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Colonoscopic Polypectomy is a treatment intervention that involves the use of a Colonoscopy to locate and remove polyps inside the colon. They are generally minimally invasive procedures, and specialists use various approaches to remove them based on the size and location of polyps.
Pre-procedure: Specialists will provide general instruction and also discuss the event of the procedure, including the type of anaesthesia administered, risks involved, and recovery.
Procedure: During the procedure, a general anaesthetic or sedative is administered, depending on the condition and preference of the specialist. A specialised instrument called a colonoscope, which consists of a long tube with a camera, is inserted through the rectum. The colonoscope is then passed through the intestines with the help of real-time video and locates the polyps present at the location. Polyps are then removed by using a snare, which is heated or cold, forceps, or wires, followed by an electrocautery technique to burn any remaining polyp tissue.
Post-procedure: The colonoscope is removed, and the removed polyp is sent to a laboratory to rule out malignancy.
Manipal Hospitals offers top Polyp Removal Treatment in Kolkata. We have a team of experts experienced in polyp removal procedures that are safe and effective.
You might need a Colonoscopic Polypectomy if:
You have large polys and exhibit symptoms such as rectal bleeding, bowel irregularities, and abdominal pain
Polyps look precancerous or cancerous, leading to colorectal cancer
They are suspicious and require lab examination
General instructions that can prepare you before undergoing a Colonoscopic Polypectomy include:
Clearing your bowels with laxatives, enema, bowel preparation formulas, or through a clear diet devised by specialists for one or two days before the procedure.
Informing our specialist of any allergies induced by anaesthesia or certain medications.
Arranging your transport before and after the procedure
Refraining from medications advised by specialists
Wearing loose-fitting clothes during the procedure
Sharing any concerns or asking questions related to the procedure with our specialists
While the majority of colon cancers arise from polyps, not all polyps are cancerous. Moreover, only 5-10% of all polyps present in the colon may have malignant characteristics. Furthermore, the larger the polyp, the higher the risk of colon cancer. Henceforth, routine testing, such as Colonoscopy, is advised to rule out malignancy. Polyps can also arise due to genetic factors or family histories, such as familial adenomatous polyposis, requiring early monitoring and regular follow-ups.
Colonoscopy Polypectomy procedures are usually not painful during the procedure due to the administration of anaesthesia or a combination of pain-blocking medications and sedatives. It is normal to feel mild pressure or a pulling sensation when the polyp is removed during the procedure. However, it should not cause any pain. You may experience mild pain or cramping, which will resolve gradually. Our specialists will prescribe pain-relieving medications to address any discomfort or pain post-procedure.
Possible complications or risks that may arise in a Colonoscopic Polypectomy procedure include:
Heavy bleeding or haemorrhage
Perforations, characterised by the presence of a hole in the colon wall caused during the procedure
Infections
Transmural burn when cauterising small polyps using an electrocautery device
Incomplete removal of polyps
Postpolypectomy coagulation syndrome is identified by the manifestation of a group of symptoms caused by the burning in the lining of the colon and underlying tissues, like abdominal pain and leucocytosis (high white blood cell count)
The duration of the procedure may depend on the severity of your condition and other individual factors. However, the procedure may usually take up to an hour or less. Our specialists will inform you regarding the expected time duration by reviewing your symptoms, medical history, and other diagnostic evaluations made before the procedure.
Colonoscopy Polypectomy procedures involve quick recovery, although this may vary depending on your age, nature of the procedure, general condition, and pace of recovery. Polypectomy procedures that are more involved, such as Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD), may take up to 2 weeks to achieve full recovery. You may experience significant side effects, such as the presence of light-coloured blood in stool or urine, or pain, which will go away with time. Our specialists will notify you regarding the expected recovery time based on patient factors and provide post-recovery instructions to enhance healing.
General post-recovery instructions after undergoing Colonoscopic Polypectomy involve:
Refraining from certain drinks or foods, such as tea, coffee, soda, and spicy foods, for two to three days post-procedure
Adhering to pain medication schedules and medicines tailored by our specialists
Attending regular follow-ups and performing routine colonoscopy procedures to find more new polyps
The outlook for patients who have undergone Colonoscopic Polypectomy is generally positive, although it varies based on Biopsy results. The course of action is determined by whether the polyps are benign, precancerous, or cancerous. In cases of benign polyps, no further treatment is needed, while precancerous polyps require interventions. If polyps show malignancy, treatment depends on factors such as the grade and stage of the cancer. Our specialists will review your case thoroughly and discuss available treatment plans based on your condition.
Symptoms that you should look for that may require medical attention after Colonoscopic Polypectomy include:
High temperature or chills
Heavy bleeding
Severe pain or bloating in the abdominal region
Irregular heartbeat or arrhythmia
Vomiting
Passing bloody or maroon-coloured stool for more than 2 weeks
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