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Doctor insights on: Distal Sigmoid Colon Polyp

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Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?

Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon?  What type of doc can do it?

Sessile = flat: Sessile polyps are flat, which makes it very difficult (but not impossible) to remove. However, they can usually be biopsied to determine if (pre)cancerous or not. This is where the gastroenterologist comes in handy. Realistically, it comes down to experience as newly minted docs may not have skills of seasoned ones. But in general, gastroenterologist is specialist to go to for colonoscopy. ...Read more

Dr. Jeffrey Wint
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


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Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove. Is the polyp precancerous or more dangerous than others?

Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove.  Is the polyp precancerous or more dangerous than others?

May need surgery: Polyps can be pedunculated or sessile. The flat ones (sessile) are much more difficult to remove intact via colonoscopy. Depending on the biospy results, the lesion may have to be removed surgically. ...Read more

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I had small multiple polyps in my sigmoid colon, and erosion seen at rectum, decending colon. Is there a highrisk for cancer, please help?

I had small multiple polyps in my sigmoid colon, and erosion seen at rectum, decending colon. Is there a highrisk for cancer, please help?

Depends: Risk can depend family history of polyps, cancer, number, size, and cell type of polyps, presence or absence of inflammatory bowel disease. If present, more frequent colonoscopies indicated. Low fat, hi fiber diet, containing low or no fat dairy, lots of fruit, vegs, legumes, whole grains may help. Supplements preventiodon't help as much. Talk to md ifif Aspirin or NSAID prevention is indicated 4u. ...Read more

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My doc said he couldn't remove a 1/2 inch sessile polyp on my sigmoid colon but said he'll try again at a hospital. Would i repeat the colon cleanse?

Yes: If he is going to repeat a colonoscopy to remove the polyp, you will need to repeat the cleanse. Freeing the colon of debris will help the physician be able to identify the polyp, and issues during removal, and will make for a safer procedure. Cleanse should be repeated and make sure to ask your physician for any necessary scripts related to the cleanse. Hope that helps! ...Read more

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Type of colon polyp that is fast growing?

Depends on size and: How fast it is growing. It could be cancer, so it probably should be removed. Consult with your GI specialist. ...Read more

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Do you think I should be worried about having a adenomatous colon polyp?

Have it removed...: You should have these removed. If totally removed and no evidence of cancer, no need to further worry about that polyp. Left alone, a percentage could grow into cancer over time, so best to remove. You should then be followed as per your doctor's and acs guidelines. ...Read more

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And what is the best treatment for colon polyp?

Removal: Colon polyps are precancerous...So they must be removed which can be done easily through a procedure called colonoscopy and polypectomy. ...Read more

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How long does it take a colon polyp to turn into cancer?

How long does it take a colon polyp to turn into cancer?

Depends: Fundamental rule once detected must be removed as soon as possible , if general condition permits, . Some polyps like villous adenomas already will have atypical changes or early cancer , if larger than 2 cm will have 40% chance, other types may take months to couple of years for malignant transformation , no one will wait and see. Early colon cancer is curable, removal of polyp will prevent ca. ...Read more

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I have a colon polyp, what are my chances of getting cancer?

Increased risk?: It is now accepted that adenomatous colon polyps under the right conditions will progress to cancer if present for 5-10 years. However not all polyps will turn into cancer as some will slough off if you have had hyperplastic polyps you risks are not increased. If you had adenomatous polyps then you are at increased risks and should be followed by doctor. ...Read more

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Is a tubulularvillenous colon polyp that is 40mm considered big? What are the chances it could become malignant if not removed?

Is a tubulularvillenous colon polyp that is 40mm considered big?  What are the chances it could become malignant if not removed?

Should remove: You should get it it removed , 40 mm polyp is pretty big , due villous component will have higher incidence of cancer . Please get it removed if possible by endoscopy , speak to your doctor. ...Read more

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Is a colon polyp more likely to grow fast if it's cancerous? I had a colonoscopy last year with no polyps, had a very large polyp removed today

Is a colon polyp more likely to grow fast if it's cancerous? I had a colonoscopy last year with no polyps, had a very large polyp removed  today

sort ofm: Since you were negative a year ago, you must have bled to warrant re-exam. Rapid growth is a sign of cancer. I note you do not use. 81 mg Aspirin that may inhibit polyp transformation and growth. ...Read more

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A ascending colon polyp worse then anywhere else in the colon.How can I prevent more. High grade removed in may, surgically. When do I need next scope?

A ascending colon polyp worse then anywhere else in the colon.How can I prevent more. High grade removed in may, surgically. When do I need next scope?

Not sure of your : Question but a precancerous polyp regardless of the location in the colon is concern for futue polyp/cancer development especially if high grade dysplasia was present. Follow your surgeon's or GI doctors advice on follow up colonoscopy, but i usually recommend a colonoscopy 1 year after surgery. ...Read more

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How quickly can a colon polyp grow?

How quickly can a colon polyp grow?

Some grow quickly.: I personally have a family history of colon cancer and had a normal colonoscopy only 2 years before i had a bleeding episode discovered to be from a cancer from a polyp in my cecum. 2 years is a short time to go from no sign of anything to developing a polyp, to having it become a cancer. ...Read more

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What sort of disease is a colon polyp?

What sort of disease is a colon polyp?

Colon Polyp: A polyp in the colon is not a disease. A polyp is a growth on the surface of the lining of the colon. Some can lead to cancer and some are benign. They usually do not cause symptoms unless they get big. They are removed at colonoscopy to make sure they are not pre-cancerous. You are more likely to get them if you eat fatty foods, smoke, drink alcohol, don't exercise, or obese. ...Read more

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Polyp (Definition)

A polyp may occur anyplace on the body, but is most commonly seen in the colon when a colonscopy exam is done. It is a bump or protrusion from the lining of the GI tract and colon, which can can be benign or turn ...Read more


Dr. Eric Weisman
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