Complications are among the most challenging and consequential aspects of gastrointestinal surgery, demanding rapid recognition, sound judgment, and effective intervention. Building on the success of the original, the second edition of Gastrointestinal Surgery provides a comprehensive, expert-driven guide to preventing, identifying, and managing the full spectrum of complications encountered across esophageal, gastric, hepatobiliary, pancreatic, and colorectal surgery. Drawing on the experience of leading surgeons, this practical resource focuses on real-world scenarios and delivers actionable strategies for addressing both common and uncommon operative and postoperative challenges.

Organized by anatomical region and specialty, the book examines critical complications ranging from anastomotic leaks, fistulas, hemorrhage, conduit ischemia, bile duct injuries, pancreatic fistulas, and venous thrombosis to pelvic bleeding, stoma complications, and pelvic floor reconstruction. Dedicated chapters explore intraoperative disasters, technical troubleshooting, and complication management following minimally invasive and robotic procedures, reflecting the evolving landscape of contemporary surgical practice. Each chapter provides evidence-based guidance, technical insights, and step-by-step approaches designed to help surgeons navigate difficult situations and optimize patient outcomes.

Distinguished by its broad scope and highly practical orientation, this text serves as an indispensable reference for surgical trainees, fellows, and practicing surgeons who manage complex gastrointestinal disease. In addition to technical management, the book addresses the human side of surgical care with guidance on serious illness communication and difficult conversations, ensuring a holistic approach to complication management. Essential for both training and clinical practice, this resource equips surgeons with the knowledge and confidence needed when outcomes do not go as planned.

Timothy M. Pawlik, MD, PhD, MPH, MTS, MBA, FACS, FSSO, MAMSE, FRACS (Hon.)

Professor and Chair, Department of Surgery

The Urban Meyer III and Shelley Meyer Chair for Cancer Research

Professor of Surgery, Oncology, and Health Services Management and Policy

Surgeon in Chief, The Ohio State University Wexner Medical Center

The Ohio State University, Wexner Medical Center

Shishir K. Maithel, MD, FACS, FSSO

William T. Bovie Professor of Surgery

Chief, Division of Surgical Oncology

Chief Surgical Officer, Robert H. Lurie Comprehensive Cancer Center

Northwestern University, Feinberg School of Medicine

Nipun B. Merchant, MD, FACS, FSSO

Alan S Livingstone Professor of Surgery

Vice Chair of Surgical Oncology Services

Director, Sylvester Pancreas Cancer Research Institute

Chief Surgical Officer, Sylvester Comprehensive Cancer Center 

University of Miami Miller School of Medicine