Radiology

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Radiology

Abdominal, flank, or pelvic pain Vomiting Abdominal distention, bloating, or increased girth Evaluation for and follow-up of bowel obstruction or nonobstructive ileus Constipation Diarrhea Palpable abdominal mass or organomegaly Follow-up…

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Presacral Tumors

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Presacral Tumors

Fig. 21.1 Relationship of pelvic structures to presacral space This space extends superiorly to the peritoneal reflection and inferiorly to the rectosacral fascia and the supralevator space. Laterally, the area…

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Other Benign Colorectal Disorders

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Other Benign Colorectal Disorders

Fig. 34.1 Endoscopic appearance of gonococcal proctitis. Notice the mucopurulent discharge Culture for N. gonorrhoeae requires a Thayer–Martin chocolate agar and remains the “gold standard” for diagnosis. Antimicrobial treatment must…

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Hereditary Colorectal Cancer

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Hereditary Colorectal Cancer

Fig. 37.1 Colorectal cancer viewed broadly Non-syndromic hereditary colorectal cancer refers to familial clustering that does not fit criteria for the definition of a syndrome and no germ line mutation…

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Hemorrhoids

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Hemorrhoids

Symptom Differential diagnoses Pain Thrombosed hemorrhoids, fissure, abscess, fistula, pruritus, anorectal Crohn’s disease, anismus, abscess Bleeding Internal or external hemorrhoids, fissure, fistula, hypertrophic papilla, polyps, anal or colorectal cancer, ulcerative…

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Endoluminal Ultrasound

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Endoluminal Ultrasound

Fig. 7.1 Five-layer anatomic model of an ERUS scan. Three hyperechoic (white) layers and two hypoechoic (black) layers are visualized. A anterior, L left, P posterior, R right, T transducer…

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Pediatric Colorectal Disorders

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Pediatric Colorectal Disorders

Fig. 50.1 Transanal procedure. (a) Exposure and placing traction sutures. (b) Start full thickness rectal dissection above pectinate line. (c) Pulling rectosigmoid down Full-thickness biopsies are taken to determine the…

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Polyps

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Polyps

Fig. 36.1 Endoscopic appearance of a pedunculated adenoma Fig. 36.2 Endoscopic appearance of a sessile adenoma (Courtesy of Roberta L. Muldoon) Adenomas are classified as tubular, villous, or tubulovillous. The…

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Anorectal Abscess and Fistula

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Anorectal Abscess and Fistula

Potential space Superior border Anterior border Inferior border Posterior border Lateral border Medial border Other features Perianal space   Anal verge  Becomes continuous with the ischioanal fat Lower portion of anal…

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