Monday, January 14, 2019

CCH_More Medical terminology_Acronyms

5-HIAA 5-Hydroxyindoleacetic acid
AAA Abdominal aortic aneurysm
ACC American College of Cardiology
ACE Angiotensin-converting enzyme
ACS Acute coronary syndrome
ACUITY Acute Catheterization and Urgent Intervention Triage Strategy
ADMIRAL Abciximab Before Direct Angioplasty and Stenting in Myocardial Infarction Regarding
Acute and Long-Term Follow-up
AF Atrial fibrillation
AFFIRM Atrial Fibrillation Follow-up Investigation of Rhythm
AHA American Heart Association
AMI Acute myocardial infarction
ANP Atrial natriuretic peptides
Ao Aorta
AR Aortic regurgitation
ARB Angiotensin receptor blocker
ARDS Acute respiratory distress syndrome
AS Aortic stenosis
ASA Aminosalicylic acid
ASD Atrial septal defect
AV Aortic valve
AVA Aortic valve area
AVNRT Atrioventricular node reentry tachycardia
AVR Aortic valve replacement
AVRT Atrioventricular reentrant tachycardia
BARI Bypass Angioplasty Revascularization Investigation
BARI 2D Bypass Angioplasty Revascularization 2—Diabetes
BENESTENT Belgium Netherlands Stent Study Group
BID Twice daily
BIV-ICD Biventricular implantable cardioverter defibrillator
BMI Body mass index
BNP Brain natriuretic peptide
BP Blood pressure
bpm Beats per minute
BSA Body surface area
CABG Coronary artery bypass graft/Coronary artery bypass grafting
CAD Coronary artery disease
CARE-HF Cardiac Resynchronization in Heart Failure
CASS Coronary Artery Surgery Study
CBC Complete blood count
CCS Canadian Cardiovascular Society
CCU Critical care unit
CHF Congestive heart failure
CK Creatine kinase
CK-MB Creatine kinase myocardial fraction
CNS Central nervous system
CO Cardiac output
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COMPANION Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure
COPD Chronic obstructive pulmonary disease
COURAGE Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation
CPR Cardiopulmonary resuscitation
CREDO Clopidogrel For Reduction of Events During Observation
CRP C-reactive protein
CRT Cardiac resynchronization therapy
CS Coronary sinus
CT Computed tomography
CURE Clopidogrel in Unstable Angina to Prevent Recurrent Events
CV Cardiovascular
CVA Cerebrovascular accident
DANAMI Danish Multicenter Randomized Study on Fibrinolytic Therapy Versus Acute Coronary
Angioplasty in Acute Myocardial Infarction
DC Direct current
DES Drug-eluting stent
DINAMIT Defibrillator in Acute Myocardial Infarction Trial
DM Diabetes mellitus
DOE Dyspnea on exertion
E/A E:A wave ratio
EBCT Electron beam computed tomography
ECG Electrocardiographic/Electrocardiogram/Electrocardiography
ECSS European Cooperative Surgery Study
ED Emergency department/Emergency room
EECP Enhanced external counterpulsation
EF Ejection fraction
EOA Effective orifice area
EP Electrophysiology
ERASER Evaluation of ReoPro and Stenting to Eliminate Restenosis
ET-A Endothelin-A
ET-B Endothelin-B
FA Femoral artery
FAA Federal Aviation Administration
FDA Food and Drug Administration
FDG Fluorodeoxyglucose
FFV Forward flow volume
FMD Fibromuscular dysplasia
FREEDOM Future Revascularization Evaluation in Patients with Diabetes
GISSI Gruppo Italiano per lo Studio della Streptochinasi nell’Infarto Miocardico
GUSTO-I Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded
Coronary Artery
Hgb Hemoglobin
HCM Hypertrophic cardiomyopathy/Hypertrophic obstructive cardiomyopathy
HCTZ Hydrochlorothiazide
HDL High-density lipoprotein
HIT Heparin-induced thrombocytopenia
HR Heart rate
HRA High right atrium
HTN Hypertension
ICD Implantable cardioverter defibrillator
ICH Intracerebral hemorrhage
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ICU Intensive care unit
IE Infective endocarditis
INR International normalization ratio
ISHLT International Society for Heart and Lung Transplantation
IU International
NTG Nitroglycerine
NYHA New York Heart Association
OM Obtuse marginal
PA Pulmonary artery
PABV Percutaneous aortic balloon valvulotomy
PAF Paroxysmal atrial fibrillation
PAH Pulmonary artery hypertension
PAI-1 Plasminogen activator inhibitor 1
PAP Pulmonary artery pressure
PCI Percutaneous coronary intervention
PCWP Pulmonary capillary wedge pressure
PET Positron emission tomography
PFO Patent foramen ovale
PMBV Percutaneous mitral balloon valvotomy
PTCA Percutaneous transluminal coronary balloon angioplasty/Percutaneous transluminal
coronary angioplasty
PVC Premature ventricular contraction
QTc Corrected QT interval
RA Right atrium
RAO Right anterior oblique
RCA Right coronary artery
REACT Rescue Angioplasty Versus Conservative Treatment or Repeat Thrombolysis
REM Rapid eye movement sleep
RF Regurgitant fraction
RV Right ventricle/Right ventricular
RVOT Right ventricular outflow tract
RVSP Right ventricular systolic pressure
SCD-HeFT Sudden Cardiac Death in Heart Failure Trial
SEM Systolic ejection murmur
SEP Systolic ejection period
SHOCK Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock
SIRIUS Sirolimus-coated stent in treatment of de novo coronary artery lesions
SISR Sirolimus Eluting Stents Versus Vascular Brachy Therapy for In-Stent Restenosis
SL NTG Sublingual nitroglycerine
SR Sarcoplasmic reticulum
STEMI ST elevation myocardial infarction
SV Stroke volume
SVC Superior vena cava
SVT Supraventricular Tachycardia
TD CO Thermodilution cardiac output
TEE Transesophageal echocardiogram/Transesophageal echocardiography
TGA Transposition of the great arteries
TICM Tachycardia-induced cardiomyopathy
TID Three times daily
TIMI Thrombolysis in myocardial infarction
TMET Treadmill exercise test
TnI Troponin I
TnT Troponin T
tPA Tissue plasminogen activator
TR Tricuspid regurgitation
TTE Transthoracic echocardiogram/Transthoracic echocardiography
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TTP Thrombotic thrombocytopenic purpura
TV Total volume
TVI Time-velocity integral
TVR Tricuspid valve replacement
US Ultrasound
VA Veterans Administration
VANQWISH Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital
VF Ventricular fibrillation
VLDL Very low-density lipoprotein
VSD Ventricular septal defect
VT Ventricular tachycardia
vWF von Willebrand factor
WBC White blood cell count
XRT Radiation therapy

Sunday, January 13, 2019

Misplaced Kindness for stray dogs

 People in India need to learn that even Gautama Buddha was a non vegetarian and apparently died after he ate Wild Boar's meat.
Letting  wild stray dogs  all over the country leading the world in rabies deaths does not  gel with ahimsa it  resonates  with stupidity.

Asifabad: Two babies mauled by stray dogs, 1 dies in hospital
DECCAN CHRONICLE. | PILLALAMARRI SRINIVAS
Published Jan 13, 2019, 1:30 am ISTUpdated Jan 13, 2019, 1:30 am IST

The incident took place while they were playing in front of their house and their parents were at some distance.
The stray dogs had attacked cattle before attacking the babies.
 The stray dogs had attacked cattle before attacking the babies.
Kumarambheem/Asifabad: A baby that was mauled by stray dogs on Friday succumbed to her injuries on Saturday while undergoing treatment at Kagaznagar town.

Jade Sindhu, 3, was among the two children that were mauled by dogs at Babasagar village in Chinthalamanepalli mandal on Friday, about 70 km from Asifabad town. The other child, Sridevi, is undergoing treatment. The dogs also reportedly attacked cattle in the village.





The children were rushed to a private hospital in Kagaznagar town 50 km away. However, Sindhu succumbed to her injuries.

The incident took place while they were playing in front of their house and their parents were at some distance. The dogs mauled Sindhu and Sridevi’s faces.

Villagers alleged that the incident took place due to the negligence of the gram panchayat officials and staff in controlling stray dogs despite repeated appeals. 

It was stated that the general practice in the villages is for people to feed stray dogs so that they start barking when they see strangers.

This is done especially to keep thieves from entering the colonies. Most of the incidents of dog bites involves these dogs.

Ward members had raised the issue of stray dogs in the Kagaznagar municipal council meeting in the past and 90 stray dogs were rounded up and released in the nearby forests.



Asifabad: Two babies mauled by stray dogs, 1 dies in hospital

DECCAN CHRONICLE. | PILLALAMARRI SRINIVAS
PublishedJan 13, 2019, 1:30 am IST
UpdatedJan 13, 2019, 1:30 am IST
The incident took place while they were playing in front of their house and their parents were at some distance.
The stray dogs had attacked cattle before attacking the babies.
 The stray dogs had attacked cattle before attacking the babies.
Kumarambheem/Asifabad: A baby that was mauled by stray dogs on Friday succumbed to her injuries on Saturday while undergoing treatment at Kagaznagar town.
Jade Sindhu, 3, was among the two children that were mauled by dogs at Babasagar village in Chinthalamanepalli mandal on Friday, about 70 km from Asifabad town. The other child, Sridevi, is undergoing treatment. The dogs also reportedly attacked cattle in the village.

The children were rushed to a private hospital in Kagaznagar town 50 km away. However, Sindhu succumbed to her injuries.
The incident took place while they were playing in front of their house and their parents were at some distance. The dogs mauled Sindhu and Sridevi’s faces.
Villagers alleged that the incident took place due to the negligence of the gram panchayat officials and staff in controlling stray dogs despite repeated appeals.    
It was stated that the general practice in the villages is for people to feed stray dogs so that they start barking when they see strangers.
This is done especially to keep thieves from entering the colonies. Most of the incidents of dog bites involves these dogs.
Ward members had raised the issue of stray dogs in the Kagaznagar municipal council meeting in the past and 90 stray dogs were rounded up and released in the nearby forests.
...
...

CCH_SOME more medical Terminology


Index
 A
 AAST. See American Association for the urgery of Trauma (AAST)
 Abdominal procedures
 anterior mesh procedures  
 components   
 outcomes   
 posterior mesh rectopexy    
 Ripstein procedure    
 Abdominal radiography
 air-fl uid levels  
 bowel dilation  
 cecal volvulus   
 Chilaiditi syndrome  
 chronic burned out colitis   
 collection of air peritoneal space   
 description  
 extraluminal air  
 gas collections  
 indications   
 intraluminal bowel gas patterns
determination  
 intraperitoneal air   
 large bowel obstruction  
 left lateral decubitus fi lm   
 linear air bowel wall  
 pneumobilia  
 pneumoperitoneum  
 portal venous air  
 rectal foreign body   
 “Rigler” sign   
 sigmoid volvulus   
 small bowel obstruction   
 volvulus cecum/sigmoid  
 Abdominoperineal resection (APR)
 coloanal anastomosis  
 incision and exploration  
 LAR sphincter preservation  
 mobilization  
 oncologic superiority  
 ostomy  
 perineal dissection  
 position  
 radical resection  
 resection and ligation  
 TME  
 Acquired immunodefi ciency syndrome
(AIDS)  
 Acromegaly  
 Actinomycosis  
 Acute diverticulitis
 complicated  
 dietary management  
 medical management  
 surgical management
 anastomosis  
 complications  
 Hartmann reversal  
 indications  
 intra-abdominal abscess  
 Mikulicz/Hartmann procedure  
 procedures  
 recurrence after laparoscopic resection

 three-stage approach  
 The Acute Physiology and Chronic Health
Evaluation (APACHE) scoring
system   
 Adenomas
 carbon dioxide insuffl ation  
 carcinoma sequence  
 defi nition and pathology
 mild/low-grade dysplasia  
 pedunculated adenoma   

 Adenomas (cont.)
 sessile adenoma  
 tubular adenoma  
 tubulovillous adenoma  
 endoscopic removal  
 epidemiology  
 fl at and depressed  
 hamartomas  
 hyperplastic polyps  
 infl ammatory polyps  
 malignant polyps  
 pedunculated polyps  
 polypectomy  
 presentation and diagnosis  
 prevention  
 rectal  
 serrated polyps  
 sessile polyps  
 SSAs  
 submucosal injection  
 surveillance  
 Adenomatous polyposes
 BannayanRileyRuvalcaba syndromes

 Cowden’s syndrome  
 desmoid disease  
 FAP ( see Familial adenomatous polyposis
(FAP))
 hamartomatous polyposes  
 juvenile polyposis  
 MYH-associated polyposis  
 PTEN tumor hamartoma syndromes  
 serrated polyposis  
 upper gastrointestinal polyposis  
 Adhesions prevention  
 Adrenal insuffi ciency  
 AIDS. See Acquired immunodefi ciency
syndrome (AIDS)
 Alcohol     
 Ambulatory surgery  
 American Association for the Surgery of
Trauma (AAST)   
 American Society of Anesthesiologists (ASA)
classifi cation system  
 Anal agenesis  
 Anal canal
 anatomic relations  
 anatomic vs. surgical  
 arterial supply  
 epithelium  
 innervations  
 muscles  
 neoplasms
 adenocarcinoma  
 anatomic structures  
 EAUS   
 GISTs  
 lipomas and leiomyomas  
 melanoma  
 mesorectum  
 small cell carcinoma/neuroendocrine
tumors  
 TNM staging classifi cation anal
cancer   
 tumor staging  
 ultrasound staging classifi cation  

 venous and lymphatic drainage  
 Anal cancer
 anatomic considerations  
 epidemiology  
 etiology and pathogenesis   

 sphincter relaxants  
 symptoms  
 topical nitrates  
 treatment options  
 Anal resting tone
 anorectal manometry report   
 fecal incontinence  
 IAS and EAS  
 Anal sphincter
 external  
 internal  
 Anal stenosis  
 Anal tattooing  
 Anastomosis  
 Angiodysplasia  
 Anisakiasis  
 Anorectal abscess
 anal infection and hematologic diseases  
 anatomy   
 classifi cation  
 complications
 extra-anal causes  
 incontinence  
 recurrence  
 etiology   
 evaluation
 physical exam   
 symptoms  
 necrotizing infections  
 postoperative care  
 sepsis HIV-positive patient  
 spaces   
 symptoms and signs
 group one and two  
 treatment  
 treatment
 antibiotics  
 catheter drainage  
 incision and drainage  
 primary fi stulotomy  
 principles  
 Anorectal angle  
 Anorectal defects
 anorectal agenesis  
 persistent cloaca  
 rectal atresia/“high atresia”  
 Anorectal immunology  
 Anorectal malformations
 adult colorectal surgeons  
 anal defects  
 anorectal defects  
 classifi cation  
 colostomies  
 female defects
 cloaca   
 imperforate anus without fi stula  
 perineal fi stulas   
 rectal atresia/stenosis  
 rectovaginal fi stula  
 vestibular fi stulas    
 hydrocolpos cloaca   
 initial management
 female newborns  
 male newborns  
 male defects
 imperforate anus without fi stula  
 perineal fi stula  
 rectal atresia/stenosis  
 rectobladder neck fi stula  
 rectourethral fi stula  
 management fecal incontinence  
 NID  
 repair
 female defects  
 male defects  
 treatment  
 urogenital abnormalities  
 Anorectal manometry
 anal resting tone  
 cough refl ex  
 equipment and testing  
 indications  
 RAIR  
 rectal sensation and compliance  
 squeeze pressure  
 vector volume manometry  
 Anorectal physiology
 continence  
 continence and defecation
 angle and fl ap valve  
 normal defecation  
 reservoir  
 pathologic conditions
 incontinence  
 obstructed defecation  
 pelvic fl oor and sphincter complex
muscles  
 EAS  
 IAS  
 refl exes
 BCR  
 cough refl ex  
 cutaneous-anal refl ex  
 RAER  
 RAIR  
 sensory factors  
Index

 Anoscopy
 Buie/Hirschman scope   
 complications  
 contraindications  
 Hinkel-James anoscope   
 indications  
 lighted Welch-Allyn anoscope   
 positioning  
 preparation  
 technique  
 Vernon-David with Hirschman handle
anoscope   
 Anterior mesh procedures  
 Antibiotic prophylaxis colon surgery

 Anus
 anorectal ring and angle  
 anorectal spaces  
 canal ( see Anal canal)
 canal structure and anal verge  
 conjoined longitudinal muscle  
 defects  
 embryology  
 sphincter  
 APACHE scoring system. See The Acute
Physiology and Chronic Health
Evaluation (APACHE) scoring
system
 Arteriography
 acute mesenteric ischemia  
 arteriogram   
 arteriovenous malformations  
 bleeding  
 capillary telangiectasias  
 complications  
 contrast reactions and toxicity  
 description  
 hydration and IV mannitol  
 mesenteric angiogram   
 nonocclusive mesenteric ischemia  
 Artifi cial bowel sphincter  
 Ascariasis  
 Autonomy/decision-making capacity/
competency
vs. paternalism  
 refusal treatment  
 B
 Bacterial enteritis/colitis
 actinomycosis  
 brucellosis  
 Campylobacter  
Escherichia coli  
 LGV  
 neisseria gonorrhea  
 Salmonella  
 Shigella  
 syphilis  
 tuberculosis  
Yersinia  
 Balloon expulsion test  
 BannayanRileyRuvalcaba Syndrome

 Basal cell carcinomas (BCC)  
 BCC. See Basal cell carcinomas (BCC)
 BCR. See Bulbocavernosus refl ex (BCR)
 Behcet’s disease  
 Benign colorectal disorders
 description  
 infectious disorders  
 Bioethics
 autonomy  
 benefi cence  
 medical ethics  
 nonmalefi cence  
 philosophical principles  
 Bipolar diathermy  
 Bleeding  
 Bone and brain metastases  
 Bowel activity and diet resumption  
 Bowel enema  
 Brooke ileostomy
 operative technique  
 postoperative complications  
 stoma site  
 Brucellosis  
 Bulbocavernosus refl ex (BCR)  
 C
 Calcium channel blockers  
 Campylobacter  
 Carcinoembryonic antigen (CEA)  
 Carcinoid tumors
 clinical presentation  
 diagnostic tests
 appendiceal carcinoids  
 biochemical  
 colonic carcinoids  
 imaging  
 rectal carcinoids  
 small bowel carcinoids  
 treatment  
 GIST  
 leukemia  
Index

 lymphoma  
 metastatic disease  
 neutropenic enterocolitis  
 pathology  
 CCP. See Colitis cystica profunda (CCP)
 CD. See Crohn’s disease (CD)
 CD activity index (CDAI)  
 CDAI. See CD activity index (CDAI)
 CEA. See Carcinoembryonic antigen (CEA)
 Cecal volvulus
 diagnosis  
 epidemiology/pathogenesis  
 treatment   
 Chancroid  
 Chlamydia  
 Cholecystectomy  
 Chronic and recurrent diverticulitis
 bowel rest and antibiotics  
 historical data  
 immunocompromised patients  
 surgical procedures
 laparoscopic surgery  
 techniques appropriate resection

 Chronic pilonidal sinus
 nonsurgical approach  
 surgical approaches
 algorithm   
 Bascom’s chronic abscess curettage

 Karydakis procedure  
 midline excision  
 unroofi ng and secondary healing

 ChurgStrauss syndrome  
Clostridium diffi cile (CD)
 endoscopy   
 pseudomembranous colitis  
 CME. See Continuing medical education
(CME)
 CMV. See Cytomegalovirus (CMV)
 Colitis cystica profunda (CCP)  
 Collagenous and lymphocytic colitis
 histologic criteria  
 treatment options  
 Coloanal anastomosis
 baseline fecal incontinence  
 distal margin  
 J pouch construction  
 tubular mobilization  
 Colon. See also Colon cancer; Colonic
physiology
 appendices epiploicae  
 appendix  
 ascending  
 atresia  
 blood supply  
 cecum  
 collateral circulation  
 descending  
 diameter  
 duplications  
 haustra/haustral sacculations  
 Hirschsprung’s disease  
 innervation  
 length  
 lymphatic drainage  
 Meckel’s diverticulum  
 sigmoid  
 and small bowel  
 transverse  
 Colon and rectal surgery  
 Colon cancer
 and abdominal aortic aneurysm  
 acute obstruction   
 adjuvant chemotherapy stages II and III

 biologic therapy  
 CEA  
 chemotherapy  
 clinical prognostic factors
 adjacent organ involvement  
 age  
 blood transfusion  
 presentation  
 colectomy  
 description   
 distant metastatic disease  
 hematogenous  
 histologic/biochemical/genetic factors
 histologic grade  
 MSI  
 tumor budding  
 intramural spread  
 liver metastases  
 and liver metastases  
 lung metastases  
 lymphatic  
 lymph node involvement  
 PET scans  
 preoperative preparation  
 prophylactic oophorectomy  
 radial margins  
 radiotherapy  
 sentinel node assessment  
 signet-cell histology  
Index

 Colon cancer (cont.)
 staging and prognostic factors
 anatomic stage/prognostic groups

 evolution  
 surgical technique
 left colectomy  
 right colectomy  
 total abdominal colectomy  
 synchronous lesions  
 transmural spread  
 transperitoneal/implantation  
 venous invasion  
 Colon cancer laparoscopic or open resection
(COLOR)  
 Colonic inertia
 antegrade colonic enema   
 colectomy   
 description  
 proctocolectomy and ileal pouch anal
anastomosis  
 sacral nerve stimulation  
 segmental colon resection  
 stoma  
 Colonic motility recording
 barometry  
 electrodes  
 indirect assessment  
 manometry  
 pressure determinations  
 Colonic neoplasia  
 Colonic physiology
 constipation  
 defecation  
 function
 salvage metabolism and storage

 water and electrolytes transport  
 IBS  
 implications for surgeon  
 motility
 cellular basis  
 health  
 peristalsis  
 recording techniques  
 transit measurement methods  
 obstructive defecation  
 Ogilvie’s syndrome  
 sensation  
 Colonic transit measurement
 radiopaque markers  
 scintigraphy  
 wireless motility capsule  
 Colonic volvulus
 cecal  
 description  
 ileosigmoid knotting  
 sigmoid ( see Sigmoid volvulus)
 transverse colon and splenic fl exure

 Colon injuries
 abdominal complications
 anastomotic leaks  
 blood transfusions  
 fecal contamination  
 identify time delay independent risk
factor  
 incidence   
 ISS  
 left- vs. right injuries  
 pancreatic/ureteric injuries  
 primary repair/resection and
anastomosis  
 retained missiles  
 shock  
 technique repair  
 temporary abdominal wall closure  
 description  
 diagnosis  
 epidemiology  
 operative management
 destructive  
 historical perspective  
 nondestructive  
 Colonoscopy
 bleeding prophylaxis  
 chromoendoscopy  
 complications  
 contraindications  
 description  
 exophytic lesions  
 indications  
 intestinal anastomoses  
 monitoring  
 preparation  
 submucosal lesions  
 technique   
 COLOR. See Colon cancer laparoscopic or
open resection (COLOR)
 Colorectal cancer (CRC)
 acromegaly  
 alcohol  
 APC protein  
 carcinogenesis  
 cholecystectomy  
 COLOR  
Index

 colorectal carcinogenesis  
 diagnosis stage   
 dietary constituents and supplements

 family history  
 FAP  
 geographic variation   
 HPP syndrome  
 HRT  
 IBD  
 incidence and death rates USA   
 incidence and mortality rates   
 laparoscopic and conventional surgery

 NSAIDs  
 obesity  
 physical activity  
 radiation  
 screening
 adenomatous polyps/adenocarcinoma

 description  
 FAP  
 fecal screening tests  
 infl ammatory bowel disease  
 Lynch syndrome  
 and polyps  
 risk and screening recommendations

 screening recommendations  
 SEER incidence rates USA   
 smoking  
 suppressor-gene function   
 ureterosigmoidostomy  
 Colostomy
 accurate anatomic diagnosis   
 anorectal malformation   
 Computed tomography (CT)
 anaphylactic reaction  
 colon and rectal cancer
 large colonic mass descending colon

 lymph nodes  
 preoperative scan  
 diverticulitis ( see Diverticulitis)
 infl ammatory bowel disease
 Crohn’s disease  
 ischemic colitis   
 neutropenic enterocolitis/typhlitis  
 pseudomembranous colitis   
 small bowel obstruction  
 ulcerative colitis  
 iodinated contrast  
 pelvic/rectal pathology  
 postoperative evaluation
 anastomotic leak   
 arteriography  
 colonography  
 CTE  
 days  
 extraluminal oral contrast  
 Meckel’s scintigraphy  
 MRI  
 PET  
 radionuclide imaging  
 RBC scintigraphy   
 water-soluble enemas  
 tumors colon
 large heterogenous exophytic
mass  
 lipomas  
 sarcomas  
 Computed tomography enterography (CTE)
 advantages  
 description  
 distal ileal Crohn’s disease   
 strictured ileal Crohn’s disease   
 Constipation
 American Society of Colon and Rectal
Surgeons  
 colonic inertia ( see Colonic inertia)
 defi nition and prevalence  
 diagnostic testing
 intestinal transit   
 laboratory and obstructing colo

 Continuing medical education (CME) (cont.)
 educational practices
 cultural barriers  
 deliberate practice  
 mastery learning  
 effectiveness
 knowledge application and
psychomotor skills  
 practice performance  
 elements  
 “learning curve”  
 simulation research  
 State and territorial licensing  
 Contrast enemas
 abscesses  
 annular cancer and “apple core sign”  

 barium enema   
 cobblestoning  
 colonic intussusception  
 colonic lymphoma   
 complications of diverticulitis  
 contained anastomotic leak  
 Crohn’s disease    
 deep linear ulceration  
 double-contrast barium enema   
 endometriosis   
 fi stulae  
 incompetent ileocecal valve  
 limitations  
 lymphoma  
 mucosa  
 rectal catheter  
 semiannular lesions  
 sigmoid and cecal volvulus  
 single-contrast/double-contrast   
 small bowel series and enteroclysis  

 strictures  
 ulcerative colitis  
 water-soluble enemas  
 Cough refl ex   
 “Covered anus.” See Membranous atresia
 Cowden’s syndrome  
 Crohn’s disease (CD)
 after medical induction remission  
 CDAI  
 classifi cation  
 contrast radiologic studies  
 CT
 complications  
 fi stulae  
 halo sign  
 scan  
 terminal ileum  
 diagnosis  
 disease locations
 ileal disease  
 ileocolonic disease  
 laparoscopic colectomy  
 perianal disease  
 proctocolectomy  
 rectal compliance  
 segmental colectomy to subtotal/total
colectomy  
 transverse colon  
 upper gastrointestinal disease  
 endoscopy  
 etiopathology  
 external bypass  
 fundamental observations  
 immunomodulators and biologic agents

 indications surgery  
 internal bypass  
 laparoscopic resection  
 medical therapy/worsening symptoms  
 mesenteric thickness intestinal disease

 mild-to-moderate disease
 antibiotics  
 budesonide  
 sulfasalazine (SSZ) and
-aminosalicylates (-ASA)

 moderate-to-severe
 contraindications to anti-TNF agents

 contraindications to natalizumab  
 dosing guidelines biologic therapy

 fungal infections Histoplasma
capsulatum  
 immunomodulators  
 indications biologic therapies  

 infl iximab  
 loss of response to anti-TNF agents

 methotrexate (MTX)  
 natalizumab  
 neurologic disorders  
 oral corticosteroids  
 patients with complications  
 tacrolimus  
 tuberculosis  
Index

 MRI  
 nondiseased bowel  
 operative indications
 complications  
 extraintestinal manifestations  
 failed medical therapy  
 hemorrhage  
 neoplasia  
 perforation  
 severe colitis  
 pathology  
 patients’ initial presentations  
 perianal  
 pouch  
 prevalence  
 prophylaxis   
 PSC  
 resection  
 serum tests  
 signs and symptoms  
 strictureplasty  
 symptoms  
 symptoms and signs  
 treatment  
 Cryotherapy       
 Cryptosporidiosis  
 CT. See Computed tomography (CT)
 CTE. See Computed tomography enterography
(CTE)
 Cutaneous-anal refl ex  
 Cytomegalovirus (CMV)
 clinical manifestations  
 colitis  
 infection  
 D
 Deep venous thrombosis (DVT)  
 Defecation
 anorectal angle and fl ap valve  
 description  
 normal  
 obstructive ( see Obstructive defecation)
 Delorme procedure
 mucosa and submucosa   
 outcomes   
 Desmoid disease
 description  
 investigation  
 management  
 mesenteric  
 presentation  
 staging system  
 tumor small bowel mesentery  
 Dietary constituents and supplements

 Digital rectal examination (DRE)   
 Direct-current electrotherapy  
 Distant metastases
 detection  
 FDG-PET pathologic response  
 nodal staging   
 PET scan  
 sensitivity and specifi city   
 Distant metastatic disease  
 Diverticular disease
 acute ( see Acute diverticulitis)
 cecal and right-sided diverticulitis  
 chronic ( see Chronic and recurrent
diverticulitis)
 clinical manifestations
 acute and chronic  
 classifi cation  
 noninfl ammatory disease  
 physical fi ndings  
 symptoms  
 colitides appendicitis and gynecologic  
 colonic neoplasia  
 complications
 abscess  
 bleeding  
 fi stula  
 obstruction  
 perforation  
 phlegmon  
 stricture  
 ureteral obstruction  
 description  
 diagnostic evaluation
 abdominal X-rays  
 colonography  
 contrast studies  
 CT scan  
 endoscopy  
 ultrasonography  
 epidemiology
 age and gender  
 alcohol  
 diet  
 immune status  
 NSAIDs  
 smoking  
 etiology  
 giant colonic  
 incidence  
 infl ammatory bowel disease  
Index

 Diverticular disease (cont.)
 irritable bowel syndrome  
 LGIB  
 pathophysiology  
 polycystic kidney disease  
 rectal  
 transverse colon  
 urologic disease  
 in young patients  
 Diverticulitis. See also Chronic and recurrent
diverticulitis
 colovesical fi stula  
 dirty fat  
 mesenteric and pericolonic infl ammation

 pericolonic abscesses   
 thickening bladder wall  
 uncomplicated  
 Donabedian Model Quality of Care
 interrelated components  
 limitations process measures  
 patient-reported survey instruments

 process  
 structural measure
 health system level  
 institution level  
 limitations quality  
 practitioner level  
 DRE. See Digital rectal examination (DRE)
 DVT. See Deep venous thrombosis (DVT)
 Dynamic fl uoroscopic defecography
 anorectal angle and rectal emptying  
 description  
 patient’s embarrassment  
 peritoneocele enterocele and
sigmoidocele  
 rectal intussusception and rectal prolapse

 rectocele  
 Dynamic MR defecography  
 Dyskinetic puborectalis  
 E
 EAS. See External anal sphincter (EAS)
 EAUS. See Endoanal ultrasound (EAUS)
 Electromyography (EMG)   
 Emergency vs. elective procedures  
 EMG. See Electromyography (EMG)
 Endoanal ultrasound (EAUS)
 anal canal neoplasms  
 anatomic defects identifi cation   
 equipment and technique  
 fecal incontinence evaluation  
 image interpretation
 anal canal anatomy  
 distal anal canal  
 perineal body measurements   
 puborectalis  
 ultrasonographic anatomy   
 indication  
 perianal sepsis and fi stula in ano   
 three-dimensional   
 Endoluminal ultrasound
 “Big Mac” analogy  
 EAUS ( see Endoanal ultrasound (EAUS))
 endorectal ultrasound (ERUS) images  
 equipment and technique  
 fi ve-layer anatomic model ERUS scan

 layers rectal wall   
 postoperative follow-up  
 rectal neoplasms assessment
 nodal involvement  
 ultrasound staging classifi cation
(uTNM)  
 uT lesions  
 uT lesions   
 uT lesions  
 uT lesions   
 uT lesions   
 ultrasound accuracy rectal cancer

 Endometriosis
 clinical manifestations
 infertility  
 intestinal symptoms  
 pelvic pain and dysmenorrhea  
 sites and incidence  
 description  
 diagnosis
 endoscopy  
 imaging techniques  
 laboratory evaluation  
 laparoscopy   
 physical examination  
 epidemiology  
 etiology  
 growth and etiology  
 malignant transformation  
 treatment  
 Endoscopy
 anoscopy ( see Anoscopy)
 colonoscopy  
 fl exible sigmoidoscopy  
Index

 ileoscopy  
 pouchoscopy  
 rigid proctosigmoidoscopy  
 Enterocele
 classifi cation  
 colorectal symptoms  
 incidence/prevalence  
 levator plate and enlargement  
 MRI levator hiatus   
 multiorgan prolapse  
 pelvic organ prolapse  
 External anal sphincter (EAS)   
 External-beam radiation (EBRT)  
 F
 Familial adenomatous polyposis (FAP)
 adenoma chemoprevention  
 attenuated familial adenomatous polyposis

 colorectal cancer screening  
 description  
 extracolonic manifestations  
 features  
 Gardner’s syndrome  
 genetics  
 genetic testing  
 genotypephenotype correlation  
 large bowel management  
 polyposis registries  
 postoperative surveillance  
 presentation and screening  
 symptoms  
 Turcot’s syndrome  
 Familiar case-management system
 categories patient encounters  
 clinical ethics system   
 colon and rectal surgeons  
 FAP. See Familial adenomatous polyposis
(FAP)
 Fecal incontinence
 algorithm  
 description  
 diagnostic studies
 anorectal manometry  
 colonoscopy  
 defecography  
 EMG  
 endoanal ultrasound  
 PNTML  
 etiology  
 evaluation  
 medical management therapies
 biofeedback  
 bulking agents  
 constipating agents  
 injectables   
 laxative regimen and scheduled
disimpactions  
 Secca ® procedure  
 operative procedures
 anterior overlapping sphincteroplasty

 artifi cial bowel sphincter  
 fecal diversion  
 gracilis muscle transposition  
 muscle transposition  
 parks posterior anal repair  
 SNS  
 patient history  
 physical examination  
 Fecal screening tests
 colonoscopy  
 contrast enema  
 cost and reimbursement  
 description  
 sigmoidoscopy  
 virtual colonoscopy/MR  
 FFS. See Flexible videosigmoidoscope (FFS)
 FGPs. See Fundic gland polyps (FGPs)
 Fistulae
 chronic presacral abscess/sinus  
 colocutaneous  
 colovaginal  
 enterotomies and enterocutaneous fi stulae

 Turnbull-Cutait   
 Fistula-in-ano
 CD  
 classifi cation
 extrasphincteric  
 intersphincteric  
 suprasphincteric  
 transsphincteric  
 complications incontinence  
 evaluation
 computed tomography scan  
 endoanal ultrasound  
 fi stulography  
 hydrogen peroxide   
 MRI  
 physical examination  
 symptoms  
 HIV-positive patient  
 mucinous adenocarcinoma  
 pathophysiology  
Index

 Fistula-in-ano (cont.)
 postoperative care  
 recurrence  
 treatment
 anal fi stula plug  
 biologic injectables  
 fi brin glue  
 fi stulectomy  
 fl aps  
 lay-open technique  
 LIFT  
 principles  
 seton  
 Fistulotomy  
 Flat and depressed adenomas  
 Flexible sigmoidoscopy
 complications  
 contraindications  
 FFS   
 indications  
 positioning  
 preparation  
 technique  
 Flexible videosigmoidoscope (FFS)   
 -Fluorodeoxyglucose positron emission
tomography (FDG-PET)  
 Fundic gland polyps (FGPs)
 biopsy representative  
 and duodenal adenomas  
 Fungal enteritis/colitis
 candida  
 cryptococcus  
 histoplasmosis  
 G
 Gardner’s syndrome  
 Gastrointestinal stomal tumors (GISTs)
 diagnosis  
 epidemiology  
 palliative therapy  
 prognosis  
 rectal  
 treatment   
 Genitourinary complications
 female infertility  
 injuries
 bladder  
 ureter  
 urethra  
 sexual dysfunction
 female  
 male  
 trapped ovary syndrome  
 urinary dysfunction  
 Giardia lamblia  
 GISTs. See Gastrointestinal stomal tumors

 offi ce-based procedures  
 operative procedures  
 physical examination  
 in pregnancy  
 strangulated  
 symptoms
 anal  
 external  
 internal  
 varices and portal hypertension  
 HenochSchonlein purpura (HSP)  
 Hepatic artery infusional chemotherapy (HAI)

 Hereditary colorectal cancer
 adenomatous polyposes ( see Adenomatous
polyposes)
 BannayanRileyRuvalcaba Syndrome

 Cowden’s syndrome  
 description  
 desmoid disease  
 familial colorectal cancer type X  
 hamartomatous polyposes  
 HNPCC ( see Hereditary nonpolyposis
colorectal cancer (HNPCC))
 juvenile polyps  
 MYH-associated polyposis  
 PTEN tumor hamartoma syndromes  
 serrated polyposis  
 syndrome   
 upper gastrointestinal polyposis

 Hereditary nonpolyposis colorectal cancer
(HNPCC)
 amsterdam criteria  
 description  
 Lynch syndrome ( see Lynch syndrome)
 MuirTorre syndrome ( see MuirTorre
syndrome)
 Hereditary syndrome  
 Herpes simplex virus (HSV)   
 Hidradenitis suppurativa
 algorithm  
 bacteriology  
 clinical presentation and diagnosis  
 description  
 incidence and etiology  
 nonsurgical treatment  
 pathophysiology  
 surgical treatment
 curative intent  
 local infection control  
 HIPEC. See Heated intraperitoneal
chemotherapy (HIPEC)
 Hirschsprung’s disease  
 HIV-related anal cancer
 Kaposi’s sarcoma  
 lymphoma  
 Hormone replacement therapy (HRT)
 CRC  
 mechanisms  
 HPP. See Hyperplastic polyposis (HPP)
 HPV. See Human papillomavirus (HPV)
 HRAs. See Health reimbursement
arrangements (HRAs)
 HRT. See Hormone replacement therapy (HRT)
 HSP. See HenochSchonlein purpura (HSP)
 HSV. See Herpes simplex virus (HSV)
 Human papillomavirus (HPV)
 anal intraepithelial dysplasia and anal
cancer  
 condyloma acuminata  
 DNA papovavirus  
 and GCA  
 imiquimod  
 perianal condyloma   
 podofi lox  
 Hyperplastic polyposis (HPP)  
 Hyperplastic polyps
 goblet cells  
 hereditary syndrome  
 microscopic view  
 I
 IAS. See Internal anal sphincter (IAS)
 IBD. See Infl ammatory bowel disease (IBD)
 IBS. See Irritable bowel syndrome (IBS)
 Ileal disease  
 Ileal pouch anal anastomosis (IPAA)
 anorectal sphincter mechanism  
 daytime continence  
 hand-assisted colectomy   
 operative technique
 digital rectal examination  
 double-stapled J-pouch anastomosis

 Handsewn ileoanal anastomosis   
 J confi guration and pouch constructed

 Lone Star ™ retractor   
 mucosal stripping  
 mucosectomy   
 omentectomy  
 tension-free ileoanal anastomosis   
 postoperative complications  
 pouchitis  
 RAIR  
 technical maneuvers   
 wound appearance surgery   
Index

 Ileoanal pouch  
 Ileocolonic disease  
 Ileorectal anastomosis (IRA)   
 Ileoscopy
 complications  
 contraindications  
 indications  
 positioning  
 preparation  
 technique  
 Ileosigmoid knotting
 diagnosis  
 epidemiology/pathogenesis   
 treatment  
 Ileostomy vs. colostomy  
 Imperforate anus. See Anorectal
malformations
 Incontinence  
 Infectious disorders
 AIDS diarrhea  
 bacterial enteritis/colitis ( see Bacterial
enteritis/colitis)
 CD  
 collagenous and lymphocytic colitis

 eosinophilic colitis  
 fungal enteritis/colitis  
 ischemic colitis  
 parasitic enteritis/colitis  
 radiation colitis  
 vasculitis and connective tissue disorders

 viral enteritis/colitis  
 Infl ammatory bowel disease (IBD)
 and CRC  
 diagnosis  
 diagnosis and evaluation
 acute patient with acute exacerbation

 CD   
 computed tomography (CT)   
 contrast radiologic studies   
 description  
 disease severity assessment  
 endoscopy  
 epidemiology  
 extraintestinal manifestations  
 genetic disease determinants

 indeterminate colitis  
 magnetic resonance imaging (MRI)

 nuclear medicine  
 plain X-rays  
 serum tests  
 UC  
 ultrasound  
 wireless capsule endoscopy  
 phases treatment  
 screening  
 Infl ammatory polyps  
 Infrared photocoagulation
 bipolar diathermy and direct-current
electrotherapy  
 description  
 Injury severity score (ISS)  
 Internal anal sphincter (IAS)  
 Interstitial cells of Cajal    
 Intestinal stomas
 complications
 edematous and congested  
 high-output stomas  
 incisional hernia rate  
 obstruction  
 parastomal hernia remains   
 prolapse  
 skin problems  
 stone formation  
 creation  
 description  
 distal anastomotic protection  
 fl ora  
 fl uid and electrolyte balance  
 Hartman’s reversal  
 ideal sites  
 ileostomy vs. colostomy  
 incidence  
 indications and types  
 irrigation and continence  
 laparoscopy   
 nutrition  
 ostomy  
 physiological changes  
 preoperative planning  
 surgical principles   
 transit  
 volume  
 Intra-abdominal abscess  
 Intraoperative radiation therapy (IORT)

 IPAA. See Ileal pouch anal anastomosis
(IPAA)
 IRA. See Ileorectal anastomosis (IRA)
 Irritable bowel syndrome (IBS)
 change bowel habits  
 differential diagnosis  
Index

 epidemiology  
 extracolonic complaints  
 gastrointestinal motility  
 medical therapy  
 mucorrhea/abdominal bloating  
 mucosal infl ammation  
 pathophysiology  
 physiology  
 probiotics  
 psychological abnormalities  
 Rome criteria  
 The Rome II criteria  
 SIBO syndrome  
 symptoms  
 treatment  
 visceral hypersensitivity  
 Ischemic colitis    
 ISS. See Injury severity score (ISS)
 J
 Juvenile polyps
 cancer risk and management  
 description  
 genetics  
 K
 Kock Pouch/Continent ileostomy  
 L
 Laparoscopic approaches  
 Laparoscopic colorectal surgery
 bowel activity and diet resumption  
 colon and rectal cancer  
 colorectal cancer  
 contiguous organ attachment  
 conversion rates  
 Crohn’s disease  
 description  
 diverticulitis    
 fast-track protocols  
 hand-assisted laparoscopy  
 hospital costs  
 NOTES colectomy  
 operative issues  
 operative time  
 outcomes  
 postoperative pain and pulmonary function
recovery  
 rectal cancer  
 rectal prolapse  
 robotic colorectal surgery  
 single-incision colectomy  
 stay length  
 training and credentialing  
 tumor localization  
 ulcerative colitis  
 wound implants prevention  
 Laparoscopic radical resection (LAR)  
 LAR. See Laparoscopic radical resection
(LAR)
 Leaks
 diagnosis and management  
 fecal diversion  
 pelvic drains  
 Left colectomy  
 Leukemia  
 Levator ani muscle
 defi nition  
 levator hiatus  
 puborectalis muscle   
 Levator hiatus  
 LGIB. See Lower gastrointestinal bleeding
(LGIB)
 LGV. See Lymphogranuloma venereum
(LGV)
 Ligation of the intersphincteric fi stula tract
(LIFT) procedure  
 Liver metastasis
 ablative procedures  
 biomarker targeted therapy  
 chemotherapy  
 CT scan  
 diagnosis  
 HAI  
 margin status  
 MRI  
 natural history  
 patient selection  
 pulmonary metastasectomy colorectal
cancer   
 recurrence  
 Local and regional staging rectal cancer
 DRE  
 MRI  
 rectal ultrasound  
 Local excision rectal cancer
 lymph node metastases  
 sound scientifi c research  
 TEM  
 transanal techniques  
 treatment algorithm  
 LOH. See Loss of heterozygosity (LOH)
 Loss of heterozygosity (LOH)  
Index

 Lower gastrointestinal bleeding (LGIB)
 algorithm management   
 capsule endoscopy  
 clinical presentation physical exam and
management
 angiography  
 colonoscopy   
 multidetector row computed
tomography (MDCT)  
 patient’s hemodynamic stability

 radionuclide scintigraphy  
 surgery  
 description  
 endoscopy  
 epidemiology  
 etiology
 angiodysplasia  
 anorectal  
 colonoscopy  
 diverticular disease  
 ischemic colitis  
 malignancy  
 OGIB  
 rectal injury  
 management issues  
 prognostic indicators   
 Lung metastasis  
 LVI. See Lymphovascular invasion (LVI)
 Lymphogranuloma venereum (LGV)

 Lymphoma  
 Lymphovascular invasion (LVI)  
 Lynch syndrome
 clinical features  
 colorectal cancer screening  
 defi nition  
 DNA microsatellites  
 DNA mismatch repair  
 fl at adenoma  
 hMLH immunohistochemistry   
 LOH  
 microsatellite instability  
 pathology  
 M
 Magnetic resonance imaging (MRI)
 description  
 enlarged right pelvic side wall lymph node

 fecal incontinence  
 fi stula in ano  
 implanted devices  
 initial rectal cancer staging  
 rectal cancer staging  
 T staging   
 Malignant polyps
 Haggitt’s classifi cation system  
 LVI  
 submucosal invasion  
 MBP. See Mechanical bowel preparation
(MBP)
 Mechanical bowel preparation (MBP)  

 Meckel’s diverticulum  
 Meckel’s scintigraphy  
 Medical and clinical ethics
 advance directives
 durable power attorney  
 living will  
 problems  
 talking about death  
 application  
 autonomy/decision-making capacity/
competency  
 bioethics ( see Bioethics)
 communication and internet  
 concepts  
 confi dentiality
 genetic diagnosis  
 principles  
 elderly patients abuse  
 familiar case-management system ( see
Familiar case-management system)
 futility/withholding treatment
 concepts  
 DNR and need surgery  
 Good Samaritan  
 informed consent  
 legal consultation  
 malpractice  
 organ donation  
 pain relief
 determination death  
 and double effect  
 hastening death  
 principles  
 palliative care/hospice  
 patientsurgeon relationship  
 personal challenges
 competence/impairment/insight  
 family  
 professionalism  
 problems surgery  
 professionalism and interpersonal relations
Index

 considerations  
 residents and fellows  
 rationing care/cutting corners  
 regulatory law  
 research/innovation
 concepts  
 industry and drug money  
placebo surgery  
 statutory law  
 suboptimal care
 “blowing the whistle”  
 concepts  
 suicidal patients  
 surgeon special  
 teaching purposes  
 treatment withdrawal
 euthanasia/physician-assisted suicide/
terminal sedation  
 principles  
 truth/disclosing errors
 concepts  
 prognosis  
 types of law  
 Medical malpractice
 communication
 adverse events bad news and
apologies  
 emails  
 defensive charting
 electronic medical records  
 etiology speculation  
 plaintiff’s pre-claim review  
 record tampering and deception  
 elements  
 HIPAA  
 informed consent
 communication process  
 documentation  
 lawsuit stress  
 recurring malpractice themes  
 research and innovative surgery
 database registries  
 insider trading  
 promotional prohibitions  
 research vs. innovative practice  
 Medicare Economic Index (MEI)  
 Membranous atresia  
 Metastatic (palliation)
 defi nition  
 development multistep process   
 diagnosis/staging  
 drug combinations  
 hemodynamic fi ltering  
 lymph node metastasis  
 malignant invasion  
 multidisciplinary evaluation  
 palliative management ( see Primary
cancer)
 pro-and anti-angiogenic factors  
 treatment algorithms  
 tumorigenesis  
 Metastatic colorectal cancer surveillance
 abdomen/pelvis  
 abnormal results  
 chest  
 cost-effectiveness  
 effectiveness and meta-analyses   
 endoscopic surveillance
 locally recurrent colon cancer  
 locally recurrent rectal cancer  
 metachronous colon and rectal
neoplasms  
 hereditary colorectal cancer  
 history and physical examination  
 intensity of follow-up  
 laboratory evaluation  
 PET  
 quality of life  
 risk and timing  
 Metastatic disease
 cytotoxic chemotherapy  
 metastatic melanoma  
 neuroendocrine (NE) system  
 primary melanoma  
 treatment  
 Microsatellite instability (MSI)  
 Molecular profi ling and chemoresistance

Molluscum Contagiosum  
 MRI. See Magnetic resonance imaging (MRI)
 MSI. See Microsatellite instability (MSI)
 MuirTorre syndrome
 Bethesda criteria  
 chemoprevention  
 description  
 diagnosis   
 genetic testing  
 histology  
 predictive models  
 prognosis  
 surveillance  
 treatment  
 tumor testing MSI and
immunohistochemistry  
 Multimodality therapy  
 MYH-associated polyposis  
Index

 N
 Natural orifi ce transluminal endoscopic
surgery (NOTES)   
 Neisseria gonorrhea  
 Neuronal intestinal dysplasia (NID)  
 Neurophysiologic tests
 electromyography  
 pudendal nerve terminal motor latency

 Neutropenic enterocolitis  
 NID. See Neuronal intestinal dysplasia (NID)
 Nonsteroidal anti-infl ammatory drugs
(NSAIDs)
 antineoplastic action  
 and aspirin  
 colorectal neoplasia  
 diverticular disease  
 NOTES. See Natural orifi ce transluminal
endoscopic surgery (NOTES)
 NSAIDs. See Nonsteroidal anti-infl ammatory
drugs (NSAIDs)
 O
 Obscure gastrointestinal bleeding (OGIB)

 Obstructive defecation
 dyskinetic puborectalis  
 physiology  
 rectocele  
 suspected enterocele/rectocele  
 OGIB. See Obscure gastrointestinal bleeding
(OGIB)
 Ogilvie’s syndrome  
 Ovarian metastasis
 BRCA  
 HNPCC  
 pathogenesis  
 P
 PAD. See Preoperative autologous donation
(PAD)
 PAN. See Polyarteritis nodosa (PAN)
 Parasitic enteritis/colitis
 amebiasis  
 anisakiasis  
 ascariasis  
 balantidiasis  
 cryptosporidiosis  
 giardia lamblia  
 schistosomiasis  
 strongyloidiasis  
 tapeworm  
 trichuriasis  
 trypanosomiasis  
 Patient evaluation rectal cancer
 colonoscopy  
 DRE  
 endoscopic diagnosis  
 imaging rectal cancer  
 patient's fecal continence  
 preoperative staging  
 sigmoidoscopy  
 Pediatric colorectal disorders
 anal fi ssure  
 anorectal malformations ( see Anorectal
malformations)
 Hirschsprung’s disease  
 idiopathic constipation  
 Juvenile polyps  
 perianal fi stula  
 rectal prolapse  
 total colonic aganglionosis  
 ultrashort-segment Hirschsprung’s  
 Pedunculated adenoma  
 Pelvic bleeding  
 Pelvic diaphragm. See Levator ani muscle
 Pelvic fl oor disorders
 cystoproctography/cystodefecography  
 description  
 endopelvic fascia   
 enterocele ( see Enterocele)
 hypermobile bladder neck  
 levator ani   
 rectocele ( see Rectocele)
 Pelvic fl oor musculature categories  
 Perianal Crohn’s disease  
 Perianal disease  
 Perianal neoplasms
 BCC  
 Paget’s disease  
 verrucous carcinoma  
 Perianal sepsis  
 Perianal skin lesions
 laboratory examination  
 morphology   
 physical examination  
 Perianal squamous cell carcinoma
 clinical characteristics  
 staging  
 treatment options  
 Perineal operations
 Delorme procedure    
 rectosigmoidectomy  
 thiersch procedure   
Index

 Perineal wound infection  
 Perineo-proctotomy  
 Peristalsis  
 Peritoneal carcinomatosis
 disease control certain patients  
 HIPEC  
 metachronous metastases  
 staging systems  
 Peritoneocele  
 PeutzJeghers syndrome (PJS)   
 Physiological and Operative Severity Score for
enUmeration of Mortality and
morbidity (POSSUM)  
 Physiologic testing
 anatomic assessment
 endoanal ultrasound (EUS)  
 MRI  
 anorectal and colonic   
 anorectal manometry ( see Anorectal
manometry)
 balloon expulsion test  
 dynamic fl uoroscopic defecography ( see
Dynamic fl uoroscopic
defecography)
 dynamic MR defecography  
 gastrointestinal transit studies  
 neurophysiologic tests
 electromyography  
 pudendal nerve terminal motor latency

 pelvic fl oor ultrasound  
 perineometry  
 saline continence test  
 Pilonidal disease
 acute abscess  
 algorithm   
 chronic sinus ( see Chronic pilonidal sinus)
 clinical presentation and diagnosis  
 description  
 incision and drainage  
 pathogenesis  
 recurrent/complex pilonidal sinus

 PJS. See PeutzJeghers syndrome (PJS)
 PNTML. See Pudendal nerve terminal motor
latency (PNTML)
 Polyarteritis nodosa (PAN)
 arteriography  
 ChurgStrauss syndrome  
 Polycystic kidney disease  
 Polyps
 adenomas ( see Adenomas)
 description  
 Positron emission tomography  
 Positron emission topography  
 POSSUM. See Physiological and Operative
Severity Score for enUmeration of
Mortality and morbidity (POSSUM)
 Posterior mesh rectopexy
 outcomes  
 sponge  
 Postoperative analgesia  
 Postoperative ileus  
 Postoperative management
 adrenal insuffi ciency  
 analgesia  
 fl uid management  
 postoperative gastrointestinal recovery
 ambulation  
 early refeeding and nasogastric tubes

 gum chewing  
 ileus treatment and prevention

 PONV  
 problem  
 prophylactic perioperative antibiotics

 pulmonary complications prevention

 standardized fast-track protocols  
 venous thromboembolism prevention
 elastic stockings and SCDs  
 low-dose unfractionated heparin  
 low-molecular-weight heparin  
 risk factors  
 VTE prophylaxis and epidural analgesia

 Postoperative nausea and vomiting (PONV)
 acupuncture  
 droperidol  
 Koivuranta score   
 management algorithms  
 monotherapy agents  
 ondansetron  
 prevention  
 risk factors  
 Pouchoscopy
 ileoanal pouch  
 Kock Pouch/Continent ileostomy  
 Preoperative autologous donation (PAD)  
 Preoperative evaluation and patient selection
 chemoradiation  
 FDG-PET imaging  
 physical examination and radiographic
studies  
Index

 Preoperative management
 ambulatory surgery  
 antibiotics  
 beta-blockade  
 bowel preparation  
 communication patient  
 DVT  
 inpatient surgery
 abdominal surgery  
 APACHE scoring system  
 ASA classifi cation system  
 chest X-rays  
 coagulation tests  
 CR-POSSUM score  
 EKG  
 Goldman cardiac risk index  
 operative scoring system  
 PNI  
 POSSUM  
 preoperative blood glucose
determination  
 protein catabolism  
 renal and liver function tests  
 scoring systems  
 urine pregnancy test  
 transfusion and hematologic evaluation

 trials and meta-analyses  
 Presacral tumors
 anatomy and neurophysiology
 anterior view pelvic anatomy   
 musculoskeletal consequences  
 pelvic structures to presacral space

 sacrectomy  
 classifi cation
 anterior sacral meningoceles  
 congenital neurogenic osseous and
miscellaneous   
 enterogenous cysts   
 epidermoid and dermoid cysts  
 miscellaneous lesions  
 neurogenic tumors  
 osseous tumors  
 sacrococcygeal chordoma  
 tailgut cysts  
 teratomas  
 description  
 diagnostic tests
 biopsy  
 chordoma  
 cystic teratoma with sacral appendage

 imaging technique  
 neoadjuvant therapy  
 pelvic neurofi broma   
 follow-up considerations  
 history and physical examination  
 posterior approach preoperative
 abdominal and sacral-perineal
approach  
 coccygectomy   
 index fi nger anal canal to “push”
tumor   
 lower sacrum/coccyx  
 positioning   
 surgical treatment
 multidisciplinary team  
 plastic surgeon  
 rationale aggressive approach  
 tumor to sacral level and proposed
approach  
 treatment
 algorithm  
 congenital cystic lesions  
 malignant lesions  
 Primary cancer
 palliative management
 incidence and presentation  
 laser therapy and fulguration  
 self-expanding metal stents  
 surgical management
 bowel resection  
 large-bowel obstruction  
 pelvic symptom control  
 treatment algorithm stage IV colon and
rectal cancer   
 Primary rectal cancers
 multimodality treatment  
 local/extrapelvic disease  
 perioperatively related mortality  
 preoperative chemoradiation  
 palliative care  
 surgery  
 Primary sclerosing cholangitis (PSC)  
 Prognostic nutritional index (PNI)  
 Prophylactic oophorectomy  
 Prophylactic perioperative antibiotics

 Pruritus ani
 atopic dermatitis  
 coexisting anal disease  
 contact dermatitis  
 etiologies   
 fecal contamination  
 food factors  
Index

 infection
 bacteria  
 fungus  
 virus  
 itch syndromes  
 lichen sclerosus  
 neoplasms  
 perianal skin lesions ( see Perianal skin
lesions)
 physiologic considerations  
 psoriasis  
 psychological factors  
 skin trauma  
 steroid-induced itching  
 treatment  
 PSC. See Primary sclerosing cholangitis (PSC)
 Pseudomembranous colitis   
 Pudendal nerve terminal motor latency
(PNTML)   
 Q
 Quality of Health Care
 appropriateness and criteria
 development  
 usage and limitations  
 attribution quality  
 colorectal surgery  
 comparative effectiveness  
 conceptual model  
 cost-effectiveness  
 data  
 description  
 history  
 limitations measures  
 R
 Radiation colitis
 endoscopic view  
 mechanisms  
 RTOG  
 Radiation Therapy Oncology Group (RTOG)

 Radiology
 contrast enemas  
 CT ( see Computed tomography (CT))
 plain fi lms ( see Abdominal radiography)
 Radionuclide imaging  
 RAER. See Rectal anal excitatory refl ex
(RAER)
 RAIR. See Rectoanal inhibitory refl ex
(RAIR)
 Rectal anal excitatory refl ex (RAER)  
 Rectal cancer
 accuracy of ERUS staging  
 adjuvant chemotherapy
 stage I rectal cancer  
 stages II and III  
 adjuvant vs. neoadjuvant therapy  
 chemotherapeutic agents  
 lymph node staging  
 neoadjuvant therapy
 and sphincter preservation  
 unresectable rectal cancer  
 patient
 antibiotic prophylaxis  
 APR ( see Abdominoperineal resection
(APR))
 biologic issues  
 bowel preparation  
 extended resection  
 laparoscopically assisted resections

 local excision vs. radical resection

 perioperative systemic antibiotic
coverage  
 recurrent colorectal carcinoma  
 robotic assisted procedures  
 surgical anatomy  
 -year survival rates  
 radiation dose and timing of surgery  
 radiation therapy  
 recurrent  
 ultrasound
 accuracy  
 diagnosis  
 staging classifi cation (uTNM)  
 Rectal injuries
 antibiotic prophylaxis  
 description  
 diagnosis  
 epidemiology  
 foreign bodies  
 genitourinary  
 omentum  
 operative management
 distal rectal washout  
 fecal diversion with colostomy  
 presacral drainage  
 repair  
 organ injury scale   
 stoma-related complications  
 wound management  
 Rectal intussusception  
Index

 Rectal prolapse
 abdominal operations   
 CCP and SRUS  
 laparoscopy   
 operations  
 outcomes  
 patient evaluation   
 perineal operations  
 recurrent  
 Rectal sensation  
 Rectal sleeve advancement
 description  
 technique  
 Rectoanal inhibitory refl ex (RAIR)   
 Rectocele
 barium trapping  
 constipation  
 cystodefecographies  
 defi nition   
 endopelvic layer   
 evaluation and determination  
 global transformation  
 incontinence  
 mesh slings  
 perineal descent  
 rectovaginal septum  
 sacrocolpopexy  
 sequential episodes defecation  
 STAPL and STARR  
 TPMR  
 transabdominal approaches  
 transvaginal techniques  
 type I and II  
 Rectosigmoidectomy  
 Rectourethral fi stulas
 anterior transanorectal approach  
 cystectomy and ileal conduit  
 investigations  
 Kraske laterosacral approach  
 operative treatment  
 paranal approach  
 pathophysiology  
 perineal approach  
 symptoms  
 transabdominal approach  
 transanal endoscopic microsurgery  
 York Mason approach  
 Rectovaginal fi stula (RVF)
 Crohn’s disease  
 cryptoglandular disease  
 description  
 etiology  
 evaluation  
 fi brin sealant  
 Foley catheter  
 height  
 iatrogenic  
 and IBD  
 inversion  
 layered closure  
 lighting and retractors  
 malignancy  
 mucosal advancement fl aps  
 obstetrical injury  
 persistent  
 physical examination  
 radiation therapy  
 radiography  
 rectal sleeve advancement ( see Rectal
sleeve advancement)
 resection  
 simple vs. complex  
 sphincteroplasty and perineo- proctotomy

 tissue interposition
 bioprosthetics  
 bowel  
 labial fat pad/bulbocavernous muscle

 muscle  
 perineal dissection and mobilized
muscle  
 rectal and vaginal openings  
 Rectum
 anatomic relations  
 anorectal ring and angle  
 arterial supply  
 characterisation  
 embryology  
 fascial relationships  
 innervation  
 length  
 “mesorectum”   
 proximal and distal limits  
 urogenital considerations  
 venous and lymphatic drainage  
 Recurrent colorectal carcinoma  
 Recurrent prolapse  
 Reimbursement process
 Medicare
 division  
 hospital reimbursement  
 medicare resources  
 MEI  
 physician reimbursement  
 Prescription Drug Coverage  
 SGR  
 private payers  
Index

 Rhomboid fl ap
 Bascom Cleft Lift  
 myocutaneous fl aps  
 skin grafting  
 V-Y fl ap  
 Z-plasty  
 Right colectomy
 extended  
 ileocolic  
 maneuver  
 posterior approach  
 vascular ligation  
 Rigid proctosigmoidoscopy
 complications  
 contraindications  
 indications  
 positioning  
 preparation  
 sizes  
 technique  
 Ripstein procedure
 outcomes   
 sacral promontory  
 Robotic colorectal surgery  
 Rotation intestinal tract
 abnormalities
 incomplete attachment cecum and
mesentery  
 internal hernias  
 malrotation  
 nonrotation  
 omphalocele  
 reversed rotation  
 fi xation of midgut  
 physiologic herniation primitive digestive
tube  
 return of midgut to abdomen  
 RTOG. See Radiation Therapy Oncology
Group (RTOG)
 Rubber band ligation  
 RVF. See Rectovaginal fi stula (RVF)
 S
 Sacral nerve stimulation (SNS)  
 Saline continence test  
 SAPS. See Simplifi ed acute physiology score
(SAPS)
 SBO. See Small bowel obstruction (SBO)
 SCC. See Squamous cell carcinomas (SCC)
 Schistosomiasis  
 Scleroderma  
 Sclerotherapy  
 Self-expanding metal stents (SEMS)  
 Sequential compression devices (SCDs)  

 Serrated polyposis  
 Serrated polyps  
 Serum tests IBD  
 Sessile adenoma  
 Sessile serrated adenomas (SSAs)
 endoscopic appearance  
 microscopic view  
 Sexually transmitted diseases (STDs)
 anorectal immunology  
 bacterial pathogens
 chancroid  
 gonorrhea  
 granuloma inguinale  
 LGV  
 syphilis  
 description  
 viral pathogens
 anal intraepithelial dysplasia HPV and
anal cancer  
 HIV and AIDS  
 HPV  
 HSV  
Molluscum Contagiosum  
 SIBO syndrome. See Small intestinal bacterial
overgrowth (SIBO) syndrome
 Sigmoidoscopy  
 Sigmoid volvulus
 diagnosis
 barium enema study  
 CT scan   
 detorsion/sigmoidopexy  
 plain abdominal X-ray  
 epidemiology/pathogenesis  
 treatment
 anastomosis vs. Hartmann’s procedure

 colonoscopy  
 detorsion  
 megacolon and abdominal colectomy

 mesenteric fi xation techniques  

 midline laparotomy incision  
 nonresectional techniques  
 parallel colopexy  
 plain abdominal fi lm  
 pregnant patient  
 stoma formation  
 Simplifi ed acute physiology score (SAPS)

 Single-incision colectomy  
 SLE. See Systemic lupus erythematosis (SLE)
Index

 Small bowel obstruction (SBO)
 air-fl uid levels  
 contrast studies  
 CT
 advantages  
 incarcerated hernia  
 ischemia   
 pneumatosis and portal venous gas  
 scans  
 “small bowel feces”  
 initial therapy and nonoperative
management  
 plain radiographs  
 presentation and diagnosis  
 special situations
 anastomotic “overhealing”  
 early postoperative bowel obstruction

 surgical technique  
 Small intestinal bacterial overgrowth (SIBO)
syndrome  
 SNS. See Sacral nerve stimulation (SNS)
 Solitary rectal ulcer syndrome (SRUS)

 Sphincteroplasty  
 Spigelman staging system
 duodenal polyposis  
 polyp features  
 Squamous cell carcinomas (SCC)
 clinical characteristics  
 evaluation  
 residual/recurrent disease  
 staging  
 treatment
 chemoradiation therapy  
 radiation therapy  
 surgery  
 Squeeze pressure  
 SRUS. See Solitary rectal ulcer syndrome
(SRUS)
 SSAs. See Sessile serrated adenomas (SSAs)
 Stapled transanal rectal resection (STARR)

 STARR. See Stapled transanal rectal resection
(STARR)
 STDs. See Sexually transmitted diseases
(STDs)
 Strangulated hemorrhoids  
 Stricture  
 Strongyloidiasis  
 Surgical education
 ACGME  
 cognitive learning  
 colon and rectal surgery  
 duty hours regulations  
 Medicare budget  
 technical skills  
 Surgical procedures
 distal and radial margins  
 lateral lymph node dissection  
 selection appropriate therapy   
 total mesorectal excision  
 variability outcome  
 Sustainable growth rate (SGR)  
 Synchronous lesions  
 Syphilis
 defi nition  
 hematogenous dissemination  
 multiple anal chancres   
 painless posterior-lateral ulceration

 primary stage  
 solitary anal chancre   
 spirochetes dark-fi eld microscopy   
 suppurative inguinal lymphadenopathy  
 Systemic lupus erythematosis (SLE)  
 T
 TABS. See Transabdominal bowel sonography
(TABS)
 TAMIS. See Transanal minimally invasive
surgery (TAMIS)
 TEN. See Toxic epidermal necrolysis (TEN)
 Thiersch procedure
 outcomes  
 performance   
 TME. See Total mesorectal excision (TME)
 Total abdominal colectomy  
 Total mesorectal excision (TME)  
 Total pelvic mesh repair (TPMR)  
 Toxic epidermal necrolysis (TEN)  
 TPMR. See Total pelvic mesh repair (TPMR)
 Transabdominal bowel sonography (TABS)

 Transanal hemorrhoidal dearterialization
 acute thrombosis  
 external hemorrhoids  
 specialized anoscope   
 Transanal minimally invasive surgery
(TAMIS)  
 Transanal techniques
 anterior lesions   
 TEM
 assembled TEM equipment   
 defect closed in transverse fashion  

 lesion   
Index

 local and radical resection  
 metastatic lymph nodes mesorectum

 NOTES  
 TAMIS  
 transanal excision   
 transcoccygeal approach   
 transsphincteric approach  
 Transverse colon and splenic fl exure volvulus
 diagnosis  
 epidemiology/pathogenesis  
 treatment  
 T rectal tumors  
 Trichuriasis
 characteristic microscopic appearance  
 endoscopic photograph  
 Trypanosomiasis  
 Tuberculosis  
 Tubular adenoma  
 Tubulovillous adenoma  
 Tumor resectability
 IORT suite   
 Lucite tubes   
 primary TNM rectal cancer   
 symptoms unresectable tumor for cure

 Turcot’s syndrome  
 U
 UC. See Ulcerative colitis (UC)
 Ulcerative colitis (UC)
 after medical induction remission  
 azathioprine (AZA)/-mercaptopurine
(-MP)  
 brooke ileostomy  
 continent ileostomy  
 controversies  
 CT  
 cyclosporine (CSA)  
 emergency vs. elective procedures  
 endoscopy  
 ileal pouch-anal anastomosis ( see Ileal
pouch anal anastomosis (IPAA))
 indications surgery   
 infl iximab  
 intravenous corticosteroids  
 IRA   
 laparoscopic colectomy  
 medical management
 distal  
 proctitis  
 mild-to-moderate
 corticosteroids  
 sulfasalazine (SSZ) and
-aminosalicylates (-ASA)  
 pathology  
 pouchitis  
 PSC  
 serum tests  
 tacrolimus  
 treatment effect postsurgical
complications  
 Uncommon anal canal neoplasms
 adenocarcinoma  
 GISTs  
 melanoma  
 small cell carcinoma/neuroendocrine
tumors  
 Uncommon perianal neoplasms
 BCC  
 Paget’s disease  
 verrucous carcinoma  
 Upper gastrointestinal disease  
 Upper gastrointestinal polyposis
 duodenectomy and open polypectomy  
 FGPs  
 Spigelman staging system  
 Ureterosigmoidostomy  
 V
 Vasculitis and connective tissue disorders
 Behcet’s disease  
 corrosive colitis  
 disinfectant colitis  
 diversion colitis  
 HSP  
 neutropenic enterocolitis  
 NSAIDs and salicylate-induced colitis  
 PAN  
 scleroderma  
 SLE  
 TEN  
 Vector volume manometry  
 Viral enteritis/colitis
 CMV  
 HSV  
 W
 Wireless motility capsule  
 Wound implants prevention  
 Wound infection  
 Y
Yersinia