编者按：由美国Cleveland Clinic主办的一年一度的消化疾病周（Digestive Disease Institute Week，简称DDI Week）于2月14日至18日在美丽的阳光之州佛罗里达Boca Raton成功举行。该会议是消化病领域的世界级顶尖盛会，历经38年的发展和推广，目前已经成为全球消化病领域过去与未来、热点与难点、东方与西方争锋亮剑的平台。此次，AME出版社有幸邀请到Tracy Hull教授与我们分享了结肠直肠癌和IBD的最新进展及对未来的展望，并讲述了她成为一名结直肠外科医生的故事。
Fig 1：与Prof. Hull的合照
作为此次DDI Week会议的主管人之一，Prof. Hull认为此次会议不仅议程讨论热点丰富，而且更邀请了来自国际的多位消化领域大腕专家共同参与，从质与量上都达到了高水平，对消化疾病治疗的发展有一定影响力。
演讲中，Prof. Hull认为在 IBD（克罗恩病和溃疡性结肠炎的总称）术前使用生物制剂是有争议的。虽然被统称为IBD（Inflammatory Bowel Disease，炎症性肠病），实际上克罗恩病和溃疡性结肠炎的病因并不一致，具体操作应“因地制宜”来进行。而对于IBD目前的最佳治疗方法，Prof. Hull指出新药的出现无疑是病患的福音。
Prof. Hull指出，结直肠癌应专注于寻求一种高质量、多学术的治疗方法。目前来看，经肛门全直肠系膜切除手术——结合腹腔镜和经肛门手术 (TaTME, Transanal Total Mesorectal Excision) ，可以有效降低局部复发率及提高患者的长期生存率，且该手术需要两组人力，多学科合作在此时就显得十分重要了。当问及多学科诊疗的原则时，Prof. Hull说道，最后的诊疗决策必须是由一系列专家综合考虑后共同敲定的。
Q Brief self-introduction
Q Would you like to share with us the highlights of the symposium with many topics about colorectal surgery covered? And which part do you like most or think most significant for the surgeons?
Q It is mentioned in your speech that special precautions are needed when pre-operative biologics are on board, do you like to share more details to us?
Q Based on your experience, currently which kind of new method is preferred for managing IBD? Advantages?
Q What do you think should be the focus for managing IBD or colorectal disease now or in the future?
Q As the fact that not too many female surgeons in this field, why are you interested in colorectal surgery specifically?
Q As we know, you’re so busy. Then how do you update yourself with the latest progress?
Q Compared with male surgeon, what is the advantage being a female surgeon?
Tracy Hull, MD, has been Staff Surgeon in the Department of Colon and Rectal Surgery at Cleveland Clinic since 1993. She received her Doctorate of Medicine, cum laude, from The Ohio State University in 1986. She did her surgical residency at SUNY Syracuse, New York from 1986-1991. Her fellowship was done at Cleveland Clinic from 1991-1992.
Prof. Hull is active in numerous professional societies including Alpha Omega Alpha, the American Society of Colon and Rectal Surgeons, the American College of Surgeon and many others. She has served on the Editorial Board for Diseases of the Colon and Rectum and has been in charge of the launching of the streaming video portion.
She has authored several peer reviewed or been involved with published articles, and many book chapters. Additionally, she speaks at the major meetings around the world. Prof. Hull’s has a special interest in pelvic floor dysfunction, anorectal physiology and ultrasonography. Her other interest are colon and rectal cancer, ulcerative colitis, Crohn’s disease and diverticulitis.
采访 | 高凤平、冯雁萍
视频 | 麦雪芳