Tuesday, April 9, 2019

Treatment options for colon problems

I have never understood colon surgery as I did recently. But if you want to know the real shortcomings of a program, ask someone who has experienced this process.

The first is some basic knowledge: colonoscopy is the gold standard for detecting colon problems. If you wait until the colon cancer symptoms appear, it is usually too late. The fecal occult blood test will not find my polyp [it has no bleeding]. Sigmoidoscopy - that is, looking down [left] the colon until the first bend is a number game. It will find a lot of anomalies, but it won't find me: my is the lateral colon on the right side [distal side]. Women should especially insist on a full-scale colonoscopy: from a statistical point of view, women tend to have more problems in the colon, and men tend to have polyps and cancer that are closer to the rectum. Virtual colonoscopy is not too annoying to prepare, but the results are not so good. Do not be satisfied with a complete colonoscopy. If you want to test, get the best test.

Second: The so-called colon cleansing products have no effect on colon cancer, and if they stop it, it is very suspicious. They make a lot of money for those who sell them, but the colon is designed to clean themselves, and it will be happy if it provides high quality nutrition. It is not good for you to do high colon and enema often. Mixtures such as psyllium/bentonite will definitely absorb a lot of water from your body and give you a temporary slight feeling, but the psyllium is irritating to some people. Similarly, the use of chronic laxatives is not good and can establish dependence. The best precaution is to maintain proper weight, eat less or not red meat, sugar, trans fats and refined carbohydrates, as well as plenty of fresh fruits and vegetables, and exercise regularly and drink plenty of water.

You may be reading this because you or someone you love is diagnosed with a certain colon abnormality and you are looking for surgery. Your anomaly may have been diagnosed as cancer, or you may have been told because I am a polyp of a size [between table tennis and baseball size] that will almost certainly contain cancer. So naturally you want it to be there in a hurry.

Unfortunately, surgery is almost your only choice, but for more detailed details, you will get better results.

Is it too big through the endoscope? The endoscope is a flexible tube with a camera and instrument that inserts your anus during a colonoscopy. A normal endoscopist is trained to cut small polyps, especially the common species that grow on the stem, using a tool called an endoscope snare. It's basically just an adjustable thin wire loop that punctures the tool head that contains the flexible tube of the oscilloscope. They make it big enough to bypass the polyps, and then they tighten it until it cuts the polyp. They retrieve polyps and biopsies, but assume that most small polyps are benign. It's just those who have long been left behind and become bigger and more prone to cancer. If the endoscopist determines that the polyp is small enough, he/she just automatically cuts it. If you are looking for surgery like me, it's because your polyp is large and/or sessile [which means it has a very wide base and is well fixed inside the colon.] Both of me are .

Intestinal resection: If the rest of the colon is healthy, the current standard procedure for large polyps is mine: bowel resection: meaning that they essentially remove the intestine containing the polyp and reattach the remaining ends. There are many ways to do this depending on the surgeon's technique, the location of the polyp and the condition of the patient.

Open surgery: Before the mid-1990s, bowel resection was usually performed as an open surgery. This means that they cut a large incision in your abdomen to enter the colon and treat it through it. Your body cavity is open during surgery, and when it is done, you have a large incision because it opens for a long time and heals slowly.

Modified Laparoscopic Surgery: In the mid-1990s, they began laparoscopic surgery by inserting three small tubes underneath your skin and muscle layers and working through tubes. When they remove the bad bits and bag them and sew the end of the colon, they create an incision to remove the bad bits. Because the incision is small and opens only in a few minutes, it heals faster and better and requires shorter hospital stays. This procedure is contraindicated for obese patients or those who have undergone multiple surgeries. Myopia microscopes do not work well on many things above them. This is what I did.

Experimental combination lapro / endo: This is what I hope I can do. I want to know why they can't just spin the roots, scrape the polyps like D&C and take them out through the anus. They don't do this for three reasons: one, the risk of colon perforation, and two, if it's cancer, they need to be careful not to let any cancer cells escape to start a new colony, three if it's the cancer you want anyway Take away the surrounding tissue. It turns out that my polyp is huge, but it is benign, but it is possible to know it until it disappears completely. They now have a technology that can do this, but I guess they only do this when the risk of cancer is low. My cancer risk is considered very high. I found that the patient's polyps were too large for the standard endoscopic snare, they entered the rectum through the endoscope, with some reinforcing tools, basically rotating the root polyps, while another doctor made a laparoscopic incision Observe the outside and use a laparoscope to check the colon to make sure it is not perforated. If they perforate the colon, they have a plan B, which is to continue the laparoscopic resection. If anything they scrape from the patient has cancer, they are ready to go back and give him a bowel resistance. Fortunately for the patient, they didn't pierce him, and his polyp turned out to be benign. He went out that day and had only a few straps on his abdomen. This program is considered experimental and has not been widely used, but I predict it will be in the next five years. I heard that it was invented at the UCLA Medical Center, so if you live nearby, you may wish to investigate further.

Colon suture selection: All the illustrations I found on the web show end-to-end reconnection of the gut end, so it looks like a slightly shortened but continuous tube. However, many times, they even pulled the ends of the two intestines, stitched them at the top, and then passed a new hole for the fecal matter. It seems to me to be clumsy, bumpy and ugly, but that's what they do. According to the two surgeons, I explained that the two methods are equally effective. One of them said that the ugly way is unlikely to break, and the other said they are similar. When I become a constipated old lady, I will update and tell you if my modified colon gave me any problems, but so far, it works fine.

Your exit scar: Unless you are adequately exposed to the latest minimally invasive surgery, there will eventually be a large scar or a small scar and three laparoscopic incisions. The small incision heals quickly. You will want to do everything possible, including acupuncture and self-massage to soften the scar immediately after healing. You will also be unable to use your core abdominal muscles or lift anything. Don't push this because you don't want your incision to suffocate!

Finally, find someone else who operates your surgeon and Google your surgeon! Laparoscopic surgery is considered a difficult procedure and it takes a long time for the surgeon to do this. You will have to endure the work of his/her work for the rest of his life.





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