Abstract
Surgical treatment of the various gastrointestinal diseases is inherently associated with risk for complications ranging from temporary disadvantage such as superficial wound infection to recovery after reoperation and even up to death.
During the diagnostic process and preoperative evaluation of patients with a GI disease eligible for surgical treatment, surgeons should always search for the balance between the potential benefits of surgery and the risk of complications of the procedure.
Several factors are important such as the general condition of the patient including age and comorbidity; the extent of the procedure; the stage of the disease, in particular for malignant tumors; and last but not least the experience of the surgeon in that particular field of GI surgery as well as the experience of the other involved disciplines in the hospital such as interventional radiology, ICU, and endoscopy to manage the complications.
Accepting these general principles of quality of care implies establishment of a multidisciplinary approach in management of these GI diseases and in particular the complications.
This chapter will recapitulate that the outcome of surgery is dependent on multidisciplinary work, facilitated by the structure of care as well as the process of care in that particular hospital because both domains will eventually determine the quality of care.
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Gouma, D.J. (2014). Diagnosis and Treatment of Major Abdominal Complications Is Multidisciplinary Work. In: Cuesta, M., Bonjer, H. (eds) Treatment of Postoperative Complications After Digestive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4354-3_4
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DOI: https://doi.org/10.1007/978-1-4471-4354-3_4
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