Shackelford's Surgery of the Alimentary Tract, 2 Volume Set

9th book:metaData.edition - May 15, 2025
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common:contributors.editors Syed A. Ahmad, Aurora D. Pryor
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Now published in partnership with the Society for Surgery of the Alimentary Tract, Shackelford's Surgery of the Alimentary Tract, 9th Edition, offers lavishly illustrat… seeMoreDescription

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Now published in partnership with the Society for Surgery of the Alimentary Tract, Shackelford's Surgery of the Alimentary Tract, 9th Edition, offers lavishly illustrated, authoritative guidance on endoscopic, robotic, and minimally invasive procedures, as well as current medical therapies. An all-new editorial team led by Drs. Syed A. Ahmad and Aurora D. Pryor provides a fresh perspective on both content and organization, incorporating new and diverse images and illustrations, new videos, and new contributing authors who represent a “who’s who” of international experts in the field. A must-have reference for more than 60 years, this significantly revised, two-volume reference is your one-stop resource for proven, systematic approaches to all relevant adult and pediatric GI disorders and operations.

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Includes new or significantly revised content on endoscopic management of esophageal, gastric and rectal disease; surgical management of chronic pancreatitis; cystic diseases of the pancreas; islet autotransplantation; gallbladder cancer; transplantation for oncologic indications; hepatic artery infusion pumps; adrenal tumors; retroperitoneal sarcomas; and much more
Offers updated management schemas and approaches, a new, condensed focus on anatomy and physiology, and inclusion of landmark clinical trials
Discusses recent, major advances in minimally invasive surgery and robotic surgery.
Reflects new endoluminal approaches to benign and malignant diseases, new treatment algorithms based on recent clinical trials, and an emphasis on minimally invasive approaches to complex GI operations
Contains an abundance of beautifully detailed intraoperative and laparoscopic photographs, as well as radiographs and line drawings, to enhance and clarify the text.
Provides new videos that highlight surgical procedures, synoptic operative reports, and new technologies that today’s surgeons need to be familiar with
Features a new team of Associate Editors who have overseen extensive updates and revisions in areas of their particular expertise: Esophageal: Dr. Christy M. Dunst; Stomach/Small Bowel: Dr. Anne O. Lidor; Hernia: Dr. Ajita S. Prabu; Colorectal: Dr. Patricia Sylla; Pancreas: Dr. Matthew H.G. Katz; and Liver: Dr. Michael I. D’Angelica
Presents essential information, such as lists of differential diagnoses, in tabular format for quick reference
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

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GI surgeons and fellows

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Volume 1
SECTION I: Esophagus
Part One: Anatomy and Physiology of the Esophagus

1 Anatomy of the Esophagus and the Gastroesophageal Reflux Barrier

2 Esophageal Motility: Techniques Used for the Diagnosis of Esophageal Motility Disorders and for Surgical Decision Making

3 Endoscopic Evaluation of the Esophagus: Key Components for Surgeons

4 pH and Impedance Evaluation of the Esophagus

5 Radiology of the Esophagus: Barium, Computed Tomography Scan, Positron Emission Tomography Scan, Magnetic Resonance Imaging

6 Esophageal Symptoms and Selection of Diagnostic Tests

Part Two: Esophageal Motility Disorders and Diverticula

7 Pathophysiology of Gastroesophageal Reflux

8 Acid-Suppression Therapy for Gastroesophageal Reflux Disease and the Therapeutic Gap

9 Fundoplication for Gastroesophageal Reflux Disease

10 Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease

11 Endoscopic Approach to Gastroesophageal Reflux Disease

12 Delayed Gastric Emptying in Gastroesophageal Reflux Disease

13 Patient Selection for Antireflux Surgery

14 Management of Gastroesophageal Reflux Disease With Esophageal Dysmotility, Scleroderma, and End-Stage Reflux

15 The Role of Gastroesophageal Reflux Disease in Pulmonary Disease

16 Management of Failed Antireflux Procedures

17 Obesity and GERD

Part Three: Hypercontractile Esophageal Sphincters and Diverticula

18 Cricopharyngeal Dysfunction and Zenker Diverticulum

19 Achalasia Diagnosis and Treatment

20 Surgical Management of Mid- and Distal Esophageal Diverticula

Part Four: Paraesophageal Hernia

21 Paraesophageal Hernia: Etiology, Presentation, and Indications for Repair

22 Laparoscopic Paraesophageal Hernia Repair: Key Components of Repair

23 Mesh at the Hiatus

24 Reducing Tension: Diaphragmatic Relaxing Incisions and Esophageal Lengthening During Large Hiatal Hernia Repair

Part Five: Barrett’s Esophagus

25 Controversies in the Definition of Barrett’s Esophagus

26 Management of Barrett’s Esophagus

27 Medical and Surgical Therapy for Gastroesophageal Reflux Disease and Barrett’s Esophagus

Part Six: Esophageal Cancer

28 Epidemiology, Risk Factors, and Clinical Manifestations of Esophageal Cancer

29 Endoscopic Management of High-Grade Dysplasia and Superficial Esophageal Carcinoma

30 Endoscopic Ultrasound of the Esophagus

31 Esophageal Cancer Diagnosis and Staging

32 Neoadjuvant Treatments in Locally Advanced Esophageal Cancer

33 Esophagectomy Techniques

34 Extent of Lymphadenectomy for Esophageal Cancer

35 Options for Esophageal Replacement

36 Anastomotic Complications After Esophagectomy

37 Survivorship Pathways in Esophagectomy: Prehabilitation, Enhanced Recovery, and Rehabilitation

38 Palliative Therapy for Esophageal Cancer

Part Seven: Miscellaneous Esophageal Conditions

39 Management of Esophageal Perforation

40 Submucosal Tumors in the Esophagus and Gastroesophageal Junction

41 Esophageal Duplication Cyst

42 Caustic Esophageal Injury

SECTION II: Hernia
Part One: Abdominal Core Health, Abdominal Wall Anatomy, Workup, and Preoperative Planning for Ventral Hernia Repair

44 Mesh: Material Science of Hernia Repair

45 Primary Umbilical and Epigastric Hernias: Open and MIS Approaches

46 Ventral Hernia—MIS Approaches

47 Open Ventral Hernia Repair, Management of Contamination, and Open Abdomens

48 Parastomal Hernia—MIS Approaches

49 Open Approaches to Parastomal Hernia Repair

50 Inguinal Hernia Repair—Minimally Invasive Approaches

51 Inguinal Femoral Hernia Repair: Open Tissue-Based Approaches

52 Inguinal Hernia Repair—Open Repair With Mesh

53 Uncommon Hernias

SECTION III: Stomach and Small Intestine
Part One: Stomach

54 Gastric Volvulus

55 Anatomy and Physiology of the Stomach

56 Diagnostic and Therapeutic Endoscopy of the Stomach and Small Bowel

57 Invasive and Noninvasive Access of the Stomach and Small Intestine

58 Surgery for Peptic Ulcer Disease

59 Gastric Adenocarcinoma Including Landmark Clinical Trials

60 Endoscopic Management of Early Gastric Cancers

61 Postgastrectomy Syndromes

62 Foreign Bodies and Bezoars of the Stomach and Small Intestine

63 Motility Disorders of the Stomach and Small Intestine

64 Miscellaneous Benign Lesions and Conditions of the Stomach, Duodenum, and Small Intestine

65 Surgical Disease of the Stomach and Duodenum in Infants and Children

Part Two: Morbid Obesity

66 The Obesity Pandemic

67 Medical Management of Obesity

68 Endoscopic Management of Morbid Obesity

69 Operations for Morbid Obesity

70 Management of Complications of Bariatric Surgery

Part Three: Small Intestine

71 Anatomy and Physiology of the Duodenum

72 Adenocarcinoma of the Small Intestine

73 Reoperations on the Stomach and Duodenum

74 Small Intestine

75 Small Bowel Obstruction

76 Internal Hernias: Congenital and Acquired

77 Gastric, Duodenal, and Small Intestinal Fistulas

78 Small Bowel Diverticula

79 Radiation Enteritis

80 Short Bowel Syndrome

81 Gastrointestinal Neuroendocrine Tumors

82 Gastrointestinal Stromal Tumors

83 Gastrointestinal Lymphomas

84 Surgical Conditions of the Small Intestine in Infants and Children

85 Ileostomy

86 Suturing, Stapling, and Tissue Adhesion

87 Anatomy and Physiology of the Mesenteric Circulation

88 Mesenteric Ischemia

89 The Current Management of Aortoenteric Fistula and Visceral Artery Aneurysms

90 Visceral Arterial Trauma

Volume 2
SECTION IV: Pancreas, Biliary Tract, Liver, and Spleen
Part One: Pancreas

91 Anatomy, Physiology, and Embryology of the Pancreas

92 Genetic Syndromes Associated With Pancreatic Disease

93 Acute Pancreatitis

94 Chronic Pancreatitis

95 Pseudocysts and Other Complications of Pancreatitis

96 Endoscopic and Minimally Invasive Therapy for Complications of Pancreatitis

97 Imaging of and Radiologic Intervention in the Pancreas

98 Pancreatic Cancer

99 Periampullary Tumors

100 Pancreatic Neuroendocrine Neoplasms

101 Zollinger-Ellison Syndrome

102 Primary Pancreatic Cystic Neoplasms

103 Unusual Pancreatic Tumors

104 Techniques of Pancreatic Resection for Cancer

105 Minimally Invasive Pancreas Surgery

106 Prevention and Management of Complications of Pancreatic Surgery

107 Landmark Trials for Pancreatic Cancer

108 Endoscopic Interventions for Pancreatic Malignancies

109 Pancreatic Trauma

110 Pancreatic Problems in Infants and Children

111 Total Pancreatectomy With Islet Autotransplantation

Part Two: Biliary Tract

112 Embryology, Anatomy, and Physiology of the Biliary Tract

113 Imaging and Radiologic Intervention in the Biliary Tract

114 Endoscopic Evaluation and Management of Biliary Disease

115 Management of Cholecystitis and Cholelithiasis

116 Management of Common Bile Duct Stones

117 Biliary Dyskinesia and Sphincter of Oddi Dysfunction

118 Management of Gallbladder Cancer and Premalignant Gallbladder Lesions

119 Biliary Tract Tumors

120 Prevention and Management of Iatrogenic Bile Duct Injury

121 Operative Management of Biliary Stricture

122 Cystic Disorders of the Bile Ducts

123 Surgical Treatment of Primary Sclerosing Cholangitis

124 Recurrent Pyogenic Cholangitis and Intrahepatic Stone Diseases

125 Biliary Parasitic Disease

Part Three: Liver

126 Anatomy, Physiology, and Embryology of the Liver

127 Liver Imaging

128 Assessment of Hepatic Function and Preoperative Hepatic Optimization

129 Perioperative Management and Nutritional Support in Patients With Liver and Biliary Tract Disease

130 Hepatic Cysts

131 Infections of the Liver

132 Management of Hepatobiliary Injury

133 Operative Techniques and Principles of Hepatic Resection

134 Minimally Invasive Techniques of Hepatic Resection

135 Management of Colorectal Liver Metastases

136 Ablative Therapies for Hepatic Neoplasms

137 Liver Transplantation

138 Transplant Oncology

139 Intraarterial Therapy and Hepatic Artery Infusion Chemotherapy

140 Liver Failure and Bioartificial Liver Support

141 Vascular Diseases of the Liver

142 Medical Diseases of the Liver for the Surgeon

143 Benign Hepatic Neoplasms

144 Management of Hepatocellular Carcinoma

145 Management of Primary Malignant Hepatic Neoplasms Other Than Hepatocellular Cancer

146 Management of Noncolorectal Liver Metastases

147 Management of Portal Hypertension

148 Radiotherapy for Liver Tumors

149 Nonhepatic Surgery in Patients With Cirrhosis

Part Four: Spleen

150 Anatomy and Physiology of the Spleen

151 Splenectomy for Conditions Other Than Trauma

152 Minimally Invasive Surgical and Image-Guided Interventional Approaches to the Spleen

153 Management of Splenic Trauma in Adults and Children

Part Five: Adrenal

154 Management of Incidentally Found Adrenal Masses

155 Open and Minimally Invasive Approaches to Adrenal Tumors
SECTION V: Colon, Rectum, and Anus
Part One: Anatomy, Physiology, and Diagnosis of Colorectal and Anal Diseases

157 Operative Anatomy of the Colon, Rectum, and Anus

158 Colonic Motility, Anorectal Physiology, Pelvic Floor Anatomy and Function

159 Advanced Endoscopic Imaging and Therapeutic Interventions

160 Magnetic Resonance Imaging of Rectal Cancer

Part Two: Benign Colon, Rectal, and Anal Conditions

161 Diagnosis and Management of Fecal Incontinence

162 Low Anterior Resection Syndrome and Colonic Dysmotility

163 Obstructed Defecation Syndrome and Pelvic Floor Dysfunction

164 Rectovaginal and Rectourethral Fistulas

165 Rectal Prolapse: External Rectal Prolapse and Internal Intussusception

166 Pilonidal Disease and Perianal Hidradenitis

167 Emergent Care of the Victim of Colorectal Trauma

168 Colonic Intussusception and Volvulus

169 Lower Gastrointestinal Bleeding

170 Acute Diverticulitis

171 Rectal Pain and Bleeding: Hemorrhoids and Anal Fissures

172 Perirectal Abscess and Fistula-in-Ano

173 Infectious Colitis and Proctitis
Part Three: Inflammatory Diseases

174 Concepts in Inflammatory Bowel Disease Management

175 Operative Therapy for Ulcerative Colitis: A Minimally Invasive Approach

176 Surgery for Crohn’s Disease

177 Appendix

Part Four: Neoplastic Disease

178 Inherited Colorectal Cancer and the Genetics of Colorectal Cancer

179 Transanal Approaches to Early Rectal Cancer

180 Sphincter-Preserving TME for Rectal Cancer: Open, Laparoscopic, Robotic, and Transanal TME

181 Abdominoperineal Resection for Rectal Cancer

182 Minimally Invasive Approaches to Colon Cancer

183 Principles of Management of Recurrent and Metastatic Colorectal Cancer

184 Anal Dysplasia and Anal Cancers

185 Retrorectal Tumors

186 Rare Colorectal Malignancies

187 Adjuvant and Neoadjuvant Therapy for Colorectal Cancer: Molecular-Based Therapy Including Landmark Trials

188 HIPEC for Appendiceal and Colorectal Cancers

Part Five: Techniques and Pearls

189 Anastomotic Leaks

190 Ostomy Construction and Management: Personalizing the Stoma for the Patient

191 Reducing the Risk of Infection in the Elective and Emergent Colectomy Patient

192 Reoperative Pelvic Surgery

193 Enhanced Recovery Protocols in Colorectal Surgery

194 Colorectal Surgery in Patients With Obesity

195 Delivering High-Quality and Equitable Surgical Care: Quality Metrics, Improvement, and Implementation

SECTION VI: Retroperitoneum

196 Management of Intraabdominal and Retroperitoneal Sarcomas

promoMetaData.reviewQuotes

"The book is intended as a comprehensive reference to provide guidance to surgeons who operate upon the GI tract. This classic text has been available for more than 60 years, with periodic updates. This most recent edition was produced in partnership with the Society for Surgery of the Alimentary Tract. The objective of providing a comprehensive, authoritative, updated text is a highly worthy one—[it] succeeds admirably. This book could be used by surgical trainees with particular interest in the GI tract but will probably be of greatest value to surgeons actively practicing in this area,... [and] could be of value to gastroenterologists seeking insight into the detailed nature of surgical procedures available to treat gastrointestinal pathology.... Although there are many comprehensive textbooks of operative surgery, and some devoted exclusively to GI surgery, none are as comprehensive as the current edition of this text. I highly recommend this book to any surgeon who operates on the GI tract, and trainees who plan a career operating within the abdomen." Review by Carol Scott-Conner, MD, PhD, MBA, MFA (University of Iowa Hospitals and Clinics), ©Doody's Review Service, 2025. Doody's Score: 99, 5 Stars!

Review of the previous edition:
"This is, simply, my favorite GI surgery book. I found it valuable as a senior resident, and I anticipate that it will be valuable in the future as the landscape of surgery changes. The foresight to include new surgical technologies, such as the POEM or the Magnetic Sphincter Augmentation Device (Linx), underscores the authors' commitment to remaining current rather than focusing just on the tried and true surgical options. This is a complete book which, while perhaps lacking some of the more detailed molecular level information found in others, is an excellent resource for practicing surgeons or senior residents seeking to become expert in the field of GI surgery." -Reviewed by Peter Nau, MD, MS, FACS (University of Iowa Hospitals and Clinics) Doody's Score: 94, 4 Stars!

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productDetails.edition: 9
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productDetails.published: June 18, 2025
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Syed A. Ahmad

Syed Ahmad, MD, is the Director of the UC Cancer Center and is professor of surgery at the UC College of Medicine. Dr. Ahmad became director of the UC Pancreatic Disease Center in 2007 and director of the division of surgical oncology in 2015 and the director of the UC Cancer Center in 2020. A nationally recognized leader in oncologic surgery for pancreas and hepatobiliary cancers, he has published over 200 articles and chapters and edited several textbooks. He has delivered over 150 national and international lectures. Dr. Ahmad also plays a major role within the Southwest Oncology Group serving as the Chair of the Surgery Sub-committee. He serves as a reviewer for over 20 prestigious clinical and research journals, is Associate Editor for the Journal of Gastrointestinal Cancers and the Journal of Gastrointestinal Surgery, and Deputy Editor for Annals of Surgical Oncology, and serves on the editorial boards of five journals. Currently he chairs the Clinical Trial Committee for the AHPBA and the Membership Committee for the Central Surgical.

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Director, UC Cancer Center and Professor of Surgery, University of Cincinnati Medical Center, USA

Aurora D. Pryor

Dr. Aurora Pryor is Vice Chair of Surgery, Chief of Bariatric, Foregut and Advanced GI Surgery and Director of the Bariatric and Metabolic Weight Loss Center at Stony Brook. She is also director of the Advanced GI/MIS/Bariatric/Foregut fellowship at Stony Brook. Dr. Pryor was the 2019-2020 President of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Dr. Pryor currently serves on the American Board of Surgery as a Councilor and on the General Surgery Board. Dr. Pryor serves the American Society of Metabolic and Bariatric Surgery (ASMBS) as the NY chapter President. She is past President of the Eastern Long Island Chapter of the American College of Surgeons and the Fellowship Council. She is an Associate Editor for Surgery for Obesity and Related Diseases, and has served as Subject Editor for Surgical Endoscopy. She serves on the editorial boards of Annals of Surgery and the Journal of the American College of Surgeons. In 2021, she has helped to start the Women’s Leadership in Surgery Society for which she is the inaugural President. Dr. Pryor’s work has appeared in more than 200 publications and she has co-edited four textbooks.