Colorectal Surgery Review
Episodes
Functional Disorders After Colorectal Surgery - IBS
26 May 2026
Contributed by Lukas
Focuses on distinguishing and managing Irritable Bowel Syndrome using the rigid Rome IV criteria. It issues a stark warning against operating on funct...
Abdominal Wall Reconstruction and Parastomal Hernia
21 May 2026
Contributed by Lukas
Tackles the inevitable biomechanical failure of parastomal hernias, which eventually affect nearly all permanent stoma patients. It emphasizes strict ...
Intestinal Stomas
19 May 2026
Contributed by Lukas
A comprehensive guide to the physiological and mechanical management of stomas. Key topics include the massive clinical and financial benefits of preo...
Radiation, Microscopic, and Ischemic Colitis
14 May 2026
Contributed by Lukas
This episode unpacks three deceptive colitis presentations. For chronic radiation proctitis, driven by obliterative endarteritis, the biggest takeaway...
Clostridium difficile Infection
12 May 2026
Contributed by Lukas
A high-yield breakdown of Clostridioides difficile, focusing on the hypervirulent Ribotype 027 strain driving increased hospital morbidity. The episod...
Infectious Colitis
07 May 2026
Contributed by Lukas
This episode explores the ultimate "chameleons" of the GI tract, featuring bacterial, parasitic, and viral infections that mimic surgical em...
Pelvic Pouch Complications
05 May 2026
Contributed by Lukas
A salvage-focused guide for the failing pouch. We outline the "structured assessment" triad (Endoscopy, EUA, Imaging) to differentiate mecha...
Ulcerative Colitis - Surgical Management
30 Apr 2026
Contributed by Lukas
A technical and strategic review of the IPAA (J-Pouch). We discuss the SCENIC guidelines shifting away from automatic colectomy for polypoid dysplasia...
Crohn's Disease - Surgical Management
28 Apr 2026
Contributed by Lukas
Defines the role of the "Surgical IBDologist" and bowel-sparing strategies. We break down strictureplasty techniques (Heineke-Mikulicz, Finn...
Anorectal Crohn's Disease
23 Apr 2026
Contributed by Lukas
Focused on perianal pathology, this episode establishes MRI as the gold standard for mapping complex fistulas (Likelihood Ratio 22.7). We review Helle...
Crohn's Disease - Medical Management
21 Apr 2026
Contributed by Lukas
A rigorous review of Crohn's pharmacotherapy, highlighting the "Do Nots": antibiotics and 5-ASAs have limited to no role in luminal dise...
Ulcerative Colitis - Medical Management
16 Apr 2026
Contributed by Lukas
Tailored for surgeons, this review covers when medical therapy has failed. We discuss the shift from symptom control to "mucosal healing" an...
Inflammatory Bowel Disease - Diagnosis and Management
14 Apr 2026
Contributed by Lukas
Updates on the diagnostic workup for IBD, emphasizing the "immigration effect" as proof of environmental triggers. We clarify phenotypic mim...
Inflammatory Bowel Disease - The How and Why
09 Apr 2026
Contributed by Lukas
A high-yield look at the molecular and environmental drivers of IBD, moving beyond simple autoimmune definitions. We explore the "four pillars&qu...
Colon and Rectal Trauma
07 Apr 2026
Contributed by Lukas
This episode dismantles the historical dogma of mandatory fecal diversion, advocating for primary repair even in destructive colon injuries based on t...
Endometriosis
03 Apr 2026
Contributed by Lukas
A targeted review for the colorectal surgeon on managing Deep Infiltrating Endometriosis (DIE). The episode highlights the diagnostic delay (7–12 ye...
Lower GI Bleeds
02 Feb 2026
Contributed by Lukas
Essential knowledge for the management of Lower GI Hemorrhage (LGIB), a common and high-stakes emergency. Initial management requires recognizing if t...
Large Bowel Obstruction
29 Jan 2026
Contributed by Lukas
A crucial review of Large Bowel Obstruction (LBO), emphasizing the foundational physiology of the closed-loop obstruction caused by a competent ileoce...
Diverticulosis
26 Jan 2026
Contributed by Lukas
This episode reviews the significant evolution in the management of colonic diverticular disease, moving past old dogmas like the "second episode...
Minimally Invasive Surgery
22 Jan 2026
Contributed by Lukas
Comprehensive review of Minimally Invasive Surgery (MIS) for colorectal cancer, distinguishing the settled science of laparoscopic colon resection fro...
Cytoreduction and HIPEC
15 Jan 2026
Contributed by Lukas
Explores Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Colorectal Peritoneal Metastases (CPM). Success relies ...
GIST, Neuroendocrine Tumors and Lymphoma
12 Jan 2026
Contributed by Lukas
Focuses on three complex non-epithelial entities that demand specialized algorithms. For GIST, diagnosis is based on CD117 (KIT) and DOG1, and managem...
Appendiceal Neoplasms
08 Jan 2026
Contributed by Lukas
A detailed analysis of appendiceal neoplasms, highlighting how management is strictly driven by histology and classification. For invasive adenocarcin...
Rectal Cancer - Local Recurrence
05 Jan 2026
Contributed by Lukas
This episode tackles the highly complex and morbid radical management of Locally Recurrent Rectal Cancer (LRC), a disease defined as extra-TME patholo...
Management of Colorectal Metastases
01 Jan 2026
Contributed by Lukas
A deep dive into the aggressive, curative-intent management of stage IV colorectal cancer with distant metastasis, fueled by an average 40% 5-year ove...
Adjuvant Therapy for Colorectal Cancer
29 Dec 2025
Contributed by Lukas
A high-yield review of the post-operative management of resected stage II and III colorectal cancer. Key topics include the non-negotiable need for ad...
Rectal Cancer - Proctectomy
08 Dec 2025
Contributed by Lukas
This episode reviews the technical and academic principles governing Proctectomy for Rectal Cancer, highlighting that the foundation of modern care is...
Rectal Cancer - Non-operative Management
04 Dec 2025
Contributed by Lukas
This episode details the revolutionary Watch and Wait (WW) strategy, the most significant paradigm shift in modern rectal cancer care. We distinguish ...
Rectal Cancer - Local Excision
01 Dec 2025
Contributed by Lukas
This deep dive focuses on the high-stakes risk-benefit analysis of Local Excision (LE) for rectal cancer, balancing the functional benefits of organ p...
Rectal Cancer - Neoadjuvant Therapy in 2025
27 Nov 2025
Contributed by Lukas
This episode explores the evolution of rectal cancer management to Total Neoadjuvant Therapy (TNT), driven by the failure of traditional trimodal appr...
Colorectal Cancer - Operative Principles
24 Nov 2025
Contributed by Lukas
This academic review details the foundational principles and technical specifics of colectomy for colon cancer, emphasizing the oncologic triad of ach...
Preop Planning and Staging of Colorectal Cancer
20 Nov 2025
Contributed by Lukas
This episode provides a comprehensive review of pre-operative evaluation and staging for colorectal cancer, emphasizing the shift toward highly reprod...
Malignant Polyps - What to do?
17 Nov 2025
Contributed by Lukas
This deep dive tackles the challenging management of the malignant polyp (early T1 colorectal cancer), focusing on the pivotal decision point: endosco...
Colorectal Cancer - Sporadic vs. Inherited
14 Nov 2025
Contributed by Lukas
This episode of Colorectal Surgery Review provides a focused, deep dive into the absolute current state-of-the-art management of Colorectal Cancer (CR...
Presacral Tumors
22 Oct 2025
Contributed by Lukas
The Deep Dive: Presacral Tumors – The Deep Dive on Anatomy, Nerve Preservation, & Oncologic StrategyThis episode tackles the incredibly rare but...
Anal Cancer
20 Oct 2025
Contributed by Lukas
This episode of Colorectal Surgery Review provides a comprehensive deep dive into the evolving management of anal cancer, focusing on key clinical upd...
Anal Dysplasia
17 Oct 2025
Contributed by Lukas
This episode offers a rigorous academic deep dive into Anal Intraepithelial Neoplasia (AIN), a critical premalignant condition driven overwhelmingly b...
Sexually Transmitted Diseases
15 Oct 2025
Contributed by Lukas
This crucial episode delivers a deep dive into an essential, rapidly evolving, and clinically critical domain for practicing surgeons and clinicians. ...
Pruritis Ani
06 Oct 2025
Contributed by Lukas
Pruritus ani—chronic itching around the anus—is one of the most common yet frustrating conditions in colorectal practice. Often dismissed as a min...
Pilonidal Disease & Hidradenitis Supporativa
03 Oct 2025
Contributed by Lukas
Pilonidal disease and hidradenitis suppurativa are two chronic, often misunderstood conditions that significantly impact quality of life. Though diffe...
Rectovaginal Fistulas
01 Oct 2025
Contributed by Lukas
Rectovaginal fistulas are among the most difficult and emotionally impactful conditions in colorectal surgery. In this episode, we explore the causes,...
Rectourethral and Complex Fistulas
29 Sep 2025
Contributed by Lukas
Rectourethral and complex fistulas represent some of the most challenging conditions in colorectal and urologic surgery. In this episode, we take a st...
Anorectal Abscesses and Fistulas
25 Sep 2025
Contributed by Lukas
Anorectal abscesses and fistulas are among the most complex and misunderstood conditions in colorectal disease. In this in-depth episode, we take a cl...
Anal Fissures and Anal Stenosis
22 Sep 2025
Contributed by Lukas
In this episode, we take a comprehensive look at two challenging colorectal conditions: anal fissures and anal stenosis. Listeners will learn how to d...
Endoscopic Management of Polyps
15 Sep 2025
Contributed by Lukas
This "Colorectal Surgery Review" episode provides a deep dive into the rapidly evolving field of advanced endoscopy, framing it as a new sur...
Hemorrhoids
12 Sep 2025
Contributed by Lukas
This episode of "Colorectal Surgery Review" provides a comprehensive guide to hemorrhoidal disease for clinicians, with a focus on details r...
Fecal Incontinence - Evaluation & Treatment
10 Sep 2025
Contributed by Lukas
Key topics covered in the episode include:Definition and Physiology: Fecal incontinence is defined as the uncontrolled passage of stool or gas for at ...
Colonosocopies
04 Sep 2025
Contributed by Lukas
In this episode, we review the principles and practice of endoscopy in colorectal surgery. Topics include indications for diagnostic and therapeutic e...
The Physiology of the Anus & Rectum
04 Sep 2025
Contributed by Lukas
This episode reviews the physiology of the anorectum, focusing on the mechanisms of continence and defecation. We cover the anatomy and function of th...
Colonic Physiology
03 Sep 2025
Contributed by Lukas
In this episode, we explore the physiology of the colon — a vital but often misunderstood organ. Beginning with embryology, we review how the colon ...
Anatomy & Embryology of the Colon, Rectum & Anus
03 Sep 2025
Contributed by Lukas
We begin with the anal canal and pelvic floor. In colorectal surgery, it’s important to distinguish between the anatomic anal canal and the surgical...