ABC of colorectal diseases. Paediatric problems--I.
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ABC of colorectal diseases. Paediatric problems--I.
Abdominal radiograph showing The anal ta severe constipation. pain-it ind which is. Constipation is the commonest cause of abdominal pain in childhood. A full rectum may compress the bladder, causing urinary problems. Constipation may be considered as either the passage of hard stools or an irregular bowel habit. Less easily recognisable is the passage of only small motions each day with the ch...
متن کاملABC of colorectal diseases. Paediatric problems--II.
Meckel's diverticulum which has been involved in an intussusception. Polyps Painless bleeding suggests a solitary rectal polyp. These are almost always not adenomatous. The bleeding, separate from the stool and of moderate quantity, necessitates sigmoidoscopy and snaring of the polyp. Such polyps should be sent for histological examination to check that they are not premalignant. Multiple polyp...
متن کاملABC of colorectal diseases. Haemorrhoids.
Large haemorrhoids. The dentate line, which should be halfway up the anal canal, can be clearly seen separating the prolapsed anal cushions (autonomic innervation) from the secondarily congested external plexus (somatic innervation). Haemorrhoids and related conditions are not popular with patients or doctors and are commonly relegated for treatment to a junior member of the surgical team. This...
متن کاملABC of colorectal diseases. Anal cancer.
Anal cancer is relatively uncommon, accounting for about 4% of anorectal malignancies. The condition is of increasing interest owing to appreciable changes in the patterns of treatment. The traditional treatment for anal cancer was a radical abdominoperineal excision, leaving the patient with a permanent colostomy. Emerging evidence shows that most anal cancers respond to a combination of radio...
متن کاملABC of colorectal diseases. Diverticular disease.
Acute diverticulitis: Diverticular disease is very common in developed countries. It is Constant pain associated with increasing age: it affects about a third ofthose over the age of Fever 65 and halfofthose over 80. In 1989 in England and Wales 1480 deaths were Nausea and vomiting attributed to complications of diverticular disease. Bleeding Altered bowel habit Localised or generalised tenderness
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ژورنال
عنوان ژورنال: BMJ
سال: 1992
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.305.6851.462