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Endoscopic Evaluation in Colorectal Reoperation

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Reconstructive Surgery of the Rectum, Anus and Perineum

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Abstract

This chapter defines the role of endoscopic evaluation in patients before reoperative surgery, providing complementary assessment of new imaging modalities, particularly in the assessment of recurrent cancer and in the definition of problems that may occur after anastomotic construction and neoreservoir use in inflammatory bowel disease. Assessment of the endoluminal surface by colonoscopy provides an opportunity for direct visualization of intraluminal pathology and biopsy, which assists in the diagnosis of cancer recurrence and in the surgical decisions surrounding dysplasia assessment and interpretation. This chapter outlines the approach to the use of endoscopy in these complicated patients, supporting the decision for reoperation and colorectal reconstruction along with an opportunity for colonic stenting in cases where reoperation has an attendant high risk.

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore

    Kok Sun Ho M.B.B.S., FRCSED, FAMS, MMED (Surg)

  2. Department of Colorectal Surgery, Seow-Choen Colorectal Centre, Mt. Elizabeth Hospital, 3 Mt. Elizabeth Medical Centre #03-09, Singapore, 228510, Singapore

    Francis Seow-Choen M.B.B.S., FRCSED, FAMS, FRES

Authors
  1. Kok Sun Ho M.B.B.S., FRCSED, FAMS, MMED (Surg)
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  2. Francis Seow-Choen M.B.B.S., FRCSED, FAMS, FRES
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Corresponding author

Correspondence to Francis Seow-Choen M.B.B.S., FRCSED, FAMS, FRES .

Editor information

Editors and Affiliations

  1. Tamworth Rural Referral Hospital, Dean Street, Tamworth, 2340, New South Wales, Australia

    Andrew P. Zbar

  2. Delware Street 420, Minneapolis, 55455, Minnesota, USA

    Robert D. Madoff

  3. , Dept. Colorectal Surgery, Cleveland Clinic, Florida, Cleveland Clinic Blvd. 2950, Weston, 33331, Florida, USA

    Steven Wexner

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Ho, K.S., Seow-Choen, F. (2013). Endoscopic Evaluation in Colorectal Reoperation. In: Zbar, A., Madoff, R., Wexner, S. (eds) Reconstructive Surgery of the Rectum, Anus and Perineum. Springer, London. https://doi.org/10.1007/978-1-84882-413-3_5

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  • DOI: https://doi.org/10.1007/978-1-84882-413-3_5

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-412-6

  • Online ISBN: 978-1-84882-413-3

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