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Does A 3 Cm Poly Fill The Cecumand Reducing The Opening For Stool Elimination?

Posted on Tue, 27 Aug 2024

Question: I had a recent colonoscopy. The found a 3 cm plus Cecil polyp. I am. Seeing a surgeon next week . My question is how large
Is a bowl at the cecum. .? Does a 3 cm poly fill the cecumand reducing the opening for stool elimination?

Answered by Dr. T Chandrakant (6 hours later)

Brief Answer:
Large polyp at opening of small to large intestine at cecum can cause

Detailed Answer:
Hi with regards.
Thanks for your query. Noted the history, albeit short and incomplete information.
Please attach the report of colonoscopy for me to know the exact location and other information. If possible post photos also which is given with report.
Large bowel is widest at cecum, say 6 to 9 cm in diameter. But the opening of small bowel in to large bowel at cecum is very small and can get blocked by oedema, polyp, mass or some other disease.
Cecile polyp means there is no stalk or a cord on which the usual polyp hangs on.
3 cm is a large enough size to cause partial blockage if it is at the junction of small intestine with large intestine at ''cecum'' as the area is known as).
* what is the report of histopathology? that is biopsy report. Please post this too.
* Was Contrast enhanced CT scan done?

Please give detailed feedback about your symptoms, report, advise etc.
Awaiting

Dr T Chandrakant
General and GI Surgeon.

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. T Chandrakant (44 hours later)

Doctor , i uploaded a. Picture from. Gi. Colo procedure. I do not see a. Very large. Polyp but i hope this picture helps. Report says it was tatioed.. Tattooed. I am. Not sure why this was done and i could not see it. Pathology report says- tubulovillous adema.. glands show moderate nuclear stratification. And hyperchromasia.. the .. lamina propria. Shows chronic inflammations.. Small focus of high- grade dysplasia is noted.. the focus shows gland fusion. And atypical cells with round nuclei showing prominent nucleoli.. doctor, this sound very scary to me . Your help is appreciated. XXXXXXX

Answered by Dr. T Chandrakant (19 minutes later)

Brief Answer:
Please post actual reports

Detailed Answer:
Thanks for your feedback.
Please post actual reports of colonoscopy and histopathology and any others.
Awaiting.
With Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. T Chandrakant (34 hours later)

The report is many pages long because they found many small polyps. The only comment regarding the cecal polyp is the statement and pictures I already submitted. I am trying to get a software release of the report. My big question is if you can tell how much of the colon is covered by the polyp?

Answered by Dr. T Chandrakant (45 minutes later)

Brief Answer:
As per the picture- 15 - 20 %. Most probably.

Detailed Answer:
The picture submitted is not clear, is in black and white hence difficult to find out the evidence you are asking for.
The first picture showing ileo-cecal valve does show a large size white area, most probably a polyp, covering about 15 to 20% of wall area. This is just a possibility as per the picture you have provided.
Pathology report says- tubulovillous adema (Adenoma?)

I hope this answers your query.
With Regards.
Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (51 minutes later)

I do not see surgeon till mid febuary. You have estimated 15-20% of wall area. I am trying to get a download of the report to my computer. Any guess(guess). Pf how much of the colon is now filled with the polyp. Sixe in height of polyp vs. size /(diameter?) of colon where polyp is located?

Answered by Dr. T Chandrakant (30 minutes later)

Brief Answer:
Please send reports.

Detailed Answer:
Please send the reports. Let us know what exactly the reports are indicative of.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (40 minutes later)

Can I send using email

Answered by Dr. T Chandrakant (13 minutes later)

Brief Answer:
I have requested the office

Detailed Answer:
I have requested the office to assist you for sending by email.
Hopefully you get an email asap.
YYYY@YYYY

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar