Current Surgical Therapy 10th Edition

Johns Hopkins Medical Institutions, Baltimore, MD. Offers advice on the selection and implementation of the latest
surgical approaches. Features the newest trends in trauma and critical care surgery and discusses how to avoid or
minimize complications. Topics include esophageal perforation and small bowel obstruction. Previous edition: c2008.

John Cameron and Andrew Cameron (surgery, Johns Hopkins Medical Institutions) bring together specialist surgeons mainly
from the US to instruct surgeons, residents, and fellows on current approaches for all general surgical topics. The
text contains about 270 chapters on surgical techniques for various body systems and diseases, as well as preoperative
and postoperative care, trauma and emergency care, surgical critical care, and minimally invasive surgery. Disease
presentation, pathophysiology, and diagnosis are only discussed briefly. In this edition, chapters have been written by
new authors. The full text is accessible online. Annotation



Table of Contents
The esophagus
Esophageal function tests 1
Esophageal perforation 10
Achalasia of the esophagus 14
Esophageal spasm syndromes 19
Esophageal diverticula 22
Gastroesophageal reflux disease 27
New intraluminal approaches to gastroesophageal reflux disease 32
Barrett's esophagus 36
Paraesophageal hiatal hernia 38
Caustic injuries 42
Esophageal tumors 44
The use of esophageal stents 49
Neoadjuvant and adjuvant therapy of esophageal cancer 55
Endoscopic ablation of Barrett's esophagus 58
Esophageal atresia and tracheoesophageal fistula 61
The stomach
Benign gastric ulcer and stress gastritis 67
Duodenal ulcer 71
Zollinger-Ellison syndrome 76
Postgastrectomy problems : remedial operations and therapy 80
Mallory-Weiss syndrome 88
Morbid obesity 92
Gastric adenocarcinoma 95
Gastrointestinal stromal tumors 100
Small bowel
Small bowel obstruction 105
Postoperative ileus 111
Crohn's disease of the small bowel 112
Stricturoplasty in Crohn's disease 116
Small bowel tumors 120
Diverticular disease of the small bowel 124
Mesenteric vascular disease of the small bowel 126
Enterocutaneous fistula 134
Short bowel syndrome 140
Small bowel carcinoid tumors 146
Motility disorders of the stomach and small bowel 150
Large bowel
Diverticular disease of the colon 157
Chronic ulcerative colitis 161
Crohn's colitis 168
Large bowel obstruction 173
Ogilvie's syndrome (colonic pseudo-obstruction) 176
Colonic volvulus 179
Rectal prolapse and obstructed defecation 183
Solitary rectal ulcer 190
Radiation injury to the small and large bowel 192
Ischemic colitis 197
Inherited colorectal polyposis syndromes 200
Colon Cancer 211
Rectal cancer 216
Adjuvant therapy for colorectal cancer 224
Tumors of the anal region 228
Colorectal polyps 233
Surgical management of constipation 236
Preoperative bowel preparation 240
Acute appendicitis 241
Hemorrhoids 245
Anal fissure 252
Anorectal abscess and fistula 256
Anorectal stricture 261
Pruritus ani 266
Fecal incontinence 267
Rectovaginal fistula 272
Condyloma acuminata 277
Pilonidal disease 280
Lower gastrointestinal bleeding 285
The liver
Newer techniques in liver surgery 293
Hepatic abscess 298
Cystic disease of the liver 303
Hepatic echinococcosis 306
Benign liver lesions 311
Liver hemangioma 322
Malignant liver tumors 328
Hepatic Malignancy : resection versus transplantation 334
Colorectal cancer hepatic metastases : liver resection 337
Colorectal cancer metastatic to the liver : nonresective destructive techniques 341
Factors affecting morbidity and mortality of liver surgery 348
Portal hypertension
Portal hypertension : the role of shunting procedures 353
Transjugular intrahepatic portosystemic shunt 359
Portal hypertension : role of liver transplantation 366
Endoscopic therapy for esophageal variceal hemorrhage 372
Refractory ascites 374
Hepatic encephalopathy 377
Budd-Chiari syndrome 380
Gallbladder and biliary tree
Asymptomatic "silent" gallstones 383
Acute cholecystitis 385
Common bile duct stones 392
Open cholecystectomy : when is it indicated? 400
Open common bile duct exploration : when is it indicated? 403
Acute cholangitis 407
Benign biliary strictures 410
Postcholecystectomy problems 416
Cystic disorders of the bile ducts 420
Gallstone ileus 426
Primary sclerosing cholangitis 428
Bile duct cancer 433
Tumors of the gallbladder 439
Antibiotic selection in biliary surgery 444
Obstructive jaundice : transhepatic interventions 448
Obstructive jaundice : endoscopic management 452
The pancreas
Acute pancreatitis 459
Gallstone pancreatitis 464
Pancreas divisum 470
Pancreatic abscess 476
Pancreatic pseudocysts 480
Pancreatic ductal disruptions leading to pancreatic fistula, pancreatic ascites, or pancreatic pleural effusion 486
Chronic pancreatitis 490
Periampullary cancer 494
Palliative therapy for pancreatic cancer 504
Unusual pancreatic tumors 510
Intraductal papillary mucinous neoplasms 517
Pancreatic islet cell tumors excluding gastrinoma 520
Transplantation of the pancreas 525
The spleen
Splenectomy for hematologic diseases 533
Tumors, cysts, and abscesses of the spleen 536
Splenic salvage procedures : therapeutic options 539
Hernia
Groin hernia 545
Recurrent inguinal hernia 553
Incisional, epigastric, and umbilical hernias 556
Spigelian, lumbar, and obturator herniation 559
Endocrine glands
Adrenocortical tumors 563
Pheochromocytoma 569
Adrenal incidentaloma 575
Thyroid nodule 580
Nontoxic goiter 582
Thyroid cancer 584
Hyperthyroidism 592
Thyroiditis 597
Primary hyperparathyroidism 602
Persistent or recurrent hyperparathyroidism 605
Secondary and tertiary hyperparathyroidism 610
The breast
The role of stereotactic breast biopsy in the management of breast disease 615
Benign breast disease 617
Screening for breast cancer 625
Breast cancer : cellular, biochemical, and molecular markers 628
Breast cancer : surgical therapy 632
Breast cancer : lymphatic mapping and sentinel lymphadenectomy 637
Breast cancer : adjuvant systemic therapy 641
Inflammatory breast cancer 645
In situ carcinoma of the breast : ductal and lobular cell origin 648
Management of recurrent and disseminated breast cancer 650
Male breast cancer 655
Breast reconstruction following mastectomy 657
Chest wall, mediastinum, trachea
Chest wall trauma 663
Primary chest wall tumors 665
Tracheostomy : timing and techniques 671
Pneumothorax 677
Hemothorax 679
Mediastinal tumors 682
Primary tumors of the thymus 690
Tracheal stenosis 695
Acquired esophageal respiratory tract fistula 698
Vascular system
Abdominal aortic aneurysm : open repair 703
Abdominal aortic aneurysm : endovascular repair 709
Ruptured abdominal aortic aneurysm 713