Doctor insights on:
Kasai procedure: Biliary atresia is most often diagnosed in the neonates. The first line treatment is a surgical procedure called portoenterotomy (kasai) in which a loop of intestine is connected to the liver to act as a conduit for bile drainage in place of the missing bile ducts. The beneficial effects of this procedure, however, is often short-lived many children went on to require liver transplantation. ...Read moreSee 1 more doctor answer
Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more
Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the chance at cure. Early stage prostate and renal cell (kidney) cancers can be very curable. Even really early stage pancreatic cancers can be quite deadly. ...Read moreSee 1 more doctor answer
Colon - cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, sigmoid, rule out mcn, " are multiple tan, irregular to linear soft?
What is the question: Please resubmit your question; as it is written it is currently not possible for me to answer. I look forward to your resubmission and being able to answer your question. ...Read more
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
Somehow yes: There is some genetic predisposition in families with hx. Of colorectal cancer. Diet also plays a rol ( low fiber diet increases cancer). Familiar poliposis increases chances of colon cancer. Colon polyps may degenerate in cancer. Small intestine cancers are rare and difficult to find. In general there are families affected by cancers and families affected by atherosclerosis but both together too. ...Read moreSee 1 more doctor answer
Biliary atresia: Biliary atresia is a congenital scarring of the biliary ducts. These ducts transport bile made in the liver to the intestine so one can digest fats. The ducts scar and obliterate. Bile then cannot exit the liver which poisons the liver. These infants need corrective surgery before they are 2 months old. ...Read moreSee 1 more doctor answer
All too often: It is not uncommon for colon cancers to not cause symptoms until they reach a size sufficient to block the lumen of the colon; at this point, people will typically present with cramping abdominal pain, severe bloating, and vomiting. These findings often indicate an advanced cancer that may require emergency surgery (+/-stent). The goal of screening is to find cancers before any symptoms develop. ...Read moreSee 1 more doctor answer
Yes, but...: Colon cancer can very rarely cause obstruction of the duct draining the gall bladder(cystic duct) or liver(common bile duct) by growing directly into these structures and causing an obstruction. This can lead to cholecystitis just like that caused when the obstruction is caused by a gall stone. It is a more serious situation but i believe that I have seen it only once in my 36 year career! ...Read more
It can happen: At the time of detection, most polyps are not cancerous. Hoever, over time polyps can develop pre-cancer changes in the cells which then become early cancer changes and finally fully developed cancer. It is best to strictly follow your gastroenterologists screenig schedules if you already have had polyps and get regular screeinig colonoscopies done. ...Read moreSee 1 more doctor answer