Coloproctology

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Alexander Herold, Paul-Antoine Lehur, Klaus E. Matzel, P. Ronan O'Connell
Springer Science & Business Media, Aug 15, 2008 - Medical - 288 pages
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EMM: Coloproctology presents the state-of-the-art in coloproctology. The topics covered include anatomy, physiology, anal disorders, dermatology, functional disorders, inflammatory bowel disease, benign and malignant tumours, endoscopy, emergencies and pain syndromes. All chapters give a comprehensive overview of aetiology, incidence, epidemiology, diagnostics, medical and surgical treatment, complications and individual special considerations.

This work presents surgical trainees with a comprehensive and condensed guide to the core knowledge required for the European Board of Surgery Qualification (EBSQ) examination. The manual will also be of assistance to practising coloproctologists across Europe and beyond who have an interest in continued professional development.

Written by an international team of experts who have each made noteworthy contributions in their field, the coverage of most aspects of coloproctology in an easy-to-follow format also makes this manual valuable to other specialists.

 

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Contents

11 History of the Division of Coloproctology
4
Eligibility
5
Anatomy
6
21 Colon Rectum Anus Pelvic Floor
7
2122 Colonic Segments
8
2124 Lymphatic Drainage of the Colon
10
213 Rectum and Anus
12
2133 Pelvic and Rectal Fasciae
14
7214 Surgical Principles
152
72142 Secondary Surgical Treatment for Recurrent Disease
154
72144 Postoperative Complications
155
72146 Recurrent Disease
156
72151 Medical Treatment
157
72153 Recommendations for Treatment of Perianal Fistulae
158
72163 Quality of Life
159
73 Indeterminate Colitis
161

2134 Blood Vessel Supply of the Rectum and Anus
15
2135 Lymphatic Drainage of the Rectum and Anus
16
2141 Levator Ani Muscle
17
2143 Smooth Pelvic Muscles
18
2146 Anal Continence Organ
19
Suggested Reading
20
Physiology
22
31 Colon Rectum Anus
23
3124 Rectal Motility
24
313 Colorectal Transit Time
26
314 Anorectal Physiology
27
315 Defaecation
29
3162 Anal Manometry
30
318 Absorption of Shortchain Fatty Acids
31
Anal Disorders
34
41 Haemorrhoids
35
414 Symptoms
36
415 Diagnosis
37
4171 Sclerosing Injection
38
4172 Rubber Band Ligation
39
4175 Radiofrequency Ablation
40
418 Position of the Patient
41
4112 Incontinence
42
42 Fissures
45
424 Symptoms and Diagnosis
46
4252 Surgical Treatment
48
43 Abscess Fistula
53
434 Assessment
54
4341 Digital Examination
55
435 Therapy
57
4353 Staged Cutting Seton Technique for High Transsphincteric Fistula
58
4356 Anocutaneous Advancement Flap Repair for High Transsphincteric Fistula
59
Dermatology
64
51 Pruritus Ani
65
515 Therapy
66
5152 Surgical Treatment
67
52 Hidradenitis Suppurativa Acne Inversa
69
523 Epidemiology
70
526 Complications
71
53 Condylomata Acuminata
72
53 Condylomata Acuminata
73
534 Diagnostic Procedures
74
5352 Surgical Treatment
75
54 Pilonidal Sinus
77
5452 Surgical Treatment
78
Suggested Reading
79
Functional Disorders
82
61 Incontinence
83
613 Classification
84
6144 Anorectal Manometry
85
6146 Sensitivity Tests
86
615 Therapy
87
6152 Surgical Treatment
88
6153 Recommendations for Therapy
91
Suggested Reading
92
62 Constipation
93
6212 Functional Constipation
94
622 IncidenceEpidemiology
95
624 Diagnostics
96
6242 Physical Examination
97
6243 Colonic Transit Time
99
6244 Defaecography
100
6245 Anorectal Manometry
101
6252 Surgical Treatment
102
63 Defaecation Disorders
105
633 Epidemiology
106
635 Diagnostics
107
6354 Dynamic Defaecography
108
6358 Electromyographic Studies
110
637 Conclusion
111
Suggested Reading
113
64 Rectal Prolapse Intussusception Solitary Rectal Ulcer
115
645 Clinical Features
116
6481 Perineal Procedures
117
6482 Abdominal Procedures
118
Suggested Reading
119
65 Irritable Bowel Syndrome
121
6533 Gastrointestinal Infection
123
655 Diagnosis
124
6561 Lifestyle Advice
125
657 Prognosis
126
Suggested Reading
127
Inflammatory Bowel Disease
128
71 Ulcerative Colitis
131
7132 Immunological Factors
132
715 Complications
133
7153 Toxic Megacolon
134
7162 Microbiology
135
717 Therapy
136
7172 Surgical Treatment
137
718 Differential Diagnosis
140
7110 Exemplary Surgical Procedures
141
71102 Colectomy and Ileorectal Anastomosis
142
71104 Restorative Proctocolectomy
143
72 Crohns Disease
145
725 Pathogenesis
146
729 Disease Activity
147
72102 Radiography
148
72103 Clinical Findings Histology and Serology
149
7213 Therapy
150
72132 Surgical Treatment
151
734 Natural History
162
Suggested Reading
163
74 Diverticular Disease
165
745 Epidemiology
166
7472 Diagnosis
167
7475 Fistulas
168
7476 Obstruction
169
7483 Immunocompromised Patients
170
75 Other Colitides
171
7516 Therapy
172
7523 EpidemiologyAetiology
173
7527 Therapy
174
7528 Differential Diagnosis
175
7534 Complications
176
754 Infectious Colitis
177
7545 Diagnostic Procedures
178
7555 Complications
179
Benign Tumours
180
81 Benign Tumours
183
8123 Inflammatory Polyps
185
814 Mesenchymal Lesions
187
8142 Leiomyoma
188
815 Other Lesions
189
816 Others
190
Suggested Reading
191
Malignant Tumours
192
91 Genetics
195
9113 The MAP Syndrome
196
9122 Screening Guidelines
197
9124 Duodenal Adenomas
198
913 Hereditary NonPolyposis Colorectal Cancer Syndrome
199
9133 Colon and Rectum
200
9134 Endometrial Cancer
201
92 Colon Cancer
203
9242 Genetic Factors
204
925 Diagnosis
205
9252 Screening in Populations at Increased Risk
206
9254 Diagnostic Strategies
207
9282 Palliative Treatment
211
9284 Current Treatment Recommendations
212
93 Rectal Cancer
213
937 Diagnosis
214
9310 Treatment
215
93107 Preoperative Chemoradiotherapy and Sphincter Preservation
216
931010 Current Treatment and Recommendations
217
93132 Distant Metastases
218
94 Anal Cancer
219
946 Symptoms
220
94102 Current Treatment Recommendations
221
94103 Followup
222
9412 Recurrence
223
Suggested Reading
224
95 Current Tumour Classification
225
9514 General Rules of TNM
226
952 Topography Classification
227
9524 Multiple Simultaneous Tumours
228
954 Histomorphology and TNM Classification of Perianal Anal Margin Cancers
229
9542 Grading
230
956 Residual Tumour R Classification
232
957 Special Considerations
233
Stomas and Stomatherapy
235
101 Stomas and Stomatherapy
237
1013 Stoma Construction
238
10132 Surgical Techniques
239
10143 Total Anorectal Reconstruction TAR
240
Suggested Reading
241
Endoscopy
242
111 Diagnostics Therapeutic Surveillance New Techniques
245
11122 Colonoscopy
246
1113 Therapeutic Endoscopy
248
11132 Balloon Dilation
249
11133 Argon Plasma Coagulation
250
1114 Surveillance
251
11142 Colonoscopy Surveillance After Colorectal Cancer Resection
252
Suggested Reading
253
Emergencies
254
121 Anal and Rectal Trauma
257
1213 Diagnosis
258
12141 Treatment of Foreign Bodies in the Rectum
259
1215 Functional Sequelae Following Anorectal Trauma
260
122 ColonicRectal Obstruction
261
1224 Diagnosis
262
1226 Neoplastic Colorectal Obstruction
263
12262 Symptoms
264
12265 Prognosis
265
1227 Colonic Volvulus
266
12274 Diagnosis
267
1229 Summary
268
123 Lower Gastrointestinal Bleeding
271
1235 Evaluation
272
12352 Advanced
273
1236 Treatment
274
12362 Bleeding from Angiodysplasia
275
12363 Perianal Conditions
276
Pain Syndromes
277
131 Chronic Pelvic Pain
279
13152 Pain Not Influenced by the Sitting Position
281
1316 Treatment
282
Subject Index
283
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About the author (2008)

Professor Herold is spokesman and leading physician at the EDZ Mannheim, a center of competence in colon and rectal surgery. The center is a well reputed clinic and scientific institute, attached to the medical university Heidelberg/Mannheim.

Professor P. Ronan O'Connell is Consultant Surgeon with a special interest in Colorectal Surgery at the Mater Misericordiae Hospital Dublin since 1990. He completed specialist training at the Mayo Clinic, Rochester, Minnesota, USA and holds fellowships of the Royal College of Surgeons in Ireland (1983) and the Royal College of Physicians and Surgeons of Glasgow (Honorary) (2001). Professor O'Connell is the Newman Clinical Research Professor at University College Dublin (since 2002) and former Chairman of the Division of Surgery at the Mater Misericordiae Hospital (2000-2003) and was external examiner in surgery at Dublin University in 2003.

Professor O'Connell is a member of the Irish Society of Coloproctology, a fellow of the Association of Coloproctology of Great Britain and Ireland, a fellow of  the American Society of Colon and Rectal Surgeons, an honorary fellow of the Italian Association of Colon and Rectal Surgery and a member of the International Society of Colon and Rectal Surgeons. He is a foundation member and council member of the European Association of Coloproctology and a council member of the European Council of Coloproctology. He is a fellow of the Association of Surgeons of Great Britain and Ireland and an elected fellow of the European Association of Surgeons and the Society of Pelvic Surgeons.

Professor O'Connell is Specialty Editor of the British Journal of Surgery, Associate Editor of Diseases of  the Colon and Rectum and sits on the editorial boards of Colorectal Disease and Techniques in Coloproctology. He is a referee for several prestigious international journals including the Lancet, Gastroenterology and the Annals of Surgery. He has published widely in the areas of inflammatory bowel disease, pelvic floor physiology, continence and colorectal cancer (in excess of 200 original papers, abstracts, editorials and book chapters). Professor O'Connell has been invited to jointly edit the 25th edition of  Bailey and Loves' Short Textbook of Surgery.

Paul-A. Lehur is professor of  Digestive Surgery at the University of  Medicine in Nantes, France. His affiliated hospital is the "Hôtel-Dieu" de Nantes. He is a member of the "Institut des Maladies de l'Appareil Digestif" of  the University Hospital of Nantes. He is Medical Director since December 2005.

His main clinical and research interests concern colorectal surgery with a special involvement in the treatment of functional disorders of the lower gastrointestinal tract. He is a member of the French "Académie de Chirurgie" of the European Association of Colorectal Diseases, and Fellow of the French chapter of the "American College of Surgery".

Professor Lehur received his training in Paris and Nantes. He spent one year as senior resident at the University of  Medicine in Sherbrooke and at the Royal Victoria Hospital in Montreal (Quebec-Canada) where he specialized in colorectal surgery. He was successively Assistant and Associated Professor of  Surgery and Anatomy in Nantes from 1985 to 1994 before becoming full professor (Digestive Surgery) in October 1994.

Since 2003, Professor Lehur is a member of the Board of Regents of the teaching hospitals of  Nantes Medical University and the Director of  the Department of  digestive diseases in this institution. He is also the President of the Ethics Commitee of  "Pays de Loire no2" situated in Nantes.

Professor Klaus E. Matzel is Associate Professor at the Friedrich Alexander University Erlangen/Nürnberg and Head of the Section of Colorectal Surgery and Proctology. He received his training at the same University.

He spent one year at the University of California, San Francisco (Postdoctoral Fellowhsip). He has certifications as General Surgeon (Bayerische Landesärztekammer, Munich), in Coloproctology (U.E.M.S.), a European Board of Surgical Qualification) and as Proctologist (Bayerische Landesärztekammer, Munich).

He is Visiting Professor at the Royal Hospital of Woman, Melbourne and Epsworth Hospital, Melbourne.

He published more than 250 original papers, abstracts, editorials and book chapters in the areas of functional disorders, continence and colorectal cancer. Professor Matzel was invited to more than 70 lectures.

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