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SSAT Guidelines for Physicians

These patient care guidelines were written for the primary care physician on a variety of digestive diseases to assist on when to refer the patient for surgical consultation.

Their goal is to guide Primary Care Physicians to the appropriate utilization of surgical procedures on the alimentary tract or related organs and they are based on critical review of the literature and expert opinion. Both of the latter sources of information result in a consensus that is recorded in the form of these Guidelines. The consensus addresses the range of acceptable clinical practice and should not be construed as a standard of care.
These Guidelines require periodic revision to ensure that clinicians utilize procedures appropriately but the reader must realize that clinical judgment may justify a course of action outside of the recommendations contained herein.


Table of Contents
  1. Treatment of Acute Pancreatitis
       Tratamiento Quirúrgico de la Pancreatitis Aguda
  2. Treatment of Gallstone and Gallbladder Disease
       Tratamiento de la litiasis biliar y la colecistitis
  3. Operative Treatment for Chronic Pancreatitis
       Tratamiento Quirúrgico de la Pancreatitis Crónica
  4. Surgical Treatment of Cancer of the Colon or Rectum
       Tratamiento Quirúrgico Del Cáncer De los Dos puntos O Del Recto
  5. Surgical Treatment of Diverticulitis
       Tratamiento Quirúrgico De la Diverticulitis
  6. Surgical Treatment of Reflux Esophagitis
       Tratamiento Quirúrgico Del Reflujo Esophagitis
  7. Surgical Management of Hemorrhoids
       Gerencia Quirúrgica De Hemorrhoids
  8. Surgical Repair of Groin Hernias
       Tratamiento quirúrgico de la hernia inguinal
  9. Surgical Treatment of Pancreatic Cancer
       Tratamiento Quirúrgico del Cáncer de Páncreas
  10. Indications for Splenectomy
       Indicaciones Para El Splenectomy
  11. Esophageal Achalasia
       Acalasia del Esofago
  12. Management of Colonic Polyps And Adenomas
       Gerencia De Polyps Y De Adenomas Colonic
  13. Surgical Treatment of Esophageal Cancer
       Tratamiento quirúrgico del cáncer del esófago
  14. Management of Barrett's Esophagus
       Gerencia del esófago de Barrett
  15. Management of Ulcerative Colitis
       Gerencia de Ulcerative Colitis
  16. Surgical Repair of Incisional Hernias
       Tratamiento Quirúrgico de las Eventraciones (Eventroplastia)
  17. Treatment of Perineal Suppurative Processes
       Tratamiento de los procesos de Perineal Suppurative
  18. Surgical Treatment of Diseases and Injuries of the Spleen
       Tratamiento quirúrgico de enfermedades y de lesiones del bazo
  19. Surgery for Hepatic Colorectal Metastases
       Tratamiento Quirúrgico de las Metástasis Hepáticas de Carcinoma Colorrectal
  20. Surgical Treatment of Gastric Cancer
       Tratamiento Quirúrgico del Cáncer Gástrico
  21. Surgery for Obesity
       Tratamiento Quirúrgico de la Obesidad
  22. Cystic Neoplasms of the Pancreas
       Neoplasias quísticas del páncreas
  23. Appendicitis
       Apendicitis