Doctor insights on:
Partial Colectomy For Multiple Colonic Polyps
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
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
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
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. transverse colon: adenomatous polyp. Bad? Thnx
Can having multiple abdominal surgeries cause colon thickening? Lap RNY, abdomnio, gall bladder removal, rt adrenalectomy? History of bleeding ulcers
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Is surgery needed for spastic diverticulosis + severe narrowing of luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?
Surgery not for IBS: This may only be a partial answer to your question. Surgery is not indicated for IBS or "spastic colon". IBS is a functional disorder and cannot be cured by the knife. It must be managed in more conservative ways. Now if there is luminal narrowing of your colon, you must get seen to find out why and it is possible that surgical intervention may help depending on the etiology. ...Read more
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 moreSee 1 more doctor answer
35yo. F. W/ hyporthyroidism. colonoscopy/endoscopy 11/20/14. Diminutive 3mm polyp of sigmoid colon. Random biopsies of ileum and colon done. Cancer?
Taken literally: Only the number. But both conditions, regardless of number of polyps, is abnormal. Gallbladder polyps, unlike others in the GI tract, are formed by cholesterol crystals. So if you have symptoms with either finding, your gallbladder is the likely source of it. Ask the doctor who ordered the test to see if you are a surgical candidate. ...Read moreSee 1 more doctor answer
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
Possibility of having colon cancer two years after having colonoscopy that revealed two polyps 1 hyper, 1 tubular and diverticulosis.
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