This is a truly multi-disciplinary book introducing the surgical specialties to medical proctology and related fields. The procedures described allow effective management of both common and less common diseases, including all the secondary problems that may arise. The standard diagnostic procedures described herein reduce costs in therapy. This new reference in proctology and perianal skin disease gives detailed descriptions of clinical features, laboratory diagnosis, and treatment strategies. It will empower a wide variety of physicians to manage these disorders more effectively. This book combines the advantages of a textbook with the illustrative material of an atlas. The book shows the significance of proctology and its interaction with other disciplines like surgery, gastroenterology and oncology.
Klappentext
Patients with perianal diseases such as dermatitis do not just visit the dermatologist; they are seen by family doctors, internists, pediatricians, general surgeons, gynecologists, and urologists. This book is truly multi-disciplinary, introducing the surgical specialties to medical proctology and related fields. The procedures described allow effective management of both common and less common diseases, including all the secondary problems that may arise. With increasing travel and increasing immunosuppression, parasitic intestinal diseases are now seen in every type of practice. The standard diagnostic procedures described herein reduce costs in therapy. This new reference in proctology and perianal skin disease gives detailed descriptions of clinical features, laboratory diagnosis, and treatment strategies. It will empower a wide variety of physicians to manage these disorders more effectively.
Inhalt
Anatomy of the Anorectal Region.- Anal Canal.- Rectum.- Musculature of the Pelvic Floor.- Pelvic Connective Tissue.- Anorectal Veins.- Anorectal Arteries.- Anorectal Nerves.- Anorectal Lymphatics.- Physiology and Pathophysiology of Anorectal Function.- Continence.- Incontinence.- The Proctologic Examination.- Examination Positions.- Disinfection and Sterilization.- Methods of Evaluation.- History.- Physical Examination.- Digital Examination.- Speculum Examination.- Proctoscopy and Anoscopy.- Rigid Rectosigmoidoscopy.- Flexible Rectosigmoidoscopy.- Colonoscopy.- Imaging Studies.- Sonography.- Anorectal Manometry and Electromyography.- Mycological and Bacteriological Evaluation.- Allergological Testing Methods.- Cancer Prevention.- Anorectal and Colon Diseases.- 1 Hemorrhoidal Symptom Complex.- 1.1 Hemorrhoids.- 1.2 Anal Tags.- 1.3 Perianal Thrombosis.- 1.4 Anal Prolapse.- 1.5 Rectal Prolapse.- 1.6 Cryptitis and Papillitis.- 1.7 Hypertrophic Anal Papillae.- 1.8 Anal Rhagades and Erosions.- 1.9 Anal Fissure.- 1.10 Anorectal Abscess.- 1.11 Fistulas.- 2 Perianal Skin Diseases.- 2.1 Pruritus Ani.- 2.2 Side Effects of Topical Corticosteroids.- 2.3 Perianal Contact Dermatitis.- 2.4 Pigmentary Disorders.- 2.4.1 Perianal Hyperpigmentation.- 2.4.2 Perianal Depigmentation.- 2.5 Perianal Hematoma.- 2.6 Acne Tetrad.- 2.7 Pilonidal Sinus.- 2.8 Bacterial Diseases.- 2.8.1 Pyodermas.- 2.8.2 Perianal Streptococcal Dermatitis.- 2.8.3 Erythrasma.- 2.9 Tinea Inguinalis.- 2.10 Herpes Simplex.- 2.11 Herpes Zoster.- 2.12 Mollusca Contagiosa.- 2.13 Infections with Human Papilloma Virus.- 2.13.1 Verrucae Vulgares.- 2.13.2 Condylomata Acuminata.- 2.13.3 Bowenoid Papulosis.- 2.13.4 Bowen Disease.- 2.13.5 Verrucous Carcinoma.- 2.14 Epizoonoses.- 2.14.1 Scabies.- 2.14.2 Pediculosis Pubis.- 2.15 Lichen Planus.- 2.16 Lichen Sclerosus et Atrophicus.- 2.17 Acrodermatitis Enteropathica.- 2.18 Glucagonoma Syndrome.- 2.19 Acanthosis Nigricans.- 2.20 Darier Disease.- 2.21 Hailey-Hailey Disease.- 2.22 Porokeratosis of Mibelli.- 2.23 Inverse Psoriasis.- 2.24 Pemphigus Vegetans.- 2.25 Behcet Disease.- 2.26 Extramammary Paget Disease.- 2.27 Langerhans Cell Histiocytosis.- 2.28 Syringocystadenoma Papilliferum.- 3 Tumors and Tumor-like Lesions of the Colon, Rectum, Anus and Perianal Region.- 3.1 Epithelial Tumors.- 3.1.1 Colorectal Polyps.- 3.1.2 Carcinomas.- 3.1.2.1 Colorectal Carcinoma.- 3.1.2.2 Anal Carcinoma.- 3.1.3 Neuroendocrine Tumors (Carcinoid Tumors).- 3.2 Malignant Melanoma.- 3.3 Mesenchymal Tumors and Tumor-like Lesions.- 3.3.1 Tumors of Fatty Tissue.- 3.3.2 Tumors of Muscle.- 3.3.3 Tumors of Blood Vessels.- 3.3.4 Tumors of Lymphatic Vessels.- 3.4 Lymphoma.- 3.4.1 Malignant Lymphoma.- 3.4.2 Pseudolymphoma.- 4 Endometriosis.- 5 Pneumatosis Coli.- 6 Malacoplakia.- 7 Melanosis Coli.- 8 Stenoses and Atresias.- 9 Injuries to the Colon, Rectum and Anal Sphincter.- 10 Descending Perineum Syndrome.- 11 Pectenosis.- 12 Coccydynia.- 13 Proctalgia Fugax.- 14 Inflammatory Diseases of the Colon, Rectum, Anus and Perianal Region.- 14.1 Crohn Disease.- 14.2 Ulcerative Colitis.- 14.3 Ischemic Colitis.- 14.4 Collagenous Colitis.- 14.5 Pseudomembranous Colitis.- 14.6 Irritable Bowel Syndrome.- 14.7 Colitis Cystica Profunda.- 14.8 Solitary Rectal Ulcer.- 14.9 Diverticulosis and Diverticulitis.- 14.10 Radiation Proctitis.- 15 Infectious Diseases.- 15.1 Traveler's Diarrhea.- 15.2 Shigellosis.- 15.3 Yersiniosis.- 15.4 Campylobacteriosis.- 15.5 Actinomycosis.- 15.6 Tuberculosis.- 15.7 Gonorrhea.- 15.8 Syphilis.- 15.9 Chancroid.- 15.10 Granuloma Inguinale.- 15.11 Lymphogranuloma Venereum.- 15.12 HIV Infection/AIDS.- 15.13 Candidiasis.- 16 Intestinal Parasites.- 16.1 Laboratory Diagnosis of Intestinal Parasites.- 16.1.1 Stool Examination for Ova.- 16.1.2 Stool Examination for Protozoa.- 16.1.3 Serological Methods.- 16.1.4 Blood Eosinophil Count.- 16.1.5 IgE Measurements.- 16.2 Worms (Helminthes).- 16.2.1 Flatworms (Platyhelminthes).- 16.2.1.1 Flukes (Trematoda).- 16.2.1.2 Tapeworms (Cestoda).- 16.2.2 Roundworms (Nematoda).- 16.3 Protozoa.- 16.3.1 Amebiasis.- 16.3.2 Giardiasis.- 16.3.3 Leishmaniasis.- 16.3.4 Balantidiasis.- 16.3.5 Sarcocystosis.- 16.3.6 Isosporiasis.- 16.3.7 Cryptosporidiosis.- 16.3.8 Microsporidiosis.- 16.3.9 Cyclosporiasis.- 16.3.10 Blastocystosis.