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Colon Surgery For Polyps
Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. transverse colon: adenomatous polyp. Bad? Thnx
Depends: Believe it or not, it can sometimes still be cured. It depends on the disease burden in the liver. After resection, they can do adjuvant therapy and follow up with hepatic resections if it is limited. Also for palliative reasons - if it is causing an obstruction, then the obstruction needs to be relieved to allow for simple gut function. ...Read moreSee 1 more doctor answer
How long to wait for safe colonoscopy after colon resection? Polyp in rectum, blood in stool, no stoma.
What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)
Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read moreSee 2 more doctor answers
Is endoscopic mucosal resection for a flat difficult colon polyp more dangerous that traditional surgery to remove that section of the colon?
Polyp: Endoscpic mucosal resection is safe in the proper hands. It is an outpatient procedure and does not require general amesthesia, follow up dpends on histopathology. ...Read more
Best treatment: All primary colon tumors must be resected. If localized, cure is very high. If mets already present it is still essential to remove primary since latter is polyclonal while mets to liver or lung are monoclonal and wont spread. If primary left to treat mets then new clones develop in primary and will continue spreading to new sites. Always resect the primary colon tumor with margins. ...Read more
Not to cure them: Balloon sinuplasty is a nice way of opening blocked sinuses. Polyp disease is not an issue of blocked sinuses the way pain or recurrent infection might be. Polyps are from nasal and sinus inflammation. The balloon procedure won't stop your particular nose from being inflamed. Removing the polyps and opening the sinuses combined with medication, oral and intranasal, long term is the best treatment. ...Read moreSee 4 more doctor answers
Endoscopy done, multiple sessile polyps 3-6cm in size in entire stomach. Does this require surgery? Sessile mean cancer?
Do U mean mm not cm?: Multiple diminutive to small sessile polyps of the stomach, as may often be seen with prolonged use of acid suppression therapy, are typically glandular & therefore of little clinical concern. However, if your multiple polyps are 3-6 centimeters in size, then they R very concerning--please check with your diagnosing physician as to the histology of these sizable lesions & his/her recommendations. ...Read moreSee 1 more doctor answer
I'm 19 and they found 2 inflammatory polyps, .59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?
Genetics consult: 19 yo woman PMH sig for iron deficiency anemia with colonic polyps found on virtual colonoscopy. You need a referral for a standard colonoscopy where the polyps will be removed and examined pathologically. With your history, you may have Inflammatory Bowel Disease and or some type of familial polyposis which may give you a higher risk in future but your expert GI doc will always watch out for you ...Read moreSee 1 more doctor answer
Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read moreSee 2 more doctor answers
Depends: Laparoscopic surgery is highly effective for removing all or portions of the colon. Treatment of the cancer is dependent on how early/advanced the disease process is. It is a good idea to be in a location where a multidisciplinary approach to the cancer can be done - experienced laparoscopic surgeons, oncologists, radiation oncologists, and diagnostic radiologists can all help. Hope this helps! ...Read more
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?
High risk of cancer: Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. ...Read moreSee 2 more doctor answers
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