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

• List of Contributors ixForeword xiiiSection A: Colorectal cancer 1Bruce George1 A screen-detected colonic conundrum 25Ami Mishra2 Serrated Pathways 28Sujata Biswas, Lai Mun Wang & Simon Leedham3 Large tubulovillous adenoma of the rectum treated by TEM 32Richard Tilson, Shazad Ashraf & Christopher Cunningham4 To stent or not to stent? 36Jonathan Randall5 Advanced rectal cancer: Brazil or Japan? 40Oliver Jones6 Marginal decisions 45Oliver Jones7 Locally advanced rectal cancer invading prostate 48Richard Guy, Roel Hompes & Rebecca Kraus8 Low rectal cancer and synchronous polyps 52Richard Guy9 Liver or rectum first? 56Nicolas Buchs, Frederic Ris & Christian Toso10 Beware bad livers! 59Kate Williamson11 Anastomotic recurrence? 62Bruce George12 Challenging warts 65Emma Bracey & Bruce George13 An unusual right iliac fossa mass 68Bruce GeorgeSection B: Inflammatory bowel disease 73Bruce George14 A problem teenager 91Astor Rodrigues15 Recurrent Crohn’s disease with intraabdominal abscess: when to operate? 95Bruce George & Mohamed Abdelrahman16 Very extensive small bowel stricturing disease 98Myles Fleming & Neil Mortensen17 Long-standing Crohn’s colitis and enterocutaneous fistula 103Richard Lovegrove18 Crohn’s colitis 109Bruce George & Marc Marti-Gallostra19 Fistulating anal Crohn’s disease: conservative management 112Silvia Silvans & Bruce George20 Tail end carnage 116Bruce George21 Acute severe colitis 120Bruce George22 Snare or pouch? The problem of dysplasia in ulcerative colitis 123Gareth Horgan & James East23 Anal fistula and ulcerative colitis 128Richard Guy24 Poor pouch function 131Bruce George25 Low rectal cancer in a patient with ulcerative colitis: late reconstruction with continent Kockileostomy 135Par Myrelid & Richard LovegroveSection C: Pelvic floor disorders 141Oliver Jones26 Constrictions of prolapse surgery 167Richard Guy27 Elderly prolapse dilemma 170Koen van Dongen28 Chasing incontinence 173Oliver Jones29 Sphincter disruption 177Kim Gorissen30 Stimulating complications 181Kim Gorissen & Ian Lindsey31 Crohn’s evacuation trouble 184Heman Joshi32 Disabling anal pain 187Martijn Gosselink & Ian LindseySection D: Proctology 191Richard Guy33 Hemorrhoids and HIV 217Richard Guy34 Refractory fissure 220Richard Guy35 Hirschsprung’s fistula 223Richard Guy36 Complex fistula in a young woman 227Martijn Gosselink & Richard Guy37 Recurrent rectovaginal fistula 232Bruce George38 Adolescent cleft trouble 236Richard Guy39 Extreme itch 239Luana FranceschilliSection E: Emergency colorectal surgery 243Richard Guy40 Occupational blast disaster 263Richard Guy41 Wash and go? 266Bruce George42 Absolute constipation 269Richard Guy43 Multiply ischemic parts 273Richard Guy44 Seriously obscure bleeding 277Alistair Myers45 Complicated twist 280Richard Guy46 Obscure postoperative obstruction 284Richard Guy47 Gynecological disaster 289Richard Guy48 Pelvic leak and salvage 293Richard GuySection F: Surprise cases 29749 Radiology 0, Pathology 1 299Sara Q. Warraich, Marcus Chow & Oliver Jones50 An appendix mass? 304Richard Guy51 A worrying-looking rectal ulcer 307Charles Evans52 Think the unthinkable 310Bruce GeorgeSection G: New technologies and techniques 313Oliver JonesIndex 325