R. John Nicholls Neil 1. McC. Mortensen John M.A. Northover (Eds.) Topics in Colorectal Disease With 35 Figures, Some in Colour and 31 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest
R. John Nicholls, FRCS, M. Chir. St. Mark's Hospital, City Road, London ECl V 2PS, United Kingdom Neil 1. McC. Mortensen, MD, FRCS John Radcliffe Hospital, Headington, Oxford, United Kingdom John M. A. Northover, MS, FRCS St. Mark's Hospital, City Road, London EC1V 2PS, United Kingdom This monograph comprises the following articles of the Springer journal International Journal of Colorectal Disease: Fistula-in-ano (1987) Int J Colorect Dis 2/2: 51-71 Staging of colorectal cancer (1987) lnt J Colorect Dis 2/3: 123-138 Faecal incontinence (1987) Int J Colorect Dis 2/4: 173-186 Surgical aspects of familial adenomatous polyposis (1988) Int J Colorect Dis 3/1: 1-16 Proctography (1988) Int J Colorect Dis 3/2: 67-89 Lasers in the treatment of colorectal disease (1989) Int J Colorect Dis 4/1: 1-29 Pouchitis (1989) Int J Colorect Dis 4/4:205-229 The management of anorectal disease in HIV -positive patients (1990) Int J Colorect Dis 5/2:61-72 ISBN -13:978-3-540-53447-1 e-isbn-13 :978-3-642-76281-9 DOl: 1O.1007! 978-3-642-76281-9 Library of Congress Cataloging-in-Publication Data. Colorectal disease/r. John Nicholls (ed.). p. cm. Consists of articles previously published in International journal of colorectal disease. Includes bibliographical references. Includes index. ISBN-13:978-3-540-53447-1 1. Colon (Anatomy)-Diseases. 2. Rectum - Diseases. \. Nicholls, R. J. II. Intcrnational journal of colorectal disease. [DNLM: 1. Colonic Diseases-collected works. 2. Colorectal Neoplasms-collected works. 3. Rectal Diseases-collected works. WI 520 C71957] RC860.C65 1991 617.S 547-dc20 DNLM/DLC 91-4597 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned. specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. (0 Springer-Verlag Berlin Heidelberg 1991 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publishers can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other phmmaceuticalliterature. 24/3130-543210 - Printed on acid-free paper
Contents Fistula-in-ano H. Abcarian, G. Dodi, J. Girona, O. Kronborg, E. Parnaud, J. P. S. Thomson, and M. Vaifai. Moderator: J. C. Goligher................ 1 Staging of colorectal cancer P. H. Chapuis, M. F. Dixon, L. P. Fielding, P. H. Gordon, P. Hermanek, M. Kyriakos, S. D. Nathanson, R. C. Newland, G. D. Oates, and P. Quirke. Moderator: J. R. Jass........................ 22 Faecal incontinence M. S. Elliot, E. Hancke, M. M. Henry, I. J. Kodner, J. H. C. Kuypers, J. H. Pemberton, and M. M. Schuster. Moderator: F. M. Penninckx 38 Surgical aspects of familial adenomatous polyposis T. Berk, S. Biilow, Z. Cohen, J. J. DeCosse, P. R. Hawley, D. G. Jagelman, H. J. Jarvinen, and F. A. Macrae. Moderator: R. R. Dozois....... 52 Proctography D. C. C. Bartolo, c.1. Bartram, O. Ekberg, F.-T. Fork, I. Kodner, J. H. C. Kuijpers, P. H. G. Mahieu, P. J. Shorvon, G. W Stevenson, and N. Womack. Moderator: I. G. Finlay.... 68 Lasers in the treatment of colorectal disease Moderator: S. G. Bown Laser therapy in the management of benign and malignant tumours in the colon and rectum N. Krasner 92 Laser palliation for rectosigmoid cancers J. M. Brunetaud, V. Maunoury, D. Coche1ard, A. Cortot, and J. C. Paris 96 Risk factors which determine the long term outcome of Neodymium-YAG laser palliation of colorectal carcinoma E. Van Cutsem, A. Boonen, K. Geboes, G. Coremans, M. Hie1e, G. Vantrappen, and P. Rutgeerts.................... 99 Endoscopic laser therapy in colorectal cancer M. H. Mellow............. 102
Photodynamic therapy for colorectal disease H. Barr, S. G. Bown, N. Krasner, and P. B. Boulos 105 Laser treatment of intestinal vascular abnormalities E. M. H. Mathus-Vliegen.... 110 Commentary: What role do lasers play in the management of colorectal disease S. G. Bown............................. 116 Pouchitis Moderator: R.1. Nicholls The pathology of the ileal reservoir N. A. Shepherd......... Pouchitis - incidence and characteristics in the continent ileostomy L. Hulten.... The role of endoscopy in pouch monitoring and pouchitis G. N. 1. Tytgat................... Clinical diagnosis R.1. Nicholls.. Bacteriology (1) D. G. Nasmyth. Bacteriology (II) M.1. Hill and F. Fernandez Inflammatory mediators in ulcerative colitis D.1. Gertner and D. S. Rampton..... Faecal bile acids in pouch and pouchitis patients M.1. Hill and R. W Owen.......... Pouchitis: defining an objective method of diagnosis W A. Kmiot and M. R. B. Keighley....... Evacuation and pouchitis P. R. O'Connell Ileal pouch motility D. Kumar and N. S. Williams 121 123 125 128 131 132 134 136 137 139 140 The management of anorectal disease in HIV -positive patients L. G. Gottesman, A.1. G. Miles, 1. W Milsom, 1. M. A. Northover, W P. Schecter, and A. Stotter. Moderator: T. G. Allen-Mersh.. 145 SUbject Index 157