Complex and Reoperative Colorectal Surgery: Setting Expectations and Learning from Experience.

abstract：:Ulcerative colitis is a chronic inflammatory disease of the colon with an increasing incidence worldwide. The medical management of this disease continues to expand as drugs to induce and maintain remission are sought to avoid the need for colectomy. This article will review the standard of care for the treatment of m...

journal_title：Clinics in colon and rectal surgery

authors： Mahadevan U

更新日期：2004-02-01 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

authors： Poggio JL

更新日期：2011-09-01 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：: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：: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：:Despite the slower learning curve of laparoscopic colectomy and the lack of prospective randomized trials, laparoscopic procedures have repeatedly demonstrated a shortened length of stay, reduction in postoperative ileus, and earlier resumption of diet. However, laparoscopy in inflammatory bowel disease has unique cha...

journal_title：Clinics in colon and rectal surgery

authors： Marcello PW

更新日期：2006-02-01 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：: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：: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

authors： Lichliter WE

更新日期：2015-03-01 00:00:00

abstract：:A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...

journal_title：Clinics in colon and rectal surgery

authors： McLemore EC,Lavi P,Attaluri V

更新日期：2020-05-01 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：: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：: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：: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：:Locally advanced colorectal cancer is a challenge for surgeons and medical oncologist; 10 to 20% colorectal cancer debut as locally advanced disease, with tumors extending through the colon wall with perforation and/or invasion of adjacent organs or structures. Those locally advanced tumors have a worse prognostic at ...

journal_title：Clinics in colon and rectal surgery

authors： Cortes-Guiral D,Glehen O

更新日期：2020-09-01 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：: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：: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：:The applicability of laparoscopy to many complex intraabdominal colorectal procedures continues to expand, and has been shown to be feasible and safe in experienced hands. Data are available on the elderly, rectal prolapse, diverticulitis, Hartman's takedown, small bowel obstruction, Crohn's disease, and ulcerative co...

journal_title：Clinics in colon and rectal surgery

authors： Shin T,Rafferty JF

更新日期：2010-02-01 00:00:00

abstract：:When utilized properly, social media offers several personal and professional benefits for the practicing surgeon, including peer networking, education, e-mentorship, marketing, recruitment, and patient outreach. However, unprofessional online behavior is common among surgeons, and this improper use of social media ca...

journal_title：Clinics in colon and rectal surgery

authors： Langenfeld SJ,Batra R

更新日期：2017-09-01 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

authors： Adaba F,Vaizey CJ,Warusavitarne J

更新日期：2017-07-01 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：: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：: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

authors： Margolin DA

更新日期：2009-08-01 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：: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

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：: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：: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