Colorectal Surgery

Question 1

A 22 year old lady has a long history of severe perianal Crohns disease with multiple fistulae. She is keen to avoid a stoma. However, she has progressive disease and multiple episodes of rectal bleeding. A colonoscopy shows rectal disease only and a small bowel study shows no involvement with Crohns. What is the best operative strategy?

Answer 1

PROCTOCOLECTOMY + End stoma

Question 2

A 22 year old lady has a long history of severe perianal Crohns disease with multiple fistulae. She is keen to avoid a stoma. However, she has progressive disease and multiple episodes of rectal bleeding. A colonoscopy shows rectal disease only and a small bowel study shows no involvement with Crohns. What is the best operative strategy?

Answer 2

Combined chemoradiotherapy is the standard treatment for anal cancer

Question 2

A 66 year old man is admitted as an emergency with torrential rectal bleeding. Following resuscitation, an upper GI endoscopy is undertaken and it is normal. However, he continues to bleed. What is the most appropriate course of action?

Answer 2

CT Angiogram

Question 3

Low lying anorectal fistula with chrons should be treated by?

Answer 3

Loose seton