Coloproctology: Diagnosis and Outpatient ManagementIn this age of specialization most patients with diseases of the hind gut and anus are still managed by general physicians or surgeons. The speciality of coloproctology has grown from the art of 'anology', a study of conditions limited to that distance from the anal verge that could be inspected easily by torch- or candlelight or with the aid of a simple speculum. Two centuries ago many proctological ills were often treated by itinerant quacks, partly because the physician considered himself rather too grand to meddle around the anus and the medical profession in general tended to look down on those who studied anal disease. Today, in certain countries, coloproctology has become a speciality every bit as exclusive as urology or orthopaedic surgery, with its own training programme and examinations, usually undertaken after the end of general surgical training. Such super-specialization has undeniable advantages with rapidly advancing technology and therapeutic possibilities. There is no doubt that for the patient suffering from a low rectal carcinoma or severe inflammatory bowel disease there are advantages in being treated by surgeons who are dealing with several cases in a year rather than by a general surgeon who sees such problems relatively rarely. Such specialized colorectal surgery units makes good sense medically and economically in large centres of population with good communications. |
Other editions - View all
Coloproctology: Diagnosis and Outpatient Management R.J. Nicholls,R. Glass No preview available - 1985 |
Common terms and phrases
abdominal abnormal abscess acute adenoma anaesthetic anal canal anal sphincter anal verge andthe angiodysplasia anorectal anus assessment barium enema barium enema examination biopsy bleeding blood canbe cancer carcinoma cause chronic colonoscopy colorectal colostomy common condylomata constipation Crohn’s disease defaecation diagnosis diarrhoea digital examination dilatation disorders distension diverticular disease endoscopy excision faecal fissure fistula fistulainano flexible sigmoidoscopy FRCS1 Consultant Surgeon haemorrhoidectomy haemorrhoids Hirschsprung’s histological ileostomy incontinence indicated infection inflammation inflammatory bowel disease instrument internal opening intersphincteric intestinal inthe large bowel laxatives lesions London,UK lumen malignant Management Mark’s Hospitals megacolon mucosa mucus muscle normal occur ofthe pain palpated patients patientswith pelvic floor perianal perineum polyps present proctitis proctoscope produce puborectalis radiotherapy rectal prolapse rectum recurrence resection rigid sigmoidoscopy rubber band ligation shouldbe sigmoid colon skin small bowel solitary ulcer sphincterotomy steroids stool Surg surgery surgical symptomatic symptoms Table theanal thrombosed tissue tothe treatment tumour ulcerative colitis usually varyx