Physiologic Testing

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Physiologic Testing

Type of test Measured modality Primary indication Test of function Anorectal manometry Function of anal sphincter Fecal incontinence, nonrelaxation of the pelvic floor, Hirschsprung’s disease Rectoanal reflexes Anorectal sensation Rectal…

read more

Endoscopy

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Endoscopy

Fig. 5.1 Buie anoscope Fig. 5.2 Lighted Welch-Allyn anoscope Slotted or side opening: Vernon-David scope with Hirschman handle (Fig. 5.3) and Hinkel-James anoscope (Fig. 5.4) Fig. 5.3 Vernon-David with Hirschman…

read more

Anal Cancer

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Anal Cancer

Fig. 20.1 (a, b) Terminology for location of anal and perianal lesions. Tumors A, B, and C represent ANAL lesions that are not visible or are incompletely visible while gentle…

read more

Fecal Incontinence

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Fecal Incontinence

Type of incontinence   Frequency  Never Rarely Sometimes Usually Always Solid 0 1 2 3 4 Liquid 0 1 2 3 4 Gas 0 1 2 3 4 Pad usage 0…

read more

Lower Gastrointestinal Hemorrhage

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Lower Gastrointestinal Hemorrhage

Etiology N (%) Diverticulosis 227 (37.34) Hemorrhoids 128 (21.05) Neoplasia 72 (11.84) Colitis 65 (10.69) Inflammatory bowel disease 33 (5.43) Vascular ectasias 14 (2.30) Other colonic disease 40 (6.58) Small-intestine…

read more

The Preoperative Staging of Rectal Cancer

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on The Preoperative Staging of Rectal Cancer

Location Morphology Number of quadrants involved Degree of fixation Mobility Extrarectal growths Direct continuity with other structures (vagina) DRE alone is considered inadequate in the staging of rectal cancer. Rectal…

read more

Colorectal Cancer: Metastatic (Palliation)

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Colorectal Cancer: Metastatic (Palliation)

Fig. 47.1 Schematic illustrating the multistep process involved in the development of metastasis (With permission from DeVita VT Jr., Hellman S, Rosenberg SA. Cancer: Principles and Practice of Oncology, 6th…

read more

Postoperative Complications

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Postoperative Complications

1. Ensure good blood supply (pulsatile bleeding from marginal artery at level of anastomosis) 2. Ensure tension-free anastomosis by complete mobilization of splenic flexure (includes high ligation of inferior mesenteric artery and…

read more
Get Clinical Tree app for offline access