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Doctor insights on: Hyperplastic Polyp Sigmoid Colon

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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. Milroy Samuel
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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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3-5mm Sessile polyp removed from descending colon during colonoscopy. What are the odds it's a hyperplastic polyp? Should I be concerned?

3-5mm Sessile polyp removed from descending colon during colonoscopy. What are the odds it's a hyperplastic polyp? Should I be concerned?

Wait for pathology : Your Gastroenterologist will have sent the polyp to a pathologist for study. I'm sure his office will call you to let you know the results. (S)he will advise you what to do next. ...Read more

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I had a polyp removed from my sigmoid at age 20 and it was benign. No direct family history of colon cancer. What tests should be done ongoing?

I had a polyp removed from my sigmoid at age 20 and it was benign.  No direct family history of colon cancer.  What tests should be done ongoing?

Typically: It depends on type of polyp found/ removed and why scoped. Consider full colonoscopy if there was one, there could be more. Typically a colonoscopy every 5 yrs is indicated with a family history of colon cancer or a personal hx of polyp or cancer (at a minimum). Consult a GI specialist for further management. ...Read more

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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 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


Colonic (Definition)

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