Springer Specialist Surgery Series
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Other titles in this series include:
Transplantation Surgery, edited by Hakim & Danovitch, 2001
Neurosurgery: Principles and Practice, edited by Moore & Newell, 2004
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John W. L. Fielding and Michael T. Hallissey
Upper
Gastrointestinal Surgery
Series Editor: John Lumley
With 156 Illustrations
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2 1 3
John W. L. Fielding Department of Surgery The Queen Elizabeth Hospital Birmingham, UK
Michael T. Hallissey Department of Surgery The Queen Elizabeth Hospital Birmingham, UK
British Library Cataloguing in Publication Data
Upper gastrointestinal surgery – (Springer specialist surgery series) 1. Digestive organs – Surgery
I. Fielding, J. W. L. (John William Lewis) II. Hallissey, Michael T.
617.4′3
ISBN 1852336072
Library of Congress Cataloging-in-Publication Data
Upper gastrointestinal surgery/[edited by] John W. L. Fielding and Michael T. Hallissey.
p.cm. – (Springer specialist surgery series) Includes bibliographical references and index.
ISBN 1-85233-607-2 (h/c: alk. paper)
1. Digestive organs – Surgery. 2. Gastrointestinal system – Surgery. 3. Liver – Surgery.
4. Upper Gastrointestinal Surgery. I. Fielding, J. W. L. II. Hallissey, Michael T. III. Series.
[DNLM: 1. Digestive System Surgical Procedures. 2. Biliary Tract Diseases – surgery.
3. Gastrointestinal Diseases – surgery. 4. Liver Diseases – surgery. WI 900 H529 2004]
RD540.5.H47 2004
617.4′3–dc22 2004042555
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ISBN 1-85233-607-2 Springer-Verlag London Berlin Heidelberg Springer-Verlag is part of Springer Science+Business Media Springeronline.com
© Springer-Verlag London Limited 2005
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Typeset by Florence Production Ltd, Stoodleigh, Devon, UK Printed and bound in the United States of America 28/3830-543210 Printed on acid-free paper SPIN 10873594
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Foreword
Surgical practice and training are undergoing a worldwide revolution, with increased super-specialisation, at the expense of the generalist, giving rise to much heated debate.
The pathway towards specialisation has been accompanied by an increase in inter- disciplinary care, with the development of the multidisciplinary team approach. This has included expansion of diagnostic imaging, and of medical, chemotherapy and radio therapeutic regimes. The introduction of minimally invasive techniques and image guidance, have increased surgical precision and refinement, while in other areas interventional radiology has become the treatment of choice.
Training and assessment have followed these trends, but often in a disorganised fashion, without due concern for curricular development and adequate integration of basic and advanced educational requirements.
Regardless of these arguments, all surgeons working in a field require appropriate skills and the best available information to deliver optimal care; the Springer Specialist Surgical Series addresses these needs.
This volume considers the upper gastrointestinal tract, from the oesophagus to the small bowel. The liver, biliary tree and pancreas make up a separate volume, but the spleen, that orphan of the upper abdomen, is expertly covered, providing the reader with an added bonus.
The editors have skilfully chosen topics that provide a comprehensive cover of the field, while emphasizing the growing edges and future direction of their speciality. They have brought together a unique group of authors, each a recognized expert in the field.
The resultant text is compelling and essential reading for all those involved in the management of disease of the upper alimentary tract, whatever their discipline.
Contents
Foreword
by Professor John Lumley . . . v Contributors . . . ix
1. The Anatomy and Physiology of the Oesophagus
Peter J. Lamb and S. Michael Griffin . . . 1 2. The Anatomy and Physiology of the Stomach
Ian R. Daniels and William H. Allum . . . 17 3. The Anatomy and Physiology of the Small Bowel
David Gourevitch . . . 39 4. The Anatomy and Physiology of the Diaphragm
George R. Harrison . . . 45 5. The Spleen
Hugo W. Tilanus . . . 59 6. Benign Disease of the Oesophagus
Stephen E.A. Attwood and Christopher J. Lewis . . . 69 7. Benign Diseases of the Stomach
Robert C. Mason . . . 91 8. Benign Disease of the Small Bowel
Ling S. Wong, Emmanuel A. Agaba and Michael R.B. Keighley . . . . 101 9. Benign Disease of the Diaphragm
Juliet E. King and Pala B. Rajesh . . . 117 10. Benign Diseases of the Spleen
Refaat B. Kamel . . . 127 11. Epithelial Neoplasms of the Oesophagus
Derek Alderson and Jonathan H. Vickers . . . 155 12. Epithelial Neoplasms of the Stomach
Peter McCulloch . . . 167 111
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13. Cancer at the Gastro-oesophageal Junction (Epidemiology)
Gill M. Lawrence . . . 181 14. Neoplasms of the Small Bowel
Aviram Nissan and Martin S. Karpeh . . . 193 15. Stromal Upper GI Tract Neoplasms
Stephan T. Samel and Stefan Post . . . 207 16. Neoplasms of the Spleen
Mark G. Coleman and Michael R. Thompson . . . 221 17. Lymphomas
Mark Deakin, A. Murray Brunt, Mark Stephens and
Richard C. Chasty . . . 231 18. Pathology of the Oesophagus and Stomach
Sukhvinder S. Ghataura and David C. Rowlands . . . 241 19. Premalignant Lesions of the Oesophagus: Identification
to Management
Andrew Latchford and Janusz A.Z. Jankowski . . . 259 20. High Risk Lesions in the Stomach
Marc C. Winslet and S. Frances Hughes . . . 271 21. Upper GI Endoscopy
Michael T. Hallissey . . . 279 22. Imaging in GI Surgery
Julie F. C. Olliff and Peter J. Guest . . . 287 23. High Risk Lesions in the Oesophagus and Nuclear Medicine
Andrew Phillip Chilton and Janusz A. Z. Jankowski . . . 307 24. Surgical Resection for Oesophageal Cancer: Role of Extended
Lymphadenectomy
Hubert J. Stein, Jörg Theisen and Jörg-Rüdiger Siewert . . . 317 25. Surgical Resection of the Stomach with Lymph Node Dissection
Mitsuru Sasako, Takeo Fukagawa, Hitoshi Katai and Takeshi Sano 335 26. Chemotherapy of Upper GI Neoplasms: Proven/Unproven
Niall C. Tebbutt and David Cunningham . . . 349 27. Radiotherapy in Upper GI Tract Neoplasms
M. Suhail Anwar, Ju Ian Geh and David Spooner . . . 359 Index . . . 369 CONTENTS
viii
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Emmanuel A. Agaba MB BS, FRCS Department of Surgery
Walsgrave Hospital
University Hospitals Coventry and Warwickshire NHS Trust
Coventry UK
Derek Alderson MB BS, MD, FRCS Division of Surgery
University Department of Surgery Bristol Royal Infirmary
Bristol UK
William H. Allum BSc, MD, FRCS Department of Surgery
Royal Marsden Hospital NHS Trust Sutton
Surrey UK
M. Suhail Anwar BSc, MBBS, MRCP, FRCR
Department of Oncology Cancer Centre
Queen Elizabeth Hospital Birmingham
UK
Stephen E. A. Attwood MD, MB BCh, FRCSI, FRCS
Regional Laparoscopic Unit Northumbria Healthcare Trust North Tyneside
Northumberland UK
A. Murray Brunt MB BS, MRCP, FRCR Department of Oncology
University Hospital of North Staffordshire Stoke-on-Trent
UK
Richard C. Chasty MB BS, MD, FRCP, MRCPath
Department of Haematology
University Hospital of North Staffordshire Stoke-on-Trent
UK
Andrew Phillip Chilton MRCP Department of Gastroenterology Kettering General Hospital Kettering
Northampshire UK
Mark G. Coleman MD, FRCS The Colorectal Unit
Derriford Hospital Plymouth UK
David Cunningham MD, FRCP Department of Medicine The Royal Marsden Hospital Sutton, Surrey
UK
Ian R. Daniels MB, FRCS Department of Surgery Pelican Centre
North Hampshire Hospital Basingstoke
Hampshire, UK
Mark Deakin ChM, FRCS, FRCSE Department of Surgery
University Hospital of North Staffordshire Stoke on Trent
UK
John W. L. Fielding MD, FRCS Department of Surgery Queen Elizabeth Hospital Birmingham
UK 111
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Contributors
Takeo Fukagawa MD, PhD Department of Surgical Oncology National Cancer Centre Hospital Tokyo
Japan
Ju Ian Geh MB BS, MRCP, FRCR Department of Oncology Cancer Centre
Queen Elizabeth Hospital Birmingham, UK
Sukhvinder S. Ghataura MB ChB, FRCS Department of Pathology
Medical School University Hospital Birmingham, UK
David Gourevitch MBChB, MD, FRCP Department of Surgery
Upper GI Surgical Unit Queen Elizabeth Hospital Birmingham
UK
S. Michael Griffin MB BS, MD, FRCS Northern Oesophago-Gastric Unit Royal Victoria Infirmary
Newcastle upon Tyne UK
Peter J. Guest MRCP, FRCR Department of Imaging
University Hospital Birmingham Queen Elizabeth Hospital Birmingham
UK
Michael T. Hallissey MD, FRCS Queen Elizabeth Medical Centre Department of Surgery
Queen Elizabeth Hospital Birmingham
UK
George R. Harrison BSc, MB BS, FFARCS Department of Pain Management Selly Oak Hospital
Birmingham UK
S. Frances Hughes MS, FRCS Department of Surgery
Royal London and St Bartholomew’s Hospital
London, UK
Janusz A. Z. Jankowski FRCP, PhD, MD, MRCP, MB ChB
University Department of Cancer Studies and Molecular Medicine
Leicester Medical School Leicester Royal Infirmary Leicester
UK
Refaat B. Kamel MD, FICS, FACS Department of General Surgery Faculty of Medicine
Ain-Shams University
International College of Surgeons Cairo
Egypt
Martin S. Karpeh MD
The State University of New York Division of Surgical Oncology Health Sciences Center Stony Brook, NY USA
Hitoshi Katai MD, PhD
Department of Surgical Oncology National Cancer Centre Hospital Tokyo
Japan
Michael R.B. Keighley MB BS, MS, FRCS Department of Surgery
University of Birmingham Queen Elizabeth Hospital Birmingham
UK
Juliet E. King BM, FRCS Department of Thoracic Surgery Birmingham Heartlands Hospital Birmingham
UK
Peter J. Lamb MB BS, FRCS
Northern Oesophago-Gastric Cancer Unit Royal Victoria Infirmary
Newcastle upon Tyne UK
Andrew Latchford MB BS, BSc, MRCP Department of Gastroenterology St Mark’s Hospital
Harrow Middlessex UK
CONTRIBUTORS x
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Gill M. Lawrence PhD
West Midlands Cancer Intelligence Unit The University of Birmingham
Birmingham
Christopher J. Lewis MB BCh, MRCS Department of Upper GI Surgery Hope Hospital
Salford UK
Robert C. Mason BSc, MB ChB, MD, FRCS Department of Surgery
St Thomas’ Hospital London
UK
Peter McCulloch MB ChB, MD, FRCS Academic Unit of Surgery
University Hospital Aintree University of Liverpool Liverpool, UK
Aviram Nissan MD
Gastric and Mixed Tumor Service Department of Surgery
Memoral Sloan-Kettering Cancer Center New York, NY
USA
Julie F.C. Olliff MRCP, FRCR Department of Imaging
University Hospital Birmingham Queen Elizabeth Hospital Birmingham
UK
Stefan Post MD Surgery Clinic University Hospital Mannheim Germany
Pala B. Rajesh MB BS, FRCS, FETCS Regional Department of Thoracic Surgery Birmingham Heartlands Hospital Birmingham
UK
David C. Rowlands FRCPath Department of Histopathology The Medical School
University of Birmingham Queen Elizabeth Medical Centre Birmingham
UK
Stephan T. Samel MD
Group Practice Dres. Schiller / Samel Göttingen
Germany
Takeshi Sano MD, PhD
Department of Surgical Oncology National Cancer Centre Hospital Tokyo
Japan
Mitsuru Sasako MD, PhD Department of Surgical Oncology National Cancer Center Hospital Tokyo
Japan
Jörg-Rüdiger Siewert MD, FACS, FRCS Chiurg. Klinik und Poliklinik
Klinikum rechts der Isar der TU München München
Germany
David Spooner MB ChB, BSc, FRCP, MRCP, FRCR
Department of Oncology Cancer Centre
Queen Elizabeth Hospital Birmingham
UK
Hubert J. Stein MD
Chirurgische Klinik und Poliklinik Klinikum rechts der Isar der TU München München
Germany
Mark Stephens MB BCh, MRCPath Department of Histopathology Central Pathology Laboratory Stoke-on-Trent
UK
Niall C. Tebbutt BM BCh, PhD, MRCP, FRACP
Department of Oncology Austin Hospital
Heidelberg, Victoria Australia
Jörg Theisen MD
Chirurgische Klinik und Poliklinik Klinikum rechts der Isar der TU München München
Germany CONTRIBUTORS
xi
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Michael R. Thompson MD, FRCS Department of Surgery
Queen Alexandra Hospital Portsmouth
Hugo W. Tilanus MD, PhD
Department of Gastrointestinal Surgery and Transplantation
Erasmus Medical Centre Rotterdam
Netherlands
Jonathan H. Vickers MD ChB, BSc Department of Surgery
Weston General Hospital Weston Super Mare North Somerset UK
Marc C. Winslet MS, FRCS Department of Surgery
Royal Free & University College Medical School
The Royal Free Hospital London
UK
Ling S. Wong MD, FRCS Department of Surgery Walsgrave Hospital
University Hospitals Coventry and Warwickshire NHS Trust
Coventry UK
CONTRIBUTORS xii
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