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Doctor insights on: Descending Colon Cancer Surgery Indications

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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Dr. Barry Rosen
4,351 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

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

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Why is colon resection still done for colon cancer in cases with liver metastasis?

Why is colon resection still done for colon cancer in cases with liver metastasis?

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 more

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What is the risk of gastric bypass surgery leading to colon cancer?

What is the risk of gastric bypass surgery leading to colon cancer?

Risk factors: Risk factors for colon cancer include smoking, obesity, high fat diet, high red meat diet, low fiber diet, history of polyps, family history of colon cancer. I am not aware of gastric bypass surgery increasing the risk of colon cancer, but the need for gastric bypass surgery suggests that some risk factors mentioned above are likely present. ...Read more

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Endoscopy done, multiple sessile polyps 3-6cm in size in entire stomach. Does this require surgery? Sessile mean cancer?

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 more

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Colon cancer chemo necessary?

Colon cancer chemo necessary?

Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read more

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Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...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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Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Pancreatic cancer, ampullary tumor. Whipple procedure.  Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more

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20 mm polyp removed during colonoscopy. Likelihood of cancer. Family history of colon cancer.

20 mm polyp removed during colonoscopy. Likelihood of cancer. Family history of colon cancer.

Need more: Information. The type of polyp.who in your family has colon CA, the age of diagnosis and your age ...Read more

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Any advancements for stage 4 colon cancer treatment?

Any advancements for stage 4 colon cancer treatment?

Immunochemotherapy: When FOLFOX therapy (chemotherapy) has failed Immune reactive agents i.e. Avastin for blood vessel growth and Erbitux for epidermal growth factor have been applied as well as agents affecting tyrosine kinase. The Immunogenic protein that acts as a vaccine isolated, a is a byproduct of oncofetal protein MUC5ac in its post translational form. In stage IV used to produce mAbs for strong ADCC. ...Read more

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T3nomo colon cancer stage 2a had perforation is that high risk?

T3nomo colon cancer stage 2a had perforation is that high risk?

Partially yes: The staging information is generally favorable. The T3 (liothyronine) means that this tumor was involving the bowel wall but not the surrounding organs and this may have contributed to the perforation during the dissection. My advise is when you see an oncologist, make sure to point out this information. Even though you are node negative, the oncologist may be more willing to recommend chemotherapy to be safer. ...Read more

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Does having gallbladder removed increase risk of colon cancer? Or does gallbladder removal cause colon cancer?

Does having gallbladder removed increase risk of colon cancer? Or  does gallbladder removal cause colon cancer?

Gallbladder: No not at all if you need your gallbladder out then do it because the risk of gallbladder disease far far outweighs any slight theoretical risk of colon cancer. ...Read more

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Can colon cancer patients get a colon transplant?

Can colon cancer patients get  a colon transplant?

No, not needed: The good news is that you don't absolutely need your colon. For most colon cancers, the amount of colon that needs to be removed will not be missed. ...Read more

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What stage colon cancer is pt4a pn1c?

T4aN1c M?: Any evidence of spreading to other organ? If no spread- t4an1 means- stage 3b cancer. If evidence of sprading to other organ- it is a stage 4. ...Read more

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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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 more

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Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

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 more

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If a colon needs to be removed because of colon cancer are their alternatives to a external bag?

If a colon needs to be removed because of colon cancer are their alternatives to a external bag?

Bag is rarely needed: Colostomy( external bag ) is rarely needed for elective cancer surgery. It is more frequently used if the cancer is located very close to the anus, Also, a temporary colostomy may be used for emergency surgery when cancer is obstructing colon completely and the bowel cannot be cleaned prior to the surgery. ...Read more

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What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?

What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?

Generally: Depending on a patient's overall health, once or twice yearly physical examination, basic blood tests, maybe yearly colonoscopy. Blood cea testing sometimes. Also depends on the stage & grade of the cancer at the time of diagnosis. X- ray or ct scan not a routine usually unless there are clinical concerns. ...Read more

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Please help! what happens during colon cancer surgery?

Surgery: Colon cancer surgery would be done under full general anesthesia. Open or laparoscopic surgery can be 2 options. The offending part of the colon and nearby lymph nodes are removed. Most often the colon is then connected back together. Less often a colostomy is needed. Discuss with the operating surgeon to get more specific details. ...Read more

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What to expect after a colon cancer surgery stage 1?

Prognosis is good: Generally, after proper cancer surgery for stage i colon cancer, the prognosis is good and no adjuvant therapies are needed. ...Read more

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Is there a rough estimate range for the cost of the colon cancer surgery (tumor removal) in us?

Surgery cost: The hospital bill depend on the type of colon cancer surgery. There is very little transparency in these fees. Most hospitals will give you an estimate if they know the surgeons procedure code. Open surgery is likely less expensive than laparoscopic or robotic surgery because the equipment charges are less. The most imporant thing is the quality of the surgeon, see if they can help. ...Read more

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What is a colostomy, and why do so many people need them after colon cancer surgery?

Colostomy : A colostomy is the end of the colon brought through the abdominal wall and attached to the skin. A "bag" is placed over this to collect the stool. It is a possibility for rectal cancer, not typically needed for colon cancer. It is not really that common but is needed it the cancer involves the anal sphincters. ...Read more

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Mom is having colon cancer surgery at age 63. How long before bowels move and she can eat?

Mom is having colon cancer surgery at age 63. How long before bowels move and she can eat?

Depends on recovery: After colon cancer surgery, most people are able to start an oral diet in 24-36 hours, are on a regular diet by postop day 4 or 5, and have a bowel movement by day 4 or 5 as well. Of course, there is a range of acceptable. Also, these approximate ranges can vary significantly in complicated situations. Best of luck to your mother; she has a good advocate in you. ...Read more

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Stomach pain after 2 months colon cancer surgery? Could it be my cancer is not cured?

Stomach pain after 2 months colon cancer surgery?   Could it be my cancer is not cured?

Many things...: Can cause "stomach pain." many possibilities include viral flu, constipation, intestinal gas, gastritis, stomach ulcers, gallbladder, hernia, intestinal obstruction if vomiting, etc. You need to see your doctor or your surgeon for a physical examination and appropriate testing to be able to tell what you may have. I also do not know the type & stage of your previous cancer for possible risks. ...Read more

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My wife is having skin rashes/irritation since last 2-3 months. She had recently under gone colon cancer surgery. The skin rashes are still continue.

My wife is having skin rashes/irritation since last 2-3 months. She had recently under gone colon cancer surgery. The skin rashes are still continue.

Post-op Rash: Depending if the rash is local to the colon surgery site or more generalized around her body would mean different things. Also radiation and chemotherapies also produce long term rash formations. Long standing, chronic, recurring or changing rashes (color, size and pain are examples of changes) should probably be biopsied for a more definitive diagnosis. ...Read more

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How often should I have CT scan after colon cancer surgery for the first year?

How often should I have CT scan after colon cancer surgery for the first year?

Depends on stage: Depends on need for it , by clinical examination, blood tests , cea levels, to detect metastasis pet scan is a much better tool. ...Read more

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In the past 4 months, a family member has had colon cancer surgery, a permanent catheter, chemo, a severe UTI and 3 hospitalizations. Is it appropriate to diagnose him/her at age 83 with dementia when he/she has never forgotten a friend or family member's

In the past 4 months, a family member has had colon cancer surgery, a permanent catheter, chemo, a severe UTI and 3 hospitalizations. Is it appropriate to diagnose him/her at age 83 with dementia when he/she has never forgotten a friend or family member's

Probably not: When chronically ill, someone can at least temporarily lose cognitive functions they previously had, or have dysfunction in memory, concentration, judgment, etc. With what your relative has been experiencing it's possible his/her mental functioning could be impacted (delirium). This is treated by addressing the underlying medical causes, and hopefully previous functioning will return. ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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Life expectancy of previously never sick, active healthy 67 year old after colon cancer surgery +12 rounds chemo, 6 months later spread to liver&lung?

Life expectancy of previously never sick, active healthy 67 year old after colon cancer surgery +12 rounds chemo, 6 months later spread to liver&lung?

Your best bet: Is to review a question like this with your medical oncologist. There are many different factors that contribute to survival statistics and you want to make sure you're being provided with accurate information. This requires a more complete understanding of your medical/oncologic history. ...Read more

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Following colon cancer surgery, is it safe to undergo chemo treatments when the liver isn't 100% healthy? Liver damaged slightly due to past drinking, no alcohol consumed for over 25 years now. Always healthy and strong. Exercise and healthy diet always.

Following colon cancer surgery, is it safe to undergo chemo treatments when the liver isn't 100% healthy? Liver damaged slightly due to past drinking, no alcohol consumed for over 25 years now. Always healthy and strong.  Exercise and healthy diet always.

Probably yes: Chemotherapy for colon cancer is typically a regime abbreviated to folfox. There is an agent which has some liver toxicity but is generally safe. You will be closely monitored while on chemotherapy. And the oncologist will take into account your liver function and history before stsrting therapy. ...Read more

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Dr. Herman Hammerstead
13 doctors shared insights

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more


Dr. Heidi Fowler
12 doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more