Colorectal Surgery

Using a case-based approach, Colorectal Surgery: Clinical Care and Management provides practical, clinical and expert guidance to illustrate the best care and clinical management of patients requiring colorectal surgery for colorectal disease.

Real-life cases illustrate the entire syllabus of GI/colorectal surgery, being specially selected to highlight topical or controversial aspects of colorectal care.  Cases have a consistent approach throughout and as well as outlining the actual management of each individual case, also offer an honest appraisal of the chosen management route, its successes and areas that could have been managed differently.   Pedagogic features such as learning and decision points boxes aid rapid understanding/learning, enabling the reader to improve their patient management.

In full colour and containing over 100 outstanding clinical photos and slides to support the cases, each section also covers recent developments/ landmark papers/ scoring systems and a thorough discussion of clinical management based on the major society guidelines from NICE, ASCRS and ECCO.

Reliable, well-written and perfect for consultation in the clinical setting,  Colorectal Surgery: Modern Clinical Care and Management is the perfect tool for all members of the multi-disciplinary team managing patients suffering from colorectal disease, specifically GI surgeons, gastroenterologists, oncologists and general surgeons.

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 Crohns 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 Crohns colitis and enterocutaneous fistula, 103
Richard Lovegrove

18 Crohns colitis, 109
Bruce George& Marc Marti-Gallostra

19 Fistulating anal Crohns 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 Crohns 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 Hirschsprungs 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