Current Therapy in Colon and Rectal Surgery

Extensively revised, this 2nd Edition focuses exclusively on
practical clinical science and advances in colon and rectal surgery.
It continues to provide expert perspectives and essential information
on current therapiesranging from new diagnostic modalities and
medical therapeutics to surgical treatment options, including minimal
access surgery.

About the Author
Victor W. Fazio, MD, FRACS, FACS, Cleveland Clinic Foundation; James
M. Church, MB, ChB, MMedSci, FRACS, FACS, Cleveland Clinic
Foundation; and Conor P. Delaney, MD, PhD, Cleveland Clinic
Foundation, Cleveland, OH

차 례
Ch. 1 Anatomy and physiology of the anorectum 1
Ch. 2 Hemorrhoids 11
Ch. 3 Anal fissure 19
Ch. 4 Anorectal abscess 23
Ch. 5 Anal fistula 27
Ch. 6 Rectovaginal fistula 35
Ch. 7 Pilonidal sinus 41
Ch. 8 Perianal hidradenitis suppurativa 45
Ch. 9 Pruritus ani 49
Ch. 10 Anal stenosis 55
Ch. 11 Anal and perianal warts 61
Ch. 12 Anorectal venereal infections 67
Ch. 13 Bowen's disease and Paget's disease 75
Ch. 14 Melanoma and basal cell carcinoma of the anus 79
Ch. 15 Anal carcinoma 83
Ch. 16 Pelvic pain syndromes 89
Ch. 17 Anorectal congenital disorders 93
Ch. 18 Hirschsprung's disease 99
Ch. 19 Fecal incontinence 105
Ch. 20 Anatomy and physiology of the colon and rectum 113
Ch. 21 Rectal stricture 125
Ch. 22 Fecal impaction 129
Ch. 23 Rectal prolapse 131
Ch. 24 Solitary rectal ulcer 135
Ch. 25 Rectocele 139
Ch. 26 Rectal trauma 143
Ch. 27 Rectal foreign bodies 149
Ch. 28 Diagnosis and management of sacral and retrorectal tumors 153
Ch. 29 Villous tumors of the rectum 161
Ch. 30 Preoperative evaluation of the rectal cancer patient :
assessment of operative risk and strategy 165
Ch. 31 Cancer of the rectum : operative management and adjuvant
therapy 171
Ch. 32 Rectal cancer : local treatment 179
Ch. 33 Cancer of the rectum : follow-up and management of local
recurrence 185
Ch. 34 Perineal hernia 191
Ch. 35 Preoperative preparation of the colon and rectal surgical
patient 195
Ch. 36 Medical treatment of ulcerative colitis and other colitides
203
Ch. 37 Chronic ulcerative colitis : surgical options 211
Ch. 38 Management of toxic ulcerative colitis 219
Ch. 39 Pelvic pouch anastomotic complications and management 225
Ch. 40 Pouchitis and functional complications of the pelvic pouch 229
Ch. 41 The continent ileostomy - management of complications 235
Ch. 42 Unhealed perineal wound 241
Ch. 43 Medical treatment of Crohn's disease 245
Ch. 44 Crohn's colitis 251
Ch. 45 Perianal Crohn's disease 255
Ch. 46 Acute appendicitis 259
Ch. 47 Cecal ulcer 263
Ch. 48 Pseudomembranous colitis 267
Ch. 49 Cytomegalovirus ileocolitis and Kaposi's sarcoma in AIDS 271
Ch. 50 Diagnosis and medical management of acute colonic
diverticulitis 277
Ch. 51 Surgical treatment of diverticulitis 285
Ch. 52 Diverticulitis and fistula 297
Ch. 53 Lower gastrointestinal bleeding 301
Ch. 54 Large bowel obstruction 307
Ch. 55 Volvulus of the colon 315
Ch. 56 Pseudo-obstruction (Ogilvie's syndrome) 321
Ch. 57 Management of the malignant polyp 327
Ch. 58 Treatment of colorectal adenomas : screening, follow-up and
surveillance 331
Ch. 59 Molecular genetics of colorectal cancer 343
Ch. 60 Familial adenomatous polyposis 349
Ch. 61 Desmoid tumors 355
Ch. 62 Hereditary nonpolyposis colorectal cancer 359
Ch. 63 Cancer of the appendix and pseudomyxome peritonei syndrome 369
Ch. 64 Management of cancer of the colon (including adjuvant therapy)
379
Ch. 65 Chemotherapy for metastatic colon cancer 389
Ch. 66 Management of colorectal liver metastases 395
Ch. 67 Resection of colorectal pulmonary metastases 405
Ch. 68 Nonepithelial colorectal tumors 409
Ch. 69 Colonic ischemia 415
Ch. 70 Management and treatment of colon and rectal trauma 421
Ch. 71 Endometriosis of the colon and rectum 427
Ch. 72 Pneumatosis cystoides intestinalis 431