Colonoscopies are performed in the primary care in growing numbers, also by general practitioners. In diagnosing adenomas and cancers, colonoscopy is preferable to sigmoidoscopy. Colonoscopy should be performed as the initial investigation when looking for possible colonic causes of iron deficiency anaemia or occult blood in the faeces. Thorough investigation of these patients and endoscopic follow-up of adenoma patients is the key to an early diagnosis and treatment as well as prevention of colon cancer. Readiness for polypectomy is desirable, at least if colonoscopy is performed because of positive screening test for faecal occult blood. Sigmoidoscopy is often sufficient in the investigation of bloody or prolonged diarrhoea or fresh blood from the anus if the cause of the bleeding becomes evident in the investigation. Microscopic colitis can almost always be diagnosed from the sigma. If an adenoma is detected in sigmoidoscopy, colonoscopy must always be performed. Fiberosigmoidoscopy should replace rectoscopy with a stiff instrument whenever sigmoidoscopy is available. Sigmoidoscopy must always be complemented by proctoscopy and touch per rectum in order to detect abnormalities of the anal canal.

Long regarded as “the book” in the field for in-depth learning as well as decision support at the point of care, Primary Care Medicine, 8th Edition, continues its tradition as a comprehensive, evidence-based, action-oriented information resource. Presented in companion electronic format updated quarterly, its problem-based orientation spans the full spectrum of problems encountered in adult primary care practice. Chapters address screening, diagnosis, prevention and management, including indications for referral and approaches to patient education and shared decision making. Clear, practical, bulleted recommendations and an extensive annotated bibliography of best references follow detailed discussions of pathophysiology, clinical presentation, differential diagnosis, and strategies for workup and treatment. Now with its 40th-anniversary edition, this exceptional text is a must-have resource for physicians, nurse practitioners, physician assistants, students, and residents- offering the most complete and up-to-date resource available for primary care education and practice.

The latest edition of An Atlas of Gynecologic Oncology continues its coverage of the innovative techniques in investigation and surgery on the brink of becoming established as part of the gynecologic surgeon’s repertoire, now including the exciting developments in uterine transplantation.

Gastrointestinal stomas constitute an evident anatomical modification, but their perception by patients represents a serious and unacceptable alteration of the body schema. Esophagostomy, gastrostomy, and jejunostomy are usually temporary, but ileostomy and colostomy are permanent in many cases. Two purposes characterize the two types of intestinal stomas: to divert intestinal content and to allow enteral nutrition. The purpose of the stoma in the therapeutic program is surrounded by many misunderstandings and this notice given by surgeons is horrifying to patients. In this therapeutic scenario the enterostomal therapist plays a central role. This book pays great attention to the care of the stoma and its therapeutic role, but overall the need is to prevent diagnostic and therapeutic procedures for this surgical alteration to the body's anatomy.

An authoritative work that provides a detailed review of the current status of practice and research in cancer prevention and control – an essential reference guide and tool for primary care physicians, the research community and students. Written as a collaborative work by the faculty of the nationally-renowned Cancer Prevention and Control Program at the Arizona Cancer Center, this book harnesses the expertise of researchers, investigators and clinicians in cancer prevention and control, to provide insights into this field for the benefit of nonspecialists.