Presentation is loading. Please wait.

Presentation is loading. Please wait.

Basic care of colorectal disease

Similar presentations


Presentation on theme: "Basic care of colorectal disease"— Presentation transcript:

1 Basic care of colorectal disease
嘉義長庚醫院 大腸直腸外科 葉重宏

2 Diseases of Colon and Rectum
Hemorrhoid Anal abscess and fistula Colorecral cancer Colon inertia Others

3 Hemorrhoid Hemorrhoid : Vascular cushion of anus Position:
Pathogenesis : still controversial Destruction of the anchoring connective tissue with the down ward displacement or prolapse of the anal cushions

4 Hemorrhoid (2) Type : Internal hemorrhoid External hemorrhoid
Mixed hemorrhoid Grade : Grade I Grade II Grade III Grade IV

5 Hemorrhoid (3) Treatment Sclerotherapy Rubber ring ligation
Cryosurgery Infrared coagulation Bipolar diathermy Lord’s dilatation Surgical treatment

6 Anal abscess and Anal fistula
Etiology Non-specific : cryptoglandular origin Specific : Crohn’s disease, CUC, TB, Actinomycosis, foreign body, Carcinoma, pelvic inflammation, Trauma, Radiation, Leukemia

7 Anal abscess and Anal fistula (2)
Pathogenesis : Infection of anal gland Abscess is the acute manifestation Fistula is the chronic manifestation

8 Anal abscess and Anal fistula (3)
Classification of anorectal abscess Perianal % Ischiorectal % Intersphincter % Supralevator ( pelvirectal ) % Submucosal %

9 Anal abscess and Anal fistula (4)
Classification Intersphincteric Transsphincteric Suprasphincteric Extrasphincteric Goodsall’s rules

10 Anal abscess and Anal fistula (5)
Treatment Incision and drainage Fistulotomy Fistulectomy Seton application

11 Colorectal Cancer Anatomy Location Blood supply Venous drainage
Lymphatic drainage

12 Chemotherapy Indication : Stage of Duke’s C ( C1~ C3 ) -- 9102-A
Stage of Duke’s D / C2 ( LN > 4 ) Stage of Duke’s B2 -- ? Dose: According to the body surface

13

14 Endoscopic Examination
Anoscopy Proctoscopy Sigmoidscopy Colonoscopy

15 Prepare for colonoscopy
On clear liquid diet -- the day before exam On full diet -- the meal before exam Dulcolax 3 # p.o. s.t. 3 PM the day before exam Fleet enema 2 PC s.t. or Cleansing enema before exam


Download ppt "Basic care of colorectal disease"

Similar presentations


Ads by Google