Updates in colo-proctology [proceedings of the 2nd Anglo-Swiss Colo-Proctology Meeting held in St. Moritz in 1990

"Updates in Colo-Proctology" covers the proceedings of the Anglo-Swiss Colo-Proctology Meeting held in St Moritz in 1990. The book contains the papers which were presented and dis­ cussed there by physicians of the various specialties concerned with the care of patients with diseases of the colon, rectum and anus. The authors, each distinguished in a particular field, have contributed across a wide range of subjects and different dis­ ciplines. The topics covered include surgical and investigative techniques, cancer, inflammatory bowel disease and specific infections. Being familiar with the previous literature, it is clear that little was really new among the themes presented in St Moritz, but few will deny that many of the techniques and methods of treatment described in this book are truly modern. Some contribute an entirely new dimension to the approach to well­ known colo-proctological conditions, while others may open up new paths for future research. In addition, in colo-proctology as in other disciplines, advances in treatment almost always bring new problems in the complications which attend them. These are the subject of some of the papers. Although it would be invidious to pick out individual contributions when there is so much that is new to talk about and so much that is old to be looked at in a new light, we should like to record how much we have enjoyed reading and collating these chapters. We hope that others will share our enthusiasm and pleasure. Front Matter....Pages I-XIV Front Matter....Pages 1-1 Endoluminal Sonography as a Preoperative Staging Method for Rectal Cancer....Pages 3-10 The Stapled Low Colorectal Anastomosis: Our Experience with 342 Patients (1981–1989)....Pages 11-15 Is Restorative Proctocolectomy a Viable Alternative in Older Patients?....Pages 16-19 Ileo-Anal Reservoir: Our Current Experience....Pages 20-24 Rectal Resection with Coloanal Anastomosis for Carcinoma of the Rectum....Pages 25-32 A Prototype Anal Continence Plug....Pages 33-36 Gastro-Intestinal Anastomosis with Continuous Single-Layer Suture Versus Two Layers: A Prospective Randomized Study....Pages 37-41 Sphincter Preservation in Surgery for Inflammatory Large-Bowel Disease....Pages 42-46 Critical Appraisal of Hartmann’s Operation for Rectosigmoid Surgical Emergencies....Pages 47-51 Endoanal Surgical Repair of Rectocoele....Pages 52-57 Excision and Primary Closure or Excision and Secondary Healing in the Treatment of Natal Cleft Sinus: A Prospective Study....Pages 58-62 Front Matter....Pages 63-63 Prognostic Value of Dukes and Jass Classifications of Colorectal Cancer....Pages 65-71 Delay in the Diagnosis and Treatment of Colorectal Cancer....Pages 72-75 Potentiation of the Antiproliferative Effect of 5′-Deoxy-5-Fluorouridine by Interferon-Alpha 2a....Pages 76-80 Lymph Node Metastases in Early Rectal Cancer....Pages 81-83 Modification of DNA Ploidy in Rectal Cancer Following Pre-Operative Radiotherapy....Pages 85-90 Bromodeoxyuridine Labelling: A Novel Biomarker of Colon Cancer Risk....Pages 91-96 Primary Malignant Lymphoma of the Rectum Associated with Chronic Ulcerative Colitis....Pages 97-101 The Role of Colorectal Surgeons in the Treatment of Ovarian Carcinoma....Pages 102-105 The Endoscopic Diagnosis of Anal Intra-Epithelial Neoplasia....Pages 106-116 Front Matter....Pages 63-63 Tracking the Familial Adenomatous Polyposis Gene Carriers by Indirect Ophthalmoscopy....Pages 117-122 Front Matter....Pages 123-123 The Role of Intestinal Microbes in Ulcerative Colitis: Studies on the Rectal Mucosa-Associated Microflora....Pages 125-127 Epidemiology and Clinical Course of Patients with Crohn’s Disease at a Central Surgical University Clinic in Switzerland (1973–1985)....Pages 128-132 Complications of Perianal Fistulae and Abscesses in Crohn’s Disease: Detection by Fistulography Followed by Computed Tomography....Pages 133-139 Front Matter....Pages 141-141 Ischaemic Lesions of the Intestine Due to Trauma....Pages 143-147 Management and Outcome of Diffuse Faecal and Purulent Peritonitis Due to Colonic Perforation....Pages 148-152 Treatment of Colonic Anastomotic Strictures with “Through the Scope” Balloon Dilators....Pages 153-156 Clinical Assessment in Pouchitis: Is It Accurate in Diagnosis?....Pages 157-165 Front Matter....Pages 167-167 Colonic Perforation in an Immunocompromised Host....Pages 169-174 Condylomata Acuminata in HIV-Positive Patients: Recent Results of a Prospective Ongoing Study....Pages 175-183 Ten Years of Colorectal Surgery in Chur: Audit and Training....Pages 184-187 Abnormalities of the Neural Control of the Internal Anal Sphincter in Idiopathic Faecal Incontinence....Pages 188-191 Front Matter....Pages 193-193 How Is Rectal Cancer Best Managed?....Pages 195-213 Complex Fistula-in-Ano: Aetiology, Management and Functional Results....Pages 214-231 Front Matter....Pages 233-233 Internal Anal Sphincter Electromyography: Correlation with Resting Anal Pressure....Pages 235-235 Pelvic Floor Neuropathy in Diabetic Patients with Faecal Incontinence....Pages 236-236 Pouch Pressure Waves and Low Nocturnal Anal Pressure Are Related to Nocturnal Leakage After Restorative Proctocolectomy....Pages 237-237 Small-Bowel Transit Time Estimation Following Restorative Proctocolectomy....Pages 238-238 The Aetiology of Acute Reservoir Ileitis (Pouchitis): Is It Due to Faecal Stasis?....Pages 239-239 Colostomy Is a Safe Procedure in a District General Hospital....Pages 240-240 Front Matter....Pages 233-233 Hartmann’s Procedure: A Worthwhile Option?....Pages 241-241 Vaginal Fistulae Following Ileoanal Pouch Surgery: A Troublesome Complication....Pages 242-242 In Vivo Measurement of Human Colorectal Tumour, Adenoma and Normal Mucosa Proliferation Using Flow Cytometry and Bromodeoxyuridine....Pages 243-243 Is Local Excision Appropriate for Early Rectal Carcinoma?....Pages 244-244 A Comparison of an Immunological and a Chemical Faecal Occult Blood Test in Symptomatic Patients....Pages 245-245 Beware of Haemolytic Uraemic Syndrome Presenting as Colorectal Disease in Adults....Pages 246-246 Back Matter....Pages 247-254 "Updates in Colo-Proctology" presents the proceedings of the 2nd Anglo-SwissColo-Proctology Meeting. Most aspects of this fas-growing field are discussed by numerous specialists from both England and Switzerland. The purpose of the book is to present unpublished data on recent research work. The first section covers technical problems in diagnosis and therapy. With particular emphasis on sphincter-saving techniques. In the second section colorectal cancer is discussed, and the role of the colorectal surgeon in treating gynecological and anal cancer is also presented. Inflammatory bowel diseases are the subject of the third section, with special reference to bacteriology, epidemiology and the diagnosis of perianal disease. The fourth section covers important complications due to trauma or surgery, while diverse subjects such as surgical technique, AIDS-related problems and incontinence are presentedin the fifth section. Two main topics, the treatment of rectal cancer and complex anal fistulas, are also discussed by experts in broad terms. Allcontributions are based either on recent work, and most of them present new approaches to essential problems in colo-proctology