Doctor insights on:
Removal Of Small Flat Colon Polyps
Is it odd to have three colon polyps removed during the same procedure, or is multiple-polyp removal common?
Can i moderately drink alcohol after the removal of two bening colon polyps and benign stomach polyps?
Moderately: Like one beer or wine glass a day. ...Read more
Can removal of your gallbladder increase your risk for colon polyps or colon cancer because of bile salt being directly dumped into your large bowels.
No ...: ... On the contrary. The smaller the polyp, the less likely it is to be "cancerous". Sessile just means flat (harder to find) versus pedunculated (mushroom-shaped). The precancerous type of polyps are adenomatous and serrated polyps (documented on pathology). Hyperplastic polyps in general are almost always benign and never turn into cancer. ...Read more
Yes: Truly either pedunculated ( i.E with stalk) or sessile (flat) can harbor a malignant or pre-malignant lesion. The flat ones are a little more worrisome, and size of lesion also plays a role. Biopsy is the key to diagnosis - if the lesion is large and flat, there is always the possibility that malignancy may exist elsewhere within the lesion and surgery or close follow up may be needed. ...Read moreSee 1 more doctor answer
Abnormal gowths : Neoplasia is a general term to describe abnormal growth pattern, cancer-like, unregulated by normal bodily control systems. Some colon polyps are destined to become cancerous, some are not, so all polyps are usually removed when they are found so we can distinguish the difference under the microscope, not by appearance which can fool you. ...Read more
By scope vs. surgery: If your colon polyps are identified colonoscopically, they can be removed piecemeal by cold biopsy, or cauterized by wrapping a snare around the polyp & adding electricity. Even large polyps can be colonoscopically removed in their entirety by emr (endoscopic mucosal resection). Invasive adenomas, dysplastic polyps, & frank malignancies may require surgery (usually laparoscopic). ...Read more
Yes and No: Removal of colon polyps depend on their size. Smaller polyps with a narrow base can usually be removed easily at the time of colonoscopy. Larger polyps, and those with a broader base cannot be completely removed by colonoscopy at times, and may require colon resection. ...Read moreSee 1 more doctor answer
Not typically: On occasion, polyps may infarct, twist on their stalk, bleed, or secrete (villous tumors of the rectum) with resulting "diarrhea." however, most polyps & colon cancers are identified (hopefully) before symptoms develop. Early detection at a smaller polyp size means higher cure rates, lower risk of malignant transformation or invasion, & improved survival before cancer develops. Get a colonoscopy! ...Read more
Prevention is key: Once you have been identified as a person in whom adenomas (pre-cancerous polyps) develop: 1) first remove the polyps; 2) schedule surveillance to rule out new polyp development; 3) prevention by behavior & diet. Current recommendations for the latter include: use of daily low-dose aspirin, weight management, reduction of dietary animal fats, optimized fiber intake, calcium supplementation. ...Read more
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