Doctor insights on:
Surgery To Remove Polyps In Colon
Is endoscopic mucosal resection for a flat difficult colon polyp more dangerous that traditional surgery to remove that section of the colon?
Polyp: Endoscpic mucosal resection is safe in the proper hands. It is an outpatient procedure and does not require general amesthesia, follow up dpends on histopathology. ...Read more
Yes: Not all polyps are pre-canerous, most are. The determination of whether the polyp is precancerous or not usually requires examination by a pathologist and that necessitates removal. There is no good reason to not remove a polyp detected on colonscopy. All most all colon cancers start in polyps, therefore it is necessary to remove polyps to prevent colon cancer. ...Read moreSee 2 more doctor answers
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
Had surgery to remove part of colon at age 3 for hirshprungs. I had bowel obstruction. How to find it is due to scar tissue or hirshprungs w/o surgery?
Enema and/or Biopsy: Biopsies are usually done before Hirschsprung's disease surgery to ensure that all affected segments are removed. You might indeed have scar tissue or adhesions resulting from your surgery. A contrast enema could help identify areas prone to obstruction. This enema may also identify aganglionic Hirschsprung's sections that may need biopsy before further surgery. GI consultation may be helpful. ...Read more
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
No: The surgeon is required to do that. Good luck. ...Read more
Hi Doctor, can hysteroscopy surgery (to remove the uterus polyps) cause scar tissue in the uterus and cause difficulties for fertile egg to implant?
If you have only: a few polyps and the surgery is done correctly, it shouldn't contribute to future fertility. There remains significant surface area for an embryo to implant. Nonetheless, this is a very good question and one i encourage you to discuss with your gyn surgeon. Best wishes!!! ...Read more
What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?
High risk of cancer: Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. ...Read moreSee 2 more doctor answers
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
Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?
Not always: There are surgical options for hemorrhoid removal, but that is not always necessary. More conservative treatments such as medicated creams, suppositories and sitz baths can sometimes assist in the shrinkage of hemorrhoids to the point where they are smaller and not bothersome. ...Read moreSee 1 more doctor answer
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