Tricks of the Senior Surgeon

■ Verification of impermeability of the suture line is confirmed using insufflation of air via the gastroscope in conjunction with insertion of saline via the laparo-scope.

■ Non-ionic contrast media is preferred to Gastrografin for the postoperative swallow as it provides superior images and is less reactive if aspirated or inadvertently leaks into thorax or abdomen.

■ Small diverticula may be treated by plication and myotomy.

■ Gastric dysparesis. This usually settles with pro-kinetic agents, but may require pyloroplasty.

■ Intraoperative upper gastrointestinal endoscopy facilitates transillumination of the diverticulum, safe staple placement as well as suture line evaluation with insufflation.

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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