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Doctor insights on: Can Scope Or Stents Be Used On Obstructions In The Ascending Colon

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Can scope or stents be used on obstructions in the ascending colon?

Can scope or stents be used on obstructions in the ascending colon?

Yes: But more difficult to place then descending, sigmoid, or rectum. ...Read more

Obstruction (Definition)

Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more


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Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.

Define: I don't know what sibo is. In general, if the ileocecal valve is removed, some patients can have , at least temporarily, some looser stools or urgency. I usually suggest Imodium (loperamide) as needed, a good general diet, avoidance of large meals, and the inclusion of yogurt in the diet. If i'm missing the boat here, define sibo. Good luck. ...Read more

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If a patient has a tumor in the transverse colon, and a pre-cancerous polyp in the ascending colon, would both colon sections need to be resected?

If a patient has a tumor in the transverse colon, and a pre-cancerous polyp in the ascending colon, would both colon sections need to be resected?

It depends.: If the gastroenterologist is fairly certain that the precancerous polyp was removed completely, and the pathology results confirm that, then the ascending colon would not need to be resected. Depending on the results of the local lymph nodes, the surgeon might be able to get by with resecting just the transverse colon. Good luck. ...Read more

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Can defux material used from a VUR procedure mimic a possible malignancy tumor in the left ureter whete the procedure took place?

Can defux material used from a VUR procedure mimic a possible malignancy tumor in the left ureter whete the procedure took place?

Deflux = bulking: Deflux mound at the ureteral orifice will appear as a small mass in the bladder or terminal ureter. Uncommon to use it in an adult of your age & adult radiologist, inexperienced in interpreting ultrasounds or CTs in patients after Deflux injections might possibly misinterpret ultrasounds. Pediatric radiologist or urologist better interpreters & certainly worthwhile before undergoing cystoscopy. ...Read more

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Can a colonoscopy prep cause irritation in the colon in the internal rectum that looks exactly like Ulcerative Colitis when the pictures are taken.

Can a colonoscopy prep cause irritation in the colon in the internal rectum that looks exactly like Ulcerative Colitis when the pictures are taken.

Not likely: Ulcerative colitis has a specific appearance and location that distinguishes it histologically from normal tissue. The scenario you describe is possible with human error involved, but for the most part, very unlikely ...Read more

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Can the cecum be seen during a colonoscopy? Or is it through a sigmoidoscopy? Can cancer of the cecum be detected through radiology tests like ct/mri?

Can the cecum be seen during a colonoscopy? Or is it through a sigmoidoscopy? Can cancer of the cecum be detected through radiology tests like ct/mri?

Yes-No-Maybe: Colonoscopy evaluates the entire large intestine, from cecum to rectum. Flexible sigmoidoscopy only goes as far as the left side of the colon, nowhere near the cecum. Routine ct scanning may identify a (large) cecal tumor but is much less sensitive than a colonoscopy; ct colonography is almost as sensitive as a colonoscopy, but is less desirable than colonoscopy since a biopsy cannot be done. ...Read more

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How many times can an egd with dilation of the pylorus be done?

How many times can an egd with dilation of the pylorus be done?

No Clear Limit, But: Each time induces tearing of the pylorus tissue with resulting scar formation & scars shrink. Thus each time tends to get more difficult & induces more scare tissue. Like most medical technology, this is simply a method to treat a symptom & does not deal with or solve underlying issues. ...Read more

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Can ENT see small tear in the esophagus with flexible endoscope? Can endocsope rotate 360 degree? I'd like ONLY ENT to respond.

Can ENT see small tear in the esophagus with flexible endoscope? Can endocsope rotate 360 degree? I'd like ONLY ENT to respond.

Usually not.: If there is concern for a small tear in the esophagus, the usual doctor to address that is a gastroenterologist. Sometimes that is visible with a flexible endoscope. Sometimes it requires other types of radiologic studies in addition or instead of that. A tear in the esophagus can be an emergency. Do not delay getting it evaluated. Good luck. ...Read more

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Can a tracheal stent be used on a infant with tracheo/larygnomalacia & bronchial? So essentially upper and lower? Or is a trachea the route to go?

Can a tracheal stent be used on a infant with tracheo/larygnomalacia & bronchial? So essentially upper and lower? Or is a trachea the route to go?

Need more info: Stenting is not the answer for laryngotracheobronchomalacia. If the airways are collapsing to the point of the baby needing to be on a ventilator at least part of the day, then tracheotomy is the usual treatment, and it hopefully can be removed once the collapse has resolved in the years to come. You need to ask the md's to clarify what the options are. Good luck. ...Read more

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For the left urethra at the bladder with blockage from kidney stone or scare tissue from past ureteroscopies have a stent or resection as a choise ?

For the left urethra at the bladder with blockage from kidney stone or scare tissue from past ureteroscopies have  a stent or resection as a choise ?

Here are some ...: How to manage the blockage at the ending part of left ureter by the scar after ureteroscopic stone procedures relies on the degree and length of the scar and the balance between medical necessity and professional possibility. At that level, options of care may range from doing nothing or incision + a period of stent or permanent stent with regular change 2-3 times yearly or surgical correction... ...Read more

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What damage can be done from barium remaining in the esophagus? In sept i had an attempted tif procedure done. However, while inserting the equipment into my esophagus, the physician sliced into my esophagus wall creating a pocket. At the time the physici

What damage can be done from barium remaining in the esophagus? In sept i had an attempted tif procedure done. However, while inserting the equipment into my esophagus, the physician sliced into my esophagus wall creating a pocket. At the time the physici

A : A tear in the lining of the esophagus will repair itself. It is likely that you were kept from eating to make sure the tear was not deeper, going throught the entire wall of the esophagus leading into the chest between the lungs (the mediastinum). Given that this was in september and you are not extremely sick (or worse), that likely did not happen. Barium remaining in the esophagus should not be problematic. There are many variable to the story you give that can make any answers difficult to give, but the time course you describe leaves me to believe that you do not have a hole in the esophagus. ...Read more

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Could colon redundancy be the main cause for over passing gas up to the level of unable to control properly?If it is, can colon surgery be recommended

Could colon redundancy be the main cause for over passing gas up to the level of unable to control properly?If it is, can colon surgery be recommended

Not that i know: Gas is due to many other factors. I would look to other things to explain large amount of gas. Try avoiding the foods, activities that cause the gas accumulation. See your primary to figure out the cause of your symptoms. You may have a food intolerance (lactose? Wheat?) see below http://digestive.Niddk.Nih.Gov/ddiseases/pubs/gas. ...Read more

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Are ascending and descending venogram typically conducted together, or just one or the other?

Are ascending and descending venogram typically conducted together, or just one or the other?

Venograms: Usually these venograms are done at different times. Each looks for something different. Descending venograms look for venous reflux and ascending look for anatomy and clots. Both are not done often anymore. ...Read more

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Can an ileostomy reversal be done if the entire colon is narrowed due to scarring?

Can an ileostomy reversal be done if the entire colon is narrowed due to scarring?

It can be done: but is probably not a good idea as a narrowed scarred colon usually doesn't function like a healthy colon and thus reversing the ileostomy will cause more problms than living with an ileostomy ...Read more

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If TUR opr doesn't work,What is the most efficient method for treating of upper urinary obstruction in ureteric orifices caused by bladder tumors?

If  TUR opr doesn't work,What is the most efficient method for treating of upper urinary obstruction in ureteric orifices caused by bladder tumors?

It depends...: Ureteric obstruction needs quick relief. This can be obtained with one or another of several options. A stent can be placed in some cases. A nephrostomy tube can be inserted to provide temporary relief. The Bladder tumor can be treated with either chemotherapy or Radiotherapy but it may take more than 1 to 2 weeks to shrink the tumor to resolve the obstruction. Your Urologist should guide you furt ...Read more

Dr. Peter Ihle
13 doctors shared insights

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more


Dr. Mark Ingerman
12 doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more