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Informationen zum Autor Brooks D. Cash, MD, FACP, FACG is the Chief of Gastroenterology and the Colon Health Initiative at the National Naval Medical Center in Bethesda, Maryland. Dr. Cash received his medical degree from the Uniformed Services University of Medicine (USUHS) in Bethesda, and completed his internal medicine residency and gastroenterology fellowship training at the National Naval Medical Center. Board certified in gastroenterology, he currently serves as an Associate Professor of Medicine at USUHS. Active in research, his main areas of interest are wide ranging and consist primarily of functional gastrointestinal disorders, acid peptic disorders, and colorectal cancer screening. He currently oversees multiple ongoing protocols in all of these areas and, as a leader in the field of CT colonography, he currently oversees multiple studies designed to clarify and expand the practice of this new technology. He is the author of numerous book chapters, review articles, and peer-reviewed manuscripts; is actively involved in committee work for various gastroenterology professional societies; and serves on the editorial boards of multiple professional journals. Klappentext Curbside Consultation of the Colon: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues. Zusammenfassung Curbside Consultation of the Colon: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues. Inhaltsverzeichnis CONTENTS Dedication Acknowledgments About the Editor Contributing Authors Preface Foreword by Carol Burke, MD Introduction Section I: COLON CANCER SCREENING Question 1 A 46-Year-Old African American Man Who Has No Alarm Features or Symptoms Requests a Screening Colonoscopy. Is This Appropriate? Jason Taylor, MD; and Philip Schoenfeld, MD, MSEd, MSc (Epi) Question 2 What Pathologic Analysis Do I Need to Pursue in a 38-Year-Old Man With Cecal Cancer Whose Family History Is Suspicious for Hereditary Nonpolyposis Colon Cancer? B. Joe Elmunzer, MD; and Philip Schoenfeld, MD, MSEd, MSc (Epi) Question 3 How Do You Respond to Patients Wanting to Take Aspirin, Calcium, or Other Medications as Prophylaxis for Colorectal Cancer? Is There Any Evidence That They Work? Amit Singal, MD, and Philip Schoenfeld, MD, MSEd, MSc (Epi) Question 4 My Patient Had a 3-cm, Sessile Tubulovillous Adenoma on the Sigmoid That I Removed Piecemeal. The Pathology Lab Can't Verify Clear Margin. What Should I Recommend to the Patient? Brennan Spiegel, MD, MSHS, and Inder Singh, MD Question 5 The Board of Directors of My Hospital Wants to Know the Current Colorectal Cancer Screening Options and Will Go With Whatever I Recommend. What Does the Evidence Say Is the Best Colorectal Cancer Screening Regimen? Brennan Spiegel, MD, MSHS, and Inder Singh, MD Question 6 My Patient Had a 13-mm Tubular Adenoma Removed From Her Colon. What Kind of Surveillance Do I Need To Recommend? Would It Change Things if She Were 80 Years Old Without Co-Morbidities? Brooks D. Cash, MD, FACP, FACG Question 7 I Have a Patient Whose Brother, Mother, and Maternal Uncle All Had Colon Cancer Diagnosed Before the Age of 45. Does My Patient Have Hereditary Nonpolyposis Colorectal Cancer Syndrome, and, if He Does, What Should I Advise? Brooks D. Cash, MD, FACP, FACG Question 8 What Do I Need to Tell My Inflammatory Bowel Disease Patients About Their Risk for Colon Cancer and How Should I Perform Surveillance Colonoscopy in These Patients? Francis A. Farraye, MD, MSc Question 9 What Do I Tell the Surgeons Who Insist on Annual Colonoscopies for Patients With Cured Colon Cancer, Even for Those 5 to 10 Years Past Therapy? Brooks D. Cash, MD, FACP, FACG Question 10 The Pathologists Keep Sending Me Reports About Serrated Adenomas. What Is a Serrated Adenoma and What Do I Tell My Patients in...
