By David Beck
Thoroughly revised and elevated to incorporate the newest technological advances, the second one version illustrates key anatomical buildings, exam tactics, and surgical thoughts for correct prognosis, administration, and therapy of sufferers with colorectal disorders—providing unequaled insurance of assorted tools in preoperative training and overview, ache administration, sedation, and wound deal with stipulations equivalent to ulcerative colitis, Crohn’s sickness, diverticulitis, and colorectal carcinoma.
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Additional resources for Handbook of Colorectal Surgery, Second Edition,
Postoperative Ileus Postoperative ileus is a temporary impairment of intestinal motility after operation. Ileus is most commonly seen after laparotomy, but it may follow thoracot- Pathophysiology 17 omy or other extraperitoneal procedures. In the past, the duration of postoperative ileus has been said to be proportional to the severity and duration of the surgical procedure. However, experimental evidence exists showing that the recovery of coordinated intestinal function is not influenced by either the magnitude or the length of an operative procedure [16,17].
3rd ed. Philadelphia: JB Lippincott, 1993: 1–13. 4 Diagnostic Imaging David E. A. In recent years there have been numerous technological developments in radiology that help physicians in their evaluations of colorectal patients. Radiological studies include plain radiographs, contrast enemas, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET scan). With this diversity of choice, an understanding of the benefits and limitations of the different radiological procedures is helpful in determining which is the most useful examination for a particular problem .
Symptoms of systemic diseases that may have an intestinal component are also reviewed. Weight gain, letheragy, and constipation might suggest hypothyroidism, whereas weight loss, rapid heart rate, skin changes, and diarrhea could result from hyperthyroidism. Past Medical History A survey of the patient’s medical history should he included, with particular attention to prior colorectal problems, previous abdominal and anorectal operations, difficult labor or childbirth, and prior infections. Current prescription and over-the-counter medications must be reviewed.
Handbook of Colorectal Surgery, Second Edition, by David Beck