Titlebook: Complexities in Colorectal Surgery; Decision-Making and Scott R. Steele,Justin A. Maykel,Guy R. Orangio Book 2014 The Editor(s) (if applic

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degradation

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Continent Ileostomyg proctocolectomy for ulcerative colitis or familial polyposis, the continent ileostomy still serves as a viable alternative to both the conventional Brooke ileostomy and ileoanal pouch. This chapter describes physiological principles of the pouch and evolution to the present continent ileostomy. Sp

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Rectal Prolapse: Current Evaluation, Management, and Treatment of a Historically Recurring Disorderd by a thorough history and physical examination, specifically addressing the presence of fecal incontinence or constipation as well as medical fitness. Adjunctive testing may be helpful for patients with lifelong constipation. Surgical treatments vary by approach (transabdominal vs. perineal) and m

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Obstructive Defecationreased fiber, adequate fluid intake, and exercise and medication adjustments. Persistent constipation relates to either mechanical obstruction, slow transit through the colon, irritable bowel syndrome, or obstructive defecation. Evaluation is necessary to exclude mechanical causes. If obstructive de

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Local Treatment of Rectal Cancer (TEM Versus TAMIS Versus Transanal Excision)ctal lesions, the transanal approach to rectal cancer is uniquely poised to provide a curative option without the added morbidity of a transabdominal procedure. Additionally, a transanal option can help preserve function without compromising oncologic outcome. Since its first description in 1966, tr