Abstract
Evidence-based medicine faltering handed down empirical methods. In coloproctology may be an example of omission bowel preparation before elective operations and the concept of fast-track, respectively.
ERAS. New technologies radically intervened in the diagnosis and surgical treatment.
Sonography, even multidimensional, refine testing anorectal affections, replacing conventional radiographs and enabled us to reduce radiation exposure endorectal sonography has become a standard part of staging examination for rectal carcinoma. Each elective surgery for a tumor today precedes CT scan, not only to evaluate the extent and nature of the finding and navigation operations, but as a necessary condition for pre-therapeutic analysis prior to multimodality therapy.
Examination options anorectum and rectum today MRI having at rectal cancer override CT variant is dynamic MRI; problem in the Czech Republic is insufficient and uneven availability. Technological advances in the intestinal endoscopy and expand the endoscopic treatment of increased demands on the classification accuracy of findings and decisions on how to resolve.