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Doctor insights on: Rectosigmoid Junction

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Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Does surgery of primary cancer of the rectosigmoid junction require a colostomy?

Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read more

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I have mildly congested mucosa in rectosigmoid junction. Does it sound like Crohn's disease or ulcerative colitis? Biopsy came out negative.

I have mildly congested mucosa in rectosigmoid junction.  Does it sound like Crohn's disease or ulcerative colitis? Biopsy came out negative.

Expert pathologist: You have congested mucosa at recto sigmoid junction. You are 23 male and concerned about inflammatory bowel disease. Your biopsy was negative. Getting an expert payhology review may help. It is a second opinion of pathology. Also consider getting celiac blood test. Your GI physician will help you recover and clinical improvement of time. Be well. ...Read more

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Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Severe disease: You are describing severe endometriosis that is difficult to treat and that they were unable to completely remove. Some sort of medical treatment is probably your next step. It will be best if you can find a specialist with experience with these difficult cases since the usual gynecologist encounters these rarely. ...Read more

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What are options to treat rectosigmoid tumor?

What are options to treat rectosigmoid tumor?

Surgery: Rectosigmoid tumor, usually meant cancer of colon near recto-sigmoid junction, only option is resection (surgery) open or by laparoscopy chemotherapy may be indicated depending on the stage ...Read more

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What causes rectosigmoid carcinoma? Can it be healed?

What causes rectosigmoid carcinoma? Can it be healed?

Diet possibly: There are many possible causes of colon cancer. The rectosigmoid is the distal part of the colon. Diets high in red meat and animal fats can cause it. Also, certain genetic mutations can cause it too. It is usually treated with surgery, in more advanced forms chemotherapy and radiation are also used. ...Read more

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Does ulcerative colitis always start in rectum or it can start from rectosigmoid too?

Does ulcerative colitis always start in rectum or it can start from rectosigmoid too?

Ulcerative Colitis: Ulcerative colitis doesn't always have to start in the rectum. It can start in the rectosigmoid, however unlike crohn's disease ulcerative colitis will always involve the rectum at some point. Hope this clears things up. ...Read more

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In rectosigmoid biopsy :moderate lymphoplasma cells infiltration and lymphoid follicles in the lamina propria waht mean?

In rectosigmoid biopsy :moderate lymphoplasma cells infiltration and lymphoid follicles in the lamina propria waht mean?

Inflammation: These findings indicate inflammation but say nothing about the cause. Depending on symptoms and exposures, this could be inflammatory bowel disease (ulcerative colitis, Crohn's disease); bacterial or amebic dystentery; certain STDs if exposed (syphilis, chlamydia, LGV); or others. Discuss with your doctor. ...Read more

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Recently had a colonoscopy and the report states very tight rectosigmoid, diffiicult colon and single diverticulum noted. What does all this mean.

Recently had a colonoscopy and the report states very tight rectosigmoid, diffiicult colon and single diverticulum noted. What does all this mean.

Need more info: Kath — the most concerning thing from what you are describing is "tight". It sounds like a stricture. The stricture is from chronic inflammation or a cancer.

In either event, you are 44 years old. I would highly consider removing his part of your colon given these two findings.

Please speak with your doctor further or with a surgeon. ...Read more

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I had a CT scan with result: diffuse bowel wall thickening in the rectosigmoid colon. Is this serious?

I had a CT scan with result: diffuse bowel wall thickening in the rectosigmoid colon. Is this serious?

You need a diagnosis: Diffuse bowel wall thickening in the rectosigmoid can be caused by diverticulosis, which is benign. It can be caused by inflammation (colitis) or ischemia, which is more serious. It can also be caused by cancer. You need to have this followed up to obtain a diagnosis. ...Read more

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What is the difference between recto-sigmoid colon vs recto-sigmoid junction?

What is the difference between recto-sigmoid colon vs recto-sigmoid junction?

Terminology: The junction is the area where the colon and the rectum meet and the recto-sigmoid colon is basically that small part of the colon above it. ...Read more

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What is a recto-sigmoid fistula?

What is a recto-sigmoid fistula?

AN ABNORMAL: Communication between the rectum and sigmoid colon usually due to infection/inflammation or cancer. Rather, unusual type of fistula. ...Read more

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What does it mean when there's an area of mild congested mucosa in recto-sigmoid colon?

Mucosal congestion: This means that there is some swelling and inflammation that is going on — kind of similar to what is going on in your sinuses when you're having a cold. I would not worry too much over that if it is the only thing found to be abnormal. The doc who discovered should be able to help you treating it if it is what is causing your symptoms. In most cases, it would be expected to be asymptomatic. ...Read more

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Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?

Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?

Unlikely: Usually this is self-limited and actually often from stress of bowel prep. If they saw anything worrisome, biopsy would give answers. ...Read more

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Could any expert explain what a junctional rhythm is? Thanks!

Could any expert explain what a junctional rhythm is? Thanks!

Junctional rhythm: The "AV junction" is a connection that the electrical signal passes through from the top of the heart to the bottom. It acts as a back-up pacemaker when the hearts normal pacemaker stops working. Thus, a Junctional rhythm is a back-up rhythm that keeps your heart beating. It's typically slower than normal and less responsive to activity. Many times an artificial pacemaker is required. See PCP. ...Read more

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Junctional nevus with cytologic atypia concern?

Junctional nevus with cytologic atypia concern?

Yes : Depending on the degree of atypia, most surgeons recommend excision with clear margins to reduce the risk of developing skin cancer (melanoma being the most concerning). Certainly excise if moderate to severe atypia. ...Read more

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Are junctional nevi common?

Are junctional nevi common?

Yes: When a mole is biopsied and examined under the microscope, there a many patterns junctional nevus is a common, benign mole. ...Read more

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Can junctional tachycardia be safely ablated?

Can junctional tachycardia be safely ablated?

Yes: Depending on the source causing junctional tachycardia, cardiac electrophysiologic procedures can safely interrogate the source of the ectopic foci, in safely ablate the pathway causing recurrence utilizing radio frequency, catheter ablation. ...Read more

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Accelerated junctional rhythm inferior infarct anterolateral infarct what does this mean?

Accelerated junctional rhythm inferior infarct anterolateral infarct what does this mean?

ECG: That reading means you should be in touch with your doctor asap to discuss what's going on and what to do you ...Read more

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Vus shows adenomyosis, pelvicmri says abnormal thickening of junctional zone upto 12mm, does it confirm adenomyosis? 2 much pelvic pain on right side

Vus shows adenomyosis, pelvicmri says abnormal thickening of junctional zone upto 12mm, does it confirm adenomyosis? 2 much pelvic pain on right side

Suggestive: The imaging findings are suggestive of adenomyosis. It is ultimately diagnosed under the microscope after surgery. It can cause bad cramps and heavy periods. It is likely that you have adenomyosis. Nsaids like Ibuprofen can help. Birth control pills or Mirena (levonorgestrel) may also help. ...Read more

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What is the difference between atrial and junctional tachycardia?

What is the difference between atrial and junctional tachycardia?

Location of beats: Atrial tachycardia is an arrhythmia with an abnormal electrical circuit beginning in the atria, the top portion of the heart. A junctional tachycardia is seen when the electrical impulses begin in the electrical tissue between the atria and ventricles. Both arrhythmias are categorized as supraventricular, meaning arising above the ventricle. ...Read more

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I had a shave removal that came back as "Lentiginous Junctional (Dysplastic) Nevus with mild atypia, to <0.2 mm OF. Is this of concern?

I had a shave removal that came back as "Lentiginous Junctional (Dysplastic) Nevus with mild atypia, to <0.2 mm OF. Is this of concern?

No: If it is not a melanoma, it is of less concern. Being dysplastic, is a pathologic concerning point, but with its small size, I would closely watch it. "Mild atypia" is the key to the answer. That is why shave removal's never really remove these, just the top layer.
If any increase in size, remove immediately. ...Read more

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I had a mole removed that came back abnormal junctional nevus". I'm going to get more skin around the site removed, mwhat dows this mean?

I had a mole removed that came back abnormal junctional nevus".  I'm going to get more skin around the site removed, mwhat dows this mean?

What is abnormal?: Junctional nevus is a benign lesion. Ask your doctor what "abnormal" means, because that's a very vague diagnosis. The pathologist may have seen something in the specimen that s/he wasn't absolutely sure about, but s/he should be much more specific than "abnormal", and your doctor should explain why more tissue needs to be removed from a benign lesion. ...Read more

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Holter Moniter results — HR 40-171bpm. Blocked P Waves, Junctional escape beats, PACs and triplets. Can you please explain what these mean?

Holter Moniter results — HR 40-171bpm. Blocked P Waves, Junctional escape beats, PACs and triplets. Can you please explain what these mean?

Abnormal: This report shows that your heart beats both too slowly and too fast with significant atrial irritability and occasional conduction problems. You may require a pacemaker and also antiarryhymic medication. A cardiologist is best qualified to evaluate, advise and treat you and I recommend that you consult one as soon as possible these rhythm disturbances can cause fainting, severe palpitations, etc. ...Read more

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I have attached a copy of my EKG to my profile. I hope you can read it'. Non specific st changes and st junctional changes. I do have anxiety disor?

I have attached a copy of my EKG to my profile. I hope you can read it'. Non specific st changes and st junctional changes. I do have anxiety disor?

Cannot see EKG: In this area of healthtap, we cannot see any attachments you might have provided. If you wish a more personal response about your ekg, you can request a paid consultation with a specific healthtap physician. With your subject matter, this might be an internist or family physician -- even a cardiologist. Best wishes. ...Read more

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Mild junctional changes @ l3/4 w/slight retrolisthesis & exaggerated lordotic curvature. What does this mean? Fused L3-S1 12/2014. Lots of back pain!!

Mild junctional changes @ l3/4 w/slight retrolisthesis & exaggerated lordotic curvature. What does this mean? Fused L3-S1 12/2014. Lots of back pain!!

Facets: Thrse are expected changes and are described as mild cant explain clinical severe pain may be incidental findings, having exagerated lordosis after a fusion is great as loss of lordosis and sagital plane imbalance more the rule. More lordosis is good keep looking for the pain generator not bad enough to add to fusion at mild, back pain post op can be from surgical muscle injury ...Read more

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I had a mole removed that came back as junctional nevus I have to go back for more skin around the site removed what does this mean be it probsble mel?

I had a mole removed that came back as junctional nevus I have to go back for more skin around the site removed what does this mean be it probsble mel?

No.: Junctional nevus is a benign lesion. Ask your doctor why more tissue needs to be removed. It may be because the pathologist saw something in the specimen that he wasn't absolutely sure was benign, or there may be another reason. You have a right to know. ...Read more

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Is there a? Difference between atrial tachycardia and junctional tachycardia?

Is there a? Difference between atrial tachycardia and junctional tachycardia?

Yes.: These are two different rhythms. Atrial tachycardia is an abnormal rhythm originating from either the left or right atrium. Junctional tachycardia is an abnormal rhythm originating from the av node. Neither is more dangerous than the other. The treatments will be different, usually. ...Read more