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Doctor insights on: Large Intestine Ascending Colon And Cecum Colonoscopy Biopsy Tubular Adenoma

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Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

Consider allergy ref: Thanks for your question. Depending on the NSAID allergy, sometimes it can be desensitized through introduction of small amounts initially, then gradual increase in dose under supervision by an allergy specialist. However, would discuss the side effects/risks/benefits with a specialist. ...Read more

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Is 2 yr f/u after 1.5cm peicemeal removal of SA in ascending colon on target? &2 tubular adenomas from sigmoid removed,all 3 LGD. Precancer or benign?

Is 2 yr f/u after 1.5cm peicemeal removal of SA in ascending colon on target? &2 tubular adenomas from sigmoid removed,all 3 LGD. Precancer or benign?

Sounds right.: Tubular adenomas do occasionally progress to become cancers. Depends upon size and appearance under the microscope. If there is low grade dysplasia then there is no rush to re-scope. However they do need to be watched ( just like you would watch a funny mole on your skin.) Listen to your doc about the appropriate interval for repeating the colonoscope. ...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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In my 30s. Eat healthy diet and exercise. Have had 5 colon polyps removed between my last to colonoscopies? All benign. 1 tubular adenoma. Risk?

In my 30s. Eat healthy diet and exercise. Have had 5 colon polyps removed between my last to colonoscopies? All benign. 1 tubular adenoma. Risk?

Real risk: Your diet and exercise have little or no impact on your likelihood of developing colon cancer, but are very much worth doing for their own sake, for the fitness satisfaction, and other health benefits. This is mostly about your genes and dumb luck. You'll want to be 'scoped fairly often and little lesions removed promptly to reduce your risk greatly. ...Read more

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In my 30s.Eat healthy diet,normal weight,exercise.Have had 5 colon polyps removed between my last 2 colonoscopies? 4 benign,1 tubular adenoma.Common?

In my 30s.Eat healthy diet,normal weight,exercise.Have had 5 colon polyps removed between my last 2 colonoscopies? 4 benign,1 tubular adenoma.Common?

Follow-up care: Colon polyps are not normal, but it is good that you had colonoscopy to have these removed. Do you have family history of colon cancer? Even if you do not, do follow your doctor's advice for follow-up colonoscopy at no more than five years from now. Wish you good health. ...Read more

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Recent colonoscopy revealed - patch mucosal congestion. Any medicine/diet advise please? Symptoms are intermittent tightness ascending colon.

Recent colonoscopy revealed - patch mucosal congestion. Any medicine/diet advise please? Symptoms are intermittent tightness ascending colon.

I would think the: description "patch mucosal congestion" would be an incidental, benign finding. It suggests a little swelling and perhaps prominent blood vessel in a small portion of the colon lining. This would not cause any symptoms, certainly not "tightness" in the colon (which I don't think you can feel). General colon cancer prevention is avoiding red/processed meats, refined grains/sugars, adding fiber. ...Read more

Large Bowel (Definition)

Large bowel, or large intestine connects terminal ileum of small bowel to rectum. Begins at the ileo-cecal valve and comprises cecum, ascendind, transverse, descending and sigmoid colon. Resposible for: 1) intestinal water resorption of ingested fluids, gastric & small intestinal digestive juices. 2) transporting end products of digestion & bacterial waste ...Read more


Dr. Sanjiv Kaul
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more