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Doctor insights on: Surgery To Remove Polyps In Colon

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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

Dr. Dariush Saghafi
13 doctors shared insights

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


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How do polyps in the colon relate to colon cancer?

How do polyps in the colon relate to colon cancer?

Yes: 85 percent of colon cancers arise from colon polyps. As polyps grow, they can transform into colon cancer. Not all polyps are precancerous and not all precancerous polyps become colon cancers. ...Read more

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Do all polyps need to be removed in colonoscopy to avoid colon cancer?

Do all polyps need to be removed in colonoscopy to avoid colon cancer?

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 more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

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

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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?

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

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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?

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

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Colon resection of descending colon. How much can be removed and still be reversed ?

Colon resection of descending colon.  How much can be removed and still be reversed ?

What's gone is...: Gone, but can function quite well with what's left. Colon is about 5-6 feet long. Can do well with the remaining amount. Any surgery can cause internal scars (adhesions), which could cause obstructive issues in the future (or not). ...Read more

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Why would section of colon need to be removed surgically if polyps are found?

Prevention: Polyps have a propensity to develop into malignancy. If you have a section of bowel that is full of polyps, it is thought that removal of the section may avoid cancer development. ...Read more

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Can a large polyp in your colon mean colon cancer?

Can a large polyp in your colon mean colon cancer?

Maybe: Larger growths can contain cancer, but other polyps can be large and still be fully benign. Pathology would review the polyp after it is removed. ...Read more

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Hi Doctor, can hysteroscopy surgery (to remove the uterus polyps) cause scar tissue in the uterus and cause difficulties for fertile egg to implant?

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

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Do the polyps grow all over the colon in polyposis?

Do the polyps grow all over the colon in polyposis?

Yes: There is no predisposition in polyposis to one portion of the colon over another although it may appear that the distal or lower colon may have more polyps than higher up. ...Read more

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Can removing a colon polyp 2-3 CM in size hurt?

Can removing a colon polyp 2-3 CM in size hurt?

You'll get Medicated: You'll be anesthetized, whether the polyp is removed through the scope or through a surgical procedure. Most importantly, it needs to come out, be tested, and you be treated effectively based on the results. ...Read more

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What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?

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 more

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How can they clean your colon before colon surgery?

How can they clean your colon before colon surgery?

Bowel Prep: There are several medications and preps that can be prescribed to clean the colon or prep the colon before surgery. Some surgeon's do not prep the colon before surgery as there is some evidence of no benefit to this practice. ...Read more

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Can you tell me about surgical resection of ascending colon in Crohn's colitis?

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

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Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Yes: Sadly, if a lesion like a polyp is found, it should be removed. Very rarely a cancer can be inside the polyp and it's important to remove any lesion in the uterus in event had cancerous elements. Almost always polyps are benign, so don't worry too much! ...Read more

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Are surgery necessary to remove hemorrhoids?

Are surgery necessary to remove hemorrhoids?

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 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