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Does Intestinal Dysplasia Require Surgery?
Question: My grandmother is 80 years old and lives in Israel, I live in XXXX
Information available only is that she has intestinal dysplasia and surgery is being considered, please explain the circumstances in which the risk of surgery would outweigh leaving dysplasia as is.
Information available only is that she has intestinal dysplasia and surgery is being considered, please explain the circumstances in which the risk of surgery would outweigh leaving dysplasia as is.
Brief Answer:
usually surgery is not done at this age
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
I have read your query and understand your concern.
Dysplasia is actually not a carcinoma, it is a stage where if risk factors for carcinoma are continued it may progress to carcinoma over a period of time which can be weeks or months or years, depending upon the severity of the dysplasia and the type of risk factor associated with it.
Usually, to be on a safer side, dysplastic tissue is excised at its onset to prevent any harm due to future malignancy, but this is done is patients with a younger age who have a long life expectancy where the dysplasia if left untreated may change to malignancy and cause profound harm.
Now coming to your grandmother's case, the benefit of surgery is there if she is quite healthy for her age and not having any serious comorbidies with a life expectancy of over 7-10years. Then in my opinion she should undergo the surgery.
As this is a major surgery and at this age it will be a great stress to the body organs to withstand the procedure.
So, if she is flail and has associated co-morbidities like impaired lung or renal functions or liver cirrhosis, then the risk of surgery will outweight the risk of cancer. And in that case, i won't recommend to go for the surgery.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
usually surgery is not done at this age
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
I have read your query and understand your concern.
Dysplasia is actually not a carcinoma, it is a stage where if risk factors for carcinoma are continued it may progress to carcinoma over a period of time which can be weeks or months or years, depending upon the severity of the dysplasia and the type of risk factor associated with it.
Usually, to be on a safer side, dysplastic tissue is excised at its onset to prevent any harm due to future malignancy, but this is done is patients with a younger age who have a long life expectancy where the dysplasia if left untreated may change to malignancy and cause profound harm.
Now coming to your grandmother's case, the benefit of surgery is there if she is quite healthy for her age and not having any serious comorbidies with a life expectancy of over 7-10years. Then in my opinion she should undergo the surgery.
As this is a major surgery and at this age it will be a great stress to the body organs to withstand the procedure.
So, if she is flail and has associated co-morbidities like impaired lung or renal functions or liver cirrhosis, then the risk of surgery will outweight the risk of cancer. And in that case, i won't recommend to go for the surgery.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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