Titlebook: Current Common Dilemmas in Colorectal Surgery; Christopher M. Schlachta,Patricia Sylla Book 2018 Springer International Publishing AG 2018

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Enhanced Recovery Pathways: Is It Laparoscopy or Is It Everything Else?e, decrease postoperative pain, hasten gastrointestinal function and return to independence, which have translated into improved clinical outcomes. But there are limitations in what surgical technique alone can achieve. Many other aspects of perioperative care play an important role in the surgical

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Improving Endoscopic Detection of Dysplasia in Inflammatory Bowel Disease: Where Do We Stand?detect dysplasia and early colorectal cancer is therefore one of the key elements of health care maintenance in IBD patients. In general, patients with left-sided or extensive colitis should have surveillance exams every 1–2?years starting 8?years after diagnosis. Dysplasia surveillance has typicall

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Management of Dysplasia in IBDught to develop along the inflammation-dysplasia-neoplasia sequence. Whereas in the past, a finding of any degree of dysplasia in the setting of IBD colitis was managed with surgery, our ability to manage dysplasia endoscopically with enrollment in an endoscopic surveillance program and/or endoscopi

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Beyond Piecemeal Polypectomy: EMR and ESDarly-stage colon cancers. In the USA, many large, laterally spreading adenomatous colon polyps and early-stage colon cancers detected at the time of colonoscopy have traditionally been referred for surgical resection. However, with the advent and widespread adoption of endoscopic mucosal resection (

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Transanal Endoscopic Surgery (TES)echnique in colorectal surgery, transanal endoscopic microsurgery (TEM). The initial results comparing TEM to the standard of care, transanal excision (TAE), revealed that TEM was associated with superior quality of resection demonstrated by the higher rate of achieving negative margins. Longer-term

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Fulminant , Colitis: Colon-Preserving Therapiesy and mortality remains high. In recent years, surgeons have suggested that the time to operation is key to improving outcomes. However, since emergency total abdominal colectomy in a critically ill patient may result in significant morbidity, it is often left as a procedure of last resort. Given th