[Verse 1]
Stomach, small bowel, colorectum on the line
Surgical curriculum, every system intertwined
Patient walks in, abdomen tender to the touch
Before you cut a single thing, diagnosis is the crux
CT abdomen with contrast, read the slices clean
Portal venous phase, arterial, what does the bowel mean
Thickened wall enhancement, pneumatosis, free air
Mesenteric stranding — inflammation's sitting there
Ultrasound for the gallstones, MRCP for ducts
Endoscopy when mucosal detail really cuts
OGD scoping down through stomach to the D2 curve
Colonoscopy mapping polyps, every fold and swerve
[Chorus]
Bildgebung, Labor, Endoskopie
Diagnose primeiro, então operate com fee
Image it, scope it, check the bloods right through
CEA, CA nineteen-nine, haemoglobin too
Risco, Risiko — weigh it before the knife
Optimise the patient, that's protecting their life
[Verse 2]
Barium follow-through for motility and stricture
MRI for rectal staging, gets the clearest picture
T-stage, N-stage, fascia relation mapped
Circumferential resection margin — can the tumour be unwrapped
Endoscopic ultrasound probing submucosal spread
EUS for gastric cancer layers, staging overhead
FDG-PET scanning when you're hunting metastatic weight
Hepatic lesions lighting up — that recurrence won't wait
Lab panel: albumin tells you if nutrition's spent
CRP and white cells tracking where the inflammation went
Coagulation screen before you even book the list
Anaemia needs an origin — don't let iron be dismissed
[Chorus]
Bildgebung, Labor, Endoskopie
Diagnose primeiro, então operate com fee
Image it, scope it, check the bloods right through
CEA, CA nineteen-nine, haemoglobin too
Risco, Risiko — weigh it before the knife
Optimise the patient, that's protecting their life
[Bridge]
Risk stratification, esse é o trabalho real
Cardiopulmonary exercise testing — CPEX reveals
Anaerobic threshold, VO2 at peak
The unfit patient needs prehab before technique
P-POSSUM scoring, mortality predicted wide
ASA classification, comorbidities inside
Frailty index matters, sarcopenia on the scan
Nutritional supplementation, reconstruct the plan
Diabetes optimised, HbA1c below eight
Anticoagulation bridged — adjust and titrate
Stoma siting marked pre-op, counsel and rehearse
Informed consent documented — omit that and it's worse
[Verse 3]
MDT convened around the radiology board
Surgeon, oncologist, the radiologist adored
Histology confirmed, resectability assessed
Neoadjuvant chemoradiotherapy for rectal — manifest
Enhanced recovery protocols assembled tight
VTE prophylaxis, antibiotics perioperative right
Bowel prep selected by the evidence, not by trend
Mechanical plus oral antibiotic — that's the blend
Optimise the haemoglobin with intravenous iron infusion
Pre-op anaemia doubled risk — eliminate confusion
Smoking cessation six weeks minimum before the date
Pulmonary function salvaged — evidence won't wait