Principles and practice of surgery for the colon, rectum, and anus:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
St. Louis, Mo.
Quality Med. Publ.
1999
|
| Edition: | 2. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXX, 1455 S. Ill., graph. Darst. |
| ISBN: | 1576260178 |
Staff View
MARC
| LEADER | 00000nam a2200000 c 4500 | ||
|---|---|---|---|
| 001 | BV012233162 | ||
| 003 | DE-604 | ||
| 005 | 19990125 | ||
| 007 | t | ||
| 008 | 981029s1999 ad|| |||| 00||| eng d | ||
| 020 | |a 1576260178 |9 1-57626-017-8 | ||
| 035 | |a (OCoLC)39508247 | ||
| 035 | |a (DE-599)BVBBV012233162 | ||
| 040 | |a DE-604 |b ger |e rakddb | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-355 |a DE-20 | ||
| 050 | 0 | |a RD544 | |
| 082 | 0 | |a 617.5/547 |2 21 | |
| 082 | 0 | |a 616.5/547 |2 21 | |
| 084 | |a YI 8600 |0 (DE-625)153698:12905 |2 rvk | ||
| 245 | 1 | 0 | |a Principles and practice of surgery for the colon, rectum, and anus |c Philip H. Gordon ; Santhat Nivatvongs |
| 246 | 1 | 3 | |a Colon, rectum, and anus |
| 250 | |a 2. ed. | ||
| 264 | 1 | |a St. Louis, Mo. |b Quality Med. Publ. |c 1999 | |
| 300 | |a XXX, 1455 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 4 | |a Anus Diseases |x surgery | |
| 650 | 4 | |a Anus |x Surgery | |
| 650 | 4 | |a Colon (Anatomy) |x Surgery | |
| 650 | 4 | |a Colonic Diseases |x surgery | |
| 650 | 4 | |a Colorectal Neoplasms |x surgery | |
| 650 | 4 | |a Rectal Diseases |x surgery | |
| 650 | 4 | |a Rectum |x Surgery | |
| 650 | 0 | 7 | |a Anorektale Krankheit |0 (DE-588)4227452-7 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Mastdarmchirurgie |0 (DE-588)4123723-7 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Colonchirurgie |0 (DE-588)4251472-1 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Chirurgie |0 (DE-588)4009987-8 |2 gnd |9 rswk-swf |
| 655 | 7 | |0 (DE-588)4151278-9 |a Einführung |2 gnd-content | |
| 689 | 0 | 0 | |a Anorektale Krankheit |0 (DE-588)4227452-7 |D s |
| 689 | 0 | 1 | |a Chirurgie |0 (DE-588)4009987-8 |D s |
| 689 | 0 | |5 DE-604 | |
| 689 | 1 | 0 | |a Colonchirurgie |0 (DE-588)4251472-1 |D s |
| 689 | 1 | |5 DE-604 | |
| 689 | 2 | 0 | |a Mastdarmchirurgie |0 (DE-588)4123723-7 |D s |
| 689 | 2 | |5 DE-604 | |
| 700 | 1 | |a Gordon, Philip H. |d 1962- |e Sonstige |0 (DE-588)113930410 |4 oth | |
| 700 | 1 | |a Nivatvongs, Santhat |e Sonstige |4 oth | |
| 856 | 4 | 2 | |m HBZ Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008289178&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-008289178 | ||
Record in the Search Index
| _version_ | 1804126849799815168 |
|---|---|
| adam_text | Con
I Essential
1 Surgical Anatomy, 3
Santhat Nivatvongs • Philip H. Gordon
Colon, 4
General Configuration, 4
Course and Relations, 5
Peritoneal Coverings, 6
Ileocecal Valve, 7
Rectum, 7
Peritoneal Relations, 8
Fascial Attachments, 8
Histology, 9
Anal Canal, 11
Lining of Canal, 12
Anal Transitional Zone, 13
Anal Glands, 13
Muscles of the Anorectal Region, 14
Internal Sphincter Muscle, 14
Conjoined Longitudinal Muscle, 14
External Sphincter Muscle, 14
Perineal Body, 15
Pelvic Floor Muscles, 15
Anorectal Ring, 19
Anorectal Spaces, 19
Perianal Space, 19
Ischioanal Space, 21
Intersphincteric Space, 21
Supralevator Space, 21
Submucous Space, 21
Superficial Postanal Space, 21
Deep Postanal Space, 21
Retrorectal Space, 21
tents
Considerations
Arterial Supply, 22
Ileocolic Artery, 22
Right Colic Artery, 22
Middle Colic Artery, 22
Inferior Mesenteric Artery, 22
Superior Rectal Artery, 23
Middle Rectal Arteries, 24
Inferior Rectal Arteries, 25
Median Sacral Artery, 25
Collateral Circulation, 25
Venous Drainage, 29
Superior Mesenteric Vein, 29
Inferior Mesenteric Vein, 29
Lymphatic Drainage, 30
Colon, 30
Rectum and Anal Canal, 32
Innervation, 33
Colon, 33
Rectum, 34
Anal Canal, 37
2 Physiology, 41
W. Rudolf Schouten • Philip H. Gordon
COLONIC PHYSIOLOGY, 42
Functions, 42
Absorption and Secretion, 42
Digestion, 44
Propulsion and Storage, 44
Microflora, 53
Common Microflora, 53
Metabolic Activity, 54
Intestinal Gas, 54
ANORECTAL PHYSIOLOGY, 55
Anal Continence, 55
Mechanisms of Continence, 55
Defecation, 64
Usual Sequence of Events, 64
Responses to Entry of Material Into the
Rectum, 64
Commencement of Defecation, 65
Urgent Defecation, 66
Pathologic Conditions, 66
Investigative Techniques, 66
Manometry, 67
Defecography and Balloon Proctography, 71
Simultaneous Dynamic Proctography and
Peritoneography, 72
Balloon Expulsion Test, 73
Saline Continence Test, 73
Colonic Transit Studies, 74
Anorectal Sensitivity, 74
Rectal Compliance, 74
Electromyography, 75
Nerve Stimulation Techniques, 76
Ultrasonography, 78
Magnetic Resonance Imaging, 79
Clinical Application, 79
Anal Incontinence, 79
Constipation, 80
Rectal Procidentia, 80
Rectocele, 80
Solitary Ulcer Syndrome, 80
Descending Perineum Syndrome, 80
Fissure in Ano, 80
Hemorrhoids, 81
Anorectal Malformations, 81
Aging, 81
Coloanal Anastomosis, 81
Fistula in Ano, 81
Trauma, 81
Pelvic Pouches, 81
Inflammatory Bowel Diseases, 81
Ischemic Fecal Incontinence, 81
Miscellaneous, 82
3 Diagnosis, 87
Santhat Nivatvongs
Patient History, 88
Symptoms, 88
Associated Illnesses, 91
Medications, 91
Family History, 91
Bleeding Tendency, 92
Exposure, 92
Physical Examination, 92
Room, 92
Equipment, 92
General Examination, 98
Anorectal Examination, 98
Radiologic Examination, 101
Plain Films of Abdomen, 101
Barium Enema Studies, 102
Water Soluble Contrast Media Studies, 102
Barium Enema vs. Colonoscopy, 103
Genitourinary Examination, 103
Fistulography, 104
Arteriography, 104
Radionuclide Studies, 105
Diagnostic Imaging, 106
Colonoscopy, 112
How Difficult Is Colonoscopy? 113
Bowel Preparation, 113
Medications, 114
Antibiotic Prophylaxis, 114
Indications, 115
Contraindications, 116
Basic Concepts in Technique, 116
Complications, 118
Colonoscopic Polypectomy, 119
Intraoperative Colonoscopy, 124
Examination of Stool, 125
Occult Blood Testing, 125
Diarrheal Stool Examination, 126
Examination for Steatorrhea, 127
4 Preoperative and Postoperative
Management, 133
W. Rudolf Schouten • Philip H. Gordon
General Considerations, 134
Preoperative Discussion, 134
Assessment of Operative Risk, 134
Colon Operation, 137
Preoperative Preparation, 137
Mechanical Bowel Preparation, 138
Antibiotic Bowel Preparation, 142
Postoperative Care, 144
Anorectal Operation, 148
Preoperative Preparation, 148
Intraoperative Fluid Restriction, 148
Wound Healing, 148
Postoperative Care, 149
5 Local Anesthesia in Anorectal
Surgery, 155
Santhat Nivatvongs
Selection of Patients, 156
Applicable Conditions, 156
Actions of Agent, 156
Disposition of Agent, 157
Choice of Agent, 157
Epinephrine, 157
Hyaluronidase, 158
Minimizing Pain in Local Anesthesia, 158
Methods of Injection, 158
Buffering, 158
Adverse Reactions, 158
Allergic Reactions, 158
Toxic Reactions, 159
Treatment of Adverse Reactions, 159
Prevention of Adverse Reactions, 160
Induction of Anesthesia, 160
Techniques of Local Anesthesia, 160
General Considerations, 160
Conventional Technique, 161
Improved Technique, 161
6 Pharmacology of Anorectal
Preparations, 165
Philip H. Gordon
Classification, 166
Topical Anesthetics and Analgesics, 166
Antiseptics, 167
Astringents, 167
Protectants, 167
Vasoconstrictors, 167
Wound Healing Agents, 168
Corticosteroids, 168
5 Aminosalicylic Acid Products, 169
Nitroglycerin, 169
Miscellaneous, 169
Dosage Forms, 169
Ointments, 169
Suppositories, 169
Foams, 169
Enemas, 170
Product Selection Guidelines, 170
Patient Considerations, 170
Product Considerations, 170
Discussion, 170
7 Electrosurgery and Laser Surgery:
Basic Applications, 173
Santhat Nivatvongs • Lee E. Smith
ELECTROSURGERY, 174
Definition, 174
Monopolar and Bipolar Electrodes, 175
Monopolar vs. Bipolar Electrocautery, 175
Basic Principles, 176
Snare Polypectomy, 177
Hazards, 178
Excessive Application of Heat, 178
Current Leakage and Burn, 178
Bowel Gas Explosion, 179
Electrocautery Smoke, 179
Safety Precautions With Cardiac Pacemakers, 180
LASER SURGERY, 181
History, 181
Basic Properties of Lasers, 181
Spontaneous vs. Stimulated Emissions, 181
Power Density and Power Energy, 182
Effects on Biologic Systems, 182
Comparison of Surgical Lasers, 182
Clinical Applications, 184
Endoscopic Laser Therapy, 184
Intra abdominal Uses, 185
Perianal and Transanal Uses, 186
II Anor*
ATATAT*TATiTATATATATATATAT4TATAT4TATA
8 Hemorrhoids, 193
Santhat Nivatvongs
What Are Hemorrhoids? 194
Prevalence, 195
Etiology and Pathogenesis, 195
Predisposing and Associated Factors, 196
Function of Anal Cushions, 197
Nomenclature and
Classification, 198
Diagnosis, 198
Differential Diagnosis, 198
External Hemorrhoids, 199
Internal Hemorrhoids, 199
Examination, 200
Nonoperative Treatment and Minor
Operative Procedures, 200
Diet and Bulk Forming Agents, 200
Office, Outpatient, and Minor Procedures, 200
Hemorrhoidectomy, 203
Closed Hemorrhoidectomy, 203
Other Types of Hemorrhoidectomy, 205
Special Situations, 206
Thrombosed External Hemorrhoids, 206
Strangulated Hemorrhoids, 208
Hemorrhoids in Pregnancy, 208
Hemorrhoids, Anorectal Varices, and Portal
Hypertension, 208
Hemorrhoids in Inflammatory Bowel
Disease, 210
Hemorrhoids in Leukemia, 210
Hemorrhoids With Other Anorectal Diseases, 211
Early Postoperative Problems, 211
Recommendations for a Smooth Postoperative
Course, 212
9 Fissure in Ano, 217
Philip H. Gordon
Clinical Features, 218
Pathology, 218
Etiology, 218
ectal Disorders
Predisposing Factors, 219
Pathogenesis, 219
Symptoms, 220
Diagnosis, 221
Differential Diagnosis, 222
Anorectal Suppuration, 222
Pruritus Ani, 223
Fissures in Inflammatory Bowel
Disease, 223
Carcinoma of Anus, 223
Specific Infectious Perianal
Conditions, 223
Hematologic Conditions, 223
Miscellaneous Conditions, 223
Treatment, 224
Acute Fissure, 224
Chronic Fissure, 226
Management of Recurrent or Persistent
Fissure in Ano, 238
10 Anorectal Abscesses and
Fistula in Ano, 241
Philip H. Gordon
Anatomy, 242
Etiology, 242
Pathogenesis, 242
Avenues of Extension, 243
Diagnosis, 244
History, 244
Physical Examination, 244
Anoscopy and Sigmoidoscopy, 246
X ray Examination, 246
Differential Diagnosis, 248
Anorectal Abscess, 248
Microbiology, 248
Incidence and Classification, 248
Role of Antibiotics, 249
Treatment, 249
Postoperative Care, 254
Fistula in Ano, 254
Indications for Operation, 254
Principles of Treatment, 255
Classification and Treatment,
255
Incidence, 261
Technique, 262
Complications of Operation for Fistulous
Abscess, 268
Causes of Recurrence, 270
Causes of Anal Incontinence After Operation
for Anal Fistula, 270
Postoperative Care, 270
Results, 271
Special Considerations, 273
Primary Closure of Anorectal Abscess, 273
Superficial Fistula, 273
Primary vs. Secondary Fistulotomy, 273
How Much Muscle May Be Divided? 275
Fistulotomy vs. Fistulectomy, 276
Use of Seton, 276
Necrotizing Perineal Infection, 278
Repeat Examination With Patient Under
Anesthesia, 281
Carcinoma Associated With Chronic
Fistula in Ano, 281
Unnecessary Cryptotomy, 282
Associated Procedures, 282
Septic Complications in Leukemic Patients, 282
Independent Fistulas, 283
Combination Fistulas, 283
Anal Fistulas Associated With Crohn s
Disease, 283
11 Pilonidal Disease, 287
Santhat Nivatvongs
Etiology and Pathogenesis, 288
Surgical Pathology, 290
Natural History, 290
Predisposing Factors, 290
Clinical Manifestations, 291
Diagnosis, 291
Treatment, 291
Pilonidal Abscess, 291
Pilonidal Sinus, 292
Summary, 296
Role of Hair, 296
Recurrent Disease, 296
Unhealed Wound, 296
Curettage, Reexcision, and
Saucerization, 296
Reverse Bandaging, 297
Gluteus Maximus Myocutaneous Flap, 297
Cleft Closure, 297
Pilonidal Sinus and Carcinoma, 299
12 Perianal Dermatologic Disease, 303
Lee E. Smith
PRURITIC CONDITIONS, 304
Idiopathic Pruritus Ani, 304
History, 304
Physical Findings, 304
Physiologic Testing, 305
Histopathology, 305
Treatment, 306
Follow up, 307
Primary Etiologies, 307
Poor Hygiene, 307
Anorectal Lesions, 307
Infections, 307
Skin Diseases, 312
Diarrheal States, 317
Dietary Factors, 317
Gynecologic Conditions, 317
Antibiotics, 318
Systemic Diseases, 318
Miscellaneous Causes, 318
NONPRURITIC LESIONS, 318
Infections, 318
Hidradenitis Suppurativa, 318
Leprosy, 318
Amebiasis, 318
Actinomycosis, 318
Lymphogranuloma Venereum, 318
Neoplastic Lesions, 319
Acanthosis Nigricans, 319
Bowen s Disease, 319
Squamous Cell Carcinoma, 319
Melanoma, 319
Perianal Paget s Disease, 319
Inflammatory Bowel Disease, 320
13 Condyloma Acuminatum, 323
Philip H. Gordon
Clinical Features, 324
Etiology, 324
Prevalence, 324
Location, 325
Pathology, 325
Macroscopic Pathology, 325
Microscopic Pathology, 326
Symptoms, 326
Diagnosis, 326
Treatment, 326
Podophyllin, 327
Bichloroacetic Acid, 328
Electrocoagulation, 329
Cryotherapy, 329
Surgical Excision, 329
Laser Therapy, 330
Immunotherapy, 330
Interferon, 330
Clinical Trials, 331
Operator Caution, 332
Recommendations for Therapy, 332
Management of Disease in HIV Positive
Patients, 333
Recurrence, 333
Posttreatment Follow up, 333
Resumption of Sexual Intercourse, 333
Condylomata Acuminata in Children, 333
Verrucous Carcinoma, 333
Condyloma Acuminatum and Squamous Cell
Carcinoma, 335
14 Sexually Transmitted Diseases, 341
Lee E. Smith
Gastrointestinal Sexually Transmitted
Diseases, 342
Epidemiology, 342
Diagnosis, 342
Bacterial Infection, 344
Spirochete Infection, 346
Viral Infection, 347
Parasitic Infection, 348
Acquired Immunodeficiency Syndrome, 349
Short History of AIDS, 349
Pathogenesis, 349
Clinical Presentation, 351
Seroconversions, 351
Gastrointestinal Manifestations, 351
Opportunistic Infection, 352
Malignancies, 355
Colorectal Surgery in AIDS Patients, 356
AIDS and the Health Care Worker, 359
15 Anal Incontinence, 365
Philip H. Gordon
Etiology, 367
Previous Operative Procedures, 367
Obstetric Injuries, 368
Aging, 369
Procidentia, 369
Trauma, 369
Primary Disease, 370
Irradiation, 370
Neurogenic Causes, 370
Idiopathic Incontinence, 370
Congenital Abnormalities, 370
Miscellaneous, 370
Diagnosis, 371
History, 371
Physical Examination, 372
Special Investigations, 372
Treatment, 376
Nonoperative Procedures, 376
Operative Procedures, 378
Selection of Operative Procedure, 396
Keyhole Deformity, 396
Anal Soiling, 396
16 Rectovaginal Fistula, 401
Philip H. Gordon
Clinical Evaluation, 402
Classification, 402
Location, 402
Size, 402
Etiology, 403
Operative Repair, 406
Timing of Repair, 406
Preoperative Considerations, 406
Types of Approaches, 406
Recurrent Rectovaginal Fistula, 417
Ancillary Procedures, 417
Selection of Operative Procedure, 419
Rectourethral Fistula, 420
17 Retrorectal Tumors, 427
Philip H. Gordon
Anatomy, 428
Classification, 428
Incidence, 428
Pathology, 429
Developmental Cysts, 429
Teratoma and Teratocarcinoma, 431
Chordoma, 432
Anterior Sacral Meningocele, 433
Neurogenic Neoplasms, 433
Osseous Lesions, 434
Miscellaneous Entities, 434
Risk of Malignancy, 434
Clinical Presentation, 435
Symptoms, 435
Associated Pathology, 435
Previous Surgery, 435
Examination, 436
Diagnostic Measures, 437
Radiology, 437
Biopsy, 438
Operative Approaches, 438
Abdominal Approach, 438
Posterior Approach, 439
Abdominosacral Approach, 441
Transrectal Approach, 443
Intersphincteric Approach, 443
Adjuvant Therapy, 443
Radiotherapy, 443
Chemotherapy, 443
Results, 443
18 Perianal and Anal Canal
Neoplasms, 447
Santhat Nivatvongs
Anatomic Landmarks, 448
Incidence, 448
Etiology and Pathogenesis, 449
Staging, 450
Screening for Anal Carcinoma
Precursors, 450
Who Should Be Screened? 450
Technique of Screening Cytology Test, 450
Role of the Colorectal Surgeon, 452
Perianal Neoplasms, 452
Squamous Cell Carcinoma, 452
Basal Cell Carcinoma, 453
Bowen s Disease, 454
Perianal Paget s Disease, 455
Verrucous Carcinoma, 459
Neoplasms of the Anal Canal, 460
Squamous Cell Carcinoma, 460
Adenocarcinoma, 465
Small Cell Carcinoma, 466
Undifferentiated Carcinoma, 466
Melanoma, 467
19 Per Anal and Transanal
Techniques, 473
Santhat Nivatvongs
Rectal Biopsy, 474
Technique, 474
Electrocoagulation of Rectal Polyps, 474
Technique, 475
Snare Polypectomy, 475
Pedunculated Polyp, 475
Sessile Polyp, 476
Per Anal Excision of Rectal Adenoma, 476
General Considerations, 476
Sessile Adenoma of Lower Rectum, 477
Sessile Adenoma of Middle Rectum, 477
Circumferential Villous or Tubulovillous
Adenoma of Rectum, 478
Per Anal Excision for Carcinoma of the
Low Rectum, 481
Preparation, 481
Technique, 481
Posterior Approach to the Rectum, 482
Posterior Proctotomy Approach
(Kraske s Approach), 482
Posterior Transsphincteric Approach
(York Mason s Approach), 484
Transanal Endoscopic Microsurgery, 486
Electrocoagulation of Carcinoma of the
Rectum, 488
Selection of Patients, 488
Preparation, 488
Technique, 488
Postoperative Management, 489
Failure of Electrocoagulation, 489
Results, 489
III Color
21 Rectal Procidentia, 503
Philip H. Gordon
Etiology, 504
Classification, 506
Predisposing Factors, 506
Pathologic Anatomy, 507
Clinical Features, 508
Sex, 508
Age, 508
Symptoms, 508
Physical Examination, 508
Differential Diagnosis, 508
20 Ambulatory Procedures, 491
Philip H. Gordon
Preoperative Preparation, 493
Operative Management, 493
Procedures, 493
Rectal Biopsy, 493
Hemorrhoids, 494
Lateral Internal Sphincterotomy, 495
Incision and Drainage of Abscesses, 495
Polyps and Carcinoma, 496
Condyloma Acuminatum, 496
Pilonidal Disease, 496
Endoscopy, 496
Perianal Skin Lesions, 496
Foreign Body Removal, 497
Fistula Surgery, 497
Examination During Anesthesia, 497
Postoperative Care, 497
Complications, 497
Benefits, 498
Patient, 498
Surgeon, 498
Hospital, 498
Insurer, 498
Cost, 498
ectal Disorders
fATATiTATATATATATATATATATATATATATiTATATATA
Investigation, 510
Radiologic Examination, 510
Anorectal Manometry, 510
Electromyographic Studies, 511
Operative Repair, 511
Abdominal Procedures, 511
Perineal Procedures, 523
Subsequent Management, 533
Postoperative Management, 533
Residual Incontinence and Constipation, 533
Complications, 535
Incarceration, Strangulation, and Gangrene, 535
Ulceration and Hemorrhage, 536
Rupture of Prolapse, 536
Prolapse in Children, 536
Hidden Prolapse (Internal Proddentia), 537
Summary, 538
22 Benign Neoplasms of the Colon and
Rectum, 541
Santhat Nivatvongs
Polyps of Colon and Rectum, 542
Neoplastic Polyps, 542
Hamartomatous Polyps, 550
Inflammatory and Lymphoid Polyps, 553
Hyperplastic Polyps, 553
Familial Adenomatous Polyposis, 554
Definition and Natural History, 554
Clinical Manifestations and Diagnosis, 554
Distribution of Polyps and Carcinomas, 555
Molecular Genetics, 555
Extracolonic Expressions, 555
Management, 559
Genetic Counseling and Testing, 562
When to Screen and When to Operate? 564
The Polyposis Registry, 564
Hemangiomas of Large Bowel, 565
Classification, 565
Clinical Manifestations, 566
Diagnosis, 566
Treatment, 566
Leiomyomas of Large Bowel, 567
Clinical Manifestations, 567
Pathology, 568
Origin, 568
Treatment, 568
Lipomas of Large Bowel, 568
Clinical Manifestations, 569
Diagnosis, 569
Treatment, 569
23 Malignant Neoplasms of the
Colon, 575
Philip H. Gordon
Classification, 576
Adenocarcinoma, 576
Incidence and Prevalence, 576
Epidemiology, 578
Etiology and Pathogenesis, 581
Pathology, 599
Clinical Features, 612
Complications, 614
Diagnosis, 616
Investigations, 617
Treatment, 625
Curative Resection, 625
Adjuvant Therapy, 643
Complicated Carcinomas, 648
Obstruction, 648
Perforation, 651
Bleeding, 651
Invasion of Adjacent Viscera, 652
Unresectable Carcinoma, 654
Palliative Resection, 654
Synchronous Carcinomas, 655
Synchronous Polyps and Carcinoma, 655
Treatment of Metastatic Disease, 655
Carcinoma in Young Patients, 664
Postoperative Complications, 664
Results, 664
Prognostic Discriminants, 669
Recurrent Disease, 679
Obstruction Due to Recurrent Carcinoma, 687
Colorectal Carcinoma Complicating
Pregnancy, 688
Other Malignant Lesions, 689
Carcinoid, 689
Lymphoma, 693
Sarcoma, 695
Squamous Cell Carcinoma, 696
Plasmacytoma, 697
Melanoma, 697
Leukemic Infiltration, 697
Neuroendocrine Lesions of the Colorectum, 698
Metastases From Other Sources, 698
24 Malignant Neoplasms of the
Rectum, 719
Philip H. Gordon
ADENOCARCINOMA, 720
Mechanisms of Spread of Rectal
Carcinoma, 720
Direct Extension, 720
Transperitoneal Spread, 720
Implantation, 720
Lymphatic Spread, 720
Venous Spread, 721
Clinical Features, 721
Symptoms, 721
General and Abdominal Examination, 722
Investigations, 722
Endoscopy, 722
Routine Laboratory Blood Work, 722
Radiology, 722
Preoperative Preparation, 725
Radical Extirpative Operations, 726
Assessment of Resectability, 726
Selection of Appropriate Operation, 726
Operative Procedures, 728
Postoperative Care, 750
Results, 750
Local Forms of Therapy, 755
Rationale, 755
Procedures, 756
Special Considerations, 761
Distal Margins, 761
Circumferential Margins, 762
Total Mesorectal Excision, 762
Radical Lymphadenectomy, 764
Concomitant Pelvic Organ Excision, 766
Palliative Resection, 766
Hartmann s Procedure, 768
Unresectable Carcinoma of the Rectum, 768
High Ligation of Inferior Mesenteric Artery, 769
Marking the Rectum, 771
Adjuvant Therapy for Carcinoma of the
Rectum, 771
Radiotherapy, 771
Chemotherapy, 779
Combination Chemoradiotherapy, 780
Immunotherapy, 782
Postoperative Complications, 783
Recurrent Disease, 783
Follow up, 783
Incidence, 783
Factors Contributing to Recurrence, 784
Patterns of Recurrence, 784
Clinical Features, 785
Investigations, 785
Treatment of Recurrent Disease, 786
Results of Reoperation, 792
OTHER MALIGNANT LESIONS OF THE
RECTUM, 792
Carcinoid, 792
Clinical Presentation, 792
Investigation, 793
Pathology, 793
Treatment, 793
Results, 794
Lymphoma, 794
Clinical Presentation, 794
Treatment and Results, 794
Sarcoma, 795
Secondary Carcinoma, 796
25 Large Bowel Carcinoma: Screening,
Surveillance, and Follow up, 809
Santhat Nivatvongs
Detection of Early Colorectal Carcinoma, 810
Early Diagnosis of Colorectal Carcinoma, 811
What Is Screening? 811
Who Should Be Screened? 812
Screening People at Average Risk for
Colorectal Carcinoma, 814
Fecal Occult Blood Test, 814
Flexible Sigmoidoscopy, 818
Combined Fecal Occult Blood Testing and
Sigmoidoscopy, 820
Barium Enema, 820
Colonoscopy, 821
Comparison of Barium Enema and
Colonoscopy, 821
When to Stop Screening, 822
Screening People at Increased Risk for
Colorectal Carcinoma, 822
Family History of Colorectal Carcinoma, 822
Genetic Syndromes, 823
History of Endometrial, Ovarian, or Breast
Carcinoma, 823
Surveillance, 823
After Removal of Adenomatous Polyps, 824
In People With Inflammatory Bowel Disease, 824
In People With Ureterosigmoidostomy, 825
Follow up After Curative Resection, 825
Investigation to Detect Recurrences and
Metastases, 825
Metachronous Carcinomas and Polyps, 827
Other Primary Malignancies, 827
Summary, 828
26 Ulcerative Colitis, 831
Santhat Nivatvongs
Epidemiology and Etiology, 832
Clinical Course, 833
Clinical Manifestations, 834
Diagnosis, 834
Assessment of Severity, 834
Pathologic Features, 836
Gross Appearance, 836
Microscopy, 837
Differential Diagnosis, 838
Crohn s Disease, 838
Clostridium difficile Colitis, 839
Campylobacter Gastroenteritis, 840
Salmonella Enterocolitis, 840
Amebiasis, 841
Collagenous Colitis, 841
Risk of Carcinoma, 843
Surveillance, 844
Problems With Biopsy, 845
A Practical Guide, 845
Extracolonic Manifestations, 846
Hepatic Dysfunction, 846
Primary Sclerosing Cholangitis and Bile Duct
Carcinoma, 846
Arthritis, 848
Ankylosing Spondylitis and Sacroiliitis, 848
Erythema Nodosum, 848
Pyoderma Gangrenosum, 849
Ulcers of Mouth, 849
Eye Diseases, 849
Ulcerative Colitis and Pregnancy, 849
Drugs for Ulcerative Colitis, 850
Sulfasalazine (Azulfidine), 850
Aminosalicylates, 850
Corticosteroids, 851
Antibiotics, 852
Immunosuppressive Drugs, 852
Medical Management, 852
Proctitis, 852
Proctosigmoiditis, 853
Left Sided Colitis and Pancolitis, 853
Severe or Fulminant Colitis, 853
Steroid Refractory Ulcerative Colitis, 855
Steroid Dependent Ulcerative Colitis, 855
Natural History of Treated Ulcerative
Colitis, 856
Course of Severe Ulcerative Colitis, 856
Course of Active and Chronic Ulcerative
Colitis, 856
Indications for Operation, 857
Intractability, 857
Fulminant Colitis, 857
Toxic Megacolon, 857
Massive Bleeding, 858
Prophylaxis for Carcinoma, 858
Carcinoma, 858
Cutaneous and Systemic Complications, 859
Operative Options, 859
Total Proctocolectomy and Ileostomy, 859
Colectomy With Ileostomy and Hartmann s
Procedure or Mucous Fistula, 860
Colectomy With Ileorectal Anastomosis, 860
Total Proctocolectomy With Continent Ileostomy
(Kock s Pouch), 862
Total Proctocolectomy With Heal Pouch Anal
Anastomosis, 867
27 Crohn s Disease, 907
Santhat Nivatvongs • Philip H. Gordon
Epidemiology, 908
Etiology and Pathogenesis, 910
Pathology, 912
Clinical Manifestations, 913
Diagnosis, 914
Differential Diagnosis, 917
Natural History, 917
Medical Management, 920
Sulfasalazine and 5 ASAs, 920
Antibiotics, 920
Corticosteroids, 921
Immunosuppressive Agents, 921
Nutrition, 923
Guidelines for Medical Management, 924
Indications for Operation, 925
Intractability to Medical Treatment, 926
Bowel Obstruction, 926
Intra abdominal Abscess, 926
Internal Fistula, 927
Colocutaneous and Enterocutaneous Fistula, 927
Fulminant Colitis, 928
Toxic Megacolon, 928
Free Perforation, 928
Massive Bleeding, 928
Carcinoma Prevention, 928
Carcinoma, 929
Extracolonic Manifestations, 929
Growth Retardation, 929
Overview, 929
Interventional Options and Their
Results, 929
Ileocecal Resection, 929
Total Proctocolectomy and Ileostomy, 930
Subtotal Colectomy With Closure of Rectal
or Sigmoid Stump or Mucous Fistula and
Ileostomy, 930
Fate of Rectal Stump, 931
Colectomy With Ileorectal Anastomosis, 931
Ileostomy, 932
Segmental Colon Resection, 933
Operations for Intestinal Fistula, 933
Bypass Operation, 935
Small Bowel Resection, 935
Strictureplasty, 935
Percutaneous Drainage of Intra abdominal
Abscess, 939
Balloon Dilatation, 940
Likelihood of Stoma Necessity, 940
Fate of Heal Pouch Anal Anastomosis in
Unsuspected Crohn s Disease, 941
How Much Bowel to Resect, 942
Overview of Results, 942
Challenging Anatomic Locations of Crohn s
Disease, 944
Oropharynx, 944
Esophagus, 944
Gastroduodenum, 944
Diffuse Jejunoileitis, 946
Perianal and Anal Canal Crohn s Disease, 947
Special Considerations, 956
Extracolonic Manifestations, 956
Risk of Carcinoma, 957
Crohn s Disease and Pregnancy, 960
Recurrence, 961
Factors Influencing Recurrence, 961
Maintaining Remission in Crohn s Disease, 963
Comparison of Ulcerative Colitis and
Crohn s Colitis, 966
28 Diverticular Disease of the
Colon, 975
PhUip H. Gordon
Pathologic Anatomy, 976
Incidence, 976
Etiology, 979
Pathogenesis, 980
Pathophysiologic Findings, 980
Traditional Concept, 982
Changing Concepts, 983
Pathology, 983
Patterns of Disease, 985
Natural History, 985
Clinical Manifestations, 987
Symptoms, 987
Physical Examination, 987
Diagnosis, 987
Differential Diagnosis, 990
Treatment, 991
Diet, 991
Medication, 992
Operation, 992
Complications, 996
Acute Diverticulitis, 997
Malignant Diverticulitis, 1015
Management of Young Patients, 1015
Rectal Diverticula, 1016
Chronic Diverticulitis, 1016
Perforation, 1016
Fistula, 1020
Hemorrhage, 1024
Obstruction, 1028
Miscellaneous, 1028
Results and Prognosis, 1030
Right Sided Diverticula, 1031
Incidence, 1031
Pathology, 1032
Clinical Manifestations, 1032
Complications, 1032
Management, 1033
Results, 1033
Giant Colonic Diverticulum, 1034
Coexisting Disorders, 1035
Crohn s Disease, 1035
Adenomas and Carcinomas, 1035
Ulcerative Colitis, 1036
Saint s Triad, 1036
Special Problems, 1036
Similarity to Gynecologic Disease, 1036
Immunocompromised Patient, 1036
29 Volvulus of the Colon, 1045
Santhat Nivatvongs • Melvin P. Bubrick
Sigmoid Volvulus, 1046
Incidence and Epidemiology, 1046
Etiology, 1046
Pathogenesis, 1047
Clinical Presentation, 1048
Diagnosis, 1049
Treatment, 1050
Ileosigmoid Knotting, 1056
Mechanism, 1056
Clinical Features, 1056
Surgical Treatment, 1056
Cecal Volvulus, 1058
Incidence and Epidemiology, 1058
Etiology and Pathogenesis, 1058
Clinical Presentation, 1058
Diagnosis, 1059
Treatment, 1059
Volvulus of Transverse Colon, 1060
Incidence and Epidemiology, 1060
Etiology and Pathogenesis, 1060
Clinical Presentation and Diagnosis, 1061
Treatment, 1061
Splenic Flexure Volvulus, 1062
Incidence and Epidemiology, 1062
Etiology, Pathogenesis, and Clinical
Presentation, 1062
Treatment, 1063
30 Mesenteric Vascular Diseases, 1067
Philip H. Gordon • Melvin P. Bubrick
Vascular Anatomy, 1068
Pathophysiology of Intestinal Ischemia, 1069
Diagnostic Studies, 1071
Clinical Syndromes, 1072
Superior Mesenteric Artery Embolism, 1072
Superior Mesenteric Artery Thrombosis, 1074
Nonocclusive Mesenteric Ischemia and
Infarction, 1075
Mesenteric Venous Thrombosis, 1076
Chronic Mesenteric Vascular Disease, 1078
Results of Therapy, 1079
Ischemic Colitis, 1081
Etiology, 1081
Classification, 1081
Patterns of Involvement, 1084
Clinical Manifestations, 1086
Diagnosis, 1086
Treatment, 1087
Results, 1088
Ischemic Colitis and Aortic Surgery, 1088
Ischemic Colitis Following Cardiopulmonary
Bypass, 1090
Ischemic Colitis Proximal to Obstructing
Carcinoma, 1090
Total Colonic Ischemia, 1091
Ischemic Proctitis, 1091
31 Radiation Injuries to the Small and
Large Intestine, 1095
Santhat Nivatvongs • Melvin P. Bubrick
Incidence and Clinical Manifestations, 1096
Mechanisms of Radiation Injury, 1096
Pathology, 1097
Pathogenesis, 1099
Predisposing Factors, 1099
Small Intestine Injuries, 1100
Diagnosis, 1100
Medical Management, 1101
Surgical Management, 1101
Colon and Rectal Injuries, 1103
Diagnosis, 1103
Medical Management, 1104
Surgical Management, 1104
Prevention, 1108
Radiation Technique, 1108
Radioprotective Agents, 1108
Surgical Techniques, 1109
Radiation Proctitis, 1110
Clinical Manifestations, 1110
Surgical Management, 1112
Treatment of Hemorrhagic Radiation
Proctitis, 1112
32 Intestinal Stomas, 1117
Philip H. Gordon • Bonnie Sue Rolstad
Melvin P. Bubrick
Ileostomy, 1118
History, 1118
Physiology, 1119
Types of Ileostomies, 1120
Ileostomy Takedown, 1127
Complications, 1130
Colostomy, 1139
History, 1139
Fecal Diversion, 1139
End Sigmoid Colostomy, 1146
Complications, 1151
Enterostomal Care and Rehabilitation, 1157
Preoperative Considerations, 1157
Postoperative Aspects of Care, 1161
Posthospitalization Management, 1166
Local Stoma and Peristomal Skin Problems, 1168
Quality of Life, 1171
Special Procedures, 1172
Stoma Management Products, 1174
Ostomy Product Manufacturers, 1176
Other Resources, 1176
33 Constipation, 1181
W. Rudolf Schouten • Philip H. Gordon
Definition, 1182
Etiology, 1183
Faulty Diet and Habits, 1183
Structural or Functional Disorders, 1184
Neurologic Abnormalities, 1185
Psychiatric Disorders, 1185
Iatrogenic Causes, 1185
Endocrine and Metabolic Causes, 1185
Investigation, 1185
History, 1185
Physical Examination, 1186
Stool Examination, 1186
Biochemical Examination, 1186
Proctosigmoidoscopy, 1187
Barium Enema Examination, 1187
Defecography, 1187
Colonic Transit Time, 1189
Anorectal Manometry, 1192
Electromyography, 1192
Balloon Expulsion Test, 1193
Special Examinations, 1194
Psychological Evaluation, 1197
Why Treat Constipation? 1197
Dispelling Myths, 1197
Associated Symptoms and Daily Activity, 1198
Potential Disease, 1198
Economic Considerations, 1198
Treatment, 1198
Medical Treatment, 1199
Surgical Treatment, 1205
Special Considerations, 1222
Prevention, 1222
Fecal Impaction, 1222
Psychiatric States, 1223
Spinal Cord Injuries, 1223
Geriatric Population, 1223
Obstetric Patients, 1224
Terminally 111 Patients, 1225
IV Problem Orien ted.
34 Traumatic Injuries, 1235
Lee E. Smith
ETIOLOGY, 1236
Penetrating Trauma, 1236
Blunt Trauma, 1236
Iatrogenic Injury, 1237
Injury From Operative Procedures, 1237
Endoscopically Induced Trauma, 1238
Injury From Rectal Thermometer, 1239
Perforation by Therapeutic Enema, 1240
Injury From Barium Enema, 1240
Obstetric Trauma, 1241
Irradiation Induced Proctitis, 1241
Ingested Foreign Bodies, 1242
Foreign Bodies and Sexual Trauma, 1243
Sexual Assault, 1244
Child Abuse, 1244
Unusual Perforations, 1244
MANAGEMENT, 1245
Diagnosis of Trauma (Secondary Survey
Phase), 1245
History, 1245
Physical Examination, 1246
Radiologic Study, 1246
Peritoneal Lavage, 1247
Computed Tomography and Sonography, 1247
Surgical Treatment (Definitive Care
Phase), 1247
Intraperitoneal Rectal and Colonic Injury, 1248
Extraperitoneal Rectal Injury, 1254
Management of Blunt Trauma, 1256
Anal Sphincter Injury, 1257
Removal of Foreign Bodies, 1257
Approach to Colorectal Disease
35 Complications ofColonic Disease
and Their Management, 1263
Santhat Nivatvongs
Acute Colonic Obstruction, 1264
General Considerations, 1264
Clinical Manifestations, 1265
Diagnosis and Clinical Evaluation, 1265
Management, 1266
Free Perforation, 1267
General Considerations, 1267
Clinical Manifestations, 1268
Diagnosis and Clinical Evaluation, 1268
Management, 1269
Neutropenic Enterocolitis, 1269
Massive Bleeding, 1270
General Considerations, 1270
Clinical Manifestations, 1273
Diagnosis and Management, 1273
Exploratory Celiotomy, 1277
Fistula, 1278
General Considerations, 1278
Clinical Manifestations, 1281
Diagnosis and Clinical Evaluation, 1281
Management, 1282
36 Complications of Anorectal and
Colorectal Operations, 1285
Santhat Nivatvongs
Early Complications of Anorectal
Operations, 1286
Bleeding, 1286
Severe Anal Pain, 1286
Urinary Retention, 1286
Fever, Bacteremia, and Liver Abscess, 1287
Delayed Complications of Anorectal
Operations, 1287
Bleeding, 1287
Fecal Impaction, 1288
Anal Wound Abscess, 1289
Fecal Incontinence, 1289
Anal Stricture, 1289
Anal Skin Tags, 1289
Ectropion, 1289
Mucosal Prolapse, 1289
Unhealed Wound, 1291
Complications of Colorectal Operations, 1291
Thromboembolism in Inflammatory Bowel
Disease, 1291
Splenic Injury, 1292
Presacral Hemorrhage, 1294
Anastomotic Bleeding, 1297
Injury to Ureter, 1297
Bladder Dysfunction, 1299
Sexual Dysfunction, 1299
Peroneal Nerve Injury and Compartment
Syndrome, 1300
Femoral Neuropathy, 1302
Anastomotic Leak, 1302
Anastomotic Stricture, 1304
Fecal Incontinence, 1304
Early Postoperative Small Bowel
Obstruction, 1305
Abdominal Wound Infection, 1308
Abdominal Wound Dehiscence, 1310
Unhealed Perineal Wound, 1311
Postoperative Perineal Hernia, 1312
37 Unexpected Intraoperative
Findings, 1319
Philip H. Gordon • Santhat Nivatvongs
Lee E. Smith • Melvin P. Bubrick
Introduction, 1320
Cases, 1320
1 Carcinoma of Rectum and Unexpected
Synchronous Carcinoma of Hepatic
Flexure, 1320
2 Carcinoma of Right Colon and Unexpected
Major Single Hepatic Metastasis, 1321
3 Sigmoid Mass That Proves To Be
Endometrioma Instead of Carcinoma, 1322
4 Exploration for Appendicitis That Proves
To Be Carcinoma of Cecum, 1322
5 Pelvic Laparotomy for Gynecologic Mass
That Proves To Be Carcinoma of
Sigmoid, 1323
6 Exploration for Acute Appendicitis
That Proves To Be Sigmoid Phlegmon, 1324
7 Carcinoma of Rectum With Incidental
Cholelithiasis, 1325
8 Carcinoma of Rectum With Invasion of
Urinary Bladder, 1326
9 Concomitant Carcinoma of Rectum and
Abdominal Aortic Aneurysm, 1327
10 Propriety of Incidental Appendectomy, 1328
11 Propriety of Incidental Meckel s
Diverticulectomy, 1330
12 Rectal Prolapse and Unexpected Ovarian
Mass, 1331
13 Vaginal Hysterectomy and Intraoperative
Perforation of Rectum, 1332
14 Exploration for Appendicitis With
Unexpected Pseudomyxoma Peritonei, 1333
Conclusion, 1334
V Minimally
38 Laparoscopic Colon and Rectal
Surgery, 1337
Lee E. Smith • Philip H. Gordon
Background and Rationale, 1338
Historical Review, 1338
Advantages, 1338
Disadvantages, 1338
Patient Information, 1339
Indications, 1339
Carcinoma, 1339
Benign Neoplasms, 1340
Diverticular Disease, 1340
Inflammatory Bowel Disease, 1340
Rectal Procidentia, 1340
Colonic Inertia, 1340
Volvulus, 1340
Intestinal Stomas for Diversion, 1340
Repair of Colonoscopic Perforation, 1341
Miscellaneous, 1341
Equipment and Instrumentation, 1341
Laparoscope, 1341
Video Camera, 1341
Video Monitors, 1342
Recording Media, 1342
Insufflators, 1343
Power Instruments, 1343
Insufflation Needles, 1343
Cannulas and Trocars, 1343
Operating Instruments, 1344
Operative Procedure, 1345
Preoperative Preparation, 1345
Preoperative Evaluation, 1345
Positioning and Readying the Patient, 1346
Operating Room Setup and Conduct of
Operation, 1346
Invasive Surgery
iTATATATATATATATATATATATATATiTiTATiTATATA
Pneumoperitoneum, 1347
Gasless Laparoscopy, 1348
Trocar Cannula Insertion, 1349
Additional Ports, 1349
Specimen Localization, 1349
Completion of Laparoscopy, 1350
Specific Colorectal Procedures, 1350
Diagnostic Laparoscopy, 1350
Right Sided Colectomy, 1350
Left Sided Colectomy, 1353
Abdominoperineal Resection, 1358
Laparoscopic Rectopexy, 1358
Stoma Creation, 1361
Stoma Closure, 1362
Total Abdominal Colectomy and Ileorectal
Anastomosis, 1363
Closure of Colonoscopic Perforation, 1364
Postoperative Care, 1365
Results, 1365
Conversion Rate, 1365
Morbidity and Mortality, 1365
Laparoscopic Complications and Their
Prevention, 1374
Visceral Injury, 1374
Vascular Injury, 1375
Urinary Tract Injury, 1375
Abdominal Wall (Port Site) Recurrence, 1375
Bleeding, 1376
Anastomotic Dehiscence, 1376
Missed Lesions, 1376
Electrosurgical Injury, 1376
Miscellaneous, 1376
Nonspecific Complications, 1377
VI
AVAVAVATAVATAYA lrAYAYATATAYAVAVAVAYAyAY.
39 Miscellaneous Entities, 1383
Philip H. Gordon
Coccygodynia, 1384
Endometriosis, 1385
Proctalgia Fugax and Levator Syndrome, 1389
Oleogranuloma, 1391
Melanosis Coli, 1392
Colitis Cystica Profunda, 1394
Descending Perineum Syndrome, 1396
Pneumatosis Coli, 1397
Etcetera
4TATATATATATATATATATATATATATATATATAT4TATA
Solitary Ulcer Syndrome of the Rectum, 1403
Hidradenitis Suppurativa, 1409
Anal Leukoplakia, 1413
Diversion Colitis, 1413
Segmental or Diverticula Associated
Colitis, 1415
Index, 1417
|
| any_adam_object | 1 |
| author_GND | (DE-588)113930410 |
| building | Verbundindex |
| bvnumber | BV012233162 |
| callnumber-first | R - Medicine |
| callnumber-label | RD544 |
| callnumber-raw | RD544 |
| callnumber-search | RD544 |
| callnumber-sort | RD 3544 |
| callnumber-subject | RD - Surgery |
| classification_rvk | YI 8600 |
| ctrlnum | (OCoLC)39508247 (DE-599)BVBBV012233162 |
| dewey-full | 617.5/547 616.5/547 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 617 - Surgery & related medical specialties 616 - Diseases |
| dewey-raw | 617.5/547 616.5/547 |
| dewey-search | 617.5/547 616.5/547 |
| dewey-sort | 3617.5 3547 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| edition | 2. ed. |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>02184nam a2200577 c 4500</leader><controlfield tag="001">BV012233162</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">19990125 </controlfield><controlfield tag="007">t</controlfield><controlfield tag="008">981029s1999 ad|| |||| 00||| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1576260178</subfield><subfield code="9">1-57626-017-8</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)39508247</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV012233162</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakddb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-355</subfield><subfield code="a">DE-20</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD544</subfield></datafield><datafield tag="082" ind1="0" ind2=" "><subfield code="a">617.5/547</subfield><subfield code="2">21</subfield></datafield><datafield tag="082" ind1="0" ind2=" "><subfield code="a">616.5/547</subfield><subfield code="2">21</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">YI 8600</subfield><subfield code="0">(DE-625)153698:12905</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Principles and practice of surgery for the colon, rectum, and anus</subfield><subfield code="c">Philip H. Gordon ; Santhat Nivatvongs</subfield></datafield><datafield tag="246" ind1="1" ind2="3"><subfield code="a">Colon, rectum, and anus</subfield></datafield><datafield tag="250" ind1=" " ind2=" "><subfield code="a">2. ed.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">St. Louis, Mo.</subfield><subfield code="b">Quality Med. Publ.</subfield><subfield code="c">1999</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XXX, 1455 S.</subfield><subfield code="b">Ill., graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anus Diseases</subfield><subfield code="x">surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anus</subfield><subfield code="x">Surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Colon (Anatomy)</subfield><subfield code="x">Surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Colonic Diseases</subfield><subfield code="x">surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Colorectal Neoplasms</subfield><subfield code="x">surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Rectal Diseases</subfield><subfield code="x">surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Rectum</subfield><subfield code="x">Surgery</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Anorektale Krankheit</subfield><subfield code="0">(DE-588)4227452-7</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Mastdarmchirurgie</subfield><subfield code="0">(DE-588)4123723-7</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Colonchirurgie</subfield><subfield code="0">(DE-588)4251472-1</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Chirurgie</subfield><subfield code="0">(DE-588)4009987-8</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="655" ind1=" " ind2="7"><subfield code="0">(DE-588)4151278-9</subfield><subfield code="a">Einführung</subfield><subfield code="2">gnd-content</subfield></datafield><datafield tag="689" ind1="0" ind2="0"><subfield code="a">Anorektale Krankheit</subfield><subfield code="0">(DE-588)4227452-7</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2="1"><subfield code="a">Chirurgie</subfield><subfield code="0">(DE-588)4009987-8</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="689" ind1="1" ind2="0"><subfield code="a">Colonchirurgie</subfield><subfield code="0">(DE-588)4251472-1</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="689" ind1="2" ind2="0"><subfield code="a">Mastdarmchirurgie</subfield><subfield code="0">(DE-588)4123723-7</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="2" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gordon, Philip H.</subfield><subfield code="d">1962-</subfield><subfield code="e">Sonstige</subfield><subfield code="0">(DE-588)113930410</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Nivatvongs, Santhat</subfield><subfield code="e">Sonstige</subfield><subfield code="4">oth</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008289178&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-008289178</subfield></datafield></record></collection> |
| genre | (DE-588)4151278-9 Einführung gnd-content |
| genre_facet | Einführung |
| id | DE-604.BV012233162 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T18:24:00Z |
| institution | BVB |
| isbn | 1576260178 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-008289178 |
| oclc_num | 39508247 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-20 |
| owner_facet | DE-355 DE-BY-UBR DE-20 |
| physical | XXX, 1455 S. Ill., graph. Darst. |
| publishDate | 1999 |
| publishDateSearch | 1999 |
| publishDateSort | 1999 |
| publisher | Quality Med. Publ. |
| record_format | marc |
| spelling | Principles and practice of surgery for the colon, rectum, and anus Philip H. Gordon ; Santhat Nivatvongs Colon, rectum, and anus 2. ed. St. Louis, Mo. Quality Med. Publ. 1999 XXX, 1455 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anus Diseases surgery Anus Surgery Colon (Anatomy) Surgery Colonic Diseases surgery Colorectal Neoplasms surgery Rectal Diseases surgery Rectum Surgery Anorektale Krankheit (DE-588)4227452-7 gnd rswk-swf Mastdarmchirurgie (DE-588)4123723-7 gnd rswk-swf Colonchirurgie (DE-588)4251472-1 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf (DE-588)4151278-9 Einführung gnd-content Anorektale Krankheit (DE-588)4227452-7 s Chirurgie (DE-588)4009987-8 s DE-604 Colonchirurgie (DE-588)4251472-1 s Mastdarmchirurgie (DE-588)4123723-7 s Gordon, Philip H. 1962- Sonstige (DE-588)113930410 oth Nivatvongs, Santhat Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008289178&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Principles and practice of surgery for the colon, rectum, and anus Anus Diseases surgery Anus Surgery Colon (Anatomy) Surgery Colonic Diseases surgery Colorectal Neoplasms surgery Rectal Diseases surgery Rectum Surgery Anorektale Krankheit (DE-588)4227452-7 gnd Mastdarmchirurgie (DE-588)4123723-7 gnd Colonchirurgie (DE-588)4251472-1 gnd Chirurgie (DE-588)4009987-8 gnd |
| subject_GND | (DE-588)4227452-7 (DE-588)4123723-7 (DE-588)4251472-1 (DE-588)4009987-8 (DE-588)4151278-9 |
| title | Principles and practice of surgery for the colon, rectum, and anus |
| title_alt | Colon, rectum, and anus |
| title_auth | Principles and practice of surgery for the colon, rectum, and anus |
| title_exact_search | Principles and practice of surgery for the colon, rectum, and anus |
| title_full | Principles and practice of surgery for the colon, rectum, and anus Philip H. Gordon ; Santhat Nivatvongs |
| title_fullStr | Principles and practice of surgery for the colon, rectum, and anus Philip H. Gordon ; Santhat Nivatvongs |
| title_full_unstemmed | Principles and practice of surgery for the colon, rectum, and anus Philip H. Gordon ; Santhat Nivatvongs |
| title_short | Principles and practice of surgery for the colon, rectum, and anus |
| title_sort | principles and practice of surgery for the colon rectum and anus |
| topic | Anus Diseases surgery Anus Surgery Colon (Anatomy) Surgery Colonic Diseases surgery Colorectal Neoplasms surgery Rectal Diseases surgery Rectum Surgery Anorektale Krankheit (DE-588)4227452-7 gnd Mastdarmchirurgie (DE-588)4123723-7 gnd Colonchirurgie (DE-588)4251472-1 gnd Chirurgie (DE-588)4009987-8 gnd |
| topic_facet | Anus Diseases surgery Anus Surgery Colon (Anatomy) Surgery Colonic Diseases surgery Colorectal Neoplasms surgery Rectal Diseases surgery Rectum Surgery Anorektale Krankheit Mastdarmchirurgie Colonchirurgie Chirurgie Einführung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008289178&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT gordonphiliph principlesandpracticeofsurgeryforthecolonrectumandanus AT nivatvongssanthat principlesandpracticeofsurgeryforthecolonrectumandanus AT gordonphiliph colonrectumandanus AT nivatvongssanthat colonrectumandanus |