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Doctor insights on: Surgery To Remove Polyps In Colon

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Dr. Myron Arlen
Board Certified, Surgical Oncology
58 years in practice
2M people helped
1

1
Doctor removed 18 polyps last colonoscopy, next colonoscopy if find any might need surgery to remove section of colon! What if I elect non-surgery?

Doctor removed 18 polyps last colonoscopy, next colonoscopy if find any might need surgery to remove section of colon!  What if I elect non-surgery?

May spread: depending on nature of polyps, inflammatory or early malignant, surgery may be needed if recurrent lesion noted. Endoscopy effective if stalk of polyp not invaded. If multiple polyps appear in a field, this represents early changes in the field that by itself can eventually lead to the development of an invasive carcinoma. Depending on findings of next colonoscopy decision should be discussed. ...Read more

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Dr. Peter Kurzweil
Board Certified
44 years in practice
16M people helped
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Dr. Jan Lei Iwata
1 doctor shared a insight

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more


Dr. Lewis Mufson
Board Certified, Gastroenterology
48 years in practice
57K people helped
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2
Is endoscopic mucosal resection for a flat difficult colon polyp more dangerous that traditional surgery to remove that section of the 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

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Dr. Peter Kurzweil
Board Certified
44 years in practice
16M people helped
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Dr. Cathleen London
Board Certified, Family Medicine
20 years in practice
351K people helped
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Last month 18 polyps were removed from colon. Doctor will do another colonoscopy next year. He said if he finds polyps again i might need surgery?

Last month 18 polyps were removed from colon.  Doctor will do another colonoscopy next year.  He said if he finds polyps again i might need surgery?

Possibly: That is a lot of polyps! probably concerned about the integrity of your colon if they have to remove too much tissue or the possibility of cancer. ...Read more

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Dr. John Fung
Board Certified, General Surgery
33 years in practice
1M people helped
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4
When are the colon polyps considered dangerous? What can be done in treating a large polyp, just surgery?

Adenomas: During colonoscopy, one cannot tell whether a polyp is benign, pre-cancerous (adenomas) or malignant - so polyps are removed for pathology. When small, polyps are removed as a whole. In larger polyps, these can be challenging to remove, pieces are often taken and if cancerous, then surgery is required. In some cases, endoscopic submucosal dissection, an advanced technique can be attempted. ...Read more

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Dr. Peter Kurzweil
Board Certified
44 years in practice
16M people helped
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Dr. Charles Cattano
Board Certified, Gastroenterology
33 years in practice
40M people helped
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How do you remove colon polyps?

How do you remove  colon polyps?

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

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Dr. Vivek Huilgol
Board Certified, Gastroenterology
29 years in practice
1M people helped
6

6
What can be used by doctors to remove colon polyps?

Colonoscopy: At colonoscopy several types of tools are used through the scope to 'bite off' or 'lassoo' and remove the polyps. ...Read more

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Dr. Mary Maluccio
Board Certified, Surgical Oncology
21 years in practice
308K people helped
7

7
Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove. Is the polyp precancerous or more dangerous than others?

May need surgery: Polyps can be pedunculated or sessile. The flat ones (sessile) are much more difficult to remove intact via colonoscopy. Depending on the biospy results, the lesion may have to be removed surgically. ...Read more

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Dr. Alvin Lin
Board Certified, Geriatrics
24 years in practice
72M people helped
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Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?

Sessile = flat: Sessile polyps are flat, which makes it very difficult (but not impossible) to remove. However, they can usually be biopsied to determine if (pre)cancerous or not. This is where the gastroenterologist comes in handy. Realistically, it comes down to experience as newly minted docs may not have skills of seasoned ones. But in general, gastroenterologist is specialist to go to for colonoscopy. ...Read more

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Dr. Mankanwal Sachdev
Board Certified, Gastroenterology
16 years in practice
91K people helped
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Dr. Robert Kent
Board Certified, Physical Medicine and Rehabilitation
6 years in practice
2M people helped
10

10
My doc said he couldn't remove a 1/2 inch sessile polyp on my sigmoid colon but said he'll try again at a hospital. Would i repeat the colon cleanse?

Yes: If he is going to repeat a colonoscopy to remove the polyp, you will need to repeat the cleanse. Freeing the colon of debris will help the physician be able to identify the polyp, and issues during removal, and will make for a safer procedure. Cleanse should be repeated and make sure to ask your physician for any necessary scripts related to the cleanse. Hope that helps! ...Read more

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Polyp (Definition)

A polyp may occur anyplace on the body, but is most commonly seen in the colon when a colonscopy exam is done. It is a bump or protrusion from the lining of the GI tract and colon, which can can be benign or turn ...Read more


Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more


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Dr. Peter Kurzweil
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44 years in practice
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