77 T_h e large intestine

ANATOMY OF THE LARGE INTESTINE The large intestine begins at the ileocaecal valve and extends to ...

Aetiology Epidemiological studies suggest that diverticular disease is a consequence of a refined...

COLITIS There are two types of colitides: IBD (discussed in Chapter 75 ) and non-IBD. The non-IB...

COLOSTOMIES A colostomy is a planned opening made in the colon to divert faeces and flatus through...

Classification of contamination The degree of infection has a major impact on outcome in acute di...

Clinical features In mild cases, symptoms such as distension, flatulence and a sensation of heav...

Complications of diverticular disease The majority of patients with diverticulosis are asymptoma...

Complications of stomas Stoma complications are common ( Summary box 77.16 ). The vast majority o...

DIVERTICULAR DISEASE Diverticula (hollow outpouchings) are a common structural abnormality of th...

ENDOMETRIOSIS This is mainly covered in Chapter 87 . It tends to be found deep in the pelvis and ...

Infective colitides Infective causes may be classified as bacterial, protozoal, viral and fungal. ...

Introduction No content extracted automatically.

Investigation Radiology Plain radiographs can demonstrate a pneumoperitoneum. Spiral CT has excel...

Learning objectives To appreciate: The basic anatomy and physiology of the large intestine intest...

Malignant: colorectal carcinoma Epidemiology In the UK, colorectal cancer is the second most comm...

Management Patients are frequently recommended a high-fibre diet and - bulk-forming laxatives, alt...

Non-infective colitides Diverticular colitis Diverticular colitis is a clinicopathological entity...

Operative procedures for diverticular disease The aim of emergency surgery is to control periton...

PHYSIOLOGY OF THE LARGE INTESTINE The principal function of the colon is absorption of water; a...

Polyposis syndromes Polyposis syndromes can be divided into familial adenomatous polyposis (FAP),...

TUMOURS OF THE LARGE INTESTINE Benign The term ‘polyp’ is a clinical description of any protrusi...

Treatment For sigmoid volvulus the initial management is non-operative decompression using either...

Types of colostomy Loop colostomy Loop stomas are most commonly used to temporarily divert the fa...

VASCULAR ANOMALIES OF THE INTESTINE Angiodysplasia Angiodysplasia is a vascular malformation that...

VOLVULUS A volvulus is a twist of the intestine and the mesentery that supplies it ( Figure 77.16...