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video Anastomotic Leak in Rectal Surgery: Prevention

By In Rectal Cancer

Symposium - Frederic Ris at ESCP Milan 2016

video Anastomotic Leak in Rectal Surgery: How to handle the chronic leak?

By In Rectal Cancer

Symposium - Pieter Tanis at ESCP Milan 2016

video Anastomotic Leak in Rectal Surgery: How to handle the acute leak?

By In Rectal Cancer

Symposium - Gordon Carlson at ESCP Milan 2016

video Anastomotic colorectal, coloanal or ileoanal stenosis: what is the best treatment? An analysis of 50 consecutive patients undergoing 99 procedures

By In Complications

Oral Poster (Functional) - Axel Kraenzler at ESCP Dublin 2015

video Analysis of risk factors affecting postoperative recurrence and cost-effectiveness on surveillance for patients with T1 colorectal cancer

By In Rectal Cancer

Free paper - Hirotoshi Hasegawa at ESCP Sorrento 2010

video Analysis of anastomotic leak in splenic flexure colon cancer. Results of the national prospective Spanish trial ANACO

By In Colon Cancer

Oral Poster (Neoplasia) - Beatriz Arencibia at ESCP Dublin 2015

video Anal pain

By In Chronic Pelvic and Perineal Pain

Interactive Trainee Workshop - Ethem Gecim at ESCP Barcelona 2014

video Anal melanoma

By In AIN and Anal Cancer

Consultants corner - Raminta Luksaite Lukste (Lithuania) at ESCP Vilnius 2023

document Anal Intraepithelial Neoplasia and Anal Cancer (Chapter 27, European Manual of Medicine: Coloproctology Second Edition) Popular

By 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.

video Anal incontinence: laparoscopic rectopexy allows satisfactory results, about 174 cases

By In Fecal Incontinence

Student Oral Poster - Diane Mege at ESCP Dublin 2015

video Anal incontinence associated with low anterior resection syndrome: sacral nerve stimulation is it efficient?

By In Fecal Incontinence

Student Oral Poster - Diane Mege at ESCP Dublin 2015

video Anal Gatekeeper a new bulking agent for fecal incontinence

By In Fecal Incontinence

Video Surgery - Claudia Menconi at ESCP Barcelona 2014

video Anal fistula: New plugs, biologics

By In Anorectal Abscess and Fistula

Trainee Video Session - Carlo Ratto (Italy) at ESCP Nice 2018

video Anal fistula: LIFT

By In Anorectal Abscess and Fistula

Trainee Video Session - Lilli Lundby (Denmark) at ESCP Nice 2018

video Anal fistula: Flap

By In Anorectal Abscess and Fistula

Trainee Video Session - David Zimmerman (The Netherlands) at ESCP Nice 2018

video Anal fistula plug

By In Anorectal Abscess and Fistula

Trainee video session - Pasquale Giordano at ESCP Barcelona 2014

document Anal Fissure (Chapter 5, European Manual of Medicine: Coloproctology Second Edition) Popular

By 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.

document Anal and Rectal Trauma (Chapter 32, European Manual of Medicine: Coloproctology Second Edition)

By 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.

video An open label study to examine the effect of coated Nifedipine suppositories on anal pressure in healthy subjects

By In Anal Fissure

Oral poster - Michael Shapiro at ESCP Sorrento 2010

video An interesting first line treatment in anal fissures: the injection of a sclerosing agent

By In Anal Fissure

Oral poster - Michael Dessily at ESCP Belgrade 2013

video An anatomical study of denonvilliers

By In Anatomy

Free Paper - Juan García-Armengol at ESCP Copenhagen 2011

video An aggressive management of acute mesenteric ischemia is associated with satisfactory long-term survival and functional outcomes

By In Intestinal Bleeding

Free Papers (Functional) - Léon Maggiori at ESCP Dublin 2015

video Ambulatory versus conventional hospitalization laparoscopic or robotic-assisted laparoscopic anterior rectopexy for patients with full-thickness rectal prolapse or enterocele

By In Rectal Prolapse

Free Paper (Functional) - Jean-Luc Faucheron at ESCP Dublin 2015

video Ambulatory treatment versus hospitalisation for uncomplicated diverticulitis

By In Diverticular Disease

Free paper - Thomas Golda at ESCP Vienna 2012

pdf Ambulatory treatment for acute uncomplicated diverticulitis

By In Diverticular Disease

Short Paper - Nigel Noor (UK) at Tripartite Colorectal Meeting 2014

video Alternatives to RCTs in surgical research

By In Basic research

Trials Methodology Symposium - Peer Wille-Jorgensen (Denmark) at ESCP Nice 2018

pdf Allied Health: Overview of functional bowel disorders

By In Defaecation Disorders

Allied Health: Conservative treatment for faecal incontinence and evacuation difficulties

pdf Allied Health: Conservative management of obstructed defaecation

By In Defaecation Disorders

Meet the Experts - Gill Brook (UK) at Pelvic Floor Day, Tripartite Colorectal Meeting 2014

ESCP Affiliates