Colo-proctology is a fast-growing field and covers all aspects of pathology of the colon, rectum and anus. This book presents articles by international authorities which may lead to new diagnostic and therapeutic methods and research projects. It is based on the proceedings of the 2nd Anglo-Swiss Colo-Proctology Meeting. The main sections of the book cover: 1. technical problems in diagnosis and therapy, with emphasis on sphincter-saving techniques, 2. colorectal cancer and the role of the colorectal surgeon, 3. inflammatory bowel diseases, with special reference to bacteriology,epidemiology…mehr
Colo-proctology is a fast-growing field and covers all aspects of pathology of the colon, rectum and anus. This book presents articles by international authorities which may lead to new diagnostic and therapeutic methods and research projects. It is based on the proceedings of the 2nd Anglo-Swiss Colo-Proctology Meeting. The main sections of the book cover: 1. technical problems in diagnosis and therapy, with emphasis on sphincter-saving techniques, 2. colorectal cancer and the role of the colorectal surgeon, 3. inflammatory bowel diseases, with special reference to bacteriology,epidemiology and the diagnosis of perianal disease, 4. complications due to trauma or surgery, and 5. diverse subjects such as surgical technique, AIDS-re lated problems and incontinence. Two main topics, the treatment of rectal cancer and complex anal fistulas, are also discussed by experts in broad terms. All of the contributions are based on recent works, and most of them present new approaches to essential problems in colo-proctology. Darmerkrankungen nehmen zu - entsprechend steigt auch das Interesse der Ärzte an proktologischer Literatur. Hier werden aktuelle Forschungsergebnisse und ihre Anwendung in Klinik und Praxis zu ausgewählten proktologischen Problemen zusammengefaßt.
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.
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.
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