Doctor insights on:
Supicious Wall Thick Sigmoid
Maybe thickened: The wall of the bottom part of your colon might be a little thick but it isn't certain. What that means is there may be evidence of inflamed tissue when the wall of the colon is measured but a normal colon is sometimes the same thickness. Most likely further tests will be needed, such as a colonoscopy. That will be a decision made by you doctor based on the clinical situation. ...Read more
Interpret CT: mild thickening of distal sigmoid & rectal wall w/o adjacent fatty stranding. Loops of mild distended sm bowel w/o clear transition zone?
Diverticulosis: And possibly prior episode of diverticulitis could present this way. So too does infected segment or inflammation. The mild dilated small bowel in the current context is not as much of concern as the condition of the colon. Best discuss these findings with your doctor to put them into a good clinical picture. Good luck ...Read more
My husband had polyps in his rectum and sigmoid colon. They were taken out by using a snare and were biospied showing to be malignant. He then had another rectal exam and biopsy of the cell walls this showed that the it did not spread into the lymph nodes
Team approach: It would be a good idea to see a multidisciplinary team of doctors (surgeon, radiation oncologist and medical oncologist) before finalizing a treatment plan. ...Read more
Since TAH 3 years ago laparoscopy found sigmoid to be adhered to pelvic side wall by dense omental and bowel adhesions. What is long term implication?
Can mild thickening and fat in wall of large bowel including sigmoid colon and right colon on CT scan be normal?
Yes: While fat within the intestinal wall is often thought of as a reliable marker for inflammatory bowel disease, studies have shown that in the absence of clinical or other radiologic evidence of inflammatory bowel disease, the presence of fat in the intestinal wall may represent a normal finding. There is also thought to be some association with obesity. ...Read more
Yes it can: If it is not completely twisted beyond point of no return. Otherwise, it needs to be reduced by endoscopy, and a surgical procedure is needed to prevent recurrence. But you should consult a GI specialist for specific recommendation, before this condition becomes a surgical emergency. ...Read more
Need biopsy to know.: The sigmoid is a region of the colon (large intestine). Polyps are small growths in the lumen (inside lining) of the bowel. Most are benign. Some can be "pre-cancerous", and rarely, polyps can be malignant. The way to classify polyps is to biopsy or remove them and study them under a microscope in a lab. Deciding which polyps to biopsy is a clinical decision. If concerned, ask your doctor. ...Read more
A lot: Hirschprung's is a condition in which the nerves that cause peristalsis (movement of the intestine) are missing from birth. It is treated with surgery to remove the part without nerves. Redundant colon is a condition in which the colon is longer than normal, causing it to loop back on itself. It often presents with constipation and gas. It can also be treated with surgery if medical rx fails. ...Read more
Surgery consult: 36 year old gentleman with a question about sigmoid stricture. You should discuss your options with an expert in General Surgery. It depends what is causing your sigmoid stricture. The indication for Surgery is when there is no clear cause of your sigmoid stricture and adenocarcinoma needs to be ruled out. Imaging studies and presence of diverticular disease are contributory to the decision. ...Read more
Narrow spot: This means they were unable to progress safely due a narrow area in the sigmoid colon. This could indicate a sharp turn due to prior abdominal surgery, which made it difficult or colon surgery with a stenotic (narrowed) connection. Most concerning is that if this is a true stricture we worry about malignancy. This should be clarified with your treating physician. ...Read more
Colonoscopy 9 years ago. Marked turtuousity of the sigmoid and a redundant loop, scope could not be passed further. Any tec improvements last 9 years?
Possibly: Success of colonoscopy often related to degree of sedation for procedure. Also related to experience of colonoscopist. Flexible colonoscope usually employed to go around curves. Noninvasive virtual colonoscopy using ct and MRI but does not allow for therapeutic maneuvers such as polyp/tumour removal or biopsy nor visualization of lesions smaller than 5 millimeters. ...Read more
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
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
I had a large polyp removed from the transverse in June removed three small polyps from the sigmoid in Dec. Still waiting histology. How likely cance?
Polyps: An anatomic or pathologic diagnosis should have been available long before now. You can't exclude malignancy until the tissue diagnosis is available. Even if no malignancy is found you must be under the care of a gastroenterologist or colorectal surgeon for treatment and thorough surveillance for your multiple polyposis of the colon. ...Read more
May not be: It is not uncommon to see benign spots on the liver. Yet if there is any suspected mass/lump in the colon, it requires to be checked with further tests like a colonoscopy. Of course our concern is to rule out cancer but you are so young it is unlikely that we will find anything seriously wrong. But you need to be sure that all is well. ...Read more
All: The colon on average is about 40cm in length. The sigmoid colon takes up the latter 10cm. Unless there wa a stricture or mass the surgeon or gastroenterologist should have seen the whole sigmoid colon. ...Read more
Get a colonscopy: Why was the sigmoidscopy reccomneed. Consider a full colonoscopy if you are concerned about colon cancer, such as having rectal bleeding, strong family history of colon cancer, etc. Although you are young for a screening colonscopy if you have any alarm features please do not stop at sigmoidscopy instead get a colonscopy. ...Read more
Growth=Polyp=Tumor: A growth in the colon, also called a polyp, is a tumor or growth of abnormal tissue. They can be benign (non-cancerous) or cancer. Benign polyps such as adenomas have potential to turn to cancer if they grow a long time. Other polyps, such as hyperplastic, usually don't turn to cancer. Some polyps may already have cancer in them. Colonoscopy with biopsy is usually needed to make a diagnosis. ...Read more
Vascularity: It just means there are large numbers of blood vessels in that area and should be of no consequence ...Read more
What to do if I have several sigmoid colonic diverticuli, is this why my sides hurt or am I just imaging that.?
Diverticuli: Diverticuli are outpouchings of the wall the bowel, most commonly the large bowel. Diverticulitis is inflammation of these outpouchings. This can be serious and usually is associated with fever and abdominal pain. The sigmoid colon is mostly in the midline and inflammation in this area usually causes midline lower abdominal pain. A high fiber diet is recommended. ...Read more
Husband had an end colostomy for a sigmoid diverticular abscess. 62 great shape. Never smoked. Chance of success?
Once infection: Has cleared, your husband can probably safely have another operation to take down the stoma and have the colon re-connected to his rectum in several months. The exact timing depends on the severity of the original infection and his response to treatment. Chances of success are very good. Ask his surgeon for specific details. ...Read more
I was diagnosed with sigmoid spasms and living a very preventive lifestyle, is there any way to permanently eliminate these intestinal spasms?
Would riding a bicycle cause my waste to reach the sigmoid colon any quicker than normal everyday activity would? Or would it have the same rate?
Hi I had polps removed from my left side colon sigmoid part one was 7mm n there other was sessil and 4mm how long should results take to come back?
Depends on the lab: It may take few days and it depends on the labs. Some labs send the results earlier that the others. ...Read more
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