Top Questions on Colon and Rectal Surgery

Dr. Ninad KatdareRegistrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPACOncologist

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Dear Sir, There is lot of improvements in the treatment of colorectal cancer. For liver metastases, the treatment has to be individualised. What we follow at our hospital is a customised approach. First we will do imaging of the patient to see where are the site of metastases. If it is restricted to only one site like liver, then we call it oligometastases. Here if the liver tumour is operable, then we do upfront surgery, else we start chemotherapy and reassess. A combination of chemotherapy, judicious use of surgery and liver directed therapies like RFA, MWA and/or TACE can often ensure a survival of 2 -3 years. But it all depends on the general condition of the patient and the tumour burden and number of metastases. Needless to say all these new technologies are a bit costly. But yes, often 2 year survival is possible in properly selected cases of colon cancer with metastases. 

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Dr. Col V C GoyalCCEBDM, PG Diploma In Clinical Cardiology, MBBSGeneral Physician

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1.Take 2/ 3 glass of warm water in the morning 2.Take little more water in the day 3.Eat more fruits and green vegetables 4.No fried/ spicy/ junk/ processed/ fast food, no maida products 5.No tea/ coffee/ cold drinks 6.No alcohol 7.Reduce wt 8.Daily morning walk for 30 mts 9.Deep breathing exercise for 10 mts daily 10.Fiber Foods that are high in insoluble fiber include whole grains, fruits, and vegetables. Try wheat bran, brown rice, or whole grain bread. Soluble fiber- Prunes and figs can be added to breakfast or eaten as a snack. 12.Take a glass of hot milk with sugar at night before sleeping For medicine contact on private consultation Good luck. 

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Dr. Vishal TomarGeneral Surgeon

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Mr. lybrate-user. Your worry should be limited to realizing your problem and going to a doctor for an opinion. Tumor inside your colon is just one of the many diseases that may be causing your problem Also, colonoscopy may be uncomfortable but please don't create unwanted hurdles for your doctor by being an non cooperative patient. Having said that, barium enema and barium meal are examinations which can give some hint to the status if your colon, without you having to undergo colonoscopy. 

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