Doctor insights on:
Colon Surgery For Polyps
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
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
When are the colon polyps considered dangerous? What can be done in treating a large polyp, just surgery?
Adenomas: During colonoscopy, one cannot tell whether a polyp is benign, pre-cancerous (adenomas) or malignant - so polyps are removed for pathology. When small, polyps are removed as a whole. In larger polyps, these can be challenging to remove, pieces are often taken and if cancerous, then surgery is required. In some cases, endoscopic submucosal dissection, an advanced technique can be attempted. ...Read moreSee 2 more doctor answers
Could u recommend some body having redundant colon to have colon surgery by fearing that some day it could happen colon twisting?
Volvulus is...: ...Colon obstruction brought about by twisting of the colon. While having "redundant colon" may be a common factor in people who develop volvulus, we never recommend surgery for this condition unless they have had a documented episode of obstruction. Stated another way, many people have redundant colon (esp in the elderly and/or chronic constipation) but few develop volvulus. ...Read moreSee 1 more doctor answer
I take 4mg medrol/d, since, a small wound takes long weeks to heal completely (one week before) should I be concerned in case of colon surgery ?
Steroids: It is always preferable to not have steroids on board prior to surgery. If your surgery is elective and youre only on steroids temporarily, then it would be preferable to wait until you were off. However, if surgery is needed non-electively and/or you are on steroids indefinitely, then its ok to proceed. ...Read more
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