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In this age of specialization most patients with diseases of the
hind gut and anus are still managed by general physicians or
surgeons. The speciality of coloproctology has grown from the art
of 'anology', a study of conditions limited to that distance from
the anal verge that could be inspected easily by torch- or
candlelight or with the aid of a simple speculum. Two centuries ago
many proctological ills were often treated by itinerant quacks,
partly because the physician considered himself rather too grand to
meddle around the anus and the medical profession in general tended
to look down on those who studied anal disease. Today, in certain
countries, coloproctology has become a speciality every bit as
exclusive as urology or orthopaedic surgery, with its own training
programme and examinations, usually undertaken after the end of
general surgical training. Such super-specialization has undeniable
advantages with rapidly advancing technology and therapeutic
possibilities. There is no doubt that for the patient suffering
from a low rectal carcinoma or severe inflammatory bowel disease
there are advantages in being treated by surgeons who are dealing
with several cases in a year rather than by a general surgeon who
sees such problems relatively rarely. Such specialized colorectal
surgery units makes good sense medically and economically in large
centres of population with good communications.
Ausgew{hlte Beitr{ge zur Therapie des Ulkusschubs und zur
Rezidivprophylaxe, ausf}hrliche Fallbeschreibungen und eine
stichwortartige Datensammlung machen die 2. Auflage des
Ulkuslamanachs wieder zu einem aktuellen Nachschlagewerk im
klinischen Alltag.
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