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<p>List of contributors, ix</p> <p>Foreword, xiii</p> <p><b>Section A: Colorectal cancer, 1<br /></b><i>Bruce George</i></p> <p>1 A screen-detected colonic conundrum, 25<br /><i>Ami Mishra</i></p> <p>2 Serrated Pathways, 28<br /><i>Sujata Biswas, Lai Mun Wang & Simon Leedham</i></p> <p>3 Large tubulovillous adenoma of the rectum treated by TEM, 32<br /><i>Richard Tilson, Shazad Ashraf & Christopher Cunningham</i></p> <p>4 To stent or not to stent?, 36<br /><i>Jonathan Randall</i></p> <p>5 Advanced rectal cancer: Brazil or Japan?, 40<br /><i>Oliver Jones</i></p> <p>6 Marginal decisions, 45<br /><i>Oliver Jones</i></p> <p>7 Locally advanced rectal cancer invading prostate, 48<br /><i>Richard Guy, Roel Hompes & Rebecca Kraus</i></p> <p>8 Low rectal cancer and synchronous polyps, 52<br /><i>Richard Guy</i></p> <p>9 Liver or rectum first?, 56<br /><i>Nicolas Buchs, Frederic Ris & Christian Toso</i></p> <p>10 Beware bad livers!, 59<br /><i>Kate Williamson</i></p> <p>11 Anastomotic recurrence?, 62<br /><i>Bruce George</i></p> <p>12 Challenging warts, 65<br /><i>Emma Bracey & Bruce George</i></p> <p>13 An unusual right iliac fossa mass, 68<br /><i>Bruce George</i></p> <p><b>Section B: Inflammatory bowel disease, 73<br /></b><i>Bruce George</i></p> <p>14 A problem teenager, 91<br /><i>Astor Rodrigues</i></p> <p>15 Recurrent Crohn’s disease with intraabdominal abscess: when to operate?, 95<br /><i>Bruce George & Mohamed Abdelrahman</i></p> <p>16 Very extensive small bowel stricturing disease, 98<br /><i>Myles Fleming & Neil Mortensen</i></p> <p>17 Long-standing Crohn’s colitis and enterocutaneous fistula, 103<br /><i>Richard Lovegrove</i></p> <p>18 Crohn’s colitis, 109<br /><i>Bruce George & Marc Marti-Gallostra</i></p> <p>19 Fistulating anal Crohn’s disease: conservative management, 112<br /><i>Silvia Silvans & Bruce George</i></p> <p>20 Tail end carnage, 116<br /><i>Bruce George</i></p> <p>21 Acute severe colitis, 120<br /><i>Bruce George</i></p> <p>22 Snare or pouch? The problem of dysplasia in ulcerative colitis, 123<br /><i>Gareth Horgan & James East</i></p> <p>23 Anal fistula and ulcerative colitis, 128<br /><i>Richard Guy</i></p> <p>24 Poor pouch function, 131<br /><i>Bruce George</i></p> <p>25 Low rectal cancer in a patient with ulcerative colitis: late reconstruction with continent Kock ileostomy, 135<br /><i>Par Myrelid & Richard Lovegrove</i></p> <p><b>Section C: Pelvic floor disorders, 141<br /></b><i>Oliver Jones</i></p> <p>26 Constrictions of prolapse surgery, 167<br /><i>Richard Guy</i></p> <p>27 Elderly prolapse dilemma, 170<br /><i>Koen van Dongen</i></p> <p>28 Chasing incontinence, 173<br /><i>Oliver Jones</i></p> <p>29 Sphincter disruption, 177<br /><i>Kim Gorissen</i></p> <p>30 Stimulating complications, 181<br /><i>Kim Gorissen & Ian Lindsey</i></p> <p>31 Crohn’s evacuation trouble, 184<br /><i>Heman Joshi</i></p> <p>32 Disabling anal pain, 187<br /><i>Martijn Gosselink & Ian Lindsey</i></p> <p><b>Section D: Proctology, 191<br /></b><i>Richard Guy</i></p> <p>33 Hemorrhoids and HIV, 217<br /><i>Richard Guy</i></p> <p>34 Refractory fissure, 220<br /><i>Richard Guy</i></p> <p>35 Hirschsprung’s fistula, 223<br /><i>Richard Guy</i></p> <p>36 Complex fistula in a young woman, 227<br /><i>Martijn Gosselink & Richard Guy</i></p> <p>37 Recurrent rectovaginal fistula, 232<br /><i>Bruce George</i></p> <p>38 Adolescent cleft trouble, 236<br /><i>Richard Guy</i></p> <p>39 Extreme itch, 239<br /><i>Luana Franceschilli</i></p> <p><b>Section E: Emergency colorectal surgery, 243<br /></b><i>Richard Guy</i></p> <p>40 Occupational blast disaster, 263<br /><i>Richard Guy</i></p> <p>41 Wash and go?, 266<br /><i>Bruce George</i></p> <p>42 Absolute constipation, 269<br /><i>Richard Guy</i></p> <p>43 Multiply ischemic parts, 273<br /><i>Richard Guy</i></p> <p>44 Seriously obscure bleeding, 277<br /><i>Alistair Myers</i></p> <p>45 Complicated twist, 280<br /><i>Richard Guy</i></p> <p>46 Obscure postoperative obstruction, 284<br /><i>Richard Guy</i></p> <p>47 Gynecological disaster, 289<br /><i>Richard Guy</i></p> <p>48 Pelvic leak and salvage, 293<br /><i>Richard Guy</i></p> <p><b>Section F: Surprise cases, 297</b></p> <p>49 Radiology 0, Pathology 1, 299<br /><i>Sara Q. Warraich, Marcus Chow & Oliver Jones</i></p> <p>50 An appendix mass?, 304<br /><i>Richard Guy</i></p> <p>51 A worrying-looking rectal ulcer, 307<br /><i>Charles Evans</i></p> <p>52 Think the unthinkable, 310<br /><i>Bruce George</i></p> <p><b>Section G: New technologies and techniques, 313<br /></b><i>Oliver Jones</i></p> <p>Index, 325</p>

<p><strong>Richard Guy</strong>, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. <p><strong>Oliver Jones</strong>, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. <p><strong>Bruce George</strong>, Consultant Colorectal Surgeon at Oxford University Hospitals, UK. <p><strong>Jon Vogel</strong>, Colorectal surgeon, Departments for Colorectal Surgery, Cleveland Clinic, Ohio, USA.

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