COLORECTAL SURGERY

Dr. Darshan Patel is one of the top ten Doctors in Surat who is known for his service. Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. This cancer is a cancer of large intestine, which is the final part of your digestive tract. Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. The field is also known as proctology, but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.

colorectal surgery doctor in surat

Risk Factors in Colorectal Surgery

The exact cause of ulcerative colitis is unknown; genes, environment, and immune system all play a role.

  • Over age 50
  • Colorectal polyps
  • Family history of colorectal cancer
  • Ulcerative colitis or Crohn”s disease
  • High fat diet
  • Smoking

Symptoms

Ulcerative colitis and colonic Crohn’s disease often have similar clinical presentations. 

  • Diarrhoea or constipation
  • Blood in stool
  • Stools that is narrower than usual
  • Frequent gas pains or cramps, or feeling full or bloated
  • Weight loss
  • Fatigue
  • Nausea or vomiting

Diagnosis

As symptoms of ulcerative colitis mimic other infective diseases (C. difficile, Entamoeba histolytica, C. jejuni, and Salmonella enteritidis) and Crohns disease, so proper diagnosis is essential. Each disease has different line of treatment. Stepwise tests are conducted to establish the proper diagnosis.

  • Colonoscopy
  • CT Scan
  • Stool test

Treatment

Medicine is first line of treatment. With medicines, the disease comes under control (remission) in most of patients. There is possibility that symptoms may not improve or worsen despite treatment, and then next line of treatment is started. Surgery is reserved for its complications. Severity of disease decides the line of treatment.

  • Surgery
  • Chemotherapy
  • Radiotherapy
  • Surgery for Ulcerative Colitis:
  1. Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA)
  2. Total Proctocolectomy with End Ileostomy
  • Surgery for Rectal Prolapse
  1. Laparoscopic Ventral Rectopexy
  2. Laparoscopic Resection Rectopexy
  3. Perineal operations
  • Colorectal Cancer surgery
  1. Right/ Extended Right Hemicolectomy
  2. Left/ Extended Left Hemicolectomy
  3. Low Anterior resection
  4. Sphincter preserving ultra-low anterior resection
  5. Abdomino-Perineal Resection (APR)
  • Surgery for Hemorrhoides (piles), Fissure and Fistula in ano
  1. Stapler hemorrhoidectomy
  2. Lateral Internal Sphincterotomy for fissure I n ano
  3. Surgery for Complex fistula in ano
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