ASCRS U | Question 6

Question 6

63 results

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Measuring Pelvic Floor Disorder Symptoms Using Patient-Reported Instruments
- Recommendations
Rectal Cancer: Nonoperative Management
- Local Reassessment After Achievement of a cCR
- Assessment of Tumor Response
Medical Therapy for Crohn’s Disease
- 5-ASA Therapy
Anorectal Disease
- A 35-year-old man presents to the clinic with a 3-year history of mucopurulent drainage from multiple sinus tracts on the perineum. All workup for inflammatory bowel disease has negative results. Physical examination reveals multiple interconnected sinus tracts. Symptoms persist despite 6-month treatment with antibiotics. Which of the following is the most appropriate next step in treatment?
Perioperative
- A 67-year-old man who needs some assistance with ambulation is recovering from an uneventful open colectomy for colon cancer. What form of venous thromboembolism prophylaxis is most appropriate on discharge from the hospital?
Benign Disease
- A 23-year-old man fell off a bull while riding and later suffered an isolated injury to the left perineal region by one of the bulls’ horns. At the emergency department, he was hemodynamically intact, and had a perineal penetrating injury measuring approximately 6 × 5 cm. Abdominal examination findings were benign. Computed tomography of the abdomen and pelvis noted approximately 35% circumferential extraperitoneal rectal injury. In addition to initiating broad-spectrum antibiotics and proctoscopy, what is the next step in management?
Welcome to Litigation
- Teaching Points
Management of Rectal Cancer 2023 Supplement (2023)
- STATEMENT OF THE PROBLEM
- CERTAINTY OF EVIDENCE
Malignancy
- A 38-year-old HIV-positive male patient is diagnosed with a cT3N1M0 squamous cancer of the anal canal. The patient’s CD4 count is 250 cells/mm3. What is the most appropriate next step in management?
Colorectal Cancer: Postoperative Adjuvant Therapy and Surveillance
- References
- Surveillance After Curative-Intent Therapy
Sexual Function After Colorectal Surgery in Women
- Defining the Problem for Effective Treatment
Colonic Diverticular Disease
- Risk Factors for Disease
Rectal Cancer: Local Excision
- Neoadjuvant Therapy and Local Excision
Perioperative
- A 45-year-old man with history of rectal cancer found at 5 cm from the dentate line, underwent low anterior resection. Foley catheter was placed without complication at the start of the surgery. The urine output is appropriate and clear. When should the foley catheter be removed?
- A 65-year-old man is scheduled to undergo an average risk screening colonoscopy. He takes apixaban daily for atrial fibrillation. What is the best course of action in him?
Pelvic Floor
- A 59-year-old woman presents with full-thickness rectal prolapse 6 years after sigmoid resection and rectopexy. She complains of significant discomfort and fecal urgency. Dynamic magnetic resonance imaging defecography demonstrates full-thickness rectal prolapse without anterior or middle compartment involvement. Which of the following procedures is contraindicated in the management of this patient’s rectal prolapse?
- A 35-year-old woman experiences a fourth-degree obstetric injury involving the anal sphincter complex and subsequently develops fecal incontinence. Her symptoms persist more than 6 months after childbirth. Endoanal ultrasonography reveals a 120-degree distal internal and external sphincter anterior defect. She is taken to surgery for overlapping sphincteroplasty. What is associated with mobilization of the sphincter beyond 180 degrees?
Endometriosis
- Treatment
Treatment of Difficult/Obstructive Defecation
- Treatment of Obstructed Defecation
Core Descriptor Sets for Rectal Prolapse Outcomes Research Using a Modified Delphi Consensus
- MATERIALS AND METHODS
Management of Colonic Volvulus and Acute Colonic Pseudo-Obstruction (2021)
- COLONIC VOLVULUS
Development of a Consensus-Derived Synoptic Operative Report for Rectal Prolapse: A Report From the Pelvic Floor Disorders Consortium
- DISCUSSION
Pelvic Floor
- A 35-year-old woman develops fecal incontinence after the difficult childbirth. Endoanal ultrasound shows a 30% defect in the external anal sphincter. She undergoes overlapping sphincteroplasty. When can she expect recurrence of symptoms of fecal incontinence?
Reduction of Venous Thromboembolic Disease in Colorectal Surgery (2023)
- Benefits of Pharmacologic Prophylaxis
Benign Disease
- A 25-year-old man with a history of medically refractory ulcerative colitis (UC) and who has undergone a total abdominal colectomy with end ileostomy now presents for his second stage operation of a completion proctectomy, ileoanal pouch anastomosis, and diverting loop ileostomy. What is considered optimal J-pouch length?
Preoperative Evaluation in Colorectal Patients
- References
- Consideration of Specific Perioperative Medication Management
Ostomy Surgery (2022)
- OSTOMY CLOSURE
Management of Appendiceal Neoplasms (2019)
- APPENDICEAL MUCINOUS NEOPLASMS AND ADENOCARCINOMA
Rectal Cancer: Neoadjuvant Therapy
- Utilization of Systemic Chemotherapy in the Neoadjuvant Setting
- Consolidation vs Induction Chemotherapy
Anal Squamous Cell Cancers (Revised 2018)
- MALIGNANT NEOPLASMS OF THE ANAL CANAL AND PERIANAL REGION
Proctectomy for Rectal Cancer
- Operative Approaches
Consensus Definitions and Interpretation Templates for Magnetic Resonance Imaging of Defecatory Pelvic Floor Disorders
- Recommendations
Management of Rectal Cancer (2020)
- TREATMENT
Considerations for Geriatric Patients Undergoing Colorectal Surgery
- Surgical Considerations
Treatment of Left-Sided Colonic Diverticulitis (2020)
- MEDICAL MANAGEMENT OF ACUTE DIVERTICULITIS
- EMERGENCY SURGERY FOR ACUTE DIVERTICULITIS
Management of Local Recurrences
Management of Inherited Adenomatous Polyposis Syndromes (2024)
- Desmoid Disease
- References
Rectovaginal Fistula
- Etiology of Rectovaginal Fistula
Abdominal Wall Reconstruction and Parastomal Hernia Repair
- References
Intestinal Stomas
- References
Appendiceal Neoplasms
- Other Mucinous Lesions
Technique of Total Mesorectal Excision
- Overview
Ulcerative Colitis: Surgical Management
- References
Management of Clostridioides difficile Infection (2021)
- Medical Management
Surgical Management of Crohn's Disease (2020)
- OPERATIVE CONSIDERATIONS
Surgical Management of Ulcerative Colitis (2021)
- ULCERATIVE COLITIS-ASSOCIATED COLORECTAL NEOPLASIA
Perioperative Evaluation and Management of Frailty Among Older Adults Undergoing Colorectal Surgery (2022)
- MATERIALS AND METHODS
Evaluation and Management of Chronic Constipation (2024)
- Initial Evaluation and Treatment of Constipation
Management of Appendiceal Neoplasms (2025)
- APPENDICEAL MUCINOUS NEOPLASM AND ADENOCARCINOMA
ASCRS Webinars
- Available Webinar Recordings
1 - 63 of 63 records

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