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Hello Dr. Khamis, Interesting case! You should check her performance status, whether she can tolerate this major surgery? If yes then I think protectomy would be feasible, I dont agree with APR. ------------------------------ Mirza Saeed MBBS, MS, FICS, ...

I have a 67 years old female patient (functionally more like 76 yrs old).. came with a history of rectal bleed .. i did a colonoscopy which showed a villous carpet with polypoidal lesions all over the rectum (up to the rectosigmoid).. i took multiple ...

This is one of the most common problems I treat. This is irritable bowel syndrome with a the most likely trigger being lactose intolerance. After 40 years of practice, I can say that the most common cause of anal incontinence in my patients is lactose ...