Difficult decisions in colorectal surgery / Neil Hyman, Konstantin Umanskiy.

This book looks at the highest quality evidence available to guide management decisions in colorectal surgery. The chapters, written by a select and highly respected group of leaders in this field, critically review evidence in a controversial area each author has contributed to and investigated dur...

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Bibliographic Details
Online Access: Full Text (via Springer)
Other Authors: Hyman, Neil (Editor), Umanskiy, Konstantin (Editor)
Format: eBook
Language:English
Published: Cham, Switzerland : Springer, [2017]
Series:Difficult decisions in surgery.
Subjects:
Table of Contents:
  • Preface; Acknowledgments; Contents; Contributors; Chapter 1: Introduction; Tell Me a Story. The Importance of an Anecdote; Information Literacy. Learning the New Language; Bringing It Together; Why This Book?; References; Chapter 2: Evaluating Evidence; Introduction; Initial Evaluation; Stratifying Evidence; Random Error and Systematic Error (Bias); Methodological Limitations (Bias); Confidence in Effect; Downgrading Evidence; Imprecision; Inconsistency; Indirectness; Publication Bias; Upgrading Evidence; Large Magnitude of Effect; Plausible Confounders.
  • Dose Response Gradient Overall Quality Rating; Conclusion; References; Part I: IBD; Chapter 3: IBD: Management of Symptomatic Anal Fistulas in Patients with Crohn's Disease; Introduction; Search Strategy; Results; Scenario 1: The Patient with a Simple Fistula and No Macroscopic Rectal Disease; Scenario 2: The Patient with Either a Simple or a Complex Fistula and Macroscopic Rectal Disease; Scenario 3: The Patient with a Complex Fistula and No Macroscopic Rectal Disease; Recommendations Based on the Data; A Personal View of the Data; References.
  • Chapter 4: IBD: Management of a Painful Anal Fissure and Skin Tags in Patients with Crohn's Disease Introduction; Search Strategy; Data Review/Recommendations; Personal View of the Data; References; Chapter 5: IBD: Elective Surgical Management in Patients with Ulcerative Colitis-How Many Stages?; Introduction; Search Strategy; Results; Diverting Loop Ileostomy; Initial Colectomy Prior to IPAA; Recommendations Based on the Data; A Personal View of the Data; References; Chapter 6: Which Ulcerative Colitis Patients Should Not Have Ileal Pouch-Anal Anastomosis; Search Strategy.
  • Results Recommendations; Personal View; References; Chapter 7: Management of Pouch-Vaginal Fistulas; Introduction; Search Strategy (See Table 7.1); Results; Perineal Approach; Biological Therapy; Transanal Ileal Advancement Flap; Transvaginal Repair; Gracilis Muscle Interposition Flap; Transanal Pouch Advancement; Abdominoperineal Approach; Diversion; Recommendations; Personal View of the Data; References; Chapter 8: Crohn's Colitis and Ileal Pouch Anal Anastomosis; Introduction; Methods; Results; Recommendations Based on the Data; A Personal View of the Data; References.
  • Chapter 9: Steroid Management in Patients Undergoing Surgery for IBD Introduction; Search Strategy; Results; Recommendations Based on Data; Personal View of Data; References; Chapter 10: IBD: Management of Dysplasia in Patients with Ulcerative Colitis; Introduction; Search Strategy; Results; Incidences of Dysplasia and Colorectal Cancer (CRC); Disease Defined Risk Factors: Disease Duration, Age of Onset, Disease Extent, PSC; Patient Defined Risk Factors: Family History of CRC, Medication Usage, Smoking, Patient Awareness; Classification of UC Dysplasia; Dysplasia Management.