The Kock Pouch PDF Download

Author: Pär Myrelid
Publisher: Springer
ISBN: 3319955918
Category : Medical
Languages : en
Pages : 201

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Book Description
This book is about the recently revived technique of Kock pouch in inflammatory bowel disease. It discusses the Kock pouch as an alternative to patients not suitable for a pelvic pouch or where the pelvic pouch has failed. It provides clinicians with all the necessary information on patient guidance and surgical revisions after a long life with a Kock pouch. The reader will learn about the development of the pouch, pre and post-operative strategies, surveillance, complications and the limitations and weaknesses of the method. New pioneering experimental methods used by the authors are also discussed. The use of ileorectal anastomosis and Kock’s continent ileostomy has regained interest as the long term problems of the pelvic pouch have and this book brings the knowledge and valuable experiences of a few experts at international centres to a large audience. This is an indispensable guide for colorectal surgeons, gastroenterologists and stoma therapi sts involved in the care of patients with inflammatory bowel disease where colectomy is still needed, either in an emergency setting or due to dysplasia or cancer.

Author: Bo Shen
Publisher: Academic Press
ISBN: 0128096292
Category : Medical
Languages : en
Pages : 574

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Book Description
Pouchitis and Ileal Pouch Disorders: A Multidisciplinary Approach for Diagnosis and Management provides much needed information on the evolution of pouch surgery, pouch surgery techniques, and surgery-associated complications, including inflammatory, functional, neoplastic, and metabolic complications. The book provides information on the anatomy of the pouch, pathogenesis of pouchitis and other pouch disorders, proper diagnostic modalities, and medical, endoscopic and surgical options for those disorders. The information has been compiled from a panel of national and international leading experts in the field, including basic scientists, gastrointestinal (GI) pathologists, GI radiologists, gastroenterologists, and more. - Features never-before-published information and technology from the vast experience of the contributors and editors in diagnosis and medical, endoscopic, and surgical management of pouchitis and other pouch disorders - Contains easy to access recommendations from experts - Provides access to an accompanying website with videos of endoscopic demonstrations of various configurations of the pouch, endoscopic evaluation of pouch disorders, and endoscopic treatment of pouch strictures, fistula, and anastomotic leaks/sinuses

Author: Jennie Burch
Publisher: John Wiley & Sons
ISBN: 0470722142
Category : Medical
Languages : en
Pages : 332

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Book Description
Stoma Care is a comprehensive and authoritative guide for all nurses and health care professionals with an interest in bowel conditions that may lead to stoma formation. It explores the anatomy and physiology of the urinary and gastrointestinal system, and looks at topics including familial adenomatous polyposis, continence issues, nutrition, and conditions leading to stoma formation, complications, fistulae and intestinal failure. It also discusses the role of the nurse in surgery and in pre-and post-operative care.

Author: Janindra Warusavitarne
Publisher: Springer
ISBN: 9783319943848
Category : Medical
Languages : en
Pages : 197

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Book Description
This book gives a comprehensive overview of surgery that results in creating an ileoanal pouch or continent ileostomy. It deals with the entire journey of pouch surgery starting from patient selection and counselling to technical tips and tricks and ending in managing pouch function and failure. Containing a patient experience section this volume helps clinicians better understand what a patient expects from the ileoanal pouch. This is a very specialised topic but one that is covered very poorly and this book has the potential to consolidate all that is known about the topic to provide a comprehensive overview on the surgery and its consequences.

Author: Maie Abdalla
Publisher: Linköping University Electronic Press
ISBN: 9176851095
Category :
Languages : en
Pages : 117

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Book Description
Ulcerative colitis (UC) is a chronic inflammatory disease that affects the colon. According to the literature, some thirty percent of UC patients may require a subtotal colectomy and ileostomy due to failure of medical treatment, acute toxic colitis or dysplasia/cancer diagnosis. Some patients choose to get continence restored with either an ileorectal anastomosis (IRA) or an ileal pouch-anal anastomosis (IPAA). Worldwide most surgeons prefer an IPAA to an IRA, despite reports of pouchitis, impaired fertility and fecundity. Fear of recurring proctitis and fear of rectal cancer in the remaining rectum is contributing to the choice of an IPAA. Little is known regarding the outcomes of IRA compared with IPAA in UC patients. We aimed to investigate the anorectal function, quality of life (QoL), risk of failure and rectal cancer in patients with UC restored with IRA and IPAA respectively. Methods: Data about all Inflammatory bowel disease (IBD) patients was obtained from the Swedish National Patient Register (NPR) between 1964-2014 and in one study from the Linköping University Hospital medical records 2006-2012. Patients who developed cancer were identified from the Swedish National Cancer Register. We investigated the risk of cancer and inflammation, functional outcome and failure as well as the quality of life for IRA and IPAA patients. Investigation of risk for cancer in IRA and IPAA compared with the background population was performed using survival analytic techniques: uni-and multivariate regression, Kaplan Meier curves and standardized incidence ratio. Results: Twelve percent (7,889 /63,795) of UC patients required colectomy according to the NPR. The relative risk for rectal cancer among patients with an IRA was increased (SIR 8.7). However, the absolute risk was 1.8% after a mean follow up of 8.6 years and the cumulative risk 10- and 20-years after IRA was 1.6% and 5.6%, respectively. Risk factors for rectal cancer were primary sclerosing cholangitis in patients with an IRA (hazard ratio 6.12), and severe dysplasia or cancer of the colon prior to subtotal colectomy in patients with a diverted rectum in place (hazard ratio 3.67). Regarding IPAA, the relative risk to develop rectal cancer was (SIR 0.4) compared with the background population and the absolute risk was only 0.06% after a mean of 12.2 years of follow up. Among patients operated at the Linköping University Hospital: IRA patients reported better overall continence according to the Öresland score with in median3 (IQR 2–5) for IRA (n=38) and 10 (IQR 5–15) for IPAA (n=39, p<0.001). There were no major differences regarding the QoL. According to the NPR, after a median follow up of 12.4 years failure occurred in 265(32%) out of 1112 patients, of which 76 were secondarily reconstructed with an IPAA. Failure of the IPAA occurred in 103 (6%) patients with primary and in 6 (8%) patients after secondary IPAA (log-rank p=0.38). Conclusion: IRA is a safe restorative procedure for selected UC patients. Patients should be aware of the annual postoperative endoscopic evaluation with biopsies as well as the need to the use of local anti-inflammatory preparations. However, IRA should not be offered for UC patients with an associated primary sclerosing cholangitis diagnosis due to the increased risk to develop rectal cancer in their rectal mucosa. In such case, IPAA is probably the treatment of choice.

Author: Christine Norton
Publisher: Oxford University Press, USA
ISBN: 0199298653
Category : Medical
Languages : en
Pages : 762

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Book Description
"This practical guide to all aspects of gastrointestinal nursing covers the treatment of a wide range of patients - from those suffering from minor and acute disorders, through chronic conditions, to those requiring major surgery and treatment for malignant disease. It summarizes the current state of knowledge in gastrointestinal nursing and provides concise, user-friendly guidelines on the management and treatment of patients with gastrointestinal disorders." "Written by practising nurses and subject experts, and incorporating their years of experience, the Oxford Handbook of Gastrointestinal Nursing is a unique and invaluable companion for practising nurses, and for all health care professionals who are involved in the care of patients with gastrointestinal disorders."--BOOK JACKET.

Author: Vikram S. Dogra
Publisher: Springer Science & Business Media
ISBN: 1447148991
Category : Medical
Languages : en
Pages : 357

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Book Description
Genitourinary Radiology: Male Genital Tract, Adrenal and Retroperitoneum: The Pathologic Basis is the second volume in a set of books on the pathologic basis of genitourinary radiology. Genitourinary Radiology: Male Genital Tract, Adrenal and Retroperitoneum: The Pathologic Basis provides a lavishly illustrated guide to the radiologic and pathologic features of a broad spectrum of diseases of the male genital tract, adrenal glands and retroperitoneum, including the entities most commonly encountered in day to day practice. The editors are authorities in the fields of genitourinary radiology and pathology, and the authors of each chapter are renowned radiologists, with pathology content provided by an internationally recognized genitourinary pathologist. General, plain film, intravenous pyelography, ultrasound, computed tomography, magnetic resonance imaging, nuclear medicine imaging and PET imaging of each disease entity are included. Accompanying the majority of the radiological narratives are complementary descriptions of the gross and microscopic features of the disease entities. Genitourinary Radiology: Male Genital Tract, Adrenal and Retroperitoneum: The Pathologic Basis is aimed at radiologists in private and academic practice, radiology residents, urologists, urology trainees, pathology trainees and fellows specializing in genitourinary pathology. Both experts and beginners can use this excellent reference book to enhance their skills in the fields of genitourinary radiology and pathology. ​

Author: Christopher R. J. Woodhouse
Publisher: John Wiley & Sons
ISBN: 1119162084
Category : Medical
Languages : en
Pages : 244

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Book Description
The first guide to identifying and assessing changes following urologic surgery—with follow-up protocols What is the normal appearance of a kidney after radio frequency ablation of a tumor and what does a local recurrence look like? How does the urine flow down the ureters after a trans-uretero-ureterostomy? What is the normal appearance of the urinary tract after a cystoplasty? Most clinicians would be hard-pressed to provide answers to such fundamental questions concerning post-surgical anatomy and physiology, and equally challenged to find evidence-based information on the subject. Most of the literature in radiology and urologic surgery is orientated towards diagnosis and disease management. Although this often includes complications and outcomes, the clinician is often in the dark as to the anatomical and physiological changes that follow successful treatment—especially in cases involving conservative or reconstructive surgery. To rectify this, the editors invited colleagues to share insights gleaned during their careers. The results are contained in Radiology and Follow-up of Urologic Surgery. Extremely well-illustrated throughout with color photographs and line drawings, Radiology and Follow-up of Urologic Surgery: Features sections devoted to each of the organs of the genito-urinary tract with chapters covering the major diseases and operations that are used to treat them Focuses on the “new normal” following surgery with an emphasis on the identification of normal changes versus complications Covers the radiologic changes and biochemical and histological findings which are found following reconstructions Offers guidelines for clinical and radiological follow up after urological surgery in some key areas Radiology and Follow-up of Urologic Surgery is essential reading for surgical residents in urology, as well as radiology residents specializing in urology. It also belongs on the reference shelves of urologists, urological surgeons, obstetric/gynecologic surgeons, and radiologists with an interest in the field, at whatever stage in their career.

Author: Marlene Van Niekerk
Publisher: ABRAMS
ISBN: 1468302221
Category : Fiction
Languages : en
Pages : 426

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Book Description
“A scatologocial black satire . . . Triomf may be the signal Afrikaans novel of the 1990s . . . A daring, vicious and hilarious flight of imagination” (The Washington Post). This is the story of the four inhabitants of 127 Martha Street in the poor white suburb of Triomf. Living on the ruins of old Sophiatown, the freehold township razed to the ground as a so-called “black spot,” they await with trepidation their country’s first democratic elections. It is a date that coincides fatefully with the fortieth birthday of Lambert, the oversexed misfit son of the house. There is also Treppie, master of misrule and family metaphysician; Pop, the angel of peace teetering on the brink of the grave; and Mol, the materfamilias in her eternal housecoat. Pestered on a daily basis by nosy neighbors, National Party canvassers and Jehovah’s Witnesses, defenseless against the big city towering over them like a vengeful dinosaur, they often resort to quoting to each other the only consolation that they know; we still have each other and a roof over our heads. Triomf relentlessly probes Afrikaner history and politics, revealing the bizarre and tragic effect that apartheid had on exactly the white underclass who were most supposed to benefit. It is also a seriously funny investigation of the human endeavor to make sense of life even under the most abject of circumstances. “South Africa as you’ve never seen it: a tale of incest and white trash. Funny, feisty, ferociously clever.” —Gillian Slovo, author of Ten Days “A world-class tragicomic novel, the kind of book that stabs at your heart while it has you rolling on the floor.” —The New York Times Book Review

Author: Bo Shen
Publisher: Academic Press
ISBN: 0128113898
Category : Medical
Languages : en
Pages : 382

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Book Description
Interventional Inflammatory Bowel Diseases: Endoscopic Management and Treatment of Complications covers the preparation, principle, techniques, and damage control of complications in endoscopic therapy, providing the ultimate guidance in endoscopic management of IBD. With contributions from a panel of international leading experts in the field, perspectives are included from GI pathologists, GI radiologists, gastroenterologists, advanced endoscopists, IBD specialists and colorectal surgeons. Recommendations from experts are also included within each chapter. By bridging medical and surgical treatment modalities for IBD, this is the perfect reference for GI researchers, medical students, therapeutic GI endoscopists, IBD specialists, surgeons and advanced health care providers. - Incorporates state-of-the-art of research in the area of therapeutic endoscopy in Crohn's Disease and Ulcerative Colitis - Makes the connection between the understanding of the complex nature and disease course of IBD with corresponding advanced endoscopic procedures - Explores endoscopic treatment as the missing link between medical and surgical treatment for complex Crohn's Disease and Ulcerative Colitis - Contains access to videos demonstrating important procedural concepts