RESUMO
Sphincter-preserving procedures have come to play an increasingly important role in colon and rectal surgery. In certain situations, rectal eversion can be an invaluable aid in performing a sphincter-saving operation. We present a new method to evert the rectum using the curved circular stapler.
Assuntos
Doenças Retais/cirurgia , Reto/cirurgia , Grampeamento Cirúrgico/instrumentação , Anastomose Cirúrgica/métodos , Humanos , Reprodutibilidade dos Testes , SuturasRESUMO
Two hundred and fifty-eight patients with juvenile polyps were reviewed. Ten patients less than 20 years of age were found to have adenomas. The points to be presented can, therefore, be emphasized. Juvenile polyps are a distinct pathologic entity and can occur at any age and in either sex. Adenomas do exist in pediatric patients. We should not assume that every polyp in patients less than 20 years of age is automatically a juvenile polyp and, therefore, benign. Barium enema is recommended for any child or adolescent in whom one or more polyps are found. In multiple polyposis, the finding that one polyp is of the juvenile type does not necessarily rule out the presence of adenoma. Any patient with a solitary adenoma who has multiple polyps, whether adenoma or juvenile polyps, should be observed at appropriate intervals by sigmoidoscopic, roentgenographic and, possibly, colonoscopic examination. Finally, we hope that this study will inspire others to investigate further this interesting pathologic condition.
Assuntos
Adenoma/diagnóstico , Neoplasias do Colo/diagnóstico , Pólipos Intestinais/diagnóstico , Lesões Pré-Cancerosas/diagnóstico , Neoplasias Retais/diagnóstico , Adenoma/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Neoplasias do Colo/cirurgia , Feminino , Humanos , Lactente , Pólipos Intestinais/cirurgia , Masculino , Pessoa de Meia-Idade , Neoplasias Retais/cirurgiaAssuntos
Doenças do Ânus , Fissura Anal , Úlcera , Adulto , Doenças do Ânus/diagnóstico , Doenças do Ânus/etiologia , Doenças do Ânus/terapia , Constrição Patológica , Doença de Crohn/diagnóstico , Diagnóstico Diferencial , Feminino , Fissura Anal/diagnóstico , Fissura Anal/etiologia , Fissura Anal/terapia , Humanos , Masculino , Úlcera/diagnóstico , Úlcera/etiologia , Úlcera/terapiaRESUMO
The ultimate goal of the cone method of colostomy irrigation is to return patients with colostomies to their former role in society with confidence in themselves to the extent that having a colostomy is not considered a handicap. The results have generally been excellent. We believe all patients with stomas should be afforded the opportunity to attempt colostomy irrigation.
