Preoperative evaluation and risk management.

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：: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：:Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Tushoski PL

更新日期：2010-09-01 00:00:00

abstract：:Perineal wound complications following abdominoperineal resection (APR) is a common occurrence. Risk factors such as operative technique, preoperative radiation therapy, and indication for surgery (i.e., rectal cancer, anal cancer, or inflammatory bowel disease [IBD]) are strong predictors of these complications. Pati...

journal_title：Clinics in colon and rectal surgery

authors： Wiatrek RL,Thomas JS,Papaconstantinou HT

更新日期：2008-02-01 00:00:00

abstract：:Our understanding of the genetics of colorectal cancer has changed dramatically over recent years. Colorectal cancer can be classified in multiple different ways. Along with the advent of whole-exome sequencing, we have gained an understanding of the scale of the genetic changes found in sporadic colorectal cancer. We...

journal_title：Clinics in colon and rectal surgery

authors： Hardiman KM

更新日期：2018-05-01 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

authors： Scoglio D,Fichera A

更新日期：2014-06-01 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：:The incidence of Crohn's disease in the pediatric population is increasing. While pediatric patients with Crohn's disease exhibit many of the characteristics of older patients, there are important differences in the clinical presentation and course of disease that can impact the clinical decisions made during treatmen...

journal_title：Clinics in colon and rectal surgery

authors： von Allmen D

更新日期：2018-03-01 00:00:00

abstract：:The world of medicine is in a state of flux with major and substantive changes in its educational model. Students, residents, and junior attendings can no longer rely entirely on experiential development through clinical immersion. Instead, to attain similar levels of knowledge, technique, and situational comfort, the...

journal_title：Clinics in colon and rectal surgery

authors： Platz J,Hyman N

更新日期：2013-12-01 00:00:00

abstract：:Crohn's disease represents a challenging operative dilemma. The nature of the disease increases the technical complexity of operations, their morbidity, and the likelihood of multiple operations. In this setting, the advantages of laparoscopic surgery, including shorter hospital stays, less adhesion formation, fewer w...

journal_title：Clinics in colon and rectal surgery

authors： Naidu MN,Trang AC,Salky BA

更新日期：2007-11-01 00:00:00

abstract：:Evidence-based medicine (EBM) is increasingly important for clinical surgery and for promotion of best practices into surgical decision making. Although barriers exist in the current surgical literature, for certain surgical scenarios, formal efforts to promote evidence-based surgery (EBS) into surgical education are ...

journal_title：Clinics in colon and rectal surgery

authors： Kwaan MR,Melton GB

更新日期：2012-09-01 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

authors： Goldberg JE

更新日期：2007-02-01 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

authors： Huck MB,Bohl JL

更新日期：2016-12-01 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

authors： Aarons CB

更新日期：2013-06-01 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

authors： Hagerman GF,Silva-Velazco J,Molina-Lopez JF

更新日期：2019-09-01 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：: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：: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：:Diverticular disease affects approximately two thirds of the population over the age of 70. While only a small fraction of these patients will develop diverticulitis, adequate radiological evaluation of diverticulitis and its complications is imperative in determining proper medical and surgical treatment. Clinical ex...

journal_title：Clinics in colon and rectal surgery

authors： Snyder MJ

更新日期：2004-08-01 00:00:00

abstract：:The introduction of total mesorectal excision (TME) for rectal cancer has reduced local recurrence rates and improved oncologic outcomes, although complication rates such as anastomotic leak have also been a consequence. With the advent of neoadjuvant therapy for rectal cancer, many are questioning how this developmen...

journal_title：Clinics in colon and rectal surgery

authors： Stewart DB,Dietz DW

更新日期：2007-08-01 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：:Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship b...

journal_title：Clinics in colon and rectal surgery

authors： Althumairi AA,Efron JE

更新日期：2016-06-01 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：: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

authors： Heriot A,Smart P

更新日期：2019-07-01 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

abstract：:Since the early 1900s, skeletal muscle transpositions have been employed for complicated cases of fecal incontinence to augment or replace the anal sphincter. Multiple techniques have evolved that vary with the type and configuration of muscle used in the reconstruction. Transposition of the gluteus maximus muscle was...

journal_title：Clinics in colon and rectal surgery

authors： Cera SM,Wexner SD

更新日期：2005-02-01 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：: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：: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

authors： Hammond KL,Margolin DA

更新日期：2006-11-01 00:00:00

abstract：:The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...

journal_title：Clinics in colon and rectal surgery

authors： Ito M

更新日期：2020-11-01 00:00:00