Doctor insights on:
Colon And Rectal Surgery Near Me
Colorectal Surgery: Colon and rectal surgery does not have a particular definition. In fact, it is a medical specialty that deals with problems in the colon, rectum, and anus. A sampling of diseases that fall in this realm are colon cancer, rectal cancer, inflammatory bowel disease (such as ulcerative colitis or crohn's), rectal prolapse, hemorrhoids, anal fistulas, and more). Not all of these require surgery. ...Read more
Having surgery for colorectal cancer? How much of the colon does the doctor take out? Will I have normal bowel function after?
Depends on location: Colon cancer is usually treated with wide removal of the segment of colon involved along with the lymph nodes draining that segment. The ends of the remaining intestine are reattached with staples or sutures. Bowel function is usually altered minimally unless there is more than one cancer and the entire colon is removed and sewn to the rectum. In that case, you might have frequent bms. ...Read more
My husband had colon rectal cancer and had a colostomy now he is going to get it reversed I guess I need to know how hard the surgery will be on him he has gone through so much and now its all fixing to be over please help?
Talk to your surgeon: Colostomy reversal may be very simple (if it was an ileostomy)or very complex - if a "stump" in the pelvis and needs extensive internal work for reconnection. I have done ileostomy reversals in an hour or so but have spent more than 5hrs. For some complicated pelvic reversals. Postoperative bowel function depends on where the colon was removed, history of radiation, etc. Ask the one who knows best. ...Read more
Other Options: A colo-rectal surgeon will probably offer a lateral subcutaneous internal sphincterotomy. If you have not seen one, then it is time to consider an appointment with one. ...Read more
This: This is a practice that is still debated in the surgical literature with surgeons and evidence on both sides. A bowel prep refers to cleaning out the colon of stool prior to an operation (usually on the bowels) or colonoscopy. There are a variety of bowel preps used and it often depends on the practice of your surgeon. Reasons given for doing a bowel prep include; avoiding contamination of the operative field, infection, better anastomosis (sewing bowel back together), better visualization (for colonoscopy), and more pleasant for operating surgeon. Reasons against include increased infection, complications related to the prep, patient comfort. There are a wide variety of bowel preps currently in use. Most involve drinking either a large volume of liquid or a small volume of a liquid which sucks fluid into the colon, both producing a watery diarrhea. Some bowel preps have included antibiotics with the thought it would lessen infectious complications. The data is not clear. Many surgeons simply recommend a clear liquid diet for a day or two before surgery to limit the stool in the colon. There are also studies which have shown bowel preps to be dangerous by either causing electrolyte imbalances, dehydration, or actually increasing infection. As of yet there is no right answer and usually the choice of bowel prep has to do with the surgeon and their experience as almost any can be supported by some evidence. Many surgeons do colorectal surgery with no bowel prep. A colonoscopy does require a bowel prep for visualization. Speak with your surgeon about their practice. By far the most comfortable for the patient is to consume clear liquids for a day or two. ...Read more
I see colorectal surgery in a few days for a consult today I noticed yellowing of the finger tips what could that mean digestive wise?
Hard to say: Usually "yellowing" of the skin represents a problem with the liver system, but it would be rare to see isolated yellow of the finger tips without yellowing of the eyes or tissue underneath your tongue first or just generalized appearing "yellow" or jaundiced. Otherwise you also have to consider anything your hands may be exposed to, like smokers, there smoking hand is usually "yellowed". ...Read more
I am worried in-state doctors do not specialize in fap-related colorectal surgery. Does it cost a lot more to get treatment at a center out of state?
Insurance-dependent: Many insurances companies may cover out of state procedures differently than locally, so first move is check with your insurance company. Most colon & rectal surgeons who are board-certified will have had extensive experience with fap during training, so ask them what their experience is. Some general surgeons may also be experienced, but always check. ...Read more
Age 50: The incidence of colorectal cancer goes up after age 50 which is why routine colonoscopy is recommended to begin at that age. The exception would be if you have a strong family history of colon cancer. In that circumstance your physician might decide to begin screening at an earlier age. ...Read more
Both: Both do however if a mass is there the colon and rectal surgeon can take care of it. In addition a colorectal surgeon would be more agressive at removing a polyp whereas a GI may be more apt to recommend surgery. This is based on personal experience. Fyi colonoscopy was pioneered by a general and cardiothoracic surgeon at beth israel in ny. Dr wolff and dr shinya invented polypectomy. ...Read more
Abnormal colon mass: Colorectal cancers are the second leading cause of death in women next to heart disease. You should check for rectal bleeding at age 40 and yearly there after. You should have a colonoscopy at age 50. Depending on the findings, you should have a colonoscopy 3 years, 5 years or 10 years thereafter until age 80: if family history, late 30s or early 40s. ...Read more
If someone had colon cancer a year ago how often should he get a colonoscopy and do all colon and rectal cancers starts from a polyp?
Colorectal surgeon says bleeding since abscess surgery for 4 months ago not related to surgery. Husband just had colonoscopy and treated for crohns.
Not sure? Ur asking: Perianal abscesses are common with crohn's, often pre dating diagnosis. Bleeding is commonly from ulcers in colon, but also common after anorectal surgery, due to friable scar tissue and daily trauma from bms. If u are asking is the bleeding from his surgery, his surgeon says no, so no cause for alarm. ...Read more
My gf just found out that she has a twisted segment of her colon, what is the dangers, surgery or what will they do next.
As above: Have her see her GI physician for evaluation and advise. ...Read more
Possible: It is possible for nerves to grow and for cut ends of a nerve to 'find each other.' but, this is a slow process. The pain should abate with time after a surgical incision and the work done inside. Sometimes scar tissue or 'adhesions' may develop which can also be a cause of pain and discomfort. I am sorry you are having pain issues after your surgery. ...Read more
Establish continuity: The second part of a colectomy usually refers to re establishing continuity when resection is not followed by re anastomosis. By establishing continuity there should be normal bowel movement but this could be hampered by the healing process of the anastomosis. If low down with inadequate blood supply occasionally a leak can develop or if inflammation sets in there can be a stricture. ...Read more
Was given a scope test in colon area. It showed a stricture from earlier surgery 4 diver. Do I need another test to find diverticulitis in same area?
Don't know: I am not sure I understand, but maybe you had colon resection surgery for diverticulitis, and later you had a colonoscopy showing a stricture or narrowing at the surgical site. Unless you are having painful constipation issues, the stricture can be left alone. If the stricture is very narrow, likely your gastroenterologist can dilate it open. I do not know of needing any other tests for this. ...Read more
Why does a severely redundant loopy distended colon spasm and cause nausea? Is surgery an option?
Depends on function: The therapeutic approach depends on colon function. An elongated colon may work perfectly well, & therefore require no "treatment." a sluggish colon may respond to prokinetics (designed to speed up movement of material through colon). Colonic inertia that is refractory to prokinetic rx may benefit from "colon reduction" surgery. Sitz marker testing, defecography, anal manometry studies can help. ...Read more
Not necessarily: It depends on where in the colon your surgery is and for what indication ie cancer or benign disease. Sometimes the colostomy is temporary as the surgery may be 'staged' into two or more operations. You should consult your surgeon regarding the specific indications for the surgery and alternative options. The majority of colon operations are completed without a colostomy. ...Read more
May need help: Not sure if 5 mm is the size of the restriction ('stricture') or the lumen thru the stricture. 5 mm is not much if this is all the stricture represents. If the lumen is narrowed to 5 mm - you may need therapy and a GI doctor or surgeon might try balloon dilation to widen this area. If this does not work, another surgery may be necessary to prevent obstruction. I am sorry this happened. ...Read more