Colorectal Surgery – Clinical Care and Management

Richard Guy, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. Oliver Jones, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. Bruce George, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. Jon Vogel, Colorectal surgeon, Departments for Colorectal Surgery, Cleveland Clinic, Ohio, USA.

List of contributors, ix Foreword, xiii Section A: Colorectal cancer, 1 Bruce George 1 A screen-detected colonic conundrum, 25 Ami Mishra 2 Serrated Pathways, 28 Sujata Biswas, Lai Mun Wang & Simon Leedham 3 Large tubulovillous adenoma of the rectum treated by TEM, 32 Richard Tilson, Shazad Ashraf & Christopher Cunningham 4 To stent or not to stent?, 36 Jonathan Randall 5 Advanced rectal cancer: Brazil or Japan?, 40 Oliver Jones 6 Marginal decisions, 45 Oliver Jones 7 Locally advanced rectal cancer invading prostate, 48 Richard Guy, Roel Hompes & Rebecca Kraus 8 Low rectal cancer and synchronous polyps, 52 Richard Guy 9 Liver or rectum first?, 56 Nicolas Buchs, Frederic Ris & Christian Toso 10 Beware bad livers!, 59 Kate Williamson 11 Anastomotic recurrence?, 62 Bruce George 12 Challenging warts, 65 Emma Bracey & Bruce George 13 An unusual right iliac fossa mass, 68 Bruce George Section B: Inflammatory bowel disease, 73 Bruce George 14 A problem teenager, 91 Astor Rodrigues 15 Recurrent Crohn s disease with intraabdominal abscess: when to operate?, 95 Bruce George & Mohamed Abdelrahman 16 Very extensive small bowel stricturing disease, 98 Myles Fleming & Neil Mortensen 17 Long-standing Crohn s colitis and enterocutaneous fistula, 103 Richard Lovegrove 18 Crohn s colitis, 109 Bruce George & Marc Marti-Gallostra 19 Fistulating anal Crohn s disease: conservative management, 112 Silvia Silvans & Bruce George 20 Tail end carnage, 116 Bruce George 21 Acute severe colitis, 120 Bruce George 22 Snare or pouch? The problem of dysplasia in ulcerative colitis, 123 Gareth Horgan & James East 23 Anal fistula and ulcerative colitis, 128 Richard Guy 24 Poor pouch function, 131 Bruce George 25 Low rectal cancer in a patient with ulcerative colitis: late reconstruction with continent Kock ileostomy, 135 Par Myrelid & Richard Lovegrove Section C: Pelvic floor disorders, 141 Oliver Jones 26 Constrictions of prolapse surgery, 167 Richard Guy 27 Elderly prolapse dilemma, 170 Koen van Dongen 28 Chasing incontinence, 173 Oliver Jones 29 Sphincter disruption, 177 Kim Gorissen 30 Stimulating complications, 181 Kim Gorissen & Ian Lindsey 31 Crohn s evacuation trouble, 184 Heman Joshi 32 Disabling anal pain, 187 Martijn Gosselink & Ian Lindsey Section D: Proctology, 191 Richard Guy 33 Hemorrhoids and HIV, 217 Richard Guy 34 Refractory fissure, 220 Richard Guy 35 Hirschsprung s fistula, 223 Richard Guy 36 Complex fistula in a young woman, 227 Martijn Gosselink & Richard Guy 37 Recurrent rectovaginal fistula, 232 Bruce George 38 Adolescent cleft trouble, 236 Richard Guy 39 Extreme itch, 239 Luana Franceschilli Section E: Emergency colorectal surgery, 243 Richard Guy 40 Occupational blast disaster, 263 Richard Guy 41 Wash and go?, 266 Bruce George 42 Absolute constipation, 269 Richard Guy 43 Multiply ischemic parts, 273 Richard Guy 44 Seriously obscure bleeding, 277 Alistair Myers 45 Complicated twist, 280 Richard Guy 46 Obscure postoperative obstruction, 284 Richard Guy 47 Gynecological disaster, 289 Richard Guy 48 Pelvic leak and salvage, 293 Richard Guy Section F: Surprise cases, 297 49 Radiology 0, Pathology 1, 299 Sara Q. Warraich, Marcus Chow & Oliver Jones 50 An appendix mass?, 304 Richard Guy 51 A worrying-looking rectal ulcer, 307 Charles Evans 52 Think the unthinkable, 310 Bruce George Section G: New technologies and techniques, 313 Oliver Jones Index, 325