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Doctor insights on: Partial Colectomy For Multiple Colonic Polyps

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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. Julie Abbott
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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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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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

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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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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

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How do polyps and sigmoid colonic diverticuli differ?

How do polyps and sigmoid colonic diverticuli differ?

Differet: these are different problems: polyps are little (although sometimes large) growths in the colon. Diverticulas are pockets that protrude outside the colon. ...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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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?

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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Is surgery needed for spastic diverticulosis + severe narrowing of luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?

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

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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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What are symptoms of appendicitis after partial colectomy surgery?

What are symptoms of appendicitis after partial colectomy surgery?

Evaluation: Many things can go on: abscess, tumor, obstruction, hernia, bowel inflammation, etc. Best is to be evaluated by your surgeon or er. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more

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How are multiple gallbladder polyps and solitary gallbladder polyps different?

How are multiple gallbladder polyps and solitary gallbladder polyps different?

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 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?

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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Possibility of having colon cancer two years after having colonoscopy that revealed two polyps 1 hyper, 1 tubular and diverticulosis.

Possibility of having colon cancer two years after having colonoscopy that revealed two polyps 1 hyper, 1 tubular and diverticulosis.

Exceptions are there: Cancer usually takes 5 years to start and get detected but there are exceptions. Also, sometime, due to to poor preparation, everything will not be seen in colonoscopy. Please discuss with your GI doctor. ...Read more

Dr. Allen Kamrava
148 doctors shared insights

Colon Polyps (Definition)

Occurs when there is a growth on the lining of the colon (large intestine). Most polyps aren't serious, but some are cancerous and some can become cancerous. They are a common finding on colonoscopy, and are frequently biopsied (removed) during colonoscopy ...Read more


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