Colon Flashcards
what metabolism occurs in colon?
K and H2O
diarrhea
constipation
> /=3 loose/liquid BM/day
<3 BM/week
MC polyp
tubular
villous has higher malignancy potential
FAP
100% chance of cancer by age 40
surgical optinos for FAP
TPC (total proctocolectomy) with ileo-anal-J-pouch
TAC with ileo-rectal anastomosis
which has higher malignancy potential, crohns or UC?
UC
MCC LBO
cancer, “apple core”
presents with constipation/obstipation
surigcal options for diverticulitis
Sigmoid resection-take out sigmoid and attach descending colon to rectum
Hartman procedure-take sigmoid out and use colostomy (reversible)
Sigmoid resection with temporary loop ileostomy
Subtotal colectomy
internal vs
external hemmorhoids
painless, BRBPR
sudden, severe pain