Doctor insights on:
Sigmoid Colon Stricture Treatment
Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
My colonoscopy microscopic diagnosis: transverse colon polyp biopsy: polypoid colonic mucosa with mild nonspecific chronic inflamation...what is this?
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
Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. transverse colon: adenomatous polyp. Bad? Thnx
Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.
35yo. F. W/ hyporthyroidism. colonoscopy/endoscopy 11/20/14. Diminutive 3mm polyp of sigmoid colon. Random biopsies of ileum and colon done. Cancer?
Terminal ileum absorptionmultiple super ficial ulcer, ileocaecal valve ulcer, colorectal mucosa up to caecum .What treatment i need to take ?
IBD: Two inflammatory disorders of unknown cause affecting intestinal tract are crohn disease and ulcerative colitis.They share many common features and are collectively known as 'inflammatory bowel disease' both are chronic, relapsing inflammatory disorders of obscure origin. Fat/vitamin malabsorption are common in crohn disease. Malignant potential are present in both.In crohn response to surgery good. ...Read more
Colonoscopy revealed grade 1 external hemorrhoids, hypertrophied anal papilla (3mm), & tortuous sigmoid colon. Please explain what this all means.
Fairly normal: These can all be common and benign findings. Grade 1 are tiny hemorrhoid veins located at the anal opening & needs no treatment. Hypertrophied papillae means enlarged skin structures at the anal opening that need no treatment. Tortuos colon just means there are extra turns in the colon & no treatment. Avoid constipation. Eat more fiber. See your GI doctor for follow up. ...Read more
Yes: Ulcerative pancolitis, is a chronic disease that inflames the gastrointestinal (GI) system. Specifically, ulcerative colitis causes lesions in the colon. With the inflammation there is a higher risk for developing CRC. Two factors associated with cancer risk , is disease duration and extent of colon involvement . Early tumors develop denovo from carcinogens and utilize inflammation to progress ...Read more
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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