
How Long Before I Can Lift A Heavy Dumbbell After Surgery ?

Heavy lifting should be avoided for 3 months.
Detailed Answer:
Hello.
Tkank You for the query.
You have a large polyp in the cecum. As it cannot be removed during colonoscopy, You will should have surgical resection of small part of the large intestine (cecum) and the very end part of small intestine. Anastomosis between small intestine and ascending colon will be performed.
This surgery should be done laparosopically (keyhole surgery). The only reason to restrict activities is to prevent hernia formation in the area of small incisions. Regular activities should be avoided for 4 weeks. Heavy lifting should be avoided for 3 months.
Such small resection does not need to be followed by any diet change. You may notice loose stool few weeks afterthe surgery but it should subside by itself.
Regards



Whole cecum has to be removed.
Detailed Answer:
Hello.
Yes I did gette review.
The polyp is quite large. Around 50mm which is 5 cm (NOT 50 cm). As technically it is imposible to remove just polyp, whole cecum ha to be removed. Especially that there has to be a mrgin of tissues not affected by it.
The polyp has been marked with an ink (during the colonoscopy), so it should be easily visible during the surgery.
I can not advise any specific surgeon, but You my find such surgeon typing "colorectal surgeon".
Regards



Cecum can be connected with small intestine using stapler.
Detailed Answer:
Hello.
Such surgery is not a hard one so there is no necessary to look for very specific cecum surgeon. Belive me, colorectal surgeon is good enough. This type of surgery is one of the most common intestinal surgery. We usually mechanically connect small intestine with large intestine using a tool called stapler. It stitches intestine walls with small stitches.
Hope this helps.
Regards



Your polyp is too large for ESD and EMR
Detailed Answer:
Generally it takes approximately 10 years for the cancer to develop from polyp. However this apply to small polyps. Your is quite large, so You can not wait that long. However 3 months is a safe period of time to wait for sure. This won't change anything and no need to prioritize Your surgery.
EMD and EMR are methods used for polyps not larger than 2 cm so Yours is too big. Moreover this methods are mostly used for stomach and esophagus lesions. It would be hard to do it through colonoscopy in cecum polyp which is that large.
Hope this helps.
Regards


Do not leave the polyp.
Detailed Answer:
We remove whole cecum in case of a confirmed cancer. In other situations, it is not necessary to remove whole ascending colon. We may rather remove the small part of cecum.
Surgeon will see the ink in the intestine wall (visible as a black wall). And most likely he will focus on that part only. We must see if the blood supply will be sufficient to the other part of large intestine. We usually find the artery (called ileocolic artery) and close it (with clips). In the next step, wee must identify which part of the intestine remains with blood supply after artery closure. This makes a border between intestine which must be removed and one that can be left.
Moreover, if it will be whole ascending colon or just a part of it (cecum is a part of it), it should make no difference for You after the surgery. So the risk of whole ascending colon removal vs just cecum removal is simply similar and it is low.
I do strongly advice to do not avoid this surgery.
Regards.


You are welcome.
Detailed Answer:
You are welcome. Hope this will help You go through whole process of treatment.


It’s difficult finding doctors and OR suits available. in the next few months. Who can advise me on waiting till March for any surgery and giving me time to make arrangements., The polyp has been marked with black ink.. the gasto dr. Says it’s. 50 cm. Sessile polyp. The picture does not show a 2 inch height. So. I am going to try and reach the doctor Monday. But I wonder if you have any thoughts on how the dr arrived at. 50 cm I. Size. It’s a mystery. To me. It’s very difficult to reach drs. Theses days. Medical professionals are over worked?
The polyp is 5 cm large
Detailed Answer:
The polyp is 5 cm (50milimeters = 5 centimeters) not 50!!! If it were 50 cm You would be able to see it from the outside. Moreover You would have ileous symptoms.

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