the extent of lymphadenectomy for gastric cancer: impact on survival. Adv Surg. 2001;35:203–23.

    CAS  PubMed  Google Scholar 

  16. Meyer HJ, Jahne J. Lymph node dissection for gastric cancer. Semin Surg Oncol. 1999;17(2):117–24.

    Article  CAS  PubMed  Google Scholar 

  17. de Steur WO, Dikken JL, Hartgrink HH. Lymph node dissection in resectable advanced gastric cancer. Dig Surg. 2013;30(2):96–103.

    Article  PubMed  Google Scholar 

  18. Schmidt B, Chang KK, Maduekwe UN, Look-Hong N, Rattner DW, Lauwers GY, et al. D2 lymphadenectomy with surgical ex vivo dissection into node stations for gastric adenocarcinoma can be performed safely in Western patients and ensures optimal staging. Ann Surg Oncol. 2013;20(9):2991–9.

    Article  PubMed  Google Scholar 

  19. Katsinelos P, Zavos C, Paroutoglou G, Beltsis A, Kountouras J. Education and imaging. Gastrointestinal: retained gastric antrum. J Gastroenterol Hepatol. 2007;22(3):448.

    Article  CAS  PubMed  Google Scholar 

  20. Yilmaz S, Yekeler E, Dural C, Dursun M, Akyol Y, Acunas B. Afferent loop syndrome secondary to Billroth II gastrojejunostomy obstruction: multidetector computed tomography findings. Surgery. 2007;141(4):538–9.

    Article  PubMed  Google Scholar 

  21. Ukleja A. Dumping syndrome: pathophysiology and treatment. Nutr Clin Pract. 2005;20(5):517–25.

    Article  PubMed  Google Scholar 

  22. Scholmerich J. Postgastrectomy syndromes – diagnosis and treatment. Best Pract Res Clin Gastroenterol. 2004;18(5):917–33.

    Article  PubMed  Google Scholar 

  23. Sanders KM. Interstitial cells of Cajal at the clinical and scientific interface. J Physiol. 2006;576(Pt 3):683–7.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  24. Ward SM, Sanders KM. Physiology and pathophysiology of the interstitial cell of Cajal: from bench to bedside. I. Functional development and plasticity of interstitial cells of Cajal networks. Am J Physiol Gastrointest Liver Physiol. 2001;281(3):G602–11.

    CAS  PubMed  Google Scholar 

  25. Hirst GD, Edwards FR. Role of interstitial cells of Cajal in the control of gastric motility. J Pharmacol Sci. 2004;96(1):1–10.

    Article  CAS  PubMed  Google Scholar 

  26. Takaki M. Gut pacemaker cells: the interstitial cells of Cajal (ICC). J Smooth Muscle Res. 2003;39(5):137–61.

    Article  PubMed  Google Scholar 

  27. Katz SC, DeMatteo RP. Gastrointestinal stromal tumors and leiomyosarcomas. J Surg Oncol. 2008;97(4):350–9.

    Article  PubMed  Google Scholar 

  28. Alain BB, Wang YJ. Cushing’s ulcer in traumatic brain injury. Chin J Traumatol. 2008;11(2):114–9.

    PubMed  Google Scholar 

  29. Moran KT, O’Reilly T, Munster AM. A combined regimen for the prophylaxis of Curling’s ulcer. Am Surg. 1987;53(10):575–6.

    CAS  PubMed  Google Scholar 

  30. Marrone GC, Silen W. Pathogenesis, diagnosis and treatment of acute gastric mucosal lesions. Clin Gastroenterol. 1984;13(2):635–50.

    CAS  PubMed  Google Scholar 

  31. Steinberg KP. Stress-related mucosal disease in the critically ill patient: risk factors and strategies to prevent stress-related bleeding in the intensive care unit. Crit Care Med. 2002;30(6 Suppl):S362–4.

    Article  PubMed  Google Scholar 

  32. Stabile BE, Hardy HJ, Passaro Jr E. ‘Kissing’ duodenal ulcers. Arch Surg. 1979;114(10):1153–6.

    Article  CAS  PubMed  Google Scholar 

  33. Pecora PG, Kaplan B. Corticosteroids and ulcers: is there an association? Ann Pharmacother. 1996;30(7–8):870–2.

    CAS  PubMed  Google Scholar 

  34. Ham M, Kaunitz JD. Gastroduodenal defense. Curr Opin Gastroenterol. 2007;23(6):607–16.

    Article  PubMed  Google Scholar 

  35. Allen A, Flemstrom G. Gastroduodenal mucus bicarbonate barrier: protection against acid and pepsin. Am J Physiol Cell Physiol. 2005;288(1):C1–19.

    CAS  PubMed  Google Scholar 

  36. Moss SF, Malfertheiner P. Helicobacter and gastric malignancies. Helicobacter. 2007;12 Suppl 1:23–30.

    Article  CAS  PubMed  Google Scholar 

  37. Chiba T, Marusawa H, Seno H, Watanabe N. Mechanism for gastric cancer development by Helicobacter pylori infection. J Gastroenterol Hepatol. 2008;23(8):1175–81.

    Article  CAS  PubMed  Google Scholar 

  38. Park DY, Lauwers GY. Gastric polyps: classification and management. Arch Pathol Lab Med. 2008;132(4):633–40.

    Google Scholar 

  39. Coffey RJ, Washington MK, Corless CL, Heinrich MC. Menetrier disease and gastrointestinal stromal tumors: hyperproliferative disorders of the stomach. J Clin Invest. 2007;117(1):70–80.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  40. Toh BH, Alderuccio F. Pernicious anaemia. Autoimmunity. 2004;37(4):357–61.

    Article  CAS  PubMed  Google Scholar 

  41. Kwan CP, Tytgat GN. Antral G-cell hyperplasia: a vanishing disease? Eur J Gastroenterol Hepatol. 1995;7(11):1099–103.

    Article  CAS  PubMed  Google Scholar 

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Maker, V.K., Guzman-Arrieta, E.D. (2015). Stomach. In: Cognitive Pearls in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1850-8_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1850-8_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1849-2

  • Online ISBN: 978-1-4939-1850-8

  • eBook Packages: MedicineMedicine (R0)

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