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The ASCRS Textbook of Colon and Rectal Surgery


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Table of Contents


Chapter 1

Anatomy and Embryology of the Colon, Rectum & Anus

Joseph C. Carmichael, MD and Steven Mills, MD

Chapter 2

Colonic Physiology

Joshua I. S. Bleier, MD, FACS, FASCRS and Kirsten Bass Wilkins, MD, FACS, FASCRS

Chapter 3

Anal Physiology: The physiology of continence and defecation

Vitaliy Poylin, MD, FACS, FASCRS and Thomas E. Cataldo, MD, FASC, FASCRS

Chapter 4


Kurt Davis, MD and Michael A. Valente, DO, FACS, FASCRS

Chapter 5

Endoscopic management of polyps, polypectomy and combined endoscopic and laparoscopic surgery

Kelly A. Garrett, MD, FACS, FASCRS and Sang W. Lee, MD FACS FASCRS

Chapter 6

Preoperative assessment of colorectal patients

Jennifer S. Davids, MD and Justin A. Maykel, MD

Chapter 7

Optimizing Outcomes with Enhanced Recovery

Conor P. Delaney, MD, MCh, PhD, FRCSI, FACS, FASCRS and Raul Bosio, MD, MSBS

Chapter 8

Postoperative Complications

Andrew Russ, MD and Gregory D. Kennedy, MD, PhD

Chapter 9

Anastomotic Construction

Steven R. Hunt, MD and Matthew L. Silviera, MD

Chapter 10

Anastomotic complications


Chapter 11

Approach to Anal Pain

Amir L. Bastawrous, MD, MBA

Chapter 12


Martin Luchtefeld, MD, FACS, FASCRS and Rebecca E. Hoedema, MS, MD, FACS, FASCRS

Chapter 13

Anal Fissure

Kim C. Lu, MD, FACS, FASCRS and Daniel O. Herzig, MD, FACS, FASCRS

Chapter 14

Anorectal Abscess and Fistula

Bradley R. Davis, MD, FACS, FASCRS and Kevin R. Kasten, MD

Chapter 15

Complex Anorectal Fistulas

Giulio A. Santoro, MD, PhD and Maher A. Abbas, MD, FACS, FASCRS

Chapter 16

Rectovaginal Fistula

Jamie A Cannon, MD

Chapter 17

Pilonidal Disease and Hidradenitis Suppurativa

Eric K. Johnson, MD, FACS, FASCRS

Chapter 18

Dermatology and Pruritus Ani

Wolfgang B. Gaertner, MSc, MD and Genevieve B. Melton, MD, PhD

Chapter 19

Sexually Transmitted Infections

Cindy Kin, MD and Mark Lane Welton, MD, MHCM

Chapter 20

Anal Intraepithelial Neoplasia

Rocco Ricciardi, MD, MPH


Chapter 21

Anal Cancer

Tushar Samdani, MD, MS, DNB(Surgery), MRCS(Edin) and Garrett M. Nash, MD, MPH

Chapter 22

Presacral Tumors

John Migaly, MD, FACS, FASCRS and Christopher R. Mantyh, MD

Chapter 23

Molecular Basis of Colorectal Cancer and Overview of Inherited Colorectal Cancer Syndromes

Matthew F. Kalady, MD and Y. Nancy You, MD, MHSc

Chapter 24

Colorectal Neoplasms: Screening and Surveillance after Polypectomy

Evie H. Carchman, MD and Charles P. Heise, MD, FACS, FASCRS

Chapter 25

Colon Cancer: Preoperative Evaluation and Staging

Cary B. Aarons, MD and Najjia N. Mahmoud, MD

Chapter 26

The Surgical Management of Colon Cancer

Matthew G. Mutch, MD, FASCRS, FACS

Chapter 27

Rectal Cancer: Preoperative Evaluation and Staging

Jorge Marcet, MD

Chapter 28

Rectal Cancer: Neoadjuvant Therapy

Andrea Cercek, MD and Julio Garcia-Aguilar, MD, PhD

Chapter 29

Local excision of rectal neoplasia

Mark H. Whiteford, MD, FACS, FASCRS

Chapter 30

Rectal Cancer: Watch and Wait

George J. Chang, MD, MS

Chapter 31


Emmanouil P. Pappou MD, PhD and Martin R. Weiser MD

Chapter 32

Rectal Cancer Decision Making

W. Donald Buie MD MSc FRCSC FACS and Anthony R. MacLean MD FRCSC FACS

Chapter 33

Colorectal Cancer: Postoperative Adjuvant Therapy

Stephen M. Sentovich, MD, MBA and Marwan Fakih, MD

Chapter 34

Colorectal Cancer: Surveillance after Curative-Intent Therapy

Scott E. Regenbogen, MD, MPH and Karin M. Hardiman, MD, PhD

Chapter 35

Colorectal Cancer: Management

of Local Recurrence

Eric J. Dozois, MD and Dorin T. Colibaseanu,MD

Chapter 36

Colorectal Cancer: Management of Stage IV Disease

Glenn T. Ault, MD, MSEd and Kyle G. Cologne, MD

Chaptery 37

Appendiceal Neoplasms

Constantine P. Spanos, MD FACS FASCRS and Andreas M. Kaiser, MD FACS FASCRS

Chapter 38

Carcinoids, GISTs and Lymphomas of Colon and Rectum

David J. Maron, MD, MBA


Chapter 39

Diverticular Disease


Chapter 40

Large Bowel Obstruction

Karim Alavi, MD, MPH and Charles M Friel, MD

Chapter 41

Lower Gastrointestinal Hemorrhage

Brian R. Kann, MD, FACS, FASCRS and H. David Vargas, MD, FACS, FASCRS

Chapter 42


Michael J. Snyder, MD, FACS

Chapter 43

Trauma of the Colon, Rectum, and Anus

W. Brian Perry, MD, FASCRS

Chapter 44

Inflammatory Bowel Disease: Pathobiology

Tara M. Connelly, MD, MB, BCh, MSc and

Walter A. Koltun, MD, FACS and FACRS

Chapter 45

IBD Diagnosis and Evaluation

Matthew M. Philp, MD, FACS, FASCRS and Howard M. Ross, MD, FACS, FASCRS

Chapter 46

Medical Management of Chronic Ulcerative Colitis

Stefan D. Holubar MD, MS, FACS, FASCRS and Mattias Soop MD, PhD

Chapter 47

Medical Management of Crohn's Disease

Scott A Strong, MD, FACS, FASCRS

Chapter 48

Anorectal Crohn's disease

Stephen R. Gorfine, MD

Chapter 49

Crohn's Disease: Surgical Management

Roberta Muldoon, MD and Alan J. Herline MD

Chapter 50

Ulcerative Colitis - Surgical Management

Mukta K. Krane, MD, FACS, Erin O. Lange, MD, MSPH, and Alessandro Fichera, MD, FACS, FASCRS

Chapter 51

Complications of the Ileal Pouch

Daniel L. Feingold, MD and P. Ravi Kiran, P. Ravi Kiran, MBBS, MS (Gen Surgery), FRCS (Eng), FRCS (Glas), FACS, MSc (EBM) Oxford

Chapter 52

Infectious Colitides

Frederick R. Lane, MD and Dipen C. Maun MD

Chapter 53

Clostridium difficile Infection

David B. Stewart, Sr., MD, FACS, FASCRS

Chapter 54

Radiation, microscopic, ischemic colitis

Isabelle Raiche, MD, FRCS and Husein Moloo, MD MSc, FRCS

Chapter 55

Intestinal Stomas


ael F. McGee, MD, FACS, FASCRS and Peter A. Cataldo, MD, FACS, FASCRS

Chapter 56

Functional complications after colon and rectal surgery

Dana M Hayden, MD, MPH and Alex Jenny Ky, MD


Chapter 57

Common Tests for the Pelvic Floor

Dana R. Sands, MD, FACS, FASCRS and Amy J. Thorsen, MD

Chapter 58

Evaluation of Constipation and Treatment of Abdominal Constipation

Muneera R Kapadia, MD, MME and Madhulika K Varma, MD

Chapter 59

Obstructed Defecation

M. Shane McNevin MD, FASCRS

Rectal Prolapse

Chapter 60

Brooke Gurland MD and Massarat Zutshi MD

Chapter 61

Evaluation and Treatment of FI

Ian M Paquette MD and Liliana Bordeianou MD

Chapter 62

Functional Bowel Disorders for the Colorectal Surgeon

Jennifer M. Ayscue, MD, FACS, FASCRS and Anjali S. Kumar, MD, MPH, FACS, FASCRS

Chapter 63

Middle and Anterior Compartment: Issues for the Colorectal Surgeon

Cecile A. Unger, MD, MPH and Marie Fidela R. Paraiso, MD


Chapter 64

Pediatric Colorectal Disorders

Daniel H. Teitelbaum, MD, Peter F. Ehrlich, MD, MSc

Chapter 65

Considerations for Geriatric Patients Undergoing Colorectal Surgery

Kevin R. Kasten, MD and Todd D. Francone, MD, MPH

Chapter 66

Guy R. Orangio, MD, FACS, FASCRS

Health Care Economics

Chapter 67

Ethical Issues in Colorectal Surgery

Jason D. Keune, MD, MBA

Chapter 68

Welcome to Litigation

Dennis K. Ames, JD

Chapter 69

Surgical Education

Bradley J. Champagne, MD, FACS, FASCRS and Helen M. MacRae, MD, MA, FRCSC, FACS

Chapter 70 Maintenance of Certification: Current Status and Future Considerations

Jan Rakinic, M.D., FACS, FASCRS and W. Donald Buie, MD, MSc, FRCSC, FACS, FASCRS

Chapter 71

Quality & Safety in Colon & Rectal Surgery

Elizabeth C. Wick, MD and Jonathon Efron, MD

Chapter 72

Practice Management


About the Author

Scott R. Steele, M.D., FACS, FASCRS

Chief, Division of Colorectal Surgery

University Hospitals Case Medical Center

Professor of Surgery

Case Western Reserve University

Cleveland, OH

Tracy Hull, MD

Professor of Surgery

Cleveland Clinic

9500 Euclid Avenue

Cleveland, OH 44195

Thomas Read, MD

Professor of Surgery, Tufts University School of Medicine

Lahey Hospital & Medical Center

Burlington, MA

Theodore Saclarides, MD

Ambrose and Gladys Bowyer, Professor of Surgery

Loyola University

Chicago, IL

Anthony Senagore, MD Case Western Reserve University School of Medicine

University Hospitals

Cleveland, OH

Charles Whitlow, MD

Chief, Colorectal Surgery

Ochsner Medical Center

New Orleans, LA

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