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Published on 03 November 2016 By ESCP Secretariat In Rectal Cancer
Symposium - Frederic Ris at ESCP Milan 2016
Symposium - Pieter Tanis at ESCP Milan 2016
Symposium - Gordon Carlson at ESCP Milan 2016
Published on 25 November 2015 By ESCP Secretariat In Complications
Oral Poster (Functional) - Axel Kraenzler at ESCP Dublin 2015
Published on 18 October 2010 By ESCP Secretariat In Rectal Cancer
Free paper - Hirotoshi Hasegawa at ESCP Sorrento 2010
Published on 25 November 2015 By ESCP Secretariat In Colon Cancer
Oral Poster (Neoplasia) - Beatriz Arencibia at ESCP Dublin 2015
Published on 12 December 2014 By ESCP Secretariat In Chronic Pelvic and Perineal Pain
Interactive Trainee Workshop - Ethem Gecim at ESCP Barcelona 2014
Published on 22 November 2023 By ESCP Secretariat In AIN and Anal Cancer
Consultants corner - Raminta Luksaite Lukste (Lithuania) at ESCP Vilnius 2023
Published on 18 May 2017 By European Manual of Medicine: Coloproctology In AIN and Anal Cancer
Within the past few decades the incidence of anal cancer has increased worldwide, especially among the male homosexual population (men who have sex with men [MSM]), with an incidence up to 225 in 100,000. Human papillomavirus (HPV) infections are a main risk factor for the occurrence of anal cancer. The prevalence of anal HPV infection in human immunodeficiency virus (HIV)–negative MSM is 50–60 %, whereas the prevalence reaches almost 100 % in HIV-positive MSM. Anal intraepithelial neoplasia (AIN), which is associated with HPV, has been identified as a precursor lesion for anal cancer. Approximately 20 % of HIV-negative MSM are diagnosed with AIN, and high-grade epithelial neoplasia is already present in 5–10 %. The prevalence of high-grade AIN among HIV-positive MSM is considerably higher and can reach 50 %. In hypothetical models, screening examinations such as anal cytology and high-resolution anoscopy have been shown to be cost-effective and efficient in MSM. Based on these findings, regular anal screening tests should be recommended for at-risk patients. If anal cancer is diagnosed, positron emission tomography/computed tomography is recommended for staging. Radiochemotherapy is the standard treatment for most patients. Surgery is only advisable in patients with small tumors (<2 cm) of the anal margin or as a salvage procedure. Follow-up should be performed for 3 years and should include digital rectal examination and palpation of inguinal lymph nodes.
Published on 25 November 2015 By ESCP Secretariat In Fecal Incontinence
Student Oral Poster - Diane Mege at ESCP Dublin 2015
Published on 12 December 2014 By ESCP Secretariat In Fecal Incontinence
Video Surgery - Claudia Menconi at ESCP Barcelona 2014
Published on 27 November 2018 By ESCP Secretariat In Anorectal Abscess and Fistula
Trainee Video Session - Carlo Ratto (Italy) at ESCP Nice 2018
Trainee Video Session - Lilli Lundby (Denmark) at ESCP Nice 2018
Trainee Video Session - David Zimmerman (The Netherlands) at ESCP Nice 2018
Published on 12 December 2014 By ESCP Secretariat In Anorectal Abscess and Fistula
Trainee video session - Pasquale Giordano at ESCP Barcelona 2014
Published on 18 May 2017 By European Manual of Medicine: Coloproctology In Anal Fissure
An anal fissure is a tear in the epithelial lining of the anal canal, distal to the dentate line. It is accompanied by a significant increase in the tone of the internal anal sphincter. Anal pain is usually intense, occurs during or minutes after a bowel movement, and can last from minutes to hours. It may be accompanied by minimal bleeding. A fissure is usually located in the posterior (in 90 % of cases) or anterior midline (in 10 % of women and 1–5 % of men with anal fissure). If there are multiple fissures or occur at a lateral position, other anal pathologies must be ruled out (e.g., tuberculosis, syphilis, HIV, Crohn’s disease). Treatment of anal fissure is based on general measures and pharmacological intervention. General measures consist of sitz baths, avoiding the presence of hard stools by using laxatives or significantly increasing fiber intake, and using analgesics. Pharmacological treatment is based on three groups: a nitric oxide donor (glyceryl trinitrate), calcium channel antagonists (diltiazem, nifedipine), and botulinum toxin. The results of these treatments are better than placebo but inferior to surgery. If these treatments fail, surgery is the best option. Sphincterotomy is an outpatient procedure with a success rate greater than 90 %, but it has a postoperative incontinence rate between 3 % and 15 %. A chance of postoperative incontinence is the main reason why drug treatment is now considered as the first therapeutic option, especially in patients with a high risk for incontinence.
Published on 18 May 2017 By European Manual of Medicine: Coloproctology In Anal and Rectal Trauma
While accidental anal and rectal trauma is relatively rare, iatrogenic injuries to this region – particularly the anus – are quite common. This chapter describes the most frequent etiologies of anal/rectal trauma and the basic clinical and instrumental investigations necessary to provide the most appropriate treatment, particularly in emergencies, when saving patient’s life is a surgeon’s primary concern.
The surgical management of anal and rectal trauma and retention of foreign bodies in the rectum is discussed using a dedicate algorithm. Finally, the possible functional consequences of these traumas are reviewed and how to preserve fecal continence and normal evacuation is described.
Published on 18 October 2010 By ESCP Secretariat In Anal Fissure
Oral poster - Michael Shapiro at ESCP Sorrento 2010
Published on 04 November 2013 By ESCP Secretariat In Rectal Cancer
One of the Six Best Papers - Nick Battersby at ESCP Belgrade 2013
Published on 04 November 2013 By ESCP Secretariat In Anal Fissure
Oral poster - Michael Dessily at ESCP Belgrade 2013
Published on 08 October 2011 By ESCP Secretariat In Anatomy
Free Paper - Juan García-Armengol at ESCP Copenhagen 2011
Published on 25 November 2015 By ESCP Secretariat In Intestinal Bleeding
Free Papers (Functional) - Léon Maggiori at ESCP Dublin 2015
Published on 25 November 2015 By ESCP Secretariat In Rectal Prolapse
Free Paper (Functional) - Jean-Luc Faucheron at ESCP Dublin 2015
Published on 15 October 2012 By ESCP Secretariat In Diverticular Disease
Free paper - Thomas Golda at ESCP Vienna 2012
Published on 07 August 2014 By ESCP Secretariat In Diverticular Disease
Short Paper - Nigel Noor (UK) at Tripartite Colorectal Meeting 2014
Published on 27 November 2018 By ESCP Secretariat In Basic research
Trials Methodology Symposium - Peer Wille-Jorgensen (Denmark) at ESCP Nice 2018
Free paper - Nick Battersby at ESCP Belgrade 2013
Published on 07 August 2014 By ESCP Secretariat In Defaecation Disorders
Allied Health: Conservative treatment for faecal incontinence and evacuation difficulties
Meet the Experts - Gill Brook (UK) at Pelvic Floor Day, Tripartite Colorectal Meeting 2014
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