Paradoxical puborectalis contraction and increased perineal descent.

abstract：:Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Through various trials and studies, certain modal...

journal_title：Clinics in colon and rectal surgery

authors： Kandagatla PG,Stefanou AJ

更新日期：2018-07-01 00:00:00

abstract：:Colorectal cancer, which kills more than 50,000 patients every year in the United States and costs more than $6 billion in direct health costs, is a prime target for cancer prevention. Computed tomography colonography (CTC) has emerged as a minimally invasive, structural examination of the entire colon that can comple...

journal_title：Clinics in colon and rectal surgery

authors： Thomas J,Carenza J,McFarland E

更新日期：2008-08-01 00:00:00

abstract：:Colorectal cancer is common in the Western world; ~5% of individuals diagnosed with colorectal cancer have an identifiable inherited genetic predisposition to this malignancy. Genetic testing and rational clinical management recommendations currently exist for the management of individuals with a variety of colorectal...

journal_title：Clinics in colon and rectal surgery

authors： Gryfe R

更新日期：2009-11-01 00:00:00

abstract：:Bladder dysfunction following colorectal surgery may be related to extirpative procedures in the region of the pelvic autonomic plexus. The most common etiology is from autonomic disruption during abdominoperineal or low anterior resections. Contemporary technical modifications have allowed surgeons to achieve oncolog...

journal_title：Clinics in colon and rectal surgery

authors： Delacroix SE Jr,Winters JC

更新日期：2010-06-01 00:00:00

abstract：:A multispecialty clinic practice is a common practice arrangement for colorectal surgeons. A practice of this type has a variety of features, both positive and negative. This article explores the location, practice patterns, lifestyles, compensation, and academic opportunities associated with a multispecialty clinic p...

journal_title：Clinics in colon and rectal surgery

authors： Beck DE,Margolin DA

更新日期：2006-08-01 00:00:00

abstract：:Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reas...

journal_title：Clinics in colon and rectal surgery

authors： Kusters M,Uehara K,Velde CJHV,Moriya Y

更新日期：2017-11-01 00:00:00

abstract：:Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase o...

journal_title：Clinics in colon and rectal surgery

authors： Zhu AC,Agarwala A,Bao X

更新日期：2019-03-01 00:00:00

abstract：:A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...

journal_title：Clinics in colon and rectal surgery

authors： Kin C

更新日期：2016-06-01 00:00:00

abstract：:Large bowel obstruction is a common problem with many different causes, the most common being colorectal adenocarcinoma, extracolonic adenocarcinoma, diverticular disease, volvulus, and inflammatory bowel disease. The nature of the obstruction can influence the best management. Historically, treatment of obstruction c...

journal_title：Clinics in colon and rectal surgery

authors： Sawai RS

更新日期：2012-12-01 00:00:00

abstract：:In the interest of improving patient care quality and reducing costs, many hospitals across the nation participate in quality measurements. The three programs most applicable to colon and rectal surgery are the National Surgical Quality Improvement Project, the Surgical Care Improvement Project (SCIP), and the Surgica...

journal_title：Clinics in colon and rectal surgery

authors： Irani JL

更新日期：2014-03-01 00:00:00

abstract：:Anal incontinence (AI) can be a debilitating condition for women following vaginal delivery. Operative vaginal delivery and anal sphincter laceration are important risk factors for the development of postpartum AI. Obtaining a comprehensive delivery history, along with a thorough physical examination of the perineum, ...

journal_title：Clinics in colon and rectal surgery

authors： Chin K

更新日期：2014-09-01 00:00:00

abstract：:Lymphoma involving the colon and rectum is rare and can occur either as primary colorectal lymphoma or as a manifestation of systemic disease. Most patients with primary colorectal lymphoma present with abdominal pain, and obstruction is unusual. Although lesions may be evident on radiographic studies, the findings ar...

journal_title：Clinics in colon and rectal surgery

authors： Quayle FJ,Lowney JK

更新日期：2006-05-01 00:00:00

abstract：:Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...

journal_title：Clinics in colon and rectal surgery

authors： Soares AS,Chand M

更新日期：2020-05-01 00:00:00

abstract：:Professional medical societies serve several functions that may benefit society, the sponsoring medical profession, and individual members. Several professional societies are available for colorectal surgeons to join and participate in. Reasons to join include service, educational offerings, networking, and companions...

journal_title：Clinics in colon and rectal surgery

authors： Beck DE

更新日期：2011-06-01 00:00:00

abstract：:Surgery is a very complex, changing, and, sometimes, threatening environment. Emotional intelligence is a key skill for surgical leaders. Authoritarian, hierarchical, transactional, transformational, adaptive, situational, and servant-shepherd leadership can all be used in surgical leadership. Patient care must be the...

journal_title：Clinics in colon and rectal surgery

authors： Onaca N,Fleshman JW

更新日期：2020-07-01 00:00:00

abstract：:Diverticular disease is common in the Western world and is a considerable source of morbidity. Many have proposed an association between diverticular disease, its complications, and obesity. We examine this question through a review of the available literature. While it is likely that an association between diverticul...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Champagne BJ

更新日期：2011-12-01 00:00:00

abstract：:Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also ...

journal_title：Clinics in colon and rectal surgery

authors： deBeche-Adams T,Nassif G

更新日期：2015-09-01 00:00:00

abstract：:Lower gastrointestinal bleeding (LGIB) is a common entity encountered by the surgeon. Though most LGIB stops on its own, familiarity with the diagnoses and their treatments is critical to optimal patient care. Even in 2016, surgery may be required. Advances in imaging have led to an enhanced ability to localize bleedi...

journal_title：Clinics in colon and rectal surgery

authors： Greco L,Zhang J,Ross H

更新日期：2020-01-01 00:00:00

abstract：:Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, i...

journal_title：Clinics in colon and rectal surgery

authors： Marsicovetere P,Ivatury SJ,White B,Holubar SD

更新日期：2017-02-01 00:00:00

abstract：:Clostridium (reclassified as " Clostridioides ") difficile colitis is a common nosocomial infection associated with increased morbidity and mortality. Like many clinical encounters, a focused history and physical examination will help to guide initial management. Further laboratory testing will assist with diagnosis t...

journal_title：Clinics in colon and rectal surgery

authors： Baker SJ,Chu DI

更新日期：2020-03-01 00:00:00

abstract：:Lynch syndrome is the familial clustering of colorectal and endometrial cancers. This syndrome is passed in an autosomal dominant fashion within families with defective mismatch repair as the genetic basis for cancer development in these patients. There remains a group of patients who fit clinical diagnostic criteria ...

journal_title：Clinics in colon and rectal surgery

authors： Bansidhar BJ,Silinsky J

更新日期：2012-06-01 00:00:00

abstract：:The use of laparoscopy has become widespread across many surgical specialties. Its utility as treatment for colon cancer was initially met with hesitancy due to concern for port site and wound recurrences; however, this was later disproven by large retrospective series. Subsequently, there have been multiple, large, p...

journal_title：Clinics in colon and rectal surgery

authors： Franklin BR,McNally MP

更新日期：2017-04-01 00:00:00

abstract：:Clinical research (CR) is a natural corollary to clinical surgery. It gives an investigator the opportunity to critically review their results and develop new strategies. This article covers the critical factors and the important components of a successful CR program. The first and most important step is to build a de...

journal_title：Clinics in colon and rectal surgery

authors： Scoglio D,Fichera A

更新日期：2014-06-01 00:00:00

abstract：:Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruct...

journal_title：Clinics in colon and rectal surgery

authors： Kuncewitch M,Levine EA,Shen P,Votanopoulos KI

更新日期：2018-09-01 00:00:00

abstract：:Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids. ...

journal_title：Clinics in colon and rectal surgery

authors： Sanchez C,Chinn BT

更新日期：2011-03-01 00:00:00

abstract：:Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...

journal_title：Clinics in colon and rectal surgery

authors： Aarons CB

更新日期：2013-06-01 00:00:00

abstract：:Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient's attempts to alleviate symptoms. If no reversible cause is found, simple mea...

journal_title：Clinics in colon and rectal surgery

authors： Ansari P

更新日期：2016-03-01 00:00:00

abstract：:Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

journal_title：Clinics in colon and rectal surgery

authors： Tevis SE,Kennedy GD

更新日期：2016-09-01 00:00:00

abstract：:Colorectal cancer begins as a polyp that is a benign growth on the mucosal surface of the colon or rectum. Over a period of 5 to 15 years, polyps can degenerate into a cancer, thus invading the colonic wall. Colorectal screening methods are designed to diagnose and remove polyps before they acquire invasive potential ...

journal_title：Clinics in colon and rectal surgery

authors： Huck MB,Bohl JL

更新日期：2016-12-01 00:00:00

abstract：:The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prev...

journal_title：Clinics in colon and rectal surgery

authors： Puleo FJ,Mishra N,Hall JF

更新日期：2013-09-01 00:00:00