Crohns Disease and Ulcerative Colitis von Devinder/Alexander-Williams Kumar

InhaltsangabeSection I.- 1 History.- The History of Crohn's Disease.- The History of Ulcerative Colitis.- 2 Aetiopathology and Natural History.- 3 Nutrition in Inflammatory Bowel Disease.- Specific Nutritional Problems in IBD.- Nutritional Support in the Treatment for IBD.- 4 Psychosis, Psychology, Stress and Counselling.- Relationship of Psychiatric and Psychological Disorders.- Stress.- The Effect of Diagnosis.- Psychological Counselling of Patients with Crohn's Disease.- The Role of Patient Societies and Clubs.- Assessment of the Quality of Life.- Longitudinal Surveillance (a Surgical Perspective).- Section II.- 5 Crohn's Disease: A Remaining Medical Enigma and Surgical Challenge.- Demography.- 6 Surgical Management.- The General Principles.- Overcoming the Complications of Crohn's Disease.- 7 Indications for Surgical Intervention.- Emergency Indications.- Elective Indications.- 8 Reducing the Risks of Operation.- Principles.- Minimise Blood Loss.- Preventing Damage to Adjacent Tissues and Organs.- Minimise Infection.- Avoid Unnecessary Sacrifice of Gut.- Avoiding Anastomotic Leakage.- Risk of Recrudescence and How to Minimise It.- 9 Assessment and Preparation.- Principles.- General and Nutrition.- Psychological Preparation.- Bowel Preparation.- 10 Resection of the Ileum or Ileocaecum.- Operative Position.- Skin Preparation and Draping.- The Incision.- Peritoneal Access.- Technique of Dissection.- Haemostasis.- Extent of Excision.- Opening and Occluding the Gut.- Suturing.- When to Avoid Anastomosis.- Creation of a Stoma.- Abdominal Wall Closure.- Management of Contaminated Wounds.- 11 Bypass, Diversion and Dilatation.- Indications and Principles of Bypass.- Ileo-transverse and Entero-enteric Bypass.- Dilatation with Balloon or Dilator.- Indications.- Technique.- Complications and Precautions.- Results.- 12 Strictureplasty.- Why Strictures Cause Problems.- Towards Conservative Operations.- The Concept of Strictureplasty.- Indications.- Technique.- Results.- Complications.- Strictureplasty Now and in the Future.- 13 The Management of Fistula.- Principles.- Defence Mechanisms and Repair.- The Natural History of an Intestinal Fistula.- Classification of Fistulas.- Causes of Fistula.- Peculiarities of Fistulas in Crohn's Disease.- Assessment.- Nutrition.- Surgical Intervention.- 14 Colonic Crohn's Disease (Including Rectal Disease).- Indications for Surgery.- Surgical Options.- 15 Technique of Total Colectomy and Ileo-rectal Anastomosis.- Pre-operative Check.- Bowel Preparation.- Patient Position and Skin Preparation.- Position of the Surgical Team.- Incision.- The Laparotomy.- Dissection of the Upper Rectum.- Colectomy.- The Anastomosis.- Closure of the Abdomen.- 16 Technique of Panproctocolectomy.- Preparation and Position of the Patient.- Rectal Dissection from Above.- Perineal Dissection.- Management of the Pelvic Space.- Creation of the Stoma.- Abdominal Closure.- Eversion of the Ileostomy.- 17 Post-operative Complication.- Early Complications.- Intermediate.- 18 Perianal Crohn's Disease.- Definition.- Classification.- Pathology.- Symptoms and Signs.- Differentiation from Common-or-Garden Anal Disease.- Natural History of the Disease.- Assessing the Extent and Anatomical Location.- The Management of Perianal Crohn's Disease.- Some Unanswered Questions.- The Way Ahead.- 19 Associated Diseases.- Extra-intestinal Manifestations.- Associated Diseases.- Section III.- 20 Ulcerative Colitis: Indications for Surgical Intervention.- Indications for Urgent Surgery.- Elective Surgery for Ulcerative Colitis.- 21 Surgical Options.- Total Colectomy and Mucus Fistula.- Panproctocolectomy and Permanent Ileostomy.- Ileo-rectal Anastomosis.- Continent Ileostomy (Kock Pouch).- Restorative Proctocolectomy.- 22 Pre-operative Assessment and Preparation.- Pre-operative Assessment.- Preparation of the Patient.- 23 The Operation.- Total Colectomy, Ileostomy and Mucus Fistula.- Panproctocolectomy and Ileostomy.- Ileo-rectal Anastomosis.- The Continent Ileostomy