Guide to Upper GI Surgery
Guide to Upper GI Surgery
Guide to Upper GI Surgery

Guide to Upper GI Surgery

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eBook version

Edited by Mr TG John MD FRCSEd(gen), Consultant Surgeon, North Hampshire Hospital NHS Trust, Basingstoke UK
Contributions from Mr CP Barham, Miss JM Blazeby, Mrs MD Finch-Jones
University of Bristol, Bristol Royal Infirmary, Bristol UK
Illustrated by Celia Welcomme

The aim of this guide is to illustrate common upper gastrointestinal surgical procedures using schematic illustrations.

It is hoped that the illustrative text will improve patient and clinician communication to prompt informed discussion about common oesophagogastric, hepatobiliary and pancreatic procedures. The diagrams have been simplified as much as possible with an attempt to retain the essence of the surgery involved.


Front overview
Side overview
Oesophagogastric Surgery
Oesophagogastric overview (I)
Oesophagogastric overview (II)
Oesophagectomy (I)
Oesophagectomy (II) Resection
Oesophagectomy (III) Reconstruction with anastomosis
Oesophagectomy (IV) with colonic interposition
Anti-reflux surgery (I) Laparoscopic incisions
Anti-reflux surgery (II) Nissen (360º) fundoplication
Heller’s cardiomyotomy
Total gastrectomy (I) Resection
Total gastrectomy (II) Roux-en-Y reconstruction
Partial gastrectomy
Endoscopic Procedures
Diagnostic OGD (Oesophago-Gastro-Duodenoscopy) endoscopy ...
Therapeutic OGD – Balloon dilation for achalasia
Diagnostic ERCP (Endoscopic Retrograde Cholangio-
Staging laparoscopy ± laparoscopic ultrasound
Hepatic, Pancreatic, Biliary (HPB) Operations
Liver overview
Pancreas/biliary overview
Liver resections
Examples of common liver resections
Extrahepatic bile duct resection (I)
Extrahepatic bile duct resection (II) – Hepatico-jejunostomy
Roux-en-Y reconstruction
Laparoscopic cholecystectomy
Laparoscopic exploration of the common bile duct during
Whipple Operation (I) Pancreatoduodectomy resection
Whipple Operation (II) Roux-en-Y reconstruction
Distal pancreatectomy ± splenectomy
Longitudinal pancreatico-jejunostomy
Pancreatic pseudocysts
Biliary bypass – Hepatico-jejunostomy Roux-en-Y reconstruction
Laparoscopic splenectomy
Open splenectomy