Benign and malignant colorectal diseases, including inflammatory bowel diseases, continue to increase in both incidence and prevalence and require medical, and in some, endoscopic, or surgical treatment. Today’s clinicians must be prepared to diagnose and manage the frequent endoscopic or surgical procedure-associated complications associated with these procedures. Corrective Endoscopy and Surgery in Inflammatory Bowel and Colorectal Diseases: Advanced Management of Complications provides authoritative, step-by-step guidance on the complex complications encountered by gastroenterologists, inflammatory bowel disease specialists, endoscopists, general surgeons, gastrointestinal surgeons, and colorectal surgeons, offering real-world principles and techniques of corrective endoscopy or corrective surgery in one convenient volume.
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Edited by Bo Shen, M.D., The Edelman-Jarislowsky Professor of Surgical Sciences , Professor of Medicine and Surgical Sciences (in Surgery), Director of Interventional Inflammatory Bowel Disease , Vice Chair of Innovation in Medicine &; Surgery , Herbert Irving Pavilion, Columbia University Vagelos College of Physicians and Surgeons, Department of Surgery, New York, NY, USA and Ravi P Kiran, MD, MBBS, FRCS (Eng) FRCS (Glas), FACS, Kenneth A. Forde Professor of Surgery, Columbia University Medical Center and Mailman School of Public Health, Chief and Program Director, Division of Colorectal Surgery Director, Center for Innovation and Outcomes Research, New-York-Presbyterian Hospital/Columbia University Medical Center, New York, New York
CH Title Main contents Proposed authors1 Overview of common benign and malignant colorectal diseases • Crohn’s disease• ulcerative colitis• pelvic disorders• diverticular diseases• colon neoplasia Yaniuska Lescaille, MD (SUNY Downstate, yaniuska.lescaille@downstate.edu), Garrett Lawlor< MD (Columbia University, gl2501@cumc.columbia.edu), Ravi Kiran (Columbia University, rpk2118@columbia.edu)Bo Shen, MD (Columbia University, bs3270@columbia.edu)2 Overview of common endoscopic and surgical procedures for the management of colorectal disease • endoscopic balloon dilation• endoscopic stricturotomy• endoscopic strictureplasty• endoscopic stent placement• endoscopic sinusotomy• endoscopic septectomy• endoscopic fistulotomy• endoscopic clipping• endoscopic suturing• surgical resection• surgical strictureplasty• surgical repair• diverting ostomy• surgical redo Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu) and Bo Shen, MD (Columbia University, bs3270@columbia.edu)3 Risk factors for endoscopy- or surgery-associated complications in colorectal disease • Colonoscopy polypectomy• EBDendoscopic stricturotomy• complications of CD surgery• complications of UC surgery• complication of CRC surgery• complications of diverticular diseases• Geeta Kulkarni, MS (Cleveland Clinic, kulkarg@ccf.org), and Bo Shen, MD (Columbia University, bs3270@columbia.edu)
4 Proper handling of mesentery: Prevention of colorectal surgery-associated complications • anatomy• associated disease conditions • as risk factors for postop disease recurrence and complications• proper intraoperative handling Xianrui Wu MD, PhD (Sun Yat-sen University, wudianr5@mail.sysu.edu.cn), and Colvin Coffey, MD (University of Lamrick, calvin.coffery@ui.ie)5 Principles, techniques, and precautions of endoscopic and surgical management of complications in colorectal disease • principles• equipment and supplies• techniques Makram Gedeon, MD (Columbia University, mg2887@cumc.columbia.edu) Bo Shen, MD (Columbia University, bs3270@columbia.edu)6 Endoscopy-associated complications in colorectal diseases (clinical presentations and diagnostic evaluation) • bleeding• ileus and aspiration• perforation, bacteremia, sepsis Alex Levy (Tufts University, Boston, MA, alevy@tuftsmedicalcenter.org) with coauthor7 Surgery-associated complications in colorectal diseases • anastomotic ulcers• bleeding• abscess• strictures• prolapse• twist Debbie Bakes, MD (Columbia University, db3023@cumc.columbia.edu),Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)
8 Construction of anastomosis strictures and perforation in animal model • principles• techniques• clinical applications Martin Lucas, MD (University of Prague, looker@email.cz), Martin Bortlik, MD (University of Prague, mbortlik@seznam.cz)
9 Radiographic evaluation and management of endoscopy- or surgery-associated complications in colorectal diseases • KUB• gastrograffin enema• barium defecography• fistulogram• CT• MRI Stuart Bentley-Hibbert, MD (Columbia Universitysb2390@cumc.columbia.edu) or Bo Shen, MD (Columbia University, bs3270@columbia.edu)10 Histopathological features of perforation, anastomotic leaks, abscesses, and strictures • perforation• abscess• anastomotic stricture• mesentery in health and diseased• radiation proctitis Xiuli Liu, MD, PhD (University of Florida, xiuliliu@ufl.edu)11 Salvage endoscopy in the management of acute endoscopy-associated complications • perforation• bleeding• ileus• postpolypectomy appendicitis Andrew Joelson, MD (Columbia University, amj9033@nyp.org)Bo Shen, MD (Columbia University, bs3270@columbia.edu)12 Endoscopic management for anastomosis strictures in colorectal diseases (exclusion of pouch) • balloon dilation• stricturotomy• strictureplasty• stent Udayakumar Navaneethan, MD (University of Central Florida, Udayakumar.Navaneethan.MD@flhosp.org)13 Endoscopic management of ileal pouch strictures • balloon dilation• Endoscopic stricturotomy• Endoscopic strictureplasty• stent Nan Lan, MD, PhD (Aultman Medical Center, ) and Bo Shen, MD (Columbia University, bs3270@columbia.edu)14 Endoscopic management of floppy pouch complex • frequency• risk factors• banding therapy Bo Shen, MD (Columbia University, bs3270@columbia.edu)15 Endoscopic management of acute anastomosis leaks • frequency• settings• risk factors• endo vac• endoscopic stent drainage• endoscopic suturing Bo Shen, MD (Columbia University, bs3270@columbia.edu)16 Endoscopic management of chronic anastomotic fistula • rectal vaginal/bladder fistula• pouch vaginal/bladder fistula• enteroenteric fistula• enterocutaneous fistula• other fistulae Bo Shen, MD (Columbia University, bs3270@columbia.edu)17 Endoscopic management of presacral sinuses • frequency (pouch; ileo-rectal anastomosis; colorectal anastomosis)• risk factors• principles and techniques• outcomes Bo Shen, MD (Columbia University, bs3270@columbia.edu)18 Endoscopic management of stoma complications • fistulae• abscesses• stoma strictures• stoma prolapse• stoma retraction Bo Shen, MD (Columbia University, bs3270@columbia.edu)19 Endoscopic management of perirectal fistula and abscess • endoscopic incision and drainage• fistulotomy• stem cell therapy Bo Shen, MD (Columbia University, bs3270@columbia.edu)20 Endoscopic management of complications of diverted or bypassed bowel • diversion colitis with bleeding• diversion strictures• surveillance of dysplasia Bo Shen, MD (Columbia University, bs3270@columbia.edu)21 Endoscopic management of colon cancer surgery-associated complications • APC for radiation proctitis• anastomotic leaks• anastomotic stricture• fistulae Bo Shen, MD (Columbia University, bs3270@columbia.edu)22 Endoscopic evaluation and management of constipation after failed surgical treatment • principles• techniques • outcomes Bo Shen, MD (Columbia University, bs3270@columbia.edu)23 Salvage interventional radiology and surgery in acute anastomotic leak and abscess • medical management• IR drainage• surgical approach Marco Bertucci Zoccali, MD (Columbia University, mb4693@cumc.columbia.edu)24 Salvage surgery (non-redo) for chronic anastomotic leaks • fistulas• sinuses Christopher R. Mascarenhas, MD (Columbia University, crm2227@cumc.columbia.edu), Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)
25 Salvage surgery for iatrogenic endoscopy-associated perforation • causes (dx or tx associated)• open surgery• lap surgery• robotic surgery• resection vs. repair Yi Li, MD, PhD (Jingling Hospital, liyi.jlh@hotmail.com)26 Redo J pouch • J to J conversion principles• techniques• follow-up• management of adverse sequelae (perianal dermatitis, prolapse) James M. Kiely, MD (Columbia University, jmk2270@cumc.columbia.edu), Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)
27 Salvage surgery for vaginal fistulas • injection• plugs• mucosal or muscle flap advancement Beatrice Dionigi, MD (now Columbia Universty; (dionigb@ccf.org); Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)28 Stem cell therapy for fistulas in colorectal diseases • rectovaginal fistula• pouch-vaginal fistula• perianal fistula Amy Lightner, MD (Cleveland Clinic, lightna@ccf.org)
29 Diverting ostomy in the management of endoscopy- or surgery- complications (Jejunostomy, ileostomy, colostomy) • types• indications• techniques Steve Lee-Kong (Columbia University, sal116@cumc.columbia.edu>30 Conversion of failed J pouch to Kock pouch • principles• techniques• precautions Xianrui Wu, MD, PhD (Sun Yat-sen University, wudianr5@mail.sysu.edu.cn), Ping Lan, MD, PhD (Sun Yat-sen University, lanping@mail.sysu.edu.cn), Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)
31 Clinical nutrition in the prevention and management of postoperative complications in colorectal diseases • preoperative EN/TPN/PPN• enteral and parental nutrition in the treatment of surgical leaks. Le-chu Su, MD, PhD, Columbia University, lechusu@sbcglobal.net) 32 Multidisciplinary approach for endoscopy- and surgery- associated complications • principles• team and interaction• techniques• “tumor board? model Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu), Bo Shen, MD (Columbia University, bs3270@columbia.edu)33 Overview of common endoscopic and surgical procedures related to the continent ileostomy • indications of K pouch• diagnostic endoscopy• surgical techniques• endoscopic treatment of stricture• endoscopic treatment of fistula• endoscopic treatment of bezoar Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu) and Bo Shen, MD (Columbia University, bs3270@columbia.edu)34 Common K pouch or BCIR related complications– clinical endoscopic, histologic, and radiographic characterization • frequency• disease classification• clinical presentation• endoscopic evaluation• histologic evaluation• radiographic evaluation Bo Shen, MD (Columbia University, bs3270@columbia.edu)35 Endoscopic corrective procedures for K pouch related problems/complications • stricture therapy• fistula therapy• removal of bezoars and foreign bodies Bo Shen, MD (Columbia University, bs3270@columbia.edu)36 Surgical corrective procedures for K pouch related problems/complications • frequency• indications• techniques Ravi Kiran, MD (Columbia University, rpk2118@columbia.edu)
37 ‘Pouchitis’ due to mechanical or functional issues- endoscopic management • classic pouchitis• fecal stasis theory• mechanical and functional outlet obstruction Bo Shen, MD (Columbia University, bs3270@columbia.edu)
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