Colorectal Surgery A Companion to Specialist Surgical Practice 7th Edition

Colorectal Surgery: (Companion to Specialist Surgical Practice), 7th Edition - E-Book PDF

Contents
1. Lower gastrointestinal endoscopy
Introduction
Indications and contraindications
Checklist
Sedation
Insertion technique
Withdrawal and examination technique

New techniques in endoscopic mucosal visualisation
Quality assurance
Sustainable endoscopy
Endoscopy training
Endoscopic therapy
Competing technologies
Conclusions
2. Colorectal cancer
Introduction
Natural history
Aetiology
Presentation
Investigation
Screening
Surveillance after adenoma detection
The suspicious or malignant polyp
Surgery
Adjuvant therapy
Management of advanced disease
Multi-disciplinary team

Pathological staging
Summary recommendations for best practice
3. Colorectal cancer and genetics
Introduction
Assessment of risk
Management
Lynch syndrome
Familial adenomatous polyposis
MYH-associated polyposis
Peutz–Jeghers syndrome
Juvenile polyposis
Serrated polyposis syndrome
Other inherited colorectal cancer syndromes
Molecular pathways of colorectal cancer development
Summary
4. Surgery for colon cancer
Introduction
Peri-operative risk mitigation for elective surgery
Surgery for colon cancer
Complications of surgery for colonic cancer

Emergency management
Emerging technologies
Future developments
5. Surgery for rectal cancer
Introduction
Objectives of surgery
Multi-disciplinary meeting
Circumferential resection margin and local recurrence
Neoadjuvant therapy
Patient optimisation and prehabilitation
Extent of excision – total mesorectal excision versus
mesorectal transection, level of vascular ligation and
pelvic lymphadenectomy
Surgical approach for rectal cancer resection
Distal clearance and coloanal anastomoses
Reconstruction (colonic pouch, end-to-side or end-to-
end anastomosis)
Defunctioning stoma
Abdominoperineal excision
Beyond total mesorectal excision surgery
Non-radical resection of rectal cancer

Complications of rectal cancer surgery
Quality of life
Follow-up
The future
6. Chemotherapy and radiotherapy for colorectal cancer
Introduction
Adjuvant chemotherapy for colon cancer
Neoadjuvant chemotherapy in colon cancer
Adjuvant chemotherapy in rectal cancer
Principles of systemic anti-cancer therapy in advanced
or metastatic disease
Radiotherapy
Neoadjuvant chemotherapy and total neoadjuvant
therapy
Future directions
7. Advanced and recurrent colorectal cancer
Introduction
Incidence
Diagnosis and staging of advanced and recurrent
colorectal cancer
The advanced colorectal cancer multi-disciplinary team

Locally advanced primary and recurrent rectal cancer
Colorectal peritoneal metastases
Cytoreductive surgery with hyperthermic intra-
peritoneal chemotherapy
Colorectal liver metastases
8. Anal neoplasia
Introduction
Anatomy
Human papillomavirus
Warts (Condyloma acuminata)
Anal intra-epithelial neoplasia
Anal cancer
Future directions
9. Diverticular disease
Historical perspectives
Terminology
Anatomical and physiological perspectives
Incidence and geographical differences
Aetiology and pathogenesis
Diverticulitis

Segmental colitis associated diverticulosis
Diagnosis and imaging
Treatment
Emergency surgery
Elective resection – facts, fiction and functional
outcome
Diverticular haemorrhage
10. Ulcerative colitis
Introduction
Epidemiology
Aetiopathogenesis
Clinical presentation
Diagnosis and evaluation
Colorectal cancer and surveillance
Severity assessment
Extra-intestinal manifestations
Medical management
Surgical management
11. Crohn’s disease
Introduction

Epidemiology
Aetiology
Pathogenesis
Pathology
Macroscopic appearance
Microscopy
Differentiating Crohn’s colitis from ulcerative colitis
Clinical
Systemic symptoms
Gastrointestinal symptoms
Perianal disease
Gastrointestinal complications
Investigations
Radiology
Disease activity assessment and quality of life
Differential diagnosis
Medical treatment
Induction of remission
Additional treatments
Maintenance therapy

Multi-disciplinary care
Overall management strategies in Crohn’s disease
Post-operative prophylaxis
Other drugs
Surgery
Pre-operative optimisation
Intra-operative considerations
Site specific considerations
Small bowel and ileocaecal disease
Surgery for colonic and rectal Crohn’s disease
Perianal disease
12. Intestinal failure
Introduction
Epidemiology
Causes
Pathophysiology
Intestinal failure: criteria for referral
Management of intestinal failure and surgical
catastrophe
Prehabilitation

Supporting organisations
Summary
13. Faecal incontinence
Introduction
Anatomy and physiology of the anal canal
Rectoanal inhibitory reflex
Aetiology of faecal incontinence
Presentation
Management of faecal incontinence in adults
Conclusion
Recommended videos
14. Pelvic floor surgery for the colorectal surgeon
Introduction
Assessment
Symptom assessment
Examination
Preliminary investigation
Colonic transit studies
Anorectal physiology
Anal endosonography/endorectal ultrasound

Integrated total pelvic floor ultrasound
Transperineal ultrasound (Fig. 14.1)
Transvaginal ultrasound
Proctography – defecography/evacuation proctography
Defaecation magnetic resonance imaging
Mucosal prolapse
Full-thickness rectal prolapse
Rectal prolapse surgery
Perineal approaches
Abdominal approaches
Laparoscopic approaches
Multi-compartmental prolapse
Recurrent rectal prolapse
Rectocele
Rectal intussusception
Enterocoele
Solitary rectal ulcer syndrome
Conservative treatment
Surgical approaches
Hitching procedures for the rectum (rectal suspension)

Rectal wall excisional procedures (rectal excision)
Rectovaginal reinforcement procedures
Sacral nerve stimulation
Mesh and pelvic floor surgery
Future developments
15. Functional problems and their medical management
Introduction
Irritable bowel syndrome
Functional constipation
Idiopathic megarectum and megacolon
16. Anal fistula
Introduction
Aetiology
Management of acute sepsis
Classification of anal fistula
Assessment
Principles of fistula surgery
The loose seton
Sphincter dividing operations
Sphincter preserving procedures

Newer techniques
Management of the recurrent fistula
17. Minor anorectal conditions
Haemorrhoids
Anal fissure
Pruritus ani
Pilonidal sinus
Anal stenosis
Sexually transmitted infections

Authors: Sue Clark, Philip Tozer
Publication: Elsevier (20 Oct. 2023)
Year: 2023
ISBN: 9780702085017, 9780702085024
Format: EPUB + Converted PDF
Language: English