Titlebook: Difficult Decisions in Colorectal Surgery; Neil Hyman,Konstantin Umanskiy Book 20171st edition Springer International Publishing Switzerla

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IBD: Elective Surgical Management in Patients with Ulcerative Colitis-How Many Stages?ts who require surgery. While most patients requiring surgery for ulcerative colitis are young and are at baseline in good health, many are at least temporarily debilitated from either severity of disease, infection, malnutrition, obesity, or from side effects of immunosuppressant medications. These

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Which Ulcerative Colitis Patients Should Not Have Ileal Pouch-Anal Anastomosisfor this selected group, but proctocolectomy with ileal pouch-anal anastomosis has evolved to supplant proctocolectomy with end ileostomy as the procedure of choice for most patients. However, careful review of the literature suggests that the two procedures are associated with comparable long-term

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Management of Pouch-Vaginal Fistulasolved into the mainstay surgical treatment for most patients who require surgery for ulcerative colitis (UC) and many others with familial adenomatouspolyposis (FAP) [2–5]. Pouch vaginal fistula (PVF) is a specific complication after IPAA, first reported by Wong et al. in 1985 [6]. Though not a comm

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Crohn’s Colitis and Ileal Pouch Anal Anastomosisitis are often excluded from undergoing IPAA related to a number of key concerns: the risk of developing recurrent disease in the pouch necessitating pouch excision with possible ensuing short bowel syndrome, coupled with the risks of significant pouch dysfunction and the need for long-term medical

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Steroid Management in Patients Undergoing Surgery for IBD in the perioperative steroid management of this patient cohort. Historically, standard practice has entailed stress-dose or high-dose perioperative steroids in these patients undergoing surgery to prevent perioperative adrenal insufficiency (AI), cardiovascular collapse and death. Stress-dose stero

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IBD: Management of Dysplasia in Patients with Ulcerative Colitisisease (IBD) patients. Controversy surrounds the use of prophylactic colectomy when dysplasia is detected. The relatively high risk of progression to CRC must be weighed against the risks associated with total proctocolectomy (TPC) ± ileal pouch anal anastomosis (IPAA), which, in contrast, are relat

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Post-operative Prophylaxis in Patients with Crohn’s Disease of the gastrointestinal tract, but most commonly affects the terminal ileum and proximal colon. Up to 80 % of CD patients will require at least one abdominal surgery in their lifetime [1]. Unfortunately, surgery is not curative and recurrence is the norm, rather than the exception. Endoscopic recur

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Utility of Primary Tumor Resection in Asymptomatic, Unresectable Metastatic Colon and Rectal Cancer]. Curative resection of the primary tumor and metastases can improve 5-year overall survival (OS) to 30–50 % [2]. Unfortunately, about three-quarters of patients with metastatic CRC present with unresectable disease to the liver [3]. In this setting, the principal treatment is chemotherapy, with an

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Management of Large Sessile Cecal Polypsy perform colonoscopy. This chapter is intended for a Western audience. It is important to note that the literature referenced in this chapter pertains to large bowel adenomas and is not necessarily specific to cecal lesions.