Clinical Decision Making in Colorectal Surgery

Anorectal Evaluation.- Colonic Evaluation.- Physiologic Testing.- Bowel Preparation.- Perioperative Assessment and risk stratification.- Anorectal Pain.- Anal Disease in the neutropenic patient.- Anal Mass.- Pruritus Ani.-Anorectal bleeding.- Lower GI hematochezia.- Melena.- Abdominal Pain.-Occult Rectal Bleeding.- Diarrhea.- Approach to Chronic Constipation.- Pelvic outlet obstruction.- Fecal incontinence.- Irritable bowel syndrome (IBS).- Anal Fissure.- Recurrent anal fissure.- Anal stenosis and stricture.- Anorectal abscess.- Fistula in ano.- Rectovaginal fistula.- Anorectal Crohn's disease.- Internal Hemorrhoids.- External hemorrhoids.- Pilonidal disease.- Complex and recurrent pilonidal disease.- Hidradenitis suppurativa.- Rectal prolapse.- Rectal intussusception.- Anal Margin tumors.- Anorectal trauma.- STDs.- Anorectal disease in the immunosuppressed patient.- Fournier's Gangrene.- Proctitis.- Radiation proctitis.- Non-healing perineal wounds.- Anal Canal neoplasms.- Retrorectal tumors.- Rectal polyps.- Colorectal Cancer staging.- Rectal Cancer local therapy.- Rectal cancer- proctectomy.- Rectal cancer - adjuvant and neoadjuvant therapy.- Stage IV colorectal cancer.- Rectal cancer - watch and wait.- Rectal Cancer Postoperative surveillance.- Recurrent and locally advanced rectal cancer.- Crohn's colitis.- Ulcerative colitis.- Extraintestinal manifestations of IBD.- Toxic colitis.- Infectious colitis.- Diverticulitis.- Pouchitis.- Volvulus.- Colorectal Trauma.-Endometriosis.-Large bowel obstruction.- Colonic Pseuodobstruction.- Ischemic.- colitis.- Stricture.- Benign neoplasms of the colon.- FAP.- Lynch Syndrome.- Malignant polyp.- Adenomatous polyps.- Colon Cancer surgical therapy.- Locally advanced colon cancer.- Recurrent colon cancer.- Mesenteric ischemia.- Small bowel obstruction.- Radiation enteritis.- Small bowel Crohn's disease.- Enterocutanous and enteroatmospheric fistula.- Small bowel polyps.- Lymphoma.- Carcinoid.- Stomal prolapse.- Peristomal hernias.- Stomal retraction and stricture.- Stomal varices.- Peristomal skin complications.- Ureter injury.- Splenic injury.- Colonoscopic perforation.- Anastomotic stricture.- Anastomotic leakage.- Anastomotic bleeding.- Postoperative abscess.- Postpolypectomy Hemorrhage.- Postpolypectomy Thermal injury .

This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease. It examines the thought processes, technical tricks, and decision-making strategies for specific clinical situations.

The book aims to utilise the experience its contributors have gained caring for patients with a wide range of colorectal diseases. The technical challenges of managing complex patients and the technical details that make these situations challenging are covered, and evidence and experience-based solutions are offered for surgeons of all levels.

This book focuses on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through an algorithmic approach.

Scott R. Steele, MD
Dr. Steele is a graduate of the United States Military Academy at West Point, NY, and is the Chief of Colon & Rectal Surgery at Madigan Army Medical Center, Fort Lewis, WA. He is an active participant in 11 surgical societies and several national committees for both the Society of University Surgeons and American Society of Colon & Rectal Surgeons including the Standards committee, for which he has written several national Practice Parameter guidelines. He currently serves on the editorial boards of Clinics in Colon and Rectal Surgery, World Journal of Gastroenterology, Cochrane Colorectal Cancer Group, Journal of Gastrointestinal Surgery, Journal of Surgical Oncology, Annals of Surgery, and is a Section Editor for Diseases of the Colon & Rectum. In addition, he serves as the Colorectal Surgery Community Web Portal Editor for the American College of Surgeons. He also serves on the American Board of Colon & Rectal Surgery, as both a Written Examination Committee member and a member of the Oral Examination Committee. His contributions to the medical literature include several peer-reviewed articles, invited reviews and book chapters, and national practice parameters. He has also served as a guest editor for five volumes dedicated to colorectal disease and is the co-editor of 5 upcoming Colorectal Surgery textbooks.

Steven Wexner, MD, PhD (Hon), FACS, FASCRS, FRCS(Ed)
Dr. Wexner is currently the Director, Digestive Disease Center and Chairman Department of Colorectal Surgery at Cleveland Clinic Florida. He is the past President of the American Society of Colon and Rectal Surgeons Research Foundation (2014-2016), the American Society of Colon and Rectal Surgeons (2011-2012), the American Board of Colon and Rectal Surgery (2010-2011), and the Society of American Gastrointestinal and Endoscopic Surgeons (2006-2007). He has published over 550 manuscripts, more than 200 textbook chapters, and more than 100 editorial and invited commentaries. He is the editor or co-editor of 26 textbooks or freestanding volumes to date and is a member of 34 editorial boards and a reviewer for an additional 31 journals. He is an active member of 41 learned societies and has held more than 36 appointed or elected offices in these societies. He is an honorary member of the surgical societies of eight other countries and has held over 41 visiting professorships and delivered over 1270 scientific lectures. He has received 16 national, international, and regional awards for his research and is the Symposium Director of the Annual International Colorectal Disease Symposium held in Fort Lauderdale, Florida. In addition, Dr. Wexner trains 15-20 surgeons per year in laparoscopic colorectal surgery, surgical oncology, and the surgical management of inflammatory bowel disease. In that capacity, he has been the host educator to thousands of surgeons from around the world.

Justin A. Maykel, M.D., FACS, FASCRS
Dr. Maykel is the Chief of the Division of Colon and Rectal surgery at UMassMemorial Medical Center. He completed his General Surgery training at Beth Israel Deaconess Medical Center, Harvard Medical School, followed by a fellowship in Colorectal Surgery at the University of Minnesota. In addition, he completed a clinical fellowship in Nutrition and Metabolism at Beth Israel Deaconess Medical Center, Harvard Medical School. He is currently an Associate Editor for Diseases of the Colon & Rectum and Community Associate Editor for the American College of Surgeons e-portal. He is an active member of several local and national surgical societies and serves on national committees of the American Society of Colon and Rectal Surgeons. He is a committed educator, serving as a question writer for the Written Exam of the American Board of Colon and Rectal Surgery and has been recognized for teaching at the University of Massachusetts Medical School as the recipient of several teaching and mentoring awards. He has multiple national presentations and authored several peer-reviewed articles and invited manuscripts on the evaluation and treatment of colorectal disease, and has been the co-editor of one other textbook regarding colorectal disease.