New Techniques and Complications

[Author Photo]New techniques, devices, and pharmaceuticals in medicine are developing at an ever increasing rate. The initial enthusiasm toward some technology is not always sustained over time. However, initial lack of success may later give way to widespread acceptance as a new technology is refined or applied in different arenas. Unfortunately, with new technologies come new complications. This issue of Clinics in Colon and Rectal Surgery is devoted to several recently developed technologies and their impact on specific disease management.

The computer has become ubiquitous to modern-day life, and the field of medicine is no exception. Dr. Eric Szilagy provides an excellent description of the uses of computerized medical records. This issue reviews the current literature about colonoscopic balloon dilation and stenting of large bowel obstruction, as well as localization of colonic lesions for surgery. Fecal incontinence is a condition that has seen the development of multiple new treatment options. These are covered in a concise review highlighting both invasive and minimally invasive procedures. Other authors here discuss the current understanding of the etiology and management of ischemic colitis and massive lower gastrointestinal hemorrhage.

This issue also discusses abdominal and perianal complications. Dr. Clifford Simmang gives a superior review of the current evaluation and treatment of intestinal fistulas. Additionally, the contemporary management of postoperative small bowel obstructions and complications from anorectal surgery are presented.

We thank the authors for their hard work in providing clear, concise, and timely contributions. Their expertise is greatly appreciated. We also thank Dr. David E. Beck for allowing us to explore these new techniques along with their associated complications.