Diverticular Disease

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Diverticular Disease

Diverticulosis Asymptomatic Diverticulitis   Noninflammatory Symptoms without inflammation Acute Symptoms with inflammation  Simple Localized  Complicated With perforation Chronic Persistent, low grade  Atypical Symptoms without systemic signs  Recurring, persistent Symptoms with…

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Local Excision of Rectal Cancer

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Local Excision of Rectal Cancer

Fig. 43.1 (a–c) Transanal excision. (a) A transanal excision is performed by marking out a 1 cm or greater margin around the tumor. (b) A full-thickness excision is then performed…

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Crohn’s Disease: Surgical Management

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Crohn’s Disease: Surgical Management

Age of diagnosis A1 <16 years  A2 17–40 years  A3 >40 years Location L1 ileal  L2 colonic  L3 ileocolic  L4 isolated upper Behavior B1 nonstricturing nonpenetrating  B2 stricturing  B3 penetrating …

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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…

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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…

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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…

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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…

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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…

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