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Doctor insights on: Colonoscopy New Procedure

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Doctor removed 18 polyps last colonoscopy, next colonoscopy if find any might need surgery to remove section of colon! What if I elect non-surgery?

Doctor removed 18 polyps last colonoscopy, next colonoscopy if find any might need surgery to remove section of colon!  What if I elect non-surgery?

May spread: depending on nature of polyps, inflammatory or early malignant, surgery may be needed if recurrent lesion noted. Endoscopy effective if stalk of polyp not invaded. If multiple polyps appear in a field, this represents early changes in the field that by itself can eventually lead to the development of an invasive carcinoma. Depending on findings of next colonoscopy decision should be discussed. ...Read more

Dr. Charles Cattano
2,042 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Is MRSA screening done before cosmetic surgery.?

Is MRSA screening done before cosmetic surgery.?

Speak to surgeon: Some may, but many probably do not. You can ask for a culture of the nasal passages if you want one. ...Read more

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Is MRSA screening before cosmetic surgery done all the time?

Is MRSA screening before cosmetic surgery done all the time?

No: Unless there is a good reason to check, it's not done. If there is a concern then antibiotics for MRSA can be given at the time of surgery go minimize infection. ...Read more

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Colonoscopy results-tubular adenoma colon polyp, diverticulosis&hemorrhoids. I was told prep not complete-should I repeat colonoscopy sooner than 3yr?

Colonoscopy results-tubular adenoma colon polyp, diverticulosis&hemorrhoids. I was told prep not complete-should I repeat colonoscopy sooner than 3yr?

Yes , incomplete: colonoscope is inadequate for complete diagnosis , first you should have repeat with good preparation , second as you already have have tubular adenoma , you need closer surveillance than those who did not have it.. . ...Read more

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What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

Many reasons: If it was subtotal colectomy with anasthomosis to rectum and protective iliostomy then most likley it's to check the anasthomosis prior to iliostomy closure ...Read more

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If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

After the resection-: -the bowls R usually hooked up again 2 what remains. The colostomy is done 2 divert the contents of the bowls. This is what is done in the acute phase of diverticulitis. The study is 2 see how the anastomoses is doing. If it's a permanent colostomy, it's 2 eval the rectum & what's left of the colon. Tumors can B seen. If a temporary 1, if all is OK,the colostomy is taken down. ...Read more

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Can a capsule endoscopy replace an upper endoscopy &colonoscopy for a 3 year old? Is the same prep required for the capsule endoscopy?

Can a capsule endoscopy replace an upper endoscopy &colonoscopy for a 3 year old? Is the same prep required for the capsule endoscopy?

Possibly: If you are at an academic center working with pediatric GI and radiology specialists, this can be a great alternative if you just need to look. If they think biopsies are going to be needed, then won't work. And, unfortunately, you do need pretty much the same cleanout so you can get good images form the camera and be able to see what is really going on. Child also has to be able to swallow camera ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Had a leep cone biopsy doctor billed for vaginal wall repair, is that right?

Need more info: A cone biopsy isn't a vaginal wall repair, but perhaps your physician did both. Ask, or get a copy of the operative note and see what is described. Billing for a procedure not done would be fraud and most physicians are honest, so it may have been done or could be a coding error. ...Read more

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Is MRSA screening usually done before cosmetic surgery?

Is MRSA screening usually done before cosmetic surgery?

Maybe: Your surgeon will ask you about your previous health history, prior surgeries, and your social situation, as these could signal an increased risk for carrying mrsa. Rarely is MRSA tested for prior to cosmetic surgery, however. ...Read more

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GP recommended general surgeon for colonoscopy. gastroenterologist have always done before. Since 1998. This is 1yr checkup. Cancer history family. ?

GI: General surgeons do colonoscopies as well. Nothing against them, but if you have been going to see GI all this time, I would stay with them. ...Read more

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

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What are the routine tests performed before bariatric surgery?

What are the routine tests performed before bariatric surgery?

Depends: Blood work. Some like to check for stones in the gallbladder - some like cardiac work up if indicated. ...Read more

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Are there any hospitals that offer an MRI colonoscopy? I can't have the regular colonoscopy or the CT colonoscopy.

Have draw backs: Besides expensive MRI is not accurate for diagnosis of polyps of the colon . Colonoscopy is 100 % accurate , virtual CT about 80 % , by MRI 50 % . Speak to your doctor ...Read more

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Does bowel prep medicines relieve severe fecal impaction prior to colonoscopy procedure night before ?

Does bowel prep medicines relieve severe fecal impaction prior to colonoscopy procedure night before ?

Possibly: Bowel preps are taken to assure that the colon is relatively clean as the scope is passed so that even small lesions in the mucosa can be visualized. Many of the preps contain polyethylene glycol which absorbs liquid into the bowel. This may help but you may need a stool softner. ...Read more

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Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Here are some...: Your Q is well taken. However, even today all what medical professionals can do is to apply current available knowledge, skill, technology, medication, common sense, & wisdom at reasonable time in reasonable way for reasonable patient. More facts: Behind what we know always still hides a lot of what we do not know. Nonetheless, what you have had should be sufficient to assure your current health. ...Read more