Doctor insights on:
Vitamin Colectomy Carcinoid
35yo. F. W/ hyporthyroidism. colonoscopy/endoscopy 11/20/14. Diminutive 3mm polyp of sigmoid colon. Random biopsies of ileum and colon done. Cancer?
Carcinoid refers to neuroendocrine tumors originating in gastrointestinal (GI) tract, lungs and appendix. They are usually indolent developing over many years. Aggressive, fast-growing forms such SCLC known as Oat Cell Ca of lung represents neuroendocrine carcinoma that exhibits rapid growth and early spread to distant sites. They are sensitive ...Read more
Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?
Small ulcer in terminal ileum, biopsy: In Eosinophil fokal chronic active ileites, in ileum lymphoid hyperplasia. non specific colitis. Crohn ruled out. any suggest?
Colon: Keep follow-up with your GIGet a more detailed answer ›
Stage iiib colon cancer, starting chemo tues. Vitamin d 25-hydroxy level is 9 ng/ml. Will taking vitamin D3 supplements help? If so, how many iu?
Possibly help.: There is some evidence that vitamin d deficiency is not desirable in patients with colon cancer. The goal should be to achieve a level of 30 ng/ml. Another vitamin d test should be done after taking 50, 000 units twice a week for 2 months. If you are considerably overweight 2-3 times the dose may be necessary. After achieving 30 ng/ml a daily dose of 1-2000 units may maintain this level. ...Read moreSee 1 more doctor answer
Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...Read moreSee 5 more doctor answers
Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)
No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
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
U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?
Can iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?
No.: I would be looking for another cause if you have iron deficiency anemia. If you have one functioning kidney, you are probably making enough erythropoietin (which is important in regulating red cell production) but a low epo level would give you a different kind of anemia. Usually iron deficiency anemia in a 60 year old male is due to some sort of blood loss, assuming a normal diet. ...Read moreSee 1 more doctor answer