Colorectal Surgery E-Book

Robin K. S. Phillips

Description

Colorectal Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

This is a title in the Companion to Specialist Surgical Practice series whose eight volumes are an established and highly regarded source of information for the specialist general surgeon.

• The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within each major surgical sub-specialty.
• Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

• An expanded authorship team across the series includes additional European and World experts with an increased emphasis on global practice.
• The contents of the series have been extensively revised in line with recently published evidence.

• New techniques, such as percutaneous and transcutaneous tibial nerve stimulation for faecal incontinence as well as extralevator abdomino-perineal excision, are fully covered.

Informations

• Publié par: Saunders Ltd.
• Date de parution: 22 juin 2013
• Nombre de lectures: 1
• EAN13: 9780702049736
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Colorectal Surgery
A Companion to Specialist Surgical Practice
Fifth Edition

Robin K.S. Phillips, MBBS FRCS
Professor of Colorectal Surgery, Imperial College London
Consultant Surgeon and Clinical Director, St Mark's Hospital, Harrow, UK

Sue Clark, MD FRCS(Gen Surg)
Consultant Colorectal Surgeon, St Mark's Hospital, Harrow
Adjunct Professor of Surgery, Imperial College, London, UK
Table of Contents
Cover image
Title page
Copyright
Contributors
Series Editors' preface
Editors' preface
Evidence-based practice in surgery
Chapter 1: Anorectal investigation
Introduction
Anatomy and physiology of the anal canal
Manometry
Anal and rectal sensation
Rectal compliance
Pelvic floor descent
Electrophysiology
Defecography/evacuation proctography
Scintigraphy
Imaging the rectum and anal sphincters
Summary
Chapter 2: Colonoscopy and flexible sigmoidoscopy
Introduction
Indications and contraindications
Sedation
Insertion technique
Withdrawal technique
Quality assurance
Endoscopy training in the UK
New optical techniques in endoscopy
Endoscopic therapy
Competing technologies
Conclusions
Chapter 3: Inherited bowel cancer
Introduction
Assessment of risk
Management
Lynch syndrome
Familial adenomatous polyposis
MYH-associated polyposis (MAP)
Peutz–Jeghers syndrome
Juvenile polyposis
Cowden disease
Other inherited colorectal cancer syndromes
Summary
Chapter 4: Colonic cancer
Introduction
Natural history
Aetiology
Presentation
Investigation
Screening
Surveillance after adenoma detection
Elective surgery
Management of the polyp cancer
Emergency management
Management of advanced disease
Pathological staging
Recommendations for best practice
Chapter 5: Rectal cancer
Introduction
Objectives of surgery
In-hospital mortality
Local recurrence
Quality of life
Follow-up
The way forward
Chapter 6: Adjuvant therapy for colorectal cancer
Introduction
Adjuvant chemotherapy for colorectal cancer
Radiotherapy
Conclusion
Chapter 7: Anal cancer
Introduction
Epidermoid tumours
Rarer tumours
Chapter 8: Diverticular disease
Historical perspectives
Anatomical and physiological perspectives
Incidence and geographical differences
Aetiology and pathogenesis
Diverticulitis
Segmental colitis associated with diverticulosis
Diagnosis and imaging
Treatment
Emergency surgery
Elective resection: facts, fiction and functional outcome
Diverticular haemorrhage
Chapter 9: Ulcerative colitis
Introduction
Epidemiology
Aetiopathogenesis
Clinical presentation
Extraintestinal manifestations
Diagnosis and evaluation
Colorectal cancer and surveillance
Severity assessment
Medical management
Surgical management
Chapter 10: Crohn's disease
Introduction
Epidemiology
Aetiology
Pathogenesis
Pathology
Clinical
Investigations
Differential diagnosis
Medical treatment
Surgery
Prognosis
Chapter 11: Incontinence
Introduction
Aetiology
Presentation
Management of faecal incontinence in adults
Conclusion
Chapter 12: Functional problems and their surgical management
Introduction
Rectal prolapse
Obstructive defecation, rectocele and rectal intussusception
Chapter 13: Functional problems and their medical management
Introduction
Irritable bowel syndrome
Functional constipation
Idiopathic megarectum and megacolon
Chapter 14: Anal fistula: evaluation and management
Introduction
Aetiology
Management of acute sepsis
Classification of anal fistula
Assessment
Principles of fistula surgery
Surgical treatment
Management of the recurrent fistula
Chapter 15: Minor anorectal conditions
Haemorrhoids
Anal fissure
Pruritus ani
Pilonidal sinus
Anal stenosis
Dietary fibre – more harm than good?
Chapter 16: Sexually transmitted diseases and the anorectum
Introduction
Viral
Bacterial
Chapter 17: Minimally invasive surgery and enhanced recovery programmes in colorectal disease
Introduction
Outcomes of laparoscopic colorectal surgery
Laparoscopic colorectal technique
The learning curve and training in laparoscopic colorectal surgery
Enhanced recovery programmes
Chapter 18: Intestinal failure
Introduction
Intestinal failure: criteria for referral
Epidemiology
Causes
Pathophysiology
Surgical catastrophe and management
Supporting organisations
Summary
Index
Copyright

Fifth edition © 2014 Elsevier Limited. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
First edition 1997
Second edition 2001
Third edition 2005
Fourth edition 2009
Fifth edition 2014
ISBN 978-0-7020-4965-1
e-ISBN 978-0-7020-4973-6
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.


Printed in China
Commissioning Editor: Laurence Hunter
Development Editor: Lynn Watt
Project Manager: Vinod Kumar Iyyappan
Designer/Design Direction: Miles Hitchen
Illustration Manager: Jennifer Rose
Illustrator: Antbits Ltd
Contributors

Sue Clark, MD, FRCS(Gen Surg) , Consultant Colorectal Surgeon, The Polyposis Registry, St Mark's Hospital, Harrow ; Adjunct Professor of Surgery, Imperial College, London, UK

Eric J. Dozois, MD, FACS, FASCRS , Professor of Surgery, Consultant, Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA

Anton V. Emmanuel, BSc, MD, FRCP , Department of Gastroenterology (GI Physiology), University College London, London, UK

Nicola Fearnhead, BMBCh, FRCS, DM , Consultant Colorectal Surgeon, Department of Colorectal Surgery, Addenbrooke's Hospital, Cambridge, UK

Lester Gottesman, MD , Divison of Colon and Rectal Surgery, St Luke's/Roosevelt Hospital ; Associate Professor Clinical Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA

Adam Haycock, MBBS, MRCP, BSc, MD , Honorary Senior Lecturer, Imperial College ; Consultant Gastroenterologist and Endoscopy Training Lead, Wolfson Unit for Endoscopy, St Mark's Hospital, Harrow, UK

Ahmed Zia Janjua, MBBS, FCPS, FRCSI , Department of Colorectal Surgery, Hampshire Hospitals Foundation Trust, Basingstoke, UK

Ian Jenkins, MD, FRCS, EBSQ(Coloproctology) , Consultant Colorectal Surgeon, Department of Surgery, St Mark's Hospital, Harrow, UK

Scott Kelley, MD , Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA

Robin Kennedy, MS, FRCS , Consultant Surgeon, Department of Surgery, St Mark's Hospital, Harrow ; Adjunct Professor of Surgery, Imperial Co