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Anal and Rectal Diseases Explained by Eli D., M.D. Ehrenpreis

By Eli D., M.D. Ehrenpreis

Even supposing rectal and perianal lawsuits are one of the commonest noticeable via fundamental care physicians, surgeons, and gastroenterologists, the wide range of problems linked to those proceedings are, generally, poorly understood. also, numerous more recent diagnostic resonance imaging, are actually being hired for the evaluate of those issues. ultimately, new pharmacotherapies, together with immunosuppressants and topical treatments in addition to new surgical remedies, have emerged. those are defined in a transparent, common demeanour.

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Anoplasty (the use of perianal skin to cover an area of the anal canal) is used for moderate–severe cases. Clinical pearls In appropriately selected candidates, surgery appears to be the treatment of choice since stool bulking and anal dilatation are primarily temporizing and do not correct the narrowing of the anal canal. 3 Anorectal abscess Definition An infection that begins in the anal glands and extends into spaces around the anus and rectum. Epidemiology Anorectal abscesses are most common in adults between the ages of 20 and 40 years.

Examination under anesthesia may be required. Treatment Medical Bulking agents, stool softeners, and periodic dilatation using a digital method or flexible dilators of increasing diameter. Surgical In cases of scarring, removal of the scar in combination with sphincterotomy. Anoplasty (the use of perianal skin to cover an area of the anal canal) is used for moderate–severe cases. Clinical pearls In appropriately selected candidates, surgery appears to be the treatment of choice since stool bulking and anal dilatation are primarily temporizing and do not correct the narrowing of the anal canal.

Diverticulosis of the colon may also be identified (see Figure 5). Complications Patient discomfort is common. Bleeding may occur subsequent to biopsies. Perforation is a very rare complication of flexible sigmoidoscopy. Figure 3. Sigmoid colon polyp demonstrated on flexible sigmoidoscopy. Figure 4. A sessile polyp near the dentate line seen on sigmoidoscopy. Figure 5. Sigmoid diverticulosis, a common endoscopic finding. 39 Chapter 2 Additional comments In the United States, colonoscopy with visualization of the entire colon is replacing flexible sigmoidoscopy as the preferred method for screening for colon polyps and cancers.

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