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Doctor insights on: Surgery To Remove Polyps In Colon

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Dr. Myron Arlen
Board Certified, Surgical Oncology
59 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?

Dr. Myron Arlen
Board Certified, Surgical Oncology
59 years in practice
2M people helped
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. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Lewis Mufson
Board Certified, Gastroenterology
49 years in practice
57K people helped
2

2
Is endoscopic mucosal resection for a flat difficult colon polyp more dangerous that traditional surgery to remove that section of the colon?

Dr. Lewis Mufson
Board Certified, Gastroenterology
49 years in practice
57K people helped
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. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Cathleen London
Board Certified, Family Medicine
21 years in practice
351K people helped
3

3
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?

Dr. Cathleen London
Board Certified, Family Medicine
21 years in practice
351K people helped
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
34 years in practice
1M people helped
4

4
When are the colon polyps considered dangerous? What can be done in treating a large polyp, just surgery?

Dr. John Fung
Board Certified, General Surgery
34 years in practice
1M people helped

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. Vicken Poochikian
Board Certified
37 years in practice
2M people helped
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Dr. Charles Cattano
Board Certified, Gastroenterology
34 years in practice
40M people helped
5

5
How do you remove colon polyps?

Dr. Charles Cattano
Board Certified, Gastroenterology
34 years in practice
40M people helped
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
30 years in practice
1M people helped
6

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

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

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
22 years in practice
307K 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?

Dr. Mary Maluccio
Board Certified, Surgical Oncology
22 years in practice
307K people helped

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
25 years in practice
72M people helped
8

8
Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?

Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped

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
17 years in practice
91K people helped
9

9
My husband is 79 1/2 years old and have mass polyp on his descending colon. The doctor want to remove part of his colon , is emr another option ?

Dr. Mankanwal Sachdev
Board Certified, Gastroenterology
17 years in practice
91K people helped

Emr : It is a good way to remove large polyps but it depends on the size location and doctor. ...Read more

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Dr. Robert Kent
Board Certified, Physical Medicine and Rehabilitation
7 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?

Dr. Robert Kent
Board Certified, Physical Medicine and Rehabilitation
7 years in practice
2M people helped

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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Dr. Vicken Poochikian
Board Certified,
37 years in practice
2M people helped
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