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Decision Making Pathways in Digestive Surgery
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29 January 2025

Digestive surgery has evolved into a highly specialised and complex field, demanding precise decision-making as well as technical skill.
With rapid advances in research, technology, and multimodal treatment approaches, surgical gastroenterology now integrates endoscopic, interventional, laparoscopic, and robotic techniques.
This book presents evidence-based algorithms and cutting-edge innovations, including AI, to optimise patient outcomes.
Covering conditions from acute pancreatitis to cancer care, it emphasises multidisciplinary strategies and best practices.
More than a resource, it serves as a guide for clinicians navigating the ever-evolving landscape of digestive surgery, ensuring state-of-the-art, patient-centred care.
MEDICAL / Surgery / General, Surgery, MEDICAL / Surgery / Colon & Rectal, Gastrointestinal and colorectal surgery
Sanjiv Haribhakti MS DNB MCh
Chairman, Department of Surgical Gastroenterology, Kaizen Hospital, Ahmedabad, Gujarat, India
Avadh Patel MS (General Surgery) DrNB (Surgical Gastroenterology)
Consultant Gastroenterologist and Colorectal Surgeon, Kaizen Hospital, Ahmedabad, Gujarat, India
SECTION 1: General and Systemic Diseases
SECTION 1.1: Clinical Presentations
1. Acute Abdomen
2. Approach to Abdominal Trauma
3. Upper and Lower Gastrointestinal Bleeding
4. Dysphagia
5. Obstructive Jaundice
6. Nutritional Evaluation and Management
SECTION 1.2: Multisystem Involvement
7. Gastrointestinal Stromal Tumors
8. Neuroendocrine Tumor
9. Primary Gastrointestinal Lymphoma
SECTION 1.3: Perioperative Management
10. Anesthesia Considerations in Gastrointestinal Surgery
11. Perioperative Antibiotic Prophylaxis
12. Deep Vein Thrombosis Prophylaxis
13. Postexposure Prophylaxis
SECTION 2: Foregut
SECTION 2.1: Esophagus
14. Gastroesophageal Reflux Disease and Hiatal Hernias
15. Achalasia Cardia
16. Corrosive Injuries of Upper Digestive Tract
17. Esophageal Perforation
18. Carcinoma Esophagus
19. Esophageal Anastomotic Leaks
SECTION 2.2: Stomach
20. Gastric Outlet Obstruction
21. Gastric Cancer
SECTION 3: Hepatobiliary and Pancreas
SECTION 3.1: Liver, Spleen, Portal Hypertension
22. Approach to Liver Space-occupying Lesion
23. Liver Trauma
24. Liver Transplant
25. Decision-making Pathways in Hepatocellular Carcinoma
26. Noncirrhotic Portal Hypertension
27. Management of Variceal Hemorrhage in a Patient with Liver Cirrhosis
28. Splenic Trauma
SECTION 3.2: Gallbladder and Bile Duct
29. Cholelithiasis
30. Choledocholithiasis
31. Choledochal Cyst
32. Bile Duct Injury
33. Cholangiocarcinoma
34. Gallbladder Cancer
SECTION 3.3: Pancreas
35. Acute Pancreatitis
36. Chronic Pancreatitis
37. Management of Pancreatic and Duodenal Trauma
38. Cystic Tumors of Pancreas
39. Resectable and Borderline Resectable Pancreatic Cancer
SECTION 4: Midgut and Hindgut
SECTION 4.1: Small Bowel
40. Abdominal Tuberculosis
41. Small Bowel Crohn's Disease
42. Surgical Management of Crohn's Disease
43. Acute Intestinal Obstruction
44. Acute Mesenteric Ischemia
SECTION 4.2: Colorectal
45. Rectal Prolapse
46. Hereditary Polyposis Syndromes
47. Ulcerative Colitis
48. Diverticular Disease of Colon
49. Colon Cancer: In the Era of Minimally Invasive Surgery
50. Rectal Cancer
SECTION 5: Perianal Diseases
51. Hemorrhoids
52. Anorectal Abscess and Fistula
53. Fistulizing Crohn's Disease
54. Anal Incontinence
SECTION 6: Obesity
55. The Bariatric Assessment: A Guide to Preoperative Evaluation
56. Medical and Endoscopic Management of Obesity
57. Decision Making: Bariatric Surgery
58. Metabolic Surgery
SECTION 7: Hernias
59. Inguinal Hernia
60. Ventral Hernia
61. Hernia: Loss of Domain