Colorectal Surgery has continued to experience tremendous growth in both the community and academic settings over the past few years. The recent increase in demand for colorectal specialists has been fueled by an overwhelming number of applications to fellowship training programs, resulting in some of the most coveted and competitive positions. Furthermore, the accumulation of experience, knowledge, and wisdom from pioneers in the field, combined with major recent technological advances, has transformed the clinical management of diseases of the colon and rectum. Colorectal Surgeons have embraced advances ranging from minimally invasive approaches for complex problems to novel training methods for future generations. Additionally, we have spearheaded innovations in the management of colorectal cancer, pelvic floor disorders, diverticulitis, inflammatory bowel disease, and anorectal conditions. Despite these improvements, there remains a seemingly never-ending mixture of complex patient disease processes and complications resulting from the care of these patients. Even in cases where the technical challenges were managed successfully, complications or poor function may result in dramatic life-long consequences, reduced quality of life, as well as having economic implications.
The American Society of Colon and Rectal Surgeons (ASCRS) is the premiere professional organization of Colon and Rectal Surgeons. Three editions of the ASCRS Textbook of Colon and Rectal Surgery have been published and have proved to be extremely valuable for their wealth of general information and knowledge, providing not only background information, but also specifics regarding the more complex situations that surgeons who treat patients with colorectal disease experience on a regular basis.
An ASCRS manual was produced in in 2009 and 2014, each accompanying their original textbooks. This has been formed by abstracting the textbook into a bullet format;all figures and most tables were retained. The 3rd edition of the Textbook (published by Springer) included completely new chapters and authors. This 3rd edition of the Manual is indicated to conform to the new edition of the Textbook and incorporate newer information in the field of colon and rectal surgery. This Manual will serve as a very useful resource for physicians and researchers dealing with diseases of the colon and rectum. It will provide a concise yet comprehensive summary of the current status of the field that will help guide education, patient management and stimulate investigative efforts. All chapters were written and abstracted by experts in their fields and will include the most up to date scientific and clinical information.
Table of Content
Anatomy and Embryology of the Colon, Rectum & Anus.- Colonic Physiology.- Anal Physiology: The physiology of continence and defecation.- Endoscopy.- Endoscopic management of polyps, polypectomy and combined endoscopic and laparoscopic surgery.- Preoperative assessment of colorectal patients.- Optimizing Outcomes with Enhanced Recovery.- Postoperative Complications.- Anastomotic Construction.- Anastomotic complications.- Approach to Anal Pain.- Hemorrhoids.- Anal Fissure.- Anorectal Abscess and Fistula.- Complex anorectal fistulas.- Rectovaginal Fistula.- Pilonidal Disease and Hidradenitis Suppurativa.- Dermatology and Pruritus Ani.- Sexually Transmitted Infections.- Anal Intraepithelial Neoplasia.- Anal Cancer.- Presacral Tumors.- Molecular Basis of Colorectal Cancer and Overview of Inherited Colorectal Cancer Syndromes.- Colorectal Neoplasms: Screening and Surveillance after Polypectomy.- Colon Cancer: Preoperative Evaluation and Staging.- The Surgical Management of Colon Cancer.- Rectal Cancer: Preoperative Evaluation & Staging.- Rectal Cancer: Neoadjuvant Therapy.- Local excision of rectal neoplasia.- Rectal Cancer: Watch and Wait .- Proctectomy.- Rectal Cancer Decision Making.- Colorectal Cancer: Postoperative Adjuvant Therapy.- Colorectal Cancer: Surveillance after Curative-Intent Therapy.- Colorectal Cancer: Management of Local Recurrence.- Colorectal Cancer: Management of Stage IV Disease.- Appendiceal Neoplasms.- Carcinoids, GISTs and Lymphomas of Colon and Rectum.- Diverticular Disease.- Large Bowel Obstruction.- Lower Gastrointestinal Hemorrhage.- Endometriosis.- Trauma of the Colon, Rectum, and Anus.- Inflammatory Bowel Disease: Pathobiology.- IBD Diagnosis and Evaluation.- Medical Management of Chronic Ulcerative Colitis.- Medical Management of Crohn’s Disease.- Anorectal Crohn’s disease.- Crohn’s Disease: Surgical Management.- Ulcerative Colitis – Surgical Management.- Complications of the Ileal Pouch.- Infectious Colitides.- Clostridium difficile Infection.- Radiation, microscopic, ischemic colitis.- Intestinal Stoma.- Functional Complications After Colon and Rectal Surgery.- Common Tests for the Pelvic Floor.- Evaluation of Constipation and Treatment of Abdominal Constipation.- Obstructed Defecation.- Rectal Prolapse.- Evaluation and Treatment of FI.- Functional Bowel Disorders for the Colorectal Surgeons.- Middle and Anterior Compartment: Issues for the Colorectal Surgeon.- Pediatric Colorectal Disorders.- Considerations for Geriatric Patients Undergoing Colorectal Surgery.- Health Care Economics.- Ethical Issues in Colorectal Surgery.- Welcome to Litigation.- Surgical Education.- Maintenance of Certification: Current Status and Future Considerations.- Quality and Safety in Colon & Rectal Surgery.- Practice Management.
About the author
Scott R. Steele, MD, MBA, FACS, FASCRS
Department of Colorectal Surgery
Cleveland Clinic
Cleveland, OH
USA
Tracy Hull, MD
Department of Colorectal Surgery Surgery,
Cleveland Clinic, Cleveland, OH
USA
Neil Hyman MD, FACS, FASCRS
Section of Colon and Rectal Surgery
University of Chicago Medicine
Chicago, Illinois
USA
Justin A. Maykel, MD, FACS, FASCRS
Division of Colon and Rectal Surgery
University of Massachusetts Memorial Medical Center
Worcester, MA
USA
Thomas E. Read, MD, FACS, FASCRS
Division of Gastrointestinal Surgery
University of Florida College of Medicine
Gainesville, FL
USA
Charles B. Whitlow, MD, FACS, FASCRS
Department of Colon and Rectal Surgery
Ochsner Medical Center
New Orleans, LA
USA
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