Updates in Colo-Proctology

ISBN-13: 9783540553274 / Angielski / Miękka / 1993 / 251 str.

Jean-Claude Givel; Geoffrey D. Oates; James P. S. Thomson

Opis

"Updates in Colo-Proctology" covers the proceedings of the Anglo-Swiss Colo-Proctology Meeting held in St Moritz in 1990. The book contains the papers which were presented and dis cussed there by physicians of the various specialties concerned with the care of patients with diseases of the colon, rectum and anus. The authors, each distinguished in a particular field, have contributed across a wide range of subjects and different dis ciplines. The topics covered include surgical and investigative techniques, cancer, inflammatory bowel disease and specific infections. Being familiar with the previous literature, it is clear that little was really new among the themes presented in St Moritz, but few will deny that many of the techniques and methods of treatment described in this book are truly modern. Some contribute an entirely new dimension to the approach to well known colo-proctological conditions, while others may open up new paths for future research. In addition, in colo-proctology as in other disciplines, advances in treatment almost always bring new problems in the complications which attend them. These are the subject of some of the papers. Although it would be invidious to pick out individual contributions when there is so much that is new to talk about and so much that is old to be looked at in a new light, we should like to record how much we have enjoyed reading and collating these chapters. We hope that others will share our enthusiasm and pleasure."

Spis treści

I: Technique.- Endoluminal Sonography as a Preoperative Staging Method for Rectal Cancer.- The Stapled Low Colorectal Anastomosis: Our Experience with 342 Patients (1981–1989).- Is Restorative Proctocolectomy a Viable Alternative in Older Patients?.- Ileo-Anal Reservoir: Our Current Experience.- Rectal Resection with Coloanal Anastomosis for Carcinoma of the Rectum.- A Prototype Anal Continence Plug.- Gastro-Intestinal Anastomosis with Continuous Single-Layer Suture Versus Two Layers: A Prospective Randomized Study.- Sphincter Preservation in Surgery for Inflammatory Large-Bowel Disease.- Critical Appraisal of Hartmann’s Operation for Rectosigmoid Surgical Emergencies.- Endoanal Surgical Repair of Rectocoele.- Excision and Primary Closure or Excision and Secondary Healing in the Treatment of Natal Cleft Sinus: A Prospective Study.- II: Cancer.- Prognostic Value of Dukes and Jass Classifications of Colorectal Cancer.- Delay in the Diagnosis and Treatment of Colorectal Cancer.- Potentiation of the Antiproliferative Effect of 5?-Deoxy-5-Fluorouridine by Interferon-Alpha 2a.- Lymph Node Metastases in Early Rectal Cancer.- Modification of DNA Ploidy in Rectal Cancer Following Pre-Operative Radiotherapy.- Bromodeoxyuridine Labelling: A Novel Biomarker of Colon Cancer Risk.- Primary Malignant Lymphoma of the Rectum Associated with Chronic Ulcerative Colitis.- The Role of Colorectal Surgeons in the Treatment of Ovarian Carcinoma.- The Endoscopic Diagnosis of Anal Intra-Epithelial Neoplasia.- Tracking the Familial Adenomatous Polyposis Gene Carriers by Indirect Ophthalmoscopy.- III: Inflammatory Bowel Diseases.- The Role of Intestinal Microbes in Ulcerative Colitis: Studies on the Rectal Mucosa-Associated Microflora.- Epidemiology and Clinical Course of Patients with Crohn’s Disease at a Central Surgical University Clinic in Switzerland (1973–1985).- Complications of Perianal Fistulae and Abscesses in Crohn’s Disease: Detection by Fistulography Followed by Computed Tomography.- IV: Complications.- Ischaemic Lesions of the Intestine Due to Trauma.- Management and Outcome of Diffuse Faecal and Purulent Peritonitis Due to Colonic Perforation.- Treatment of Colonic Anastomotic Strictures with “Through the Scope” Balloon Dilators.- Clinical Assessment in Pouchitis: Is It Accurate in Diagnosis?.- V: Miscellaneous.- Colonic Perforation in an Immunocompromised Host.- Condylomata Acuminata in HIV-Positive Patients: Recent Results of a Prospective Ongoing Study.- Ten Years of Colorectal Surgery in Chur: Audit and Training.- Abnormalities of the Neural Control of the Internal Anal Sphincter in Idiopathic Faecal Incontinence.- VI: Round Tables.- How Is Rectal Cancer Best Managed?.- Complex Fistula-in-Ano: Aetiology, Management and Functional Results.- VII: Posters.- Internal Anal Sphincter Electromyography: Correlation with Resting Anal Pressure.- Pelvic Floor Neuropathy in Diabetic Patients with Faecal Incontinence.- Pouch Pressure Waves and Low Nocturnal Anal Pressure Are Related to Nocturnal Leakage After Restorative Proctocolectomy.- Small-Bowel Transit Time Estimation Following Restorative Proctocolectomy.- The Aetiology of Acute Reservoir Ileitis (Pouchitis): Is It Due to Faecal Stasis?.- Colostomy Is a Safe Procedure in a District General Hospital.- Hartmann’s Procedure: A Worthwhile Option?.- Vaginal Fistulae Following Ileoanal Pouch Surgery: A Troublesome Complication.- In Vivo Measurement of Human Colorectal Tumour, Adenoma and Normal Mucosa Proliferation Using Flow Cytometry and Bromodeoxyuridine.- Is Local Excision Appropriate for Early Rectal Carcinoma?.- A Comparison of an Immunological and a Chemical Faecal Occult Blood Test in Symptomatic Patients.- Beware of Haemolytic Uraemic Syndrome Presenting as Colorectal Disease in Adults.