Doctor insights on:
Surgical Clips For Colon Polyps
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
Abnormal gowths: Neoplasia is a general term to describe abnormal growth pattern, cancer-like, unregulated by normal bodily control systems. Some colon polyps are destined to become cancerous, some are not, so all polyps are usually removed when they are found so we can distinguish the difference under the microscope, not by appearance which can fool you. ...Read more
Some: There are different types of colon polyps. Some will not turn into cancer. But many (adenomatous polyps in particular) have a high likelihood of turning into cancer if not removed. We think that most colon cancers start as polyps. That is why we recommend colonoscopy at age 50. If you have a precancerous polyp, it can be removed before you get cancer. ...Read more
No. ..: ... On the contrary. The smaller the polyp, the less likely it is to be "cancerous". Sessile just means flat (harder to find) versus pedunculated (mushroom-shaped). The precancerous type of polyps are adenomatous and serrated polyps (documented on pathology). Hyperplastic polyps in general are almost always benign and never turn into cancer. ...Read more
Polyps: Race is not a significant risk factor. ...Read more
Yes: They can come back. It depends on the type of polyp, size, genetics, if it was removed completely or in part. Patients that have polyps are predisposed to get new ones, particularly if these are "adenomas". depending on these factors, your gastro doctor will determine how soon you would need a repeat exam. ...Read more
Not normal: It would be prudent to consult the doctor who carried out the procedure. ...Read more
Yes: Truly either pedunculated (i.E with stalk) or sessile (flat) can harbor a malignant or pre-malignant lesion. The flat ones are a little more worrisome, and size of lesion also plays a role. Biopsy is the key to diagnosis - if the lesion is large and flat, there is always the possibility that malignancy may exist elsewhere within the lesion and surgery or close follow up may be needed. ...Read more
Is it odd to have three colon polyps removed during the same procedure, or is multiple-polyp removal common?
I am highly susceptible to colon polyps & at 30 had a hgd adenoma removed, is a high or low fibre diet best for me to reduce frequency of the polyps?
More complex...: Than that. In general, high fiber diet (not simply bran or fiber supplements) may be helpful (conflicting data). Adequate calcium, especially from dairy (low fat/no fat) may be helpful. Low sat fat (low meat, especially processed/sausage type) may be helpful. Aspirin or nsaids may be helpful. Need to discuss your particulars, including fam hx, polyp hx, w/ md. Follow surveillance scopes. ...Read more
What is the cause for colon polyps? I went in for my five year colonoscopy and they removed three. Five years ago, they removed two. These are benign
It is good that you had colonoscopy and had the polyps removed. We do not know the exact cause of polyps. It is likely a combination of genetics, diet and environment.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more
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
Not typically: On occasion, polyps may infarct, twist on their stalk, bleed, or secrete (villous tumors of the rectum) with resulting "diarrhea." however, most polyps & colon cancers are identified (hopefully) before symptoms develop. Early detection at a smaller polyp size means higher cure rates, lower risk of malignant transformation or invasion, & improved survival before cancer develops. Get a colonoscopy! ...Read more
Prevention is key: Once you have been identified as a person in whom adenomas (pre-cancerous polyps) develop: 1) first remove the polyps; 2) schedule surveillance to rule out new polyp development; 3) prevention by behavior & diet. Current recommendations for the latter include: use of daily low-dose aspirin, weight management, reduction of dietary animal fats, optimized fiber intake, calcium supplementation. ...Read more
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