Summary
Definition
History and exam
Other diagnostic factors
- rectal bleeding
- mucus discharge
- tenesmus
- change in bowel habit
- signs of anaemia
- fatigue
Diagnostic investigations
1st investigations to order
- colonoscopy
- flexible sigmoidoscopy
- double-contrast barium enema (DCBE)
- virtual colonoscopy/CT colonography
- chromoendoscopy
- narrow band imaging (NBI)
Treatment algorithm
Contributors
AuthorsVIEW ALL
Clinical Lecturer
Department of Surgery and Cancer
Imperial College
London
UK
Disclosures
GM declares that he has no competing interests.
Consultant Colorectal Surgeon
Department of Coloproctology
St. Mark's Hospital
London
UK
Disclosures
JTJ declares that he has no competing interests.
Dr George Malietzis and Dr John T. Jenkins would like to gratefully acknowledge Dr Phil Tozer, a previous contributor to this monograph. PT declares that he has no competing interests.
Peer reviewersVIEW ALL
Consultant Colorectal Surgeon
Glasgow Royal Infirmary
Glasgow
UK
Disclosures
JA declares that he has no competing interests.
Assistant Professor of Surgery
Division of Colon and Rectal Surgery
University Hospital Case Medical Center
Cleveland
OH
Disclosures
SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.
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