Intersphincteric resection (ISR) is a surgical approach that allows resection of low lying rectal cancers that abut or invade the sphincter complex while avoiding the creation of a permanent stoma. While removing a portion of or the entire internal anal sphincter, the goal of therapy is complete extirpation of the cancer while preserving the external sphincter for anastomosis and preservation of continence through the anal canal. The critical considerations revolve around cancer outcomes (local and distant recurrence rates), as well as bowel function/continence.

This is a discussion of recent literature regarding colonoscopy in the elderly and a review of recent guidelines for performing screening colonoscopy in the elderly.

Upon completion of this module, participants should be able to:

This module describes the safe techniques for the extraction of foreign bodies that are retained after transanal insertion.

Upon completion of this module, participants should be able to:

  • Approach the work-up for a patient with a retained rectal foreign body.
  • Determine which approach is optimal: transanal versus transabdominal.
  • Utilize safe techniques for transanal extraction.

As a Core Subject, this module is eligible for 3 AMA PRA Category 1 Credits™. This module serves as an update on foreign bodies for colorectal surgeons.

This module will discuss the management of anal fissure with either BOTOX® injections or lateral internal sphincterotomy.

Learning Objectives:
Upon completion of this module, participants should be able to:

Deep postanal infections/fistula are a complex area often misunderstood. This module reviews the available literature on the topic from diagnosis, anatomy to treatment including strategies to prevent recurrence and complications. As a Weekly Curriculum module, it is eligible for 1  AMA PRA Category 1 Credits™.

This module discusses the preoperative processes for the local, regional and metastatic staging of rectal cancer. This module is eligible for 3 AMA PRA Category 1 Credit ™.

Currently, all parties – patients, payers, and providers are motivated (for different reasons) to optimize the speed and safety of patient recovery after abdominal surgery. So, in order to assist colon and rectal surgeons with this important topic, the Quality and Safety Committee has developed an Enhanced Recovery Overview document. 

This module focuses on the technical "how-tos" of high quality rectal cancer surgery and implications for the future - including the role of laparoscopic surgery.This module is eligible for 1 AMA PRA Category 1 Credit™.