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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:

1. Have knowledge of Current Guidelines for performing screening colonoscopy in the elderly.
2. Discuss advantages and disadvantages of screening colonoscopy in the elderly.
3. Discuss factors such as bowel prep and complications of colonoscopy in the elderly.

As a Weekly Curriculum module, it is eligible for 1 AMA PRA Category 1 Credit™.
To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.

Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

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™.

At the conclusion of this module, one should be able to:
1. Describe the anatomy of the deep postanal space and surrounding areas.
2. Understand the history of how treating infections of these spaces has evolved over time.
3. Describe common presentation scenarios of these complex fistulas.
4. Understand various treatment strategies including risks and complications of each.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center. Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

This module will discuss complications following ileostomy surgery and pathways designed to minimize these complications.

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

1. Explain the most common complications following ileostomy surgery
2. Explain how ileostomy care pathways can decrease postoperative complications

As a Weekly Curriculum module, it is eligible for 1 AMA PRA Category 1 Credit™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.

Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

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. These issues, as well as the technical steps, will be reviewed in this presentation.

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

1. Explain the indications and contraindications for intersphincteric resection in the setting of low lying rectal cancer.
2. Explain the step of ISR procedure.
3. Explain the published data related to cancer outcomes and functional outcomes.

As a Weekly Curriculum module, it is eligible for 1 AMA PRA Category 1 Credit™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.

Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

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

1. Describe the management options for Hinchey III diverticulitis.
2. Explain the background literature on the role and indications of laparoscopic lavage for perforated purulent peritonitis, including limitations of these studies.
3. Review the strengths and limitations of recently published randomized controlled trials on the role of laparoscopic lavage in perforated purulent peritonitis.
4. Explain the current recommendations on the role of laparoscopic lavage on perforated purulent diverticulitis.

As a Weekly Curriculum module, it is eligible for 1 AMA PRA Category 1 Credit™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.

Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.