Intestinal Polyps and Polyposis (eBook)

From Genetics to Treatment and Follow-up
eBook Download: PDF
2009 | 2009
XIV, 246 Seiten
Springer Italia (Verlag)
978-88-470-1124-3 (ISBN)

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Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more 'evidence-based' treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.



Prof. Delaini already edited two volumes: 'Rectal Cancer' (ISBN 88-470-0342-3) in 2005 and 'Inflammatory Bowel Disease and Familial Adenomatous Polyposis' ( 978-88-470-0433-7) in 2006.
He is Chief of the Surgery Division of the Policlinic in Verona and has been the first President of the Italian Soc. of Colo-Rectal Surgery.


Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more "e;evidence-based"e; treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.

Prof. Delaini already edited two volumes: "Rectal Cancer" (ISBN 88-470-0342-3) in 2005 and "Inflammatory Bowel Disease and Familial Adenomatous Polyposis" ( 978-88-470-0433-7) in 2006. He is Chief of the Surgery Division of the Policlinic in Verona and has been the first President of the Italian Soc. of Colo-Rectal Surgery.

Foreword 5
Contents 6
Contributors 8
The Impact of Bowel Cancer Screening 12
Pathological Features of Sporadic Colonic Adenoma 30
Serrated Neoplasia Pathway 49
Genetic and Clinical Features of Familial Adenomatous Polyposis (FAP) and Attenuated FAP 57
Not Only FAP 68
Diet, Polyps, and Cancer 79
Chemoprevention of Colonic Cancer 85
The Role of Imaging in Colonic Polyps and Polyposis 102
Rectal Polyps and Early Rectal Cancer 110
What is What? 121
Diagnosis and Treatment of Upper Gastrointestinal Polyps in Polyposis 133
Lower Gastrointestinal Endoscopy for Polyps and Polyposis 140
Management and Treatment of Complications in Diagnostic and Therapeutic Lower Gastrointestinal Tract Endoscopy 153
Follow-up After Endoscopic Polypectomy 164
Surgical Options for Familial Adenomatous Polyposis 171
Restorative Proctocolectomy with Ileal Pouch-Anal Anastomosis for FAP 181
Rectal Polyps after Ileorectal Anastomosis 187
Anorectal Polyps and Polypoid Lesions 192
Polypectomy of Anorectal Polyps and Polypoid Lesions 199
Quality of Life and Familial Adenomatous Polyposis Patients 206
Psychological and Medico-legal Aspects of Genetic Counseling in Familial Adenomatous Polyposis 216
The Role of a Registry in Familial Adenomatous Polyposis 224
Coping with FAP 234
Subject Index 241

Erscheint lt. Verlag 29.3.2009
Vorwort John Nicholls
Zusatzinfo XIV, 246 p. 100 illus., 20 illus. in color.
Verlagsort Milano
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizinische Fachgebiete Chirurgie Viszeralchirurgie
Medizinische Fachgebiete Innere Medizin Gastroenterologie
Medizinische Fachgebiete Innere Medizin Pneumologie
Studium 2. Studienabschnitt (Klinik) Pathologie
Schlagworte Bowel Cancer • Cancer Screening • colectomy • Endoscopic surgery • Endoscopy • Familial adenomatous polyposis (FAP) • Imaging • Polyposis • Sporadic Polyp • surgical oncology • Treatment
ISBN-10 88-470-1124-8 / 8847011248
ISBN-13 978-88-470-1124-3 / 9788847011243
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