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Questions and Answers
What advantage does colonoscopy have over rectosigmoidoscopy?
What advantage does colonoscopy have over rectosigmoidoscopy?
- Colonoscopy requires no preparation.
- Colonoscopy is less invasive.
- Colonoscopy can only identify polyps.
- Colonoscopy visualizes the entire colon. (correct)
Which type of polyp requires surgical intervention?
Which type of polyp requires surgical intervention?
- Benign polyps that are asymptomatic
- Broad-based implantation polyps
- Polyps without any signs of cancer
- Polyps with signs of malignant degeneration (correct)
Which syndrome is associated with gastrointestinal polyposis and perioral hyperpigmentation?
Which syndrome is associated with gastrointestinal polyposis and perioral hyperpigmentation?
- Juvenile polyposis
- Gardner syndrome
- Peutz-Jeghers syndrome (correct)
- Familial adenomatous polyposis
What is ulcerative colitis also known as?
What is ulcerative colitis also known as?
What is a characteristic of ulcerative colitis?
What is a characteristic of ulcerative colitis?
What is the primary age range during which the condition is most commonly observed?
What is the primary age range during which the condition is most commonly observed?
Which factor is NOT recognized in the onset and development of the disease?
Which factor is NOT recognized in the onset and development of the disease?
What is a significant concern regarding the long-term effects of this condition?
What is a significant concern regarding the long-term effects of this condition?
Which of the following is a characteristic of the severe clinical form of the disease?
Which of the following is a characteristic of the severe clinical form of the disease?
What type of findings are initially observed in the mucosa during the pathological examination?
What type of findings are initially observed in the mucosa during the pathological examination?
What is the most common complication associated with the condition mentioned in the text?
What is the most common complication associated with the condition mentioned in the text?
Which of the following is NOT a factor considered when determining the type of surgery performed?
Which of the following is NOT a factor considered when determining the type of surgery performed?
What is the primary surgical intervention mentioned in the text?
What is the primary surgical intervention mentioned in the text?
Which of the following is a type of palliative surgery mentioned in the text?
Which of the following is a type of palliative surgery mentioned in the text?
What is the main focus of the last paragraph of the text?
What is the main focus of the last paragraph of the text?
What percentage of colon cancers are located in the sigmoid area?
What percentage of colon cancers are located in the sigmoid area?
Which paraclinical diagnostic method can show a complete stop in occlusive forms of colon cancer?
Which paraclinical diagnostic method can show a complete stop in occlusive forms of colon cancer?
What clinical manifestation is most commonly associated with tumors located in the left colon?
What clinical manifestation is most commonly associated with tumors located in the left colon?
Which imaging technique provides a finer diagnosis compared to ultrasound for colon cancer?
Which imaging technique provides a finer diagnosis compared to ultrasound for colon cancer?
Which of the following is a clinical feature of low localizations of colon cancer?
Which of the following is a clinical feature of low localizations of colon cancer?
What is the recommended dosage of prednisone for patients requiring corticoid therapy?
What is the recommended dosage of prednisone for patients requiring corticoid therapy?
Which dietary factor is considered a protective factor against colon cancer?
Which dietary factor is considered a protective factor against colon cancer?
At what age group is colon cancer most commonly observed?
At what age group is colon cancer most commonly observed?
Which type of tumor typically has an increased risk of malignancy?
Which type of tumor typically has an increased risk of malignancy?
Which type of colon cancer develops endolumenally and evolves into colon obstruction?
Which type of colon cancer develops endolumenally and evolves into colon obstruction?
What is the main characteristic of diffuse infiltrative cancer?
What is the main characteristic of diffuse infiltrative cancer?
Which of the following conditions is considered a precancerous inflammatory lesion?
Which of the following conditions is considered a precancerous inflammatory lesion?
What is the significance of genetic load in colon cancer etiology?
What is the significance of genetic load in colon cancer etiology?
What is the primary role of mucus secretion in the colon?
What is the primary role of mucus secretion in the colon?
Which artery primarily vascularizes the right colon?
Which artery primarily vascularizes the right colon?
Which of the following is NOT an absorbed substance in the colonic lining?
Which of the following is NOT an absorbed substance in the colonic lining?
What is the most common complication associated with colonic diverticulosis?
What is the most common complication associated with colonic diverticulosis?
Which symptom is NOT commonly associated with diverticulitis?
Which symptom is NOT commonly associated with diverticulitis?
What is the most likely age demographic affected by diverticulosis?
What is the most likely age demographic affected by diverticulosis?
Which of the following structures collects lymph from the colon?
Which of the following structures collects lymph from the colon?
What examination is REQUIRED at the slightest suspicion of colic cancer?
What examination is REQUIRED at the slightest suspicion of colic cancer?
What characterizes diverticula in diverticulosis?
What characterizes diverticula in diverticulosis?
Which of the following best describes the pain associated with diverticulitis?
Which of the following best describes the pain associated with diverticulitis?
Flashcards
Colonic Diverticulosis
Colonic Diverticulosis
A condition characterized by small, pouch-like bulges that form in the lining of the colon, most commonly in the sigmoid colon.
Diverticula
Diverticula
Small, pouch-like bulges in the lining of the colon, caused by herniation of mucosa and submucosa between circular muscle fibers.
Diverticulitis
Diverticulitis
Inflammation of the diverticula, often caused by fecal stasis and involvement of the lymphatic system.
Colon Secretion
Colon Secretion
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Colon Absorption
Colon Absorption
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Superior Mesenteric Artery
Superior Mesenteric Artery
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Inferior Mesenteric Artery
Inferior Mesenteric Artery
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Lymph Collection in Colon
Lymph Collection in Colon
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Lower Hemiabdomen Pain
Lower Hemiabdomen Pain
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Abdominal Distension
Abdominal Distension
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Rectosigmoidoscopy
Rectosigmoidoscopy
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Colonoscopy
Colonoscopy
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Colonic Polyps
Colonic Polyps
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Familial Adenomatous Polyposis (FAP)
Familial Adenomatous Polyposis (FAP)
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Ulcero-Hemorrhagic Rectocolitis
Ulcero-Hemorrhagic Rectocolitis
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Ulcerative Colitis
Ulcerative Colitis
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Etiology of Ulcerative Colitis
Etiology of Ulcerative Colitis
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Prevalence of Ulcerative Colitis
Prevalence of Ulcerative Colitis
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Macroscopic Findings of Ulcerative Colitis
Macroscopic Findings of Ulcerative Colitis
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Clinical Forms of Ulcerative Colitis
Clinical Forms of Ulcerative Colitis
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Vegetant Cancer
Vegetant Cancer
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Ulcerative Cancer
Ulcerative Cancer
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Schiros Cancer
Schiros Cancer
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Mucyocarcinoma
Mucyocarcinoma
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Papillary Adenocarcinoma
Papillary Adenocarcinoma
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Diffuse Infiltrative Cancer
Diffuse Infiltrative Cancer
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Genetic Load in Colon Cancer
Genetic Load in Colon Cancer
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Environmental Factors in Colon Cancer
Environmental Factors in Colon Cancer
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Left Colon Cancer
Left Colon Cancer
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Irigography
Irigography
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Abdominal Ultrasound
Abdominal Ultrasound
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Carcinoembryonic Antigen Assay
Carcinoembryonic Antigen Assay
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Bowel Occlusion
Bowel Occlusion
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Bowel Hemorrhage
Bowel Hemorrhage
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Bowel Perforation
Bowel Perforation
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Segmental Colectomy
Segmental Colectomy
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Colostomy
Colostomy
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Study Notes
. ### Surgical Pathology of the Colon and Rectum - Short Notes
Colon Anatomy
- Length: Approx. 1.5 meters.
- Diameter: Cecum (8 cm), tapering to 4-5 cm at rectosigmoid junction.
- Parts: Cecum, ascending, right colic flexure, transverse, left colic flexure, descending, iliac, pelvic colon.
Embryological Division
- Right Colon: Cecum, ascending colon, right half of transverse colon.
- Left Colon: From splenic flexure to pelvic diaphragm.
Topographical Division
- Divided into ascending, transverse, descending, sigmoid, and pelvic colon.
Physiological/Radiological Division
- Cannon’s Sphincter: Divides colon into right, left, pelvic sections.
- Right Colon: Digestion and absorption.
- Left Colon: Passage.
- Pelvic Colon: Stasis area.
Mobility and Fixity
- Mobile: Transverse and sigmoid colon.
- Fixed: Ascending, descending, and flexures.
Ileocecal Valve (Check)
- Location: Right iliac fossa.
- Size: 6-7 cm.
- Function: Regulates passage from ileum to cecum, associated with the appendix.
Colon Parts
- Ascending Colon: 12-15 cm, from cecum to hepatic flexure.
- Transverse Colon: 45-50 cm, between hepatic and splenic flexures.
- Descending Colon: 25 cm, from splenic flexure to iliac fossa.
- Sigmoid Colon: 40 cm, from iliac fossa to rectum, most mobile.
Colon Physiology
- Digestion: Absorbs water, electrolytes, and bacterial digestion products.
- Movements: Peristalsis (2-3/min), segmental contractions for mixing.
- Secretion: Alkaline mucus for lubrication and protection.
- Absorption: Water, electrolytes, bile salts, vitamins, and medications.
Vascularization
- Superior Mesenteric Artery (SMA): Supplies right colon.
- Inferior Mesenteric Artery (IMA): Supplies left colon.
- Veins: Drain into respective veins, eventually to the portal system.
Lymphatic System
- Lymphatic drainage to epicolic, paracolic, and mesenteric lymph nodes.
Colonic Diverticulosis
- Location: Commonly in sigmoid colon, herniation of mucosa and submucosa through muscle.
- Prevalence: Affects over 1/3 of those over 60 years.
- Complications: Diverticulitis (10-15%), GI bleeding (20-30%).
Diverticulitis
- Symptoms: Left iliac fossa pain, fever, constipation, abdominal distension.
- Diagnosis: Radiography, endoscopy, angiography for bleeding.
Complications
- Fistulas (e.g., colo-vesical), bowel obstruction, peritonitis, abscess formation.
Colon Cancer
- Treatment: Surgical resection, chemotherapy, or radiotherapy depending on stage.
Polyps
- Types: Sessile, pedunculated. Adenomas (tubular, villous).
- Risk: Villous adenomas have higher cancer risk.
Symptoms: Diarrhea, colic, blood/mucus in stool.
Diagnosis: Colonoscopy, biopsy, radiography.
Treatment: Removal via colonoscopy for benign polyps, surgery for malignant ones.
Ulcerative Colitis
- Definition: Non-specific inflammation of the colon, primarily affecting the rectosigmoid.
- Forms: Acute, chronic, and intermittent.
- Symptoms: Bloody diarrhea, tenesmus, pain, fever, anemia, weight loss.
- Diagnosis: Rectosigmoidoscopy, biopsy, imaging.
- Complications: Perforation, cancer, abscesses, fistulas.
Treatment: Medical (steroids, immunosuppressants), surgical (colectomy in severe cases).
General Treatment Notes
- Surgical Procedures: Segmental colectomy, hemicolectomy, colectomy with stoma formation.
- Preoperative Preparation: Mechanical bowel preparation, electrolyte management.
- Postoperative Care: Monitoring for infection, hemorrhage, and anastomotic leaks.
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