Colonic and Rectal Endoscopy

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Colonic and Rectal Endoscopy

Fig. 15.1 Standard colonoscope 12.8 mm. Pediatric colonoscope 11.8 mm From the structural point of view, the colonoscope is composed – from the outside inwards – of an outer cover…

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Physiology of the Rectum and Anus

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Physiology of the Rectum and Anus

Fig. 6.1 Pelvic view of the levator ani demonstrating its three main components: puborectalis, pubococcygeus, iliococcygeus. Reprinted with permission from (Canda et al. 2010) Fig. 6.2 Diagram of a coronal…

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Instruments for the In-Office Diagnosis

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Instruments for the In-Office Diagnosis

Fig. 14.1 Examination table configurations for examination positions. (a) Prone jackknife position. (b) Lithoomy position. (c) Left lateral (Sims’ position) 3 Patient Positions 3.1 Prone Jack-Knife Position The prone jackknife…

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Electrophysiological Study of the Pelvic Floor

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Electrophysiological Study of the Pelvic Floor

Fig. 20.1 Anal sphincter electromyography. Individual motor unit action potentials can no longer be seen at higher levels of muscle activation. (a) Normal (full) interference pattern; (b) reduced (neuropathic) interference…

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Colonic and Rectal Endosonography

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Colonic and Rectal Endosonography

Tumor stage/location Treatment option Polyploid T1m cancer Snare polypectomy Sessile T1m cancer EMR or ESD TAEX T1sm ESD or TAEX T2, no LAR T2, no/low RT-capecitabine followed by LAR T2,…

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Diagnostic Algorithm for Constipation and Obstructed Defecation

Aug 23, 2017 by in ABDOMINAL MEDICINE Comments Off on Diagnostic Algorithm for Constipation and Obstructed Defecation

Antidiarrheal agents Antiparkinson drugs Antiepileptics Antispasmodics Antihistamines Calcium channel blockers Antidepressants Diuretics Antipsychotics Sympathomimetics Antiacids with aluminum or calcium NSAIDs Table 24.2 Condition associated to constipation (Diamant et al. 1999)…

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