Description
Book SynopsisUsing a case-based approach, Colorectal Surgery: Clinical Care and Management providespractical, clinical and expert guidance to illustrate the best care and clinical management of patients requiring colorectal surgery for colorectal disease.
Real-life cases illustrate the entire syllabus of GI/colorectal surgery, being specially selected to highlight topical or controversial aspects of colorectal care. Cases have a consistent approach throughout and as well as outlining the actual management of each individual case, also offer an honest appraisal of the chosen management route, its successes and areas that could have been managed differently. Pedagogic features such as learning and decision points boxes aid rapid understanding/learning, enabling the reader to improve their patient management.
In full colour and containing over 100 outstanding clinical photos and slides to support the cases, each section also covers recent developments/ landmark papers/ scoring systems
Table of Contents
List of Contributors ix
Foreword xiii
Section A: Colorectal cancer 1
Bruce George
1 A screen-detected colonic conundrum 25
Ami Mishra
2 Serrated Pathways 28
Sujata Biswas, Lai Mun Wang & Simon Leedham
3 Large tubulovillous adenoma of the rectum treated by TEM 32
Richard Tilson, Shazad Ashraf & Christopher Cunningham
4 To stent or not to stent? 36
Jonathan Randall
5 Advanced rectal cancer: Brazil or Japan? 40
Oliver Jones
6 Marginal decisions 45
Oliver Jones
7 Locally advanced rectal cancer invading prostate 48
Richard Guy, Roel Hompes & Rebecca Kraus
8 Low rectal cancer and synchronous polyps 52
Richard Guy
9 Liver or rectum first? 56
Nicolas Buchs, Frederic Ris & Christian Toso
10 Beware bad livers! 59
Kate Williamson
11 Anastomotic recurrence? 62
Bruce George
12 Challenging warts 65
Emma Bracey & Bruce George
13 An unusual right iliac fossa mass 68
Bruce George
Section B: Inflammatory bowel disease 73
Bruce George
14 A problem teenager 91
Astor Rodrigues
15 Recurrent Crohn’s disease with intraabdominal abscess: when to operate? 95
Bruce George & Mohamed Abdelrahman
16 Very extensive small bowel stricturing disease 98
Myles Fleming & Neil Mortensen
17 Long-standing Crohn’s colitis and enterocutaneous fistula 103
Richard Lovegrove
18 Crohn’s colitis 109
Bruce George & Marc Marti-Gallostra
19 Fistulating anal Crohn’s disease: conservative management 112
Silvia Silvans & Bruce George
20 Tail end carnage 116
Bruce George
21 Acute severe colitis 120
Bruce George
22 Snare or pouch? The problem of dysplasia in ulcerative colitis 123
Gareth Horgan & James East
23 Anal fistula and ulcerative colitis 128
Richard Guy
24 Poor pouch function 131
Bruce George
25 Low rectal cancer in a patient with ulcerative colitis: late reconstruction with continent Kockileostomy 135
Par Myrelid & Richard Lovegrove
Section C: Pelvic floor disorders 141
Oliver Jones
26 Constrictions of prolapse surgery 167
Richard Guy
27 Elderly prolapse dilemma 170
Koen van Dongen
28 Chasing incontinence 173
Oliver Jones
29 Sphincter disruption 177
Kim Gorissen
30 Stimulating complications 181
Kim Gorissen & Ian Lindsey
31 Crohn’s evacuation trouble 184
Heman Joshi
32 Disabling anal pain 187
Martijn Gosselink & Ian Lindsey
Section D: Proctology 191
Richard Guy
33 Hemorrhoids and HIV 217
Richard Guy
34 Refractory fissure 220
Richard Guy
35 Hirschsprung’s fistula 223
Richard Guy
36 Complex fistula in a young woman 227
Martijn Gosselink & Richard Guy
37 Recurrent rectovaginal fistula 232
Bruce George
38 Adolescent cleft trouble 236
Richard Guy
39 Extreme itch 239
Luana Franceschilli
Section E: Emergency colorectal surgery 243
Richard Guy
40 Occupational blast disaster 263
Richard Guy
41 Wash and go? 266
Bruce George
42 Absolute constipation 269
Richard Guy
43 Multiply ischemic parts 273
Richard Guy
44 Seriously obscure bleeding 277
Alistair Myers
45 Complicated twist 280
Richard Guy
46 Obscure postoperative obstruction 284
Richard Guy
47 Gynecological disaster 289
Richard Guy
48 Pelvic leak and salvage 293
Richard Guy
Section F: Surprise cases 297
49 Radiology 0, Pathology 1 299
Sara Q. Warraich, Marcus Chow & Oliver Jones
50 An appendix mass? 304
Richard Guy
51 A worrying-looking rectal ulcer 307
Charles Evans
52 Think the unthinkable 310
Bruce George
Section G: New technologies and techniques 313
Oliver Jones
Index 325
