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O presente Tratado de Coloproctologia, Segunda Edição, reúne a grande experiência de mais de 300 membros da Sociedade Brasileira de Coloproctologia (SBCP) e de alguns colaborado_x0002_res internacionais de renome, atualizando os temas mais importantes desta especialidade. Honrando o passado de uma obra ganhadora do Prêmio Jabuti no Brasil, esta nova edição será importante fonte de estudo e atualização, indispensável tanto para jovens quanto para experientes especialistas em coloproctologia, cirurgia geral e aparelho digestivo.

The book provides up-to-date information on all aspects of colonic diverticular disease, particularly common in Western countries. Most people suffering from it remain asymptomatic, while about 20% develop symptoms without complications, experiencing the so-called'Symptomatic Non-Complicated Diverticular Disease'(SUDD). 10-25% of this last group eventually develop diverticulitis, with or without complications. The incidence of diverticulitis and diverticular colon disease is increasing worldwide, and is becoming a significant burden for national health systems in terms of direct and indirect costs, also because its prevalence increases with age. Unfortunately, the disease pathogenesis is relatively unknown and several aetiological factors may play a role in its onset. The first parts of the book will deal with the disease epidemiology and etiopathogenesis, focusing on the roles of inflammation and dysbiosis as part of the pathophysiology of diverticular disease. The clinical spectrum, the diagnostic approach and differential diagnosis, medical and surgical treatments are described in the following sections. Written by experts in the field, the volume will be a unique and valuable resource for all clinicians, residents, and physicians involved in the management of this disease.

This thoroughly revised and extended second edition of the book clearly explains the nature of colon polyps and their relationship to colorectal cancer in light of new developments. It discusses in detail new topics, including polyp development, risk factors and prevention measures, and also describes surgical, medical oncology and radiotherapy treatments of colon cancer. In cases of advanced colon cancer, it clearly demonstrates how to perform surgical interventions in the presence of urinary tract metastases and gynecologic organ metastases. The book also includes chapters on medical treatment and radiotherapy in distant metastases of colorectal cancer. Further, it presents resection of liver metastases and transplantation options. Carefully examining the risk factors, and the treatment of colon cancer from the early to the advanced stages, the book is invaluable not only for medical specialists and students, but also for general readers and patients.

This book addresses all aspects of endoscopy from scope and tower basics to the more advanced interventional procedures like endoscopic retrograde cholangiopancreatography, per-oral esophageal myotomy, and percutaneous endoscopic gastrostomy. It covers a broad range of topics in order to remain relevant to the surgical subspecialist, the community general surgeon, the surgical fellow interested in endolumenal and transluminal procedures, and the surgical resident interested in the very basics of endoscopy. The table of contents is intentionally designed to mirror the Flexible Endoscopy curriculum currently being implemented for all minimally invasive, advanced GI and surgical endoscopy fellowships. The chapters are broken up into five parts. The first part introduces the SAGES Masters Program, followed by parts that cover flexible endoscopy basics, flexible endoscopy procedures, and finally bariatric flexible endoscopy. Written by experts and thought leaders in their fields, The SAGES Manual of Flexible Endoscopy serves as a valuable resource for surgeons of all training and skill levels to better grasp an overview of modern endoscopy practice.

The most comprehensive and authoritative reference available today on colorectal surgeryThis revised fourth edition of Gordon and Nivatvongs'Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions'reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts.Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine,'wait and watch'principles, outpatient management of anorectal surgery, and large bowel obstruction.Key HighlightsThirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesionsA multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocolsThe use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodelingSuperb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and managementAs the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.

​This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMISand taTME, and each is considered an authority on the topic.Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.

The fourth edition of this leading book provides an authoritative, comprehensive and complete account of the neuronal disorders of the lower gastrointestinal tract in children. The book has been thoroughly revised and updated to reflect major advances that have occurred both in the understanding as well as the treatment of Hirschsprung's disease. Contents discuss the latest therapies such as stem cell therapies, the epidemiology and association with multiple endocrine neoplasia and approaches to diagnosis such as radiology and manometry as well as Hirschsprung's disease in adolescents and adults.Surgical approaches are thoroughly covered and include a new chapter on intestinal transplantation options. The follow-up care and long-term outcomes of patients who have undergone therapy are also addressed in this edition.With several new chapters added and the contents updated and re-worked, this edition is authored by the leading current experts in their respective fields. It is a must-have book for pediatric surgeons, pediatricians, gastroenterologists, and colorectal surgeons.

This fourth edition of Surgery of the Anus, Rectum and Colon continues to redefine the field, with its comprehensive coverage of common and rare colorectal conditions, advances in the molecular biology and genetics of colorectal diseases, and new laparoscopic techniques. Contributions from international experts on specialized topics and various new illustrations ensure that the extensive text is not only current and authoritative, but easy to understand. No other book provides the expertise of a world-class editorial team with the cutting-edge knowledge you need to master colorectal surgery.

This book presents an Asian perspective on how the treatment of colorectal cancer can be optimized and standardized in ways that take into account technological advances and the trend towards individually tailored therapy. Readers will find careful, well-illustrated descriptions of the standard surgical techniques for rectal cancer and colon cancer that have contributed to recent improvements in 5-year survival rates in the Asia-Pacific region, where the incidence of colorectal cancer has been rising alarmingly due to lifestyle changes. The vital role now being played by minimally invasive laparoscopic and robotic options receives detailed scrutiny. Extent and timing of surgery, patient safety, risk of complications, and unresolved issues are all discussed. Furthermore, the use of surgery within the context of multimodal management including chemotherapy and radiotherapy is explained and an integrated approach for stage IV and recurrent disease is described. The book will serve asa valuable reference for young surgeons who are in training, experienced practitioners who want to enhance their knowledge and skills, and all others who wish to learn about this field.

The 24th volume of this highly successful series includes new contemporary topics such as corrosive injuries of the oesophagus, post-gastrectomy complications, advances in imaging of inflammatory bowel disease, unusual presentations of gallstones, gall bladder cancer with jaundice, minimally invasive pancreatic surgery, and enhanced recovery after surgery. Finally, the chapter on advances in GI surgery, like in each past volume, reviews important new developments in the field. The GI Surgery Annual 24th Volume provides an overall roundup of selected topics that were deemed particularly relevant and topical by the series editors.

The 23rd volume of this highly successful series includes new contemporary topics such as PET in HPB diseases, short gut syndrome, current status of extended lymphadenectomy in esophageal cancer, splenectomy for haematological disorders, postoperative liver failure, HIPEC, and current issues in surgery of pancreatic cancer. Finally, the chapter on advances in GI surgery, like in each volume in the past, reviews the important new developments in the field.The GI Surgery Annual 23rd Volume provides an overall round up of selected topics that are considered relevant and contemporary by the editors of the series.

The topics covered in this book have been specifically chosen to give guidance to surgeons established in practice and those embarking on their careers. Examples include the changing management in the treatment of the catastrophic abdominal wall, perianal Crohn's disease in the biological era, decision making in rectal cancer that responds to radiotherapy, and the assessment of outcomes in colorectal cancer surgery. Recent years have seen the introduction of technical advances with respect to robotics in colorectal surgery and trans-anal total meso-rectal excision, and which are rapidly becoming established in clinical practice. Chapters also cover those aspects of colorectal practice, which are common to all, and provide guidance on management of topics including complications of radiotherapy, management of pouch dysfunction and iatrogenic complications in pelvic cancer surgery.

Now in its 10th edition, Sleisenger and Fordtran?s Gastrointestinal and Liver Disease remains your indispensable source for definitive, state-of-the-art answers on every aspect of gastroenterology and hepatology. Overcome your most complex clinical challenges and make optimal use of the newest techniques, technologies, and treatments?with superb guidance from hundreds of world-renowned authorities. Meticulous updates throughout include the latest approaches and improvements in gastrointestinal and liver disease diagnosis and therapy as well as hundreds of images and 35 new procedural videos.'..one of the most valuable clinical resources in the dynamic field of gastroenterology and hepatology.'Reviewed by Brindusa Diaconu on behalf of the Journal of Gastrointestinal and Liver Diseases, July 2015'..an engaging, educational yet clinically orientated textbook which is relevant to modern clinical practice.'Reviewed by Dr Harry Brown on behalf of glycosmedia.com, April 2015'I can personally attest to the remarkable advances that have been made, as I was author of the chapter on eosinophilic gastroenteritis in the second edition of the textbook, and reading the same chapter in the tenth edition underscores the important advances that have been made in our understanding of the molecular basis as well as the pathophysiology of this and related disorders.'Foreword by Norton J. Greenberger, MD Boston, Massachusetts, June 2015 Consult this title on your favorite e-reader. Get the essential gastroenterology information you need from one authoritative source with an outstanding global reputation for excellence. Zero in on the key information you need to know with a consistent, full-color chapter design. Stay up to date with emerging and challenging topics: enteric microbiota and probiotics; fecal microbiota transplantation; Clostridium difficile colitis; and factitious gastrointestinal diseases. Incorporate the latest findings and improvements in care for liver disease patients—from diagnosis and treatment through post-treatment strategies and management of complications. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.

This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.

Für alle wichtigen Indikationsbereiche der Allgemein-, Viszeral- und Thoraxchirurgie werden die Prävention und Behandlung intra- und postoperativer Komplikationen detailliert und praxisorientiert beschrieben. Die wissenschaftlichen Daten aus der Literatur und die Erfahrungen der Autoren münden in konkrete und umsetzbare Handlungsempfehlungen.Jedes Kapitel beschreibt systematisch und ausführlich- die präoperative Diagnostik und die Auswahl des für den individuellen Patienten geeigneten Eingriffs,- die gezielte Vorbereitung des Patienten bei erhöhtem Operationsrisiko,- den prä-, intra- und postoperativen Umgang mit erwarteten und eingetretenen Komplikationen wie Blutungen, Anastomoseninsuffizienzen, Organfunktionsstörungen und weiteren Problemen.Die präoperative kardiologische und anästhesiologische Prävention werden ebenso in eigenen Kapiteln dargestellt wie die intensivmedizinischen Möglichkeiten bei postoperativen Komplikationen.

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and “tricks of the trade” to avoid potential complications, this bookis essential to all medical professions treating such patients.Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

This book is simultaneously a superb atlas and a detailed guide to all aspects of video capsule endoscopy. History, technique, performance, reading, indications, contraindications, outcomes, complications and alternative methods are described systematically by a large panel of experts. In addition, the full range of small bowel diseases, from the common to the rare, are described and illustrated using a unique and exhaustive collection of capsule endoscopy images that are accompanied by corresponding images of enteroscopy, surgery, radiology and histology whenever possible. The newest technology of colon capsule endoscopy is included and exciting potential future developments are also considered. This book will be indispensable for all who use the technique or are considering establishing a video capsule endoscopy service.

Das vorliegende, nunmehr in 4. vollständig überarbeiteter Auflage erschiene Werk, von dem 1991 eine japanische und 2003 eine englische Ausgabe erschien, kombiniert die Vorzüge eines Lehrbuches mit der Anschaulichkeit eines Atlasses, wobei Bild und Text eine Einheit bilden. Alle proktologischen Erkrankungen werden ausführlich dargestellt. Mit seinen bisherigen Auflagen hat sich'der Stein'damit als das Lehrbuch zur Proktologie etabliert. Das Buch unterstreicht nicht nur die Bedeutung des zunehmend eigenständig werdenden Bereiches Proktologie, sondern weist auch auf die Zusammenarbeit mit anderen Disziplinen hin.

This practical volume is intended for all radiologists, gastroenterologists, and surgeons who are responsible for, or interested in, the diagnosis and care of patients with diseases of the anal and perianal region. After an introductory section focusing on surgical, MRI, and US anatomy, up-to-date clinical and therapeutic information is provided on the full range of perianal inflammatory conditions, with special attention to Crohn's disease, ulcerative colitis, and sexually transmitted diseases. Physical and surgical examination is carefully discussed, with consideration of limitations, results, clinical needs, and the questions likely to be posed of imaging. The subsequent three sections provide detailed information on the different imaging modalities: transanal and transperineal ultrasound, contrast-enhanced MRI, and CT. Techniques, diagnostic accuracy, common and unusual disease patterns, artifacts, and pitfalls are clearly presented.

Self-expandable stents were initially placed for the treatment of cardiovascular diseases but now play an integral role in the relief of benign and malignant obstruction of the gastrointestinal tract and biliary system. Self-Expandable Stents in the Gastrointestinal Tract will familiarize the reader with the indications, techniques, and outcome following placement of expandable metal stents within the gastrointestinal tract. The volume covers all aspects of expandable stents including their composition, tissue responses, and placement techniques. In addition, placement using endoscopic and radiologic techniques is discussed. Unique illustrations allow the reader to gain knowledge that will improve their ability to care for their patients. The volume will serve as a comprehensive reference for all aspects of expandable stents. Self-Expandable Stents in the Gastrointestinal Tract will be extremely useful for physicians in the field of gastroenterology, endoscopy, and radiology, as well as gastrointestinal and thoracic surgeons whether they are in training or practice.

Colorectal Surgery equips you to overcome the clinical challenges you face in this area of surgery. Written for the general surgeon who is called upon to manage diseases and disorders of the large bowel, rectum, and anus, this reference provides advanced, expert guidance on how to avoid complications and achieve the most successful results.Visualize relevant anatomy and techniques more easily with high-quality, full-color line drawings and clinical photos throughout.Zero in on the information you need with key points boxes in every chapter that provide a quick overview of the topic at hand.Get practical, hands-on advice on managing the diseases and disorders you're most likely to encounter.Learn from acknowledged leaders in the field who excel in both academic and clinical areas.

Patients with perianal diseases such as dermatitis do not just visit the dermatologist; they are seen by family doctors, internists, pediatricians, general surgeons, gynecologists, and urologists. This book is truly multi-disciplinary, introducing the surgical specialties to medical proctology and related fields. The procedures described allow effective management of both common and less common diseases, including all the secondary problems that may arise. With increasing travel and increasing immunosuppression, parasitic intestinal diseases are now seen in every type of practice. The standard diagnostic procedures described herein reduce costs in therapy. This new reference in proctology and perianal skin disease gives detailed descriptions of clinical features, laboratory diagnosis, and treatment strategies. It will empower a wide variety of physicians to manage these disorders more effectively.

Radiology has seen dramatic technological advances in recent years. This multi-author text describes the current approach to colonic imaging and provides a detailed insight into likely future developments. The role of radiology in cancer screening is fully considered. In this context, particular attention is devoted to CT and MR virtual colonography, which, it is anticipated, will largely replace barium enema radiology and reduce the use of diagnostic colonoscopy. Modern cancer staging techniques, including PET scanning, are reviewed, and post-treatment follow-up strategies are examined. The imaging of inflammatory and traumatic conditions of the colon is described, as are current colonic interventional options, such as tumour stenting, colon decompression and vascular embolisation. In short, this book provides a comprehensive, well-illustrated and up-to-date review of colonic imaging.

Developed in conjunction with the American Society of Colon and Rectal Surgeons, this comprehensive textbook provides readers with the full scope of surgical practice for patients with diseases of the colon and rectum. Expert surgeons, all active both as educators and with busy clinical practices, have written concise and practical chapters on the most commonly done procedures while providing much-needed insight on less frequently presentations, as well.The ASCRS Textbook is designed to meet the needs not only of colorectal specialists, but also the general surgeon in practice whose caseload includes patients with disorders and diseases of the colon, rectum and anus. Residents and fellows will also find a wealth of hands-on guidance and practical tips and tricks. The ASCRS Practice Parameters are incorporated in the book along with an appendix providing the most up-to-the minute access to best practice guidelines. Patient care and safety are addressed in each chapter.'[The ASCRS Textbook of Colon and Rectal Surgery] is a long awaited textbook for those in the field and it does not disappoint. It is brief and to the point, but does not lack the necessary detail expected from a society-produced publication. [It has an] easy-to-read quality that enhances comprehension for the trainee. It is by no means just a student textbook. The inclusion of'hot'current topics, like the anal fistula plug, makes it fresh and useful for experienced surgeons. This is an excellent addition to the colorectal library.'(Doody's Review)

Gastrointestinal Oncology is an evidence-based, practical reference intended to assist in the diagnosis and management of patients with gastrointestinal malignancies. It is designed to be as user friendly as possible and is distinguished by the extremely practical, concrete nature of the information presented and by the multidisciplinary approach adopted. In addition to disease-oriented chapters spanning sites from the esophagus to the anus, non-anatomic subjects such as modern imaging techniques are also addressed. Translational science is supplied where useful in the decision-making process. All of the authors are internationally recognized experts. This book is an ideal resource for oncologists, surgeons, gastroenterologists, and primary-care providers looking for the latest and best information on how to deal with a wide variety of gastrointestinal neoplasms.

Alle benignen Erkrankungen der gastrointestinalen Organe, die für den Chirurgen relevant sind, sind fundiert und detailliert in diesem Band beschrieben: - umfassende Wissensbasis und praxisnahe Entscheidungshilfe zugleich für den Chirurgen und seine interdisziplinären Partner, - spezifische diagnostische und therapeutische Techniken, - systematische Beschreibung der Krankheitsbilder und ihrer Behandlung Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begründete Empfehlungen zu Diagnostik und Therapie, die in der Neuauflage dem aktuellen Stand angepasst wurden.

Rapid progress in the technique and practice of virtual colonoscopy as well as the conti- ing clinical high interest for this radiodiagnostic procedure made this second edition, only 3 years after the publication of the? rst edition of this successful volume, necessary. This new edition includes the latest study results and technical developments of this exciting noninvasive diagnostic modality for the evaluation of the colon. The technical presentation and lay out of the text and of the many new illustrations are impeccable. The editors were again able to ensure the collaboration of many international leaders in the? eld and the book offers a very comprehensive overview of all aspects and issues of CT colonography with a focus on how to perform practically this examination, which requires meticulous technique starting from rigorous preparation, then the conduct of the study itself, and? nally the interpretation of the results. I am very much indebted to the editors and the collaborating authors for preparing this outstanding volume in a record short time period, which enabled them to include the latest technical advances in this rapidly evolving important radiological method. It is highly recommended to general and gastrointestinal radiologists as well as gast- eneterologists as a most welcome update of their knowledge and as a practical guide in their daily practice. I am convinced that this second edition will meet the same success with our readership as the? rst one.

Moderne onkologische Chirurgie ist immer interdisziplinär und umfasst chirurgische, chemotherapeutische und strahlentherapeutische Behandlungsverfahren ebenso wie fundiertes Wissen zu den Grundlagen und zu Nachsorge und Palliativmedizin. Alle Aspekte sind in diesem Band von ausgewiesenen Experten systematisch dargestellt. Die einzelnen diagnostischen und therapeutischen Verfahren sind ebenso beschrieben wie alle Tumoren der Viszeralorgane und benachbarter Organgebiete. Die Kapitel wurden aktualisiert und teilweise neu verfasst; zusätzliche neue Kapitel gehen ebenso auf neue Erkenntnisse zu Tumorwachstum und Metastasierung ein wie auf neue Therapieverfahren (laparoskopische und computerassistierte Tumorchirurgie, biologisch zielgerichtete Therapie, Schwerionen- und Protonentherapie, selektive interne Radiotherapie und Radioimmuntherapie) und auf zusätzliche Krankheitsbilder (Peritonealkarzinose). Das umfassende Buch zur onkologischen Viszeralchirurgie, das auch bei komplexen Fragestellungen immer eine Antwort weiß!

Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more'evidence-based'treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.

Auf fahrende Züge aufzuspringen, zählt nicht zu den charaktervollsten Formen der Fortbewegung. Und dennoch gibt es Angebote, die man nicht ausschlagen kann, weil sie einfach zu verlockend sind. Die Nachfolge von Felix Harder bei diesem Standardwerk anzutreten, war gleichermaßen ehrenvoll und verpflichtend. Standards, die Felix Harder zusammen mit den beiden anderen Herausgebern gesetzt hatte, galt es zu halten, Gutes sollte bewahrt, Bewährtes gegebenenfalls verbessert werden. Ergänzungen waren gewünscht (so die komplette Hernienchirurgie), aber der Umfang des Bandes durfte nicht - nehmen, wohl aber die Qualität eines ohnehin schon sehr guten Werkes. Diese Aufgabe war verlockend, aber eigentlich kaum lösbar, und nun liegt der fertige Band vor uns. Dass dies möglich war, verdanke ich vor allem den bisherigen Autoren, die ohne Murren ihre Beiträge großzügig auf das Essenzielle gekürzt und auf den aktuellen Kenntnisstand ausgerichtet haben. Aber auch allen neuen Autoren ist zu danken, dass sie sich in dieses Konzept eingebunden und uns mit ihren Ausführungen bereichert haben. Insbesondere danke ich meinen Mitarbeitern und hier vor allem in erster Linie Herrn Kollegen Priv. -Doz. Dr. Marc Jansen für die straffe Hand bei der Realisation in de- bar kurzer Zeit. Ohne das jetzige und frühere Aachener Team wäre diese Aufgabe nicht zu lösen ge- sen, hierfür danke ich allen Beteiligten. Ganz besonderer Dank gilt aber auch Herrn Dr. Fritz Kraemer vom Springer Verlag für seine unermüdliche Betreuung und meiner wissenschaftlichen Sekretärin Frau Martina Schmitt für die mühevolle redaktionelle Umsetzung in allen Schritten.

Das ganze Wissen für Ihre diagnostischen und therapeutischen Entscheidungen! Moderne onkologische Chirurgie ist immer interdisziplinär: bei jeder Therapieentscheidung sind operative, chemotherapeutische und strahlentherapeutische Therapieprinzipien zu berücksichtigen; ein fundiertes Wissen zur Onkogenese sowie zur molekularen, funktionellen und bildgebenden Diagnostik ist Voraussetzung; unterstützende Therapieansätze und gezielte Nachsorge tragen zur Sicherung der Lebensqualität des Patienten bei. Fundiertes und detailliertes Wissen zu allen Aspekten der onkologischen Viszeralchirurgie finden Sie in diesem Band: onkologisches Grundlagenwissen, diagnostische und therapeutische Verfahren, systematische Darstellung aller Tumoren der Viszeralorgane und der benachbarten Organgebiete, hervorragende Autoren aus allen Fachgebieten, systematisch strukturierte Empfehlungen zum diagnostischen und therapeutischen Vorgehen und zur Verfahrenswahl, zahlreiche Schemata und Abbildungen. Auch bei komplexen Fragestellungen – die'Chirurgische Onkologie'lässt Sie nicht alleine.