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Colostomy Diet Guidelines: Mayo Clinic Recommendations and Beyond
Introduction:
Living with a colostomy can feel overwhelming, particularly when navigating dietary changes. Understanding what to eat and what to avoid is crucial for maintaining your health, preventing complications, and improving your overall quality of life. This comprehensive guide draws upon the expertise of the Mayo Clinic and other leading sources to provide clear, actionable colostomy diet guidelines. We’ll delve into the essential foods to include, the foods to limit or avoid, and strategies to manage common post-colostomy digestive issues. This isn't just a list of dos and don'ts; it's a roadmap to a healthier, happier life after your colostomy.
I. Understanding Your Colostomy and Individual Needs:
The first step in creating a successful colostomy diet is understanding your individual needs. While general guidelines exist, your specific dietary requirements depend on factors such as the location of your stoma, the type of colostomy you have (loop, end, double-barrel), and your overall health. Regular communication with your surgeon, gastroenterologist, or enterostomal therapist (ET) is paramount. They can provide personalized advice based on your unique situation and monitor your progress. Don’t hesitate to ask questions and express your concerns; they are your partners in managing your colostomy.
II. Foods to Include in Your Colostomy Diet:
High-Fiber Foods (with caution): Fiber is essential for bowel regularity, but introducing it gradually is vital. Start with soluble fiber found in foods like oats, cooked carrots, and applesauce. Insoluble fiber (found in whole grains and some fruits and vegetables) can cause gas and blockages. Your medical team will help determine your optimal fiber intake.
Plenty of Fluids: Staying hydrated is crucial to prevent dehydration and constipation. Aim for at least eight glasses of water per day, but adjust based on your activity level and climate. Broths and clear juices can also contribute to your fluid intake.
Lean Protein: Protein is essential for tissue repair and overall health. Include lean meats, poultry, fish, beans, lentils, and tofu in your diet.
Healthy Fats: Healthy fats from sources like avocados, nuts, and olive oil are important for nutrient absorption and overall well-being.
Probiotics: These beneficial bacteria can help improve gut health and reduce digestive discomfort. Yogurt with live and active cultures, kefir, and sauerkraut are good sources.
III. Foods to Limit or Avoid:
High-Gas Foods: Foods notorious for causing gas, such as beans, broccoli, cabbage, and carbonated beverages, should be introduced gradually and in small amounts if tolerated. Pay attention to your body's responses.
High-Fat Foods: Excessive fat can lead to diarrhea and make it harder for your body to absorb nutrients. Limit fried foods, greasy meats, and processed foods high in saturated and trans fats.
Foods with Seeds or Skins: These can sometimes get lodged in the stoma, causing blockages. Remove seeds from fruits and vegetables, and peel fruits and vegetables with tough skins when possible.
Spicy Foods: Spicy foods can irritate the stoma and cause discomfort. Introduce them cautiously and in moderation.
Alcohol: Alcohol can dehydrate you and interfere with medication absorption. Limit alcohol consumption or avoid it altogether.
IV. Managing Common Colostomy Issues Through Diet:
Constipation: Increase your fluid intake, add more soluble fiber gradually, and engage in regular physical activity.
Diarrhea: Limit high-fat foods, reduce your fiber intake temporarily, and consider foods that bind stool, such as cooked rice and bananas.
Gas and Bloating: Identify trigger foods and reduce or eliminate them from your diet. Avoid chewing gum and using straws, which can introduce air into your digestive system.
Stoma Blockages: Pay close attention to the size and consistency of your stool. If you notice a change, contact your medical team immediately.
V. Sample Meal Plan (Consult your healthcare provider before implementing any significant dietary changes):
A sample meal plan can serve as a guideline but remember to personalize it based on your individual needs and preferences. Always consult your healthcare provider before making drastic dietary changes.
Breakfast: Oatmeal with berries and a sprinkle of nuts (soluble fiber, antioxidants, healthy fats)
Lunch: Chicken salad sandwich on whole-wheat bread (lean protein, whole grains) with a side of carrots and hummus (soluble fiber, healthy fats)
Dinner: Baked salmon with roasted vegetables (lean protein, vitamins, minerals)
Snacks: Greek yogurt, apple slices with almond butter, a small handful of almonds.
VI. The Importance of Regular Monitoring and Communication:
Regular monitoring of your bowel movements, noting changes in consistency, frequency, and any discomfort, is crucial. Maintaining open communication with your healthcare team is vital for adjusting your diet as needed and addressing any concerns promptly.
VII. Conclusion:
Adapting to life with a colostomy requires patience, understanding, and a proactive approach to your diet. By following these guidelines, focusing on a balanced diet rich in essential nutrients, and communicating openly with your healthcare team, you can effectively manage your colostomy and enjoy a fulfilling life. Remember, this is a journey, not a destination. With time and careful attention, you will find the right dietary balance to support your well-being.
Article Outline:
Introduction: Hook and overview of the post.
Chapter 1: Understanding your colostomy and individual needs.
Chapter 2: Foods to include in your colostomy diet.
Chapter 3: Foods to limit or avoid.
Chapter 4: Managing common colostomy issues through diet.
Chapter 5: Sample meal plan.
Chapter 6: Importance of regular monitoring and communication.
Chapter 7: Conclusion and encouragement.
FAQs: Addressing reader questions.
Related Articles: Links to relevant resources.
(The detailed explanation of each point is provided above in the article itself.)
FAQs:
1. Can I eat spicy food after a colostomy? Start with small amounts of mild spices and monitor your body's response. Excessive spice can irritate the stoma.
2. What should I do if I experience a blockage? Contact your medical team immediately. Blockages require prompt medical attention.
3. How much fiber should I consume? Consult your doctor or dietitian for personalized recommendations. Gradually increasing soluble fiber is generally advised.
4. Is it okay to drink alcohol after a colostomy? Alcohol can dehydrate you and interact with medications. Limit or avoid it unless your doctor advises otherwise.
5. Can I eat nuts and seeds? Smaller, softer nuts and seeds are usually tolerated better. Avoid larger, harder ones which might cause blockages.
6. What if my stoma output changes dramatically? Report any significant changes in stool consistency, frequency, or amount to your healthcare team.
7. How can I prevent constipation? Drink plenty of fluids, eat enough fiber (gradually increasing), and engage in regular physical activity.
8. Are there any specific vitamins or supplements I should take? Consult your doctor or a registered dietitian to determine if any supplements are necessary.
9. When should I see my doctor after a colostomy surgery regarding diet? Schedule a follow-up appointment with your surgeon or gastroenterologist to discuss dietary concerns and adjustments.
Related Articles:
1. Mayo Clinic on Ostomy Care: A comprehensive overview of colostomy care from the Mayo Clinic, covering various aspects, including diet.
2. Understanding Colostomy Complications: An article discussing potential issues like blockages, hernias, and stoma retraction and how to address them.
3. Colostomy Irrigation Techniques: An article detailing the procedure and benefits of colostomy irrigation, a method to regulate bowel movements.
4. Emotional Well-being After Colostomy Surgery: Focuses on the psychological aspects of living with a colostomy and how to cope with emotional challenges.
5. Choosing the Right Ostomy Supplies: A guide to selecting the appropriate ostomy bags and appliances to ensure comfort and proper function.
6. Physical Activity and Colostomy: An article encouraging physical activity and offering safe exercise recommendations for individuals with a colostomy.
7. Colostomy Diet for Weight Management: Focuses on adjusting the colostomy diet for weight loss or maintenance, emphasizing healthy eating habits.
8. Recipes for Colostomy Patients: A collection of easy-to-digest and nutritious recipes tailored to the specific needs of individuals with a colostomy.
9. Long-Term Colostomy Care and Management: A detailed guide addressing long-term management of colostomies, including regular check-ups and ongoing dietary adjustments.
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colostomy diet guidelines mayo clinic: Current Therapy in Colon and Rectal Surgery E-Book Victor W. Fazio, James M. Church, Conor P Delaney, Ravi P Kiran, 2016-09-13 For more than 25 years, Current Therapy in Colon and Rectal Surgery has been the go-to resource for preparing for the American Board of Surgery certification exam. Following in this tradition, the 3rd Edition offers a comprehensive, contemporary summary of treatment options for colorectal diseases, with a focus on practical clinical science and applications. In a single, portable volume, you'll find complete coverage of new diagnostic modalities, medical therapeutics, and surgical treatment options, including minimally invasive surgery. Easy to read and digest, it provides a quick consultation with experts on the essentials of colon and rectal surgery. - Consult this title for a quick overview before you enter the OR, and use it as a review tool for board certification and recertification. - Nearly 100 succinct chapters, just 3 or 4 pages each, written by leading experts in colorectal surgery. - Five chapters devoted exclusively to different aspects of rectal cancer. - Other key topics include minimally invasive surgery, reparative surgery, maturing outcomes, and managing surgical risk. - New chapters focus on hot topics such as intestinal transplants, enhanced recovery programs, and the management of peristomal hernias. - Updated information on the molecular biology of colorectal cancer and its implications for therapy. |
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colostomy diet guidelines mayo clinic: Ferri's Clinical Advisor 2021 Fred F. Ferri, 2020-06-10 Find fast answers to inform your daily diagnosis and treatment decisions! Ferri’s Clinical Advisor 2021 uses the popular 5 books in 1 format to deliver vast amounts of information in a clinically relevant, user-friendly manner. This bestselling reference has been significantly updated to provide you with easy access to answers on 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines—all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of new figures and tables, ensure that you stay current with today's medical practice. Contains significant updates throughout, covering all aspects of current diagnosis and treatment. Features 27 all-new topics including chronic rhinosinusitis, subclinical brain infarction, reflux-cough syndrome, radiation pneumonitis, catatonia, end-stage renal disease, and genitourinary syndrome of menopause, among others. Includes new appendices covering common herbs in integrated medicine and herbal activities against pain and chronic diseases; palliative care; and preoperative evaluation. Offers online access to Patient Teaching Guides in both English and Spanish. |
colostomy diet guidelines mayo clinic: Geriatric Gastroenterology C. S. Pitchumoni, T. Dharmarajan, 2012-07-26 As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults. |
colostomy diet guidelines mayo clinic: Atlas of Pelvic Anatomy and Gynecologic Surgery E-Book Michael S. Baggish, Mickey M. Karram, 2020-10-01 Combining detailed descriptions of pelvic anatomy with easy-to-follow instructions for gynecologic procedures, Atlas of Pelvic Anatomy and Gynecologic Surgery, 5th Edition, is a comprehensive, up-to-date atlas that reflects current practices in this fast-changing field. Pelvic anatomy and surgical operations are depicted through full-color anatomic drawings, correlative surgical artwork with step-by-step photographs, and computer-assisted hybrid photo illustrations. Complete coverage of both conventional and endoscopic surgeries helps you master the full spectrum of surgical procedures. - Covers all frequently performed gynecologic operations including laparotomy, laparoscopic, robotic, hysteroscopic, vaginal, vulvar, and cystoscopic procedures. - Includes expanded sections on gender reassignment surgery and vulvar and cervical surgery, as well as a new chapter devoted to laparoscopic techniques. - Contains a revised anatomic section with updated figures, plus high-quality artwork and clinical photographs throughout—now entirely in full color. - Features numerous videos of surgeries and cadaver dissection. - Ideal for practicing obstetricians-gynecologists, obstetrics-gynecology residents, general surgeons, subspecialists, nurses, and medical students with an interest in gynecology. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices. |
colostomy diet guidelines mayo clinic: Post-Prostatectomy Incontinence Ajay Singla, Craig Comiter, 2017-06-28 This text provides a comprehensive, state – of – the art review of this new and emerging field, as the number of men who suffer from post-prostatectomy incontinence increases by greater than 10,000 per year. How to evaluate and manage this devastating disorder has become a necessary part of nearly every urologic practice. This book serves a valuable resource for physicians with an interest in managing patients with post-prostatectomy incontinence. In addition, treatment includes algorithms and suggested office evaluation that will help guide conservative management that is appropriate for most patients. The text provides insight into the history of male incontinence surgery, as well as the current surgical techniques for the operative management of post-prostatectomy incontinence in those who fail conservative management. This text reviews current data regarding surgical outcomes for the most common and newly developed incontinence procedures, as well as step-by-step descriptions of the key surgical steps necessary for success. All chapters are written by world renowned experts in this field and include the most up to date clinical information. |
colostomy diet guidelines mayo clinic: Nutrition and Diet Therapy Peggy Stanfield, Yiu H. Hui, 2009-06-17 Nutrition and Diet Therapy: Self-Instructional Approaches covers the fundamentals of basic nutrition, and then nutrition as therapy, in both adults and children. It is designed to work as a traditional text or a self-instructional text that allows for distance-learning and self-paced instruction. Progress checks throughout each chapter and chapter post-tests help students to evaluate their comprehension of key information. The Fifth Edition has been completely revised and updated to include My Pyramid and corresponding DRIs and all of the all figures and tables have been revised. Accompanied by A Comprehensive Companion Web site |
colostomy diet guidelines mayo clinic: Ehlers-Danlos Syndrome: A Multidisciplinary Approach J.W.G. Jacobs, L.J.M. Cornelissens, M.C. Veenhuizen, 2018-08-14 Generalized hypermobility has been known since ancient times, and a clinical description of Ehlers-Danlos syndrome (EDS) is said to have first been recorded by Hippocrates in 400 BC. Hypermobility syndromes occur frequently, but the wide spectrum of possible symptoms, coupled with a relative lack of awareness and recognition, are the reason that they are frequently not recognized, or remain undiagnosed. This book is an international, multidisciplinary guide to hypermobility syndromes, and EDS in particular. It aims to create better awareness of hypermobility syndromes among health professionals, including medical specialists, and to be a guide to the management of such syndromes for patients and practitioners. It is intended for use in daily clinical practice rather than as a reference book for research or the latest developments, and has been written to be understandable for any healthcare worker or educated patient without compromise to the scientific content. The book is organized as follows: chapters on classifications and genetics are followed by chapters on individual types, organ (system) manifestations and complications, and finally ethics and therapeutic strategies, with an appendix on surgery and the precautions which should attend it. A special effort has been made to take account of the perspective of the patient; two of the editors have EDS. The book will be of interest to patients with hypermobility syndromes and their families, as well as to all those healthcare practitioners who may encounter such syndromes in the course of their work. |
colostomy diet guidelines mayo clinic: Bad Bug Book Mark Walderhaug, 2014-01-14 The Bad Bug Book 2nd Edition, released in 2012, provides current information about the major known agents that cause foodborne illness.Each chapter in this book is about a pathogen—a bacterium, virus, or parasite—or a natural toxin that can contaminate food and cause illness. The book contains scientific and technical information about the major pathogens that cause these kinds of illnesses.A separate “consumer box” in each chapter provides non-technical information, in everyday language. The boxes describe plainly what can make you sick and, more important, how to prevent it.The information provided in this handbook is abbreviated and general in nature, and is intended for practical use. It is not intended to be a comprehensive scientific or clinical reference.The Bad Bug Book is published by the Center for Food Safety and Applied Nutrition (CFSAN) of the Food and Drug Administration (FDA), U.S. Department of Health and Human Services. |
colostomy diet guidelines mayo clinic: Advanced Male Urethral and Genital Reconstructive Surgery Steven B. Brandes, Allen F. Morey, 2013-11-09 Since the publication of the first edition of Urethral Reconstructive Surgery, important refinements have been added to the urologic surgical armamentarium. Extensively revised and updated, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie’s surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments. With broad contributions by international authorities in reconstructive urologic surgery, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition is a valuable resource for all urologists, from residents to reconstructive surgeons. |
colostomy diet guidelines mayo clinic: Eat to Live Joel Fuhrman, 2011-01-05 Hailed a medical breakthrough by Dr. Mehmet Oz, Eat to Live offers a highly effective, scientifically proven way to lose weight quickly. The key to Dr. Joel Fuhrman's revolutionary six-week plan is simple: health = nutrients / calories. When the ratio of nutrients to calories in the food you eat is high, you lose weight. The more nutrient-dense food you eat, the less you crave fat, sweets, and high-caloric foods. Eat to Live has been revised to include inspiring success stories from people who have used the program to lose shockingly large amounts of weight and recover from life-threatening illnesses; Dr. Fuhrman's nutrient density index; up-to-date scientific research supporting the principles behind Dr. Fuhrman's plan; new recipes and meal ideas; and much more. This easy-to-follow, nutritionally sound diet can help anyone shed pounds quickly-and keep them off. Dr. Furhman's formula is simple, safe, and solid. --Body and Soul |
colostomy diet guidelines mayo clinic: Paediatric Palliative Medicine Richard Hain, Satbir Jassal, Satbir Singh Jassal, 2016 A concise and practical guide to caring for children with life-limiting conditions, 'Paediatric Palliative Medicine' covers the common symptoms and challenging issues healthcare professionals are likely to encounter, and includes a detailed drug formulary for quick reference. |
colostomy diet guidelines mayo clinic: Clinical Radiation Oncology Leonard L. Gunderson, MD, MS, FASTRO, Joel E. Tepper, MD, 2015-08-26 Perfect for radiation oncology physicians and residents needing a multidisciplinary, treatment-focused resource, this updated edition continues to provide the latest knowledge in this consistently growing field. Not only will you broaden your understanding of the basic biology of disease processes, you'll also access updated treatment algorithms, information on techniques, and state-of-the-art modalities. The consistent and concise format provides just the right amount of information, making Clinical Radiation Oncology a welcome resource for use by the entire radiation oncology team. Content is templated and divided into three sections -- Scientific Foundations of Radiation Oncology, Techniques and Modalities, and Disease Sites - for quick access to information. Disease Sites chapters summarize the most important issues on the opening page and include a full-color format, liberal use of tables and figures, a closing section with a discussion of controversies and problems, and a treatment algorithm that reflects the treatment approach of the authors. Chapters have been edited for scientific accuracy, organization, format, and adequacy of outcome data (such as disease control, survival, and treatment tolerance). Allows you to examine the therapeutic management of specific disease sites based on single-modality and combined-modality approaches. Features an emphasis on providing workup and treatment algorithms for each major disease process, as well as the coverage of molecular biology and its relevance to individual diseases. Two new chapters provide an increased emphasis on stereotactic radiosurgery (SRS) and stereotactic body irradiation (SBRT). New Associate Editor, Dr. Andrea Ng, offers her unique perspectives to the Lymphoma and Hematologic Malignancies section. Key Points are summarized at the beginning of each disease-site chapter, mirroring the template headings and highlighting essential information and outcomes. Treatment algorithms and techniques, together with discussions of controversies and problems, reflect the treatment approaches employed by the authors. Disease Site Overviews allow each section editor to give a unique perspective on important issues, while online updates to Disease Site chapters ensure your knowledge is current. Disease Site chapters feature updated information on disease management and outcomes. Four videos accessible on Expert Consult include Intraoperative Irradiation, Prostate Brachytherapy, Penile Brachytherapy, and Ocular Melanoma. Thirty all-new anatomy drawings increase your visual understanding. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
colostomy diet guidelines mayo clinic: Prevention and Treatment of Complications in Proctological Surgery Mario Pescatori, 2012-09-22 The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress. |
colostomy diet guidelines mayo clinic: Spinal Cord Medicine Denise I. Campagnolo, Steven Kirshblum, Mark S. Nash, Robert F. Heary, Peter H. Gorman, 2011-12-07 This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord. |
colostomy diet guidelines mayo clinic: Mayo Clinic Internal Medicine Board Review , 2019-10-24 The key resource you need to prepare for the American Board of Internal Medicine (ABIM) Certification and Maintenance of Certification examinations. Now in its twelfth edition, Mayo Clinic Internal Medicine Board Review builds on years of knowledge, refinement, and expertise from Mayo Clinic's Department of Medicine and the successful certification process, providing the latest information you need. Now including Physician Well-Being and Hospital Internal Medicine, over 80 chapters help you confidently sit for the boards. Not preparing to certify or recertify? This all-inclusive reader-friendly volume is the perfect companion for anyone seeking to provide state-of-the-art care to patients, to serve as a core textbook for internal medicine residency training, or for students preparing for USMLE Step 3 examinations. |
colostomy diet guidelines mayo clinic: Landmark Papers in General Surgery Graham MacKay, Richard Molloy, Patrick O'Dwyer, 2013-02-14 Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper's place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge. |