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ASCRS Textbook of Colon and Rectal Surgery
Fundamentals of Rectal Cancer Surgery
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Search CARSEP XII
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Perioperative
What intraoperative fluid strategy has been shown to optimize colorectal surgical outcomes as part of enhanced recovery after surgery (ERAS) protocols?
Benign Disease
A 32-year-old patient on inflixmab for maintenance therapy of ulcerative colitis (UC) is admited to the hospital with abdominal pain, six bloody stools daily, temperature of 38 ºC, and heart rate of 100 beats per minute. Colonoscopy demonstrates pancolitis with erythema, ulcerations, and scattered pseudopolyps. The best next step in treatment is intravenous (IV)
Malignancy
A 70-year-old woman with a medical history of hypertension and hypothyroidism reports rectal bleeding, maroon blood mixed in with her stool, and weight loss to her primary care physician. She is referred to undergo diagnostic colonoscopy. She is found to have a hepatic flexure mass with biopsies taken and tattoo placed distally, with pathology returning as moderately differentiated adenocarcinoma, mismatch repair (MMR) protein expression intact. Laboratory testing includes a complete blood count, basic chemistry, and carcinoembyronic antigen (CEA) with findings of anemia and a mildly elevated CEA level. What imaging is recommended for completion of the staging work-up in this patient?
1 - 3 of 3 records
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