By Steven D. Wexner, Neil Stollman
This primary connection with comprehensively deal with either the scientific and surgical administration of illnesses affecting the colon, this resource spans the wide selection of colorectal problems together with rectal prolapse, irritable bowel syndrome, benign and malignant colonic tumors, fissures and ulcers, and Crohn's colitis, between different diseases. With chapters via global leaders within the box, this advisor analyzes diagnostic and imaging recommendations for ailment evaluate and administration together with advances in colonoscopy, radiology, and surgical procedure.
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Extra resources for Diseases of the Colon (Gastroenterology and Hepatology)
Arch Mikr Anat 1881; 19:721–723. 61. Courtney H. Anatomy of the pelvic diaphragm and anorectal musculature as related to sphincter preservation in anorectal surgery. Am J Surg 1950; 79:155–173. 62. Haas PA, Fox TA. The importance of the perianal connective tissue in the surgical anatomy and function of the anus. Dis Colon Rectum 1977; 20:303–313. 63. Goligher JC, Leacock AG, Brossy JJ. The surgical anatomy of the anal canal. Br J Surg 1955; 43:51–61. 64. Oh C, Kark AE. Anatomy of the external anal sphincter.
Endoscopic placement of a long decompression tube to at least proximal to the splenic flexure will usually effectively treat this condition. In one study of 24 patients with suspected Ogilvie’s syndrome, colonoscopy identified four patients (17%) with mechanical bowel obstruction (15). Colonoscopic examination in the patient with large bowel obstruction is preferably performed after prepping the patient with a tap-water enema. Laxatives should never be given to a patient with suspected large bowel obstruction because increased colonic distension may occur, thereby increasing the risk of perforation.
Of the medial pelvicaudal compartment, the pubo- and ileococcygeus. In addition, most primates possess a variable-sized group of muscle fibers close to the inner border of the medial pelvicaudal muscle, which attach the rectum to the pubis; these fibers are more distinct and known in man as the puborectalis (PR) muscle. 5 to 4 cm long, condensation of the inner circular muscle layer of the rectum (Fig. 6). 2 cm distal to the dentate line; the groove between it and the EAS, the intersphincteric sulcus, can be visualized or easily palpated.