Abstract:
:In the United States, the prevalence of adenomatous polyps found during colonoscopic evaluation ranges from 25 to 41%, and of these, 2 to 5% contain invasive malignancy. The management of the malignant polyp continues to be challenging. Endoscopic resection by polypectomy has been shown to be sufficient for management of certain polyps containing cancer; however, it is important to keep in mind that polypectomy does not remove the lymph node drainage basin and may be an inadequate resection for some adenocarcinoma containing polyps that have specific histologic features. Depth of invasion has been shown to correlate with the risk of lymph node metastasis. Other unfavorable histologic features include lymphovascular invasion, poor differentiation, inability to assess margin (piecemeal resection), and positive resection margin (< 2 mm); these are important factors to consider in management. For these patients formal oncologic surgical resection is indicated. Traditional open or laparoscopic procedures are routinely used for colectomy in these patients. Following polypectomy or segmental colectomy, surveillance of these patients is critical, and can lead to excellent long-term outcomes.
journal_name
Clin Colon Rectal Surgjournal_title
Clinics in colon and rectal surgeryauthors
Ramirez M,Schierling S,Papaconstantinou HT,Thomas JSdoi
10.1055/s-0028-1089944subject
Has Abstractpub_date
2008-11-01 00:00:00pages
286-90issue
4eissn
1531-0043issn
1530-9681journal_volume
21pub_type
杂志文章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
pub_type: 杂志文章,评审
doi:10.1055/s-0035-1570391
更新日期:2016-03-01 00:00:00
abstract::The timing of elective surgery for the treatment of diverticular disease is constantly evolving. Historically, the indications for elective surgery were relatively consistent. It was recommended that patients undergo elective resection after two documented attacks of uncomplicated diverticulitis or after one attack of...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0029-1236161
更新日期:2009-08-01 00:00:00
abstract::The proximity of the colon and rectum to the organs of the urologic system virtually ensures that iatrogenic urologic injuries become a distinct possibility during complex colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well as strategies for identification and repair of potential injuri...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1677026
更新日期:2019-05-01 00:00:00
abstract::All colorectal operations carry significant associated risk. To facilitate the best outcomes it is essential to perform a comprehensive evaluation of patient risk preoperatively. Once risk factors are identified the appropriate steps must be taken to minimize their effects. The evaluation of the patient can be broken ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0029-1202870
更新日期:2009-02-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1584091
更新日期:2016-12-01 00:00:00
abstract::This article provides an overview of hidradenitis suppurativa, lichen planus, lichen sclerosis, calcinosis cuti, pyogenic granuloma, intertrigo, and seborrheic keratosis. This article also focuses on recognition and management of these pleomorphic afflictions of the perianal region. ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0039-1687836
更新日期:2019-09-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1351134
更新日期:2013-09-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0039-1693439
更新日期:2020-01-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1606112
更新日期:2017-11-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0039-3402781
更新日期:2020-05-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1593429
更新日期:2017-02-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1597317
更新日期:2017-04-01 00:00:00
abstract::The morbidity and mortality associated with surgical hemorrhage are considerable, particularly when relaparotomy is necessary. This complication can usually be avoided with comprehensive preoperative patient evaluation and meticulous surgical technique. The damage control sequence is a useful surgical strategy when se...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2006-956439
更新日期:2006-11-01 00:00:00
abstract::Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2007-970199
更新日期:2007-02-01 00:00:00
abstract::Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1286002
更新日期:2011-09-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1642052
更新日期:2018-09-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1584501
更新日期:2016-09-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0039-3400474
更新日期:2020-03-01 00:00:00
abstract::Advances in the surgical management of rectal cancer have placed the quality of total mesorectal excision (TME) as the major predictor in overall survival. A standardized TME technique along with quality increases the percentage of patients undergoing a complete TME. Quality measurements of TME will place increasing d...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0035-1545066
更新日期:2015-03-01 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
pub_type: 杂志文章
doi:10.1055/s-0031-1295688
更新日期:2011-12-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1348051
更新日期:2013-06-01 00:00:00
abstract::This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1598163
更新日期:2017-07-01 00:00:00
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
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1607466
更新日期:2018-07-01 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
pub_type: 杂志文章
doi:10.1055/s-0031-1272818
更新日期:2011-03-01 00:00:00
abstract::Paradoxical puborectalis contraction and increased perineal descent are two forms of functional constipation presenting as challenging diagnostic and treatment dilemmas to the clinician. In the evaluation of these disorders, the clinician should take special care to exclude anatomic disorders leading to constipation. ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2008-1075863
更新日期:2008-05-01 00:00:00
abstract::Functional anorectal disorders include solitary rectal ulcer syndrome, rectocele, nonrelaxing puborectalis syndrome, and descending perineal syndrome. Patients usually present with "constipation," but the clinical picture of these disorders includes rectal pain and bleeding, digitalization, incomplete evacuation, and ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2005-870892
更新日期:2005-05-01 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
pub_type: 杂志文章
doi:10.1055/s-2006-942344
更新日期:2006-05-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1376171
更新日期:2014-06-01 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
pub_type: 杂志文章,评审
doi:10.1055/s-0032-1329533
更新日期:2012-12-01 00:00:00
abstract::Crohn's disease is a complex disease with a varying clinical and anatomical spectrum. One-third of patients with Crohn's will have disease confined to the colon. In this article, the authors review the surgical treatment options for colonic Crohn's disease including the current status of performing segmental colectomy...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0039-1683906
更新日期:2019-07-01 00:00:00