Digestive Disease Center / Specialty Centers / Conditions We Treat: Colon and Rectal Surgery

Conditions We Treat: Colon and Rectal Surgery

Benign Diseases of the Anorectum such as hemorrhoids, anal fissures, perianal abscesses, pilonidal cysts, pruritis ani anal condyloma; our Benign Anorectal Clinic performs procedures including hemorrhoid banding, incision and drainage of thrombosed hemorrhoids and abscesses, and topical treatment for anal condyloma.

Colon Cancer is cancer of the large intestine (colon), the lower part of the digestive system. Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. Over time, some polyps become colon cancers. Removing polyps before they become cancerous can prevent colon cancer.

Screening is effective for diagnosing colon cancer and is recommended starting at age 50 by colonscopy. If cancer is detected and confined within the wall of the colon, it is often curable with surgery.

Some colon cancers may be inherited and the increased risk of colon cancer can be passed through families. The most common inherited colon cancer syndromes are Familial adenomatous polyposis (FAP) and Hereditary nonpolyposis colorectal cancer (HNPCC), also called Lynch syndrome. Both of these inherited colon cancer syndromes can be detected through genetic testing.

Crohns Disease is a type of inflammatory bowel disease that may affect any part of the gastrointestinal tract from mouth to anus, causing a wide variety of symptoms. Crohns causes abdominal pain, diarrhea (which may be blood if inflammation is severe), vomiting, or weight loss. Crohns disease often appears in the teens and twenties as well as in the fifties to seventies, although the disease can occur at any age. There is no cure for Crohns disease. Treatment options include controlling symptoms, maintaining remission and preventing relapse.

Diverticulitis is a digestive disease that typically affects the large intestine, or colon, although it can also occur in the small intestine as well. It results from inflammation of the diverticula (small pouches) within the bowel wall. Symptoms may include abdominal pain and tenderness, fever, increased white blood cell count, nausea or diarrhea and constipation. Severity of the symptoms will determine the course of treatment, which can include surgery.

Fecal Incontinence (FI) (also known as bowel incontinence, anal incontinence or accidental bowel leakage) is a condition with recurring lack of control over bowel contents, including gas, liquid stools or solid feces. Common causes may include damage from childbirth, complications from prior anorectal surgery, altered bowel habits due to Crohns disease, ulcerative colitis, inflammatory bowel syndrome or food intolerance. FI can be psychologically and socially disabling, resulting in decreased quality of life. It may be treatable through diet and medication or surgery.

Inflammatory Bowel Disease (IBD) is a group of inflammatory conditions of the colon and small intestine. Inflammatory bowel diseases are considered autoimmune diseases, in which the bodys own immune system attacks elements of the digestive system. The major types of IBD are Crohns disease and ulcerative colitis. The main difference is that ulcerative colitis is limited to the large intestine, whereas Crohns disease can affect the whole gastrointestinal tract.

InterStim Therapy (sacral neuromodulation) may be offered to patients who have not been helped by medical treatments for bowel or fecal incontinence. This reversible treatment uses a small neurostimulator that is placed under the skin and sends mild electrical pulses through a thin wire to the nerves in the pelvis that control the bowels. This procedure helps the bowels work as they should.

Rectal Cancer is cancer of the last several inches of the colon just above the anus. The symptoms of rectal cancer may be similar to those of other bowel disease such as ulcerative colitis, Crohns disease or colon cancer. Signs and symptoms may include rectal bleeding and anemia, which are sometimes associated with weight loss and changes in bowel habits. Regular check-ups and screenings are effective for diagnosing this form of cancer and are recommended starting at age 50 by colonscopy.

Ulcerative Colitis is a form of inflammatory bowel disease that affects the colon, the largest portion of the large intestine. It includes ulcers or open sores. The main symptom is usually constant diarrhea mixed with blood. Ulcerative colitis is an autoimmune disease and can be treated with anti-inflammatory drugs and immunosuppression. A colectomy (partial or total removal of the large bowel through surgery) is sometimes necessary if the disease is severe and doesnt respond to treatment.