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  • 1
    Online Resource
    Online Resource
    The ASCRS textbook of colon and rectal surgery (2007)
    New York, NY : Springer Science+Business Media, LLC
    Details Availability
    Keywords: Medicine ; Medicine & Public Health ; Colon (Anatomy) Surgery ; Gastroenterology ; Surgery ; Colon (Anatomy) Surgery ; Gastroenterology ; Surgery ; Medicine ; Colon surgery ; Rectum surgery ; Colonic Diseases surgery ; Rectal Diseases surgery ; Colon (Anatomy) Surgery ; Rectum Surgery ; Colonchirurgie ; Mastdarmchirurgie
    Description / Table of Contents: From the contents: Anatomy (Colon, Rectum, Anus) and Embriology (Normal and Abnormal) -- Physiology: Colonic -- Physiology: Anorectal -- Diagnostic Evaluations: Physiologic Testing (PNTML, Manometry, Defecogram) -- Diagnostic Evaluations: Endoscopy (Rigid, Flexible, Complications) -- Diagnostic Evaluations: Radiology/Nuclear/PET, CT Colography -- Diagnostic Evaluations: Ultrasound -- Preoperative Management: Bowel Preparation, Medical Evaluation -- Postoperative Management: Pain and Anesthetic, Fluids and Diet -- Postoperative Complications -- Benign Anorectal: Hemorrhoids -- Benign Anorectal: Anal Fissure, Anal Stenosis -- Benign Anorectal: Abscess and Fistula -- Benign Anorectal: Rectovaginal Fistula -- Benign Anorectal: Hidradentis Suppurativa, Pilonidal Disease -- Benign Anorectal: Perianal Dermatology and Pruritis Ani -- STD -- Benign Colon - Diverticular Disease -- Benign Anorectal: Volvulus -- GI Bleeding: Massive and Vascular Malformations, Occult -- Endometriosis -- Trauma: Colonic (Abdominal), Anorectal, Foreign Body -- Colon Cancer: Evaluation and Staging and Etiology -- Colorectal Neoplasms: Screening and Prevention -- Colorectal Neoplasms: Polyps -- Polyposis Syndromes -- Colon Cancer Evaluation and Staging -- Colon Cancer Surgical Management -- Rectal Cancer Evaluation and Staging -- Rectal Cancer Surgical Management -- Adjuvant Therapy -- Colorectal Cancer Follow-up -- Colorectal Cancer: Locally Advanced and Recurrent -- Colorectal Cancer: Metastatic (Paliation)
    Type of Medium: Online Resource
    Pages: Online-Ressource (XXIV, 816p. 384 illus., 65 illus. in color. eReference, digital)
    ISBN: 9780387363745
    Series Statement: SpringerLink
    URL: https://doi.org/10.1007/978-0-387-36374-5
    URL: http://dx.doi.org/10.1007/978-0-387-36374-5
    URL: https://swbplus.bsz-bw.de/bsz322108551cov.jpg
    URL: https://swbplus.bsz-bw.de/bsz261211773kap-2.htm
    URL: https://swbplus.bsz-bw.de/bsz261211773vor.htm
    URL: https://swbplus.bsz-bw.de/bsz261211773inh.htm
    URL: http://www.gbv.de/dms/bowker/toc/9780387363745.pdf
    DOI: 10.1007/978-0-387-36374-5
    RVK:
    YI 8600
    Language: English
    Note: Includes bibliographical references and index
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  • 2
    Electronic Resource
    Electronic Resource
    Selected abstracts (1991)
    Springer
    Diseases of the colon & rectum 34 (1991), S. 203-206 
    Details
    ISSN: 1530-0358
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02050003
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Clinical course of Crohn's disease in older patients (1990)
    Springer
    Diseases of the colon & rectum 33 (1990), S. 458-462 
    Details
    ISSN: 1530-0358
    Keywords: Crohn's disease ; Crohn's disease and age ; Crohn's ileocolitis ; Crohn's ileitis ; Crohn's colitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors retrospectively reviewed the records of 50 patients whose initial diagnosis of Crohn's disease was made after the age of 50 years on the basis of strict histopathologic criteria. Progress of the 32 women and 18 men with a median age of 60 years (range, 50 to 78 years) was followed for a median of 95.5 months (range, 81.1 to 236.6 months). The most common presenting signs and symptoms were abdominal pain (82 percent), diarrhea (70 percent), weight loss (56 percent), bleeding from the gastrointestinal tract (26 percent), abdominal mass (16 percent), and fistula (14 percent). Initial operations performed were ileocolic resection (38 percent), proctocolectomy (16 percent), small bowel resection (10 percent), colostomy (2 percent), and a variety of segmental resections of the colon (34 percent). The overall recurrence rate of disease in patients in whom all obvious disease was resected, based on distribution of disease, was 80 percent (ileocolitis), 38 percent (ileitis), and 35 percent (colitis). Crohn's disease more often affects the distal gastrointestinal tract in older age groups. After resection, however, the clinical course is similar to that of the younger population. The high recurrence rate of Crohn's colitis is probably a result of the large number of initial segmental resections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02052138
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  • 4
    Electronic Resource
    Electronic Resource
    Selected abstracts (1992)
    Springer
    Diseases of the colon & rectum 35 (1992), S. 516-518 
    Details
    ISSN: 1530-0358
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02049416
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  • 5
    Electronic Resource
    Electronic Resource
    Alteration in intestinal permeability after ileal pouch-anal anastomosis (1993)
    Springer
    Diseases of the colon & rectum 36 (1993), S. 922-926 
    Details
    ISSN: 1530-0358
    Keywords: Ileal pouch-anal anastomosis ; Bowel permeability ; Ulcerative colitis ; Familial polyposis ; Lactulose ; Mannitol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PPURPOSE: The physiologic changes that occur when the small bowel is used as a reservoir, as in the ileal pouchanal anastomosis, are poorly understood. Alterations in bowel permeability, which may lead to bacterial translocation that could result in illness or dysfunction of the pouch, may be one such consequence of the pouch procedure. METHODS: Whole-bowel permeability was evaluated in patients with and without the pouch through the use of an orally consumed nonmetabolizable sugar clearance technique. Patients in whom the ileal pouchanal anastomosis was performed for ulcerative colitis (17 patients) and patients with familial polyposis (7 patients) were compared with normal healthy volunteers (10 patients) and patients with ulcerative colitis with and without curative colectomy and ileostomy (6 and 5 patients, respectively). RESULTS: Measured by this technique, no differences were noted in bowel permeability between the volunteers and patients with ulcerative colitis, even after colectomy and ileostomy (1.7±0.4 in normal healthy volunteers, 1.8±0.5 in patients with ulcerative colitis without stoma, and 1.4±0.2 in patients with ulcerative colitis with ileostomy). The group of patients with an ileal reservoir, however, had a significantly increased index of measured bowel permeability (3.5±0.5 in patients with ulcerative colitis and 5.1±0.7 in patients with familial polyposis; P〈0.05 by analysis of variance compared with normal healthy volunteers and patients with ulcerative colitis with or without ileostomy). CONCLUSION: The exact site, cause, and consequence of this possible alteration of bowel permeability are unclear but appear to be related to the presence of the pouch and are not caused by the underlying pathologic diagnosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02050626
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  • 6
    Electronic Resource
    Electronic Resource
    Selected abstracts (1993)
    Springer
    Diseases of the colon & rectum 36 (1993), S. 520-527 
    Details
    ISSN: 1530-0358
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02050024
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  • 7
    Electronic Resource
    Electronic Resource
    Selected abstracts (1994)
    Springer
    Diseases of the colon & rectum 37 (1994), S. 1050-1054 
    Details
    ISSN: 1530-0358
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02049326
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  • 8
    Electronic Resource
    Electronic Resource
    Fertility and sexual and gynecologic function after heal pouch-anal anastomosis (1994)
    Springer
    Diseases of the colon & rectum 37 (1994), S. 1126-1129 
    Details
    ISSN: 1530-0358
    Keywords: Ileal pouchanal anastomosis ; Infertility ; Dyspareunia ; Pelvic cyst ; Childbirth
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: This study was designed to determine the incidence of infertility, gynecologic problems, and sexual dysfunction after ileal pouch-anal anastomosis (IPAA). METHODS: A questionnaire was sent to 206 females who underwent pouch surgery at a single institution from 1980 through 1991. Response rate was 53 percent (110/206). The computerized registry of the 206 females undergoing IPAA at this institution was reviewed to add additional data. RESULTS: Mean age at pouch construction was 32 (range, 14–61) years. Mean time from pouch surgery to survey was 49 (range, 1–132) months. Fifty-seven females had 119 children before pouch surgery, and 23 children were born to 19 females after IPAA (5 vaginal deliveries, 18 Cesarean sections). Eighteen females experienced infertility after IPAA. Thirty patients had persistent dyspareunia. Pelvic cysts developed in 15 patients; 11 patients required surgery. CONCLUSIONS: Although childbirth appears safe, gynecologic problems, such as dyspareunia and formation of pelvic cysts, may be underestimated after IPAA. The effects of IPAA on fertility are still unknown.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02049815
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  • 9
    Electronic Resource
    Electronic Resource
    Anal fissure in Crohn's disease: A plea for aggressive management (1995)
    Springer
    Diseases of the colon & rectum 38 (1995), S. 1137-1143 
    Details
    ISSN: 1530-0358
    Keywords: Fissure-in-ano ; Crohn's disease ; Anal surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: This study was undertaken to identify clinical characteristics, natural history, and results of medical and surgical treatment of anal fissures in Crohn's disease. METHODS: This is a retrospective review of patients with Crohn's disease and anal fissure. RESULTS: Of the 56 study patients, 49 (84 percent) had symptomatic fissures. Fissures were most commonly (66 percent) located in the posterior midline, and 18 patients (32 percent) had multiple fissures. Fissures healed in one-half of patients treated medically. Factors predictive of successful medical treatment included male gender, painless fissure, and acute fissure. Of 15 patients, 10 (67 percent) treated surgically healed. Fissures in seven of eight patients (88 percent) who underwent anorectal procedures healed compared with fissures in only three of seven patients (43 percent) who underwent proximal intestinal resection. In the group of 50 patients with complete follow-up studies, an anal abscess or fistula from the base of an unhealed fissure developed in 13 patients (26 percent). More fissures healed after anorectal surgery (88 percent) than after medical treatment alone (49 percent; P=0.05) or after abdominal surgery (29 percent; P=0.03). CONCLUSION: This series documents that unhealed fissures frequently progress to more ominous anal pathologic disease. Judicious use of internal sphincterotomy appears to be safe for fissures unresponsive to medical treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02048328
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  • 10
    Electronic Resource
    Electronic Resource
    Selected abstracts (1995)
    Springer
    Diseases of the colon & rectum 38 (1995), S. 444-446 
    Details
    ISSN: 1530-0358
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02054240
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