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Updates in Gastrointestinal Emergencies: Inflammatory Conditions and Obstructions

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Book cover Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

In this chapter, we aim to highlight some of the new developments and trends in the emergency treatment of the gastrointestinal emergencies. There are only four pathologic processes that occur as an emergency of the inflammatory conditions and obstruction of the gastrointestinal tract: hemorrhage, ischemia, obstruction, and infection. Most abdominal pathology involves one or a combination of these processes and may give rise to severe clinical conditions of sufficient gravity to constitute an emergency. Gastrointestinal emergencies due to an acute inflammatory diseases and acute obstruction of the abdominal viscera and their complications may be roughly classified as follows: peritonitis, intussusception, torsion, perforation with abscess formation, complications involving chronic lesions of the upper part of the digestive tract such as acute perforation of peptic ulcer, duodenal obstruction, and bleeding. Despite the new and ever-expanding array of medications for the treatment of inflammatory diseases, there are still clear indications for operative management for the majority of complications of acute inflammatory conditions. We present here an overview of indications, procedures, considerations, and controversies in the diagnostic strategies and therapies for the most important gastrointestinal emergencies.

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Authors and Affiliations

  1. Endoscopy Division, Luigi Sacco Hospital, University of Milan, Milan, Italy

    Pietro Gambitta, Emilia Bareggi, Francesca Iannuzzi, Alessandro Ballerini & Stefano Pallotta

  2. Unit of Hepatobiliary and Colorectal Surgical Oncology, Candiolo Cancer Institute, FPO-IRCCS, Torino, Italy

    Domenico Lo Conte

  3. Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy

    Alessandra D’Alessandro

  4. Endoscopy Division, Ospedale San Leopoldo Mandic di Merate, ASST Lecco, Lecco, Italy

    Antonio Armellino

  5. Department of Emergency, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Paolo Aseni

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  1. Pietro Gambitta
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  6. Alessandro Ballerini
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  7. Stefano Pallotta
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  8. Antonio Armellino
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  9. Paolo Aseni
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Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Gambitta, P. et al. (2019). Updates in Gastrointestinal Emergencies: Inflammatory Conditions and Obstructions. In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_29

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