Doctor insights on:
Proximal Ascending Colon
Bag is rarely needed: Colostomy( external bag ) is rarely needed for elective cancer surgery. It is more frequently used if the cancer is located very close to the anus, Also, a temporary colostomy may be used for emergency surgery when cancer is obstructing colon completely and the bowel cannot be cleaned prior to the surgery. ...Read more
Yes: But more difficult to place then descending, sigmoid, or rectum. ...Read more
Yes: Muscle spasms are common and can cause sudden, sharp, knife-like pain in the flat muscles. They should go away with rubbing them, like a charley horse in your leg. If they persist, or are associated with bowel changes, blood in the stool, weight loss, or appetite changes, it may be something more important. See your primary provider, and good luck! ...Read more
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
Early colon cancer: Early colon cancer typically doesn't have any symptoms- that's why screening colonoscopy is important. If there were symptoms, blood in the stool would be #1. Other things could include pencil-thin stools, pain, cramping, or diarrhea. Most of these would not likely be present in early colon cancer, though, but increasingly likely with an increasing disease burden. ...Read more
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
Usually contained: Stage i ascending colon cancer is usually very easily treatable. Stage i means that it has not spread beyond the colon which is great news. If it ever does move, it usually moves to the lymph nodes, liver and lung. This would be detectable by regular scans after the colon tumor has been surgically removed. ...Read more
Can you feel your ascending colon? I feel a round like tube starting in my pelvic region and extending up. Am I feeling my colon?
Colon: depends on how much abdominal fat is there and how much faecal material is there in the colon. If the colon is full and you are a thin person, you can feel the colon. If in doubt get it examined by a doctor. You don't want to sit on some thing else , thinking that it is a colon. i can't comment about this more as i have not examined you!! ...Read more
Having laparoscopic surgery to remove ascending colon due to 6cm mass that thankfully has not spread. How long does the procedure usually take?
Depends: I always tell patients that procedure length can really vary from operation to operation. I would guess 2-3 hours. That time will matter more to your family, though. If the operation is being done carefully with minimal trauma to tissues, time matters less. ...Read more
What does patent end to side ileo colonic anastomosis in ascending colon mean? And characterized by healthy appearing mucosa! I had surgery in dec.
All is good: The doctor is telling you that when the terminal ileum (end of small bowel) was connected to the colon, the passage between then is open and working. He has not scarred down to a small hole causing a problem. The lining of each tube, ileum and colon, is covered with mucosa and the appearance is health, not that of inflammation and such. This is a good report by description. Congratulations ! ...Read more
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
Stool in ascending colon and splenic flexure only minimal degree distally showed on my catscan and what does this mean too me?
You are a Human: It means you are human with an active, healthy GI tract. ...Read more
Major surgery: Partial resection of the colon is a major operation that can be done open or laparoscopically. Usually it is a 2-4 hour operation associated with a 2-5 day stay in the hospital. Disorganized vowel function could keep you in longer. These major resection related risk is that the connection leaks, which happens infrequently, but can be a life threatening situation. Hope this helps! ...Read more
I feel like pear like shape under my right rib is that the liver or ascending colon.does the ascending colon go up that high on right side.thanks?
Exam: No. I seriously bout that a pear shaped mass under your right rib is colon or a pear shaped liver. You must be examined and get an abdominal ultrasound. ...Read more
What is moderate stool in ascending colon and splenic flexure but only minimal degree distally mean too my health?
Normal: Stool will always be seen in the colon. You are describing normality. Without more of a context we cannot offer more advice. But, your report that you are quoting is 100% normal. ...Read more
My mom got ascending colon adenomatous polyps with a size of 2.5cm^3cm (largest one). What is the likelihood of cancer?
If a patient has a tumor in the transverse colon, and a pre-cancerous polyp in the ascending colon, would both colon sections need to be resected?
It depends.: If the gastroenterologist is fairly certain that the precancerous polyp was removed completely, and the pathology results confirm that, then the ascending colon would not need to be resected. Depending on the results of the local lymph nodes, the surgeon might be able to get by with resecting just the transverse colon. Good luck. ...Read more
Do surgeons reattach a mobilised ascending colon after performing an appendectomy for a retroperitoneal appendicitis our is it just left unattached?
Unattached: Mobilization of the cecum may be required when removing a retrocecal, retroperitoneal appendix, not the entire ascending colon. The only reason to reattach the colon is if the cecum was very floppy and susceptible to volvulus. I would love to know what your follow-up question is? ...Read more
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
Pain in ascending colon (2 weeks now) while sitting, not standing or walking; doc says its due to stress, i got GERD as per his earlier check up?
See below: Symptoms and concerns like these mandate a thorough evaluation by your doctor. Only after such an evaluation, which may include labs and radiographic examinations, can he/she let you know what's going on and how best to help you. ...Read more