Difference between revisions of "Colon"

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The '''colon''' and '''rectum''' smell like poo... 'cause that's where poo comes from.  It commonly comes to pathologists because there is a suspicion of cancer or a known history of inflammatory bowel disease (IBD).  
The '''colon''' and '''rectum''' smell like poo... 'cause that's where poo comes from.  It commonly comes to pathologists because there is a suspicion of cancer or a known history of inflammatory bowel disease (IBD).  
An introduction to gastrointestinal pathology is found in the ''[[gastrointestinal pathology]]'' article.
==Surgery==
Introduction to colorectal surgery:
# Colonic resection - remove a piece of large bowel.
# Total colectomy - leaves rectum and anus.<ref>[http://www.allaboutbowelsurgery.com/shared/stoma_care/stoma_surgery/procedures/surgery_colon/subtotal.htm http://www.allaboutbowelsurgery.com/shared/stoma_care/stoma_surgery/procedures/surgery_colon/subtotal.htm]</ref>
# Subtotal colectomy - part of colon removed --or-- some of the rectum remains.
# right hemicolectomy - right colon + distal ileum.
# lower anterior resection (LAR) - proximal rectum +/- sigmoid (for proximal rectal malignancies).
# abdominoperineal resection (APR) - anus + rectum - results in a permanent stoma (for distal rectal malignancies).


==Common clinical problems==
==Common clinical problems==
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{{main|Colorectal tumours}}
{{main|Colorectal tumours}}
These are very common.  The are covered in a separate article entitled ''[[colorectal tumours]]''.
These are very common.  The are covered in a separate article entitled ''[[colorectal tumours]]''.
===Surgery===
Introduction to colorectal surgery:
# Colonic resection - remove a piece of large bowel.
# Total colectomy - leaves rectum and anus.<ref>[http://www.allaboutbowelsurgery.com/shared/stoma_care/stoma_surgery/procedures/surgery_colon/subtotal.htm http://www.allaboutbowelsurgery.com/shared/stoma_care/stoma_surgery/procedures/surgery_colon/subtotal.htm]</ref>
# Subtotal colectomy - part of colon removed --or-- some of the rectum remains.
# right hemicolectomy - right colon + distal ileum.
# lower anterior resection (LAR) - proximal rectum +/- sigmoid (for proximal rectal malignancies).
# abdominoperineal resection (APR) - anus + rectum - results in a permanent stoma (for distal rectal malignancies).


==Grossing==
==Grossing==
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