Coloproctology

Diagnosis and Outpatient Management

  • John Nicholls
  • Richard Glass

Table of contents

  1. Front Matter
    Pages i-ix
  2. John Nicholls, Richard Glass
    Pages 1-10
  3. John Nicholls, Richard Glass
    Pages 11-32
  4. John Nicholls, Richard Glass
    Pages 33-46
  5. John Nicholls, Richard Glass
    Pages 47-73
  6. John Nicholls, Richard Glass
    Pages 75-126
  7. John Nicholls, Richard Glass
    Pages 127-138
  8. John Nicholls, Richard Glass
    Pages 139-150
  9. John Nicholls, Richard Glass
    Pages 151-161
  10. John Nicholls, Richard Glass
    Pages 163-185
  11. John Nicholls, Richard Glass
    Pages 187-197
  12. John Nicholls, Richard Glass
    Pages 199-203
  13. John Nicholls, Richard Glass
    Pages 205-209
  14. Back Matter
    Pages 211-238

About this book

Introduction

In this age of specialization most patients with diseases of the hind gut and anus are still managed by general physicians or surgeons. The speciality of coloproctology has grown from the art of 'anology', a study of conditions limited to that distance from the anal verge that could be inspected easily by torch- or candlelight or with the aid of a simple speculum. Two centuries ago many proctological ills were often treated by itinerant quacks, partly because the physician considered himself rather too grand to meddle around the anus and the medical profession in general tended to look down on those who studied anal disease. Today, in certain countries, coloproctology has become a speciality every bit as exclusive as urology or orthopaedic surgery, with its own training programme and examinations, usually undertaken after the end of general surgical training. Such super-specialization has undeniable advantages with rapidly advancing technology and therapeutic possibilities. There is no doubt that for the patient suffering from a low rectal carcinoma or severe inflammatory bowel disease there are advantages in being treated by surgeons who are dealing with several cases in a year rather than by a general surgeon who sees such problems relatively rarely. Such specialized colorectal surgery units makes good sense medically and economically in large centres of population with good communications.

Keywords

Kolon Proktologie coloproctology colorectal surgery inflammatory bowel disease surgery

Authors and affiliations

  • John Nicholls
    • 1
  • Richard Glass
    • 2
  1. 1.St. Thomas’ and St. Mark’s HospitalsLondonUK
  2. 2.The London HospitalWhitechapel, LondonUK

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4471-1375-1
  • Copyright Information Springer-Verlag London 1985
  • Publisher Name Springer, London
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-15140-1
  • Online ISBN 978-1-4471-1375-1
  • About this book