Difficult Decisions in Colorectal Surgery

1. Inflammatory Bowel Disease.- What are the treatment options for painful anal fissure in patients with Crohn's disease?.- Elective surgical management in patients with ulcerative colitis: How many stages?.- Which patients with ulcerative colitis benefit from ileal pouch-anal anastomosis?.- How to manage pouch-perineal and pouch-vaginal fistula after ileal pouch-anal anastomosis.- Ileal pouch-anal anastomosis failure: what to do?.- Perioperative Steroid Management in IBD Patients Undergoing Colorectal Surgery.- Colonic dysplasia in patients with Ulcerative Colitis. Endoscopic or surgical management?.- Which patients benefit from biologic agents to prevent disease recurrence after resection in Crohn's disease?.- 2. Colon Cancer.- Is intensive surveillance necessary after curative resection for colon cancer?.- Surgical vs endoscopic options for management of malignant large bowel obstruction.- Metastatic colorectal cancer in the asymptomatic patient. Is there a benefit in resection of primary tumor?.- What are the options for management of large colonic polyps?.- Management of the malignant colon polyp. Colon resection or surveillance?.- Stage II Colon Cancer: Towards an individualized treatment approach.- Is there a benefit in cytoreduction and hyperthermic intraperitoneal chemotherapy in colorectal cancer?.- CRC management in elderly frail patients. Treatment for cure vs palliation.- Colon cancer in the splenic flexure. Which operation?.- 3. Rectal Cancer.- Can total mesorectal excision be avoided in T2 rectal cancer?.- Watch and wait vs conventional surgical treatment in rectal cancer.- Which patients are the right candidates for total neoadjuvant therapy (TNT)?.- Management of the Patient with Rectal Cancer Presenting with Synchronous Liver Metastasis.- Who Needs a Loop Ileostomy After Low Anterior Resection for Rectal Cancer?.- Reoperative Surgery for Locally Recurrent Rectal Cancer.- 4. Anal Dysplasia/Cancer.- Intensive vs conservative management of patients with low grade squamous intraepithelial lesions.- How aggressive should we be in magement of patients with high grade squamous intraepithelial lesion?.- Is high resolution anoscopy superior to direct evaluation of anal dysplasia?.- 5. Benign Colon Disease.- Surgical management options in severe difficile.- Are antibiotics needed for the management of uncomplicated diverticulitis?.- Do We Need to Operate on Patients After Successful Percutaneous Drainage of a Diverticular Abscess?.- How to manage diverticular abscess not amenable to percutaneous drainage?.- Hartmann procedure vs primary anastomosis for acute complicated diverticulitis.- Deciding on an IRA vs. IPAA for FAP.- Rectal prolapse: Rectopexy vs perineal proctosigmoidectomy.- Optimal Management of the Transsphincteric Anal Fistula Surgery vs. conservative management for third degree hemorrhoids?.- Management options for bleeding hemorrhoids in a patients on anticoagulation.- Operative vs non-operative management of outlet obstruction.- 6. Quality Improvement.- Is bowel prep necessary for patients undergoing colon resection?.- Enhanced recovery vs conventional perioperative management.- 7. Technique Intracorporeal vs extracorporeal anastomosis for right colectomy.- Management of anastomotic leak following low anterior resection.- Colorectal anastomosis construction: Is there a benefit to a reservoir?.- Management of the Unhealed Perineal Wound After Proctectomy.- Gender affirmation procedure: what are the reconstructive options?.