Flashcards in Colorectal Surgery Deck (17):
What is the aim of population screening?
To detect pre-malignant adenomas/early cancers in the general population
What two modalities of testing are most commonly used to screen populations for bowel cancer?
Faecal occult blood test (FOBT)
Faecal immunochemical test (FIT)
Other than the general population, what groups would screening regularly take place in?
High risk groups
Give an example of a group with a high risk of developing colorectal cancer
Heritable conditions e.g. FAP/HNPCC
Inflammatory bowel disease
Previous adenomas/colorectal cancer
Give two types of colorectal problems which might require surgery
Give an example of an inflammatory colorectal condition which might require surgical treatment
Give an example of a degenerative colorectal condition which might require surgical treatment
Give an example of a colorectal condition causing abnormal function which might require surgical treatment
Give an example of a congenital colorectal condition which might require surgical treatment
What investigations would you do if suspecting a colorectal condition?
Colonoscopy and biopsy
Cross sectional imaging - CT/CT colonography
What should be considered before surgery is carried out to correct a colorectal condition?
Restoration of continuity
Preservation of function
What peri-operative care should be given to a patient undergoing colorectal surgery?
Possible bowel preparation
What properties doe the bowel anastomosis need to have in order for surgery to be successful?
Clean surgical site
Acceptable systemic state
What are the surgical options for colorectal conditions?
What is involved in a faecal diversion surgery?
Colostomy/ileostomy - stoma created
What is involved in ileal pouch surgery?
Creation of a pouch of small intestine, following surgical removal of colon and rectum, to recreate the removed rectum - 2 or more loops of small intestine sutured or stapled together to form a reservoir for stool which is then attached to the anus.