Colo rectal surgeon in Delhi NCR
Colo rectal surgeon in Delhi NCR
Dr. Ram Kumar Sharma
Senior Consultant Surgery
Dr. Jotinder Khanna
GI & General Surgeon in Alaknanda, Delhi
Dr. Sudhanshu Mishra
General Surgeon, Shalimar bagh Delhi
Dr Venkatesh Munikrishnan
Dr Chinnaya Parimi
Colorectal Surgery, Apollo Health
Colo rectal surgeon at SSO
Surgeons at SSO are skilled to perform latest surgical procedure to treat colo rectal disorders using updated techniques. They stay in touch with colleagues from oncology, gastroenterology, urology and other departments to provide comprehensive, innovative and complete diagnosis.
Colo rectal surgeons at SSO have amassed colossal experience by training under general as well as advanced surgery and treatment. They treat plenty of conditions like:
- Cancer related to colon and rectum
- Rectal prolapse
- Crohn’s disease
- Bowel incontinence
- Inflammatory bowel disease
- Ulcer and other bowel related diseases
- Also gastrointestinal conditions like hemorrhoids or constipation.
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Colo rectal surgery second opinion
Colo rectal Surgery
Colo rectal surgery is surgery for disorders related to rectum, anus and intestines or colon.
Our surgeons approach to treatment according to the patient’s convenience and comfort. We offer greatest attention to individual’s need and invasive surgical techniques which save plenty of time of our patient.
Here are some of the surgical procedures in which our colo-rectal surgeons are experts
In general colectomy is a surgery in which patient’s colon is removed to prevent any further serious diseases or conditions.
Colectomy is further classified into four types
- Segmental colectomy: This involves removing part of colon which is affected. In case of cancer bigger part is extracted in order to include the lymph nodes in extraction. The ends of the colon is joined together (process called anastomosis) to allow it to heal.
- Hemicolectomy: This surgical procedure involves removing the right or the left portion of the colon to be removed due to the disease.
- Total colectomy: This surgery involves removing the entire colon
- Proctocolectomy: This involves removing both colon and rectum. Polyposis or ulcer in colon are some conditions which leads to proctocolectomy.
Conditions leading to removal of colon
- Uncontrollable bleeding: Excessive continuous bleeding from colon may require surgery to extract the affected segment of the colon.
- Blocked Colon : A blocked colon is an emergency and requires immediate surgery.
- Cancer : Cancer needs compulsory removal but the portion to be removed depends upon the extent of cancerous cell inside the colon.
- Crohn’s disease : This disease also could lead to removal of colon if the medication isn’t helping.
- Ulcerative colitis : In this conditions if the medication isn’t working then your surgeon may recommend you to opt for the surgery
Removal of colon could also be recommended you if signs of precancerous changes are found during examination of the colon (colonoscopy).
The risk depends upon your health, body, type of colectomy and overall procedure taken by the surgeon to perform the surgery. Risks could be serious complications, like:
- Blood clots
- Surgical injuries to other organs
Colonoscopy is examination of colons that is large intestine and rectum.
A thin, long, flexible tube with a camera at the top end called colonoscope is inserted via rectum. The camera at the end of the tube provides the surgeon a video feed of the inside of the colon and rectum.
Abnormal tissues or polyps if present can also be extracted using colonoscope. It can also be used to get tissues samples for further testing.
Need for colonoscopy
Colonoscopy assists your doctor in treating symptoms like
- Abdominal ache
- Internal bleeding in colon or rectum
- constipation or diarrhea
- other intestinal problems.
It is also essential in colon cancer screening or checking for polyps.
The day before the examination the patient needs to take liquid diet like water, tea or coffee but without milk. Nothing should go inside stomach after midnight before the colonoscopy.
The doctor will give you a laxative to take in the night before sleeping that will help in cleaning or emptying the internal organs of the digestive system.
The risk factor in this procedure very low for colonoscopy.
Cancer is a disease which is caused by some cancerous cells which have the ability to multiply rapidly and spread to other parts of the body. These cells destroy normal body cells or tissue and take up their space.
Cancer is classified on the basis of part of the body affected by it. There are two types of cancer that falls under the colo rectal system that is:
Colon cancer as the name suggests originates in colon (large intestine). Mostly adults gets affected by this cancer although it could happen to any age group.
It generally starts with formation polyps inside the colon. Polyps are small lump of cells which are non cancerous in nature at the beginning. If left untreated it could get cancerous with time.
Today, there are many treatments available to treat these cancers. Gradually the survival rates are increasing thanks to the radiation, chemo, targeted and immuno therapy.
- Change in bowel habits
- Frequent constipation, diarrhea and inconsistency of your stool
- Blood in stool
- Persistent complains of gas or stomach ache
- unsatisfactory passage of stool
- instant weight loss
Causes and risk factors
- Growing age: most of the cases of colon cancer are diagnosed after the age of 45. Although it could happen at any age and recently the number of younger people getting affected by colon cancer are increasing.
- A personal or family history of cancer or polyps: This factor increases the risk manifold. Even history of ulcer or Crohn’s disease also increases the risks of cancer.
- Other habits or conditions like diabetes, obesity, drinking or smoking habits could also fuel the risk factor.
The other cancer which not very common and it happens rarely is anal cancer.
The last few inches of the large intestine is called the rectum from where the waste material from the body passes to the anus. Anus is the opening at the lower most end of the rectum via which the waste is excreted.
Anal cancer refers to the cancer emerging in the rectum or the anus.
- Bleeding from the anus or rectum
- Pain, itching, irritating or infection in the area of anus
- A formation of mass or lump in the anus
Causes and risk factors
Several factors lead to cancer or risks of getting a cancer like
- Growing age: Most of the cases are diagnosed after the age of 50.
- Anal sex: People who indulge in anal sex have an high risk of acquiring this disease. Anal sex is a prime reason for anal cancer. Majority of the anal cancer have involvement of human papillomavirus (HPV). HPV is a sexually transmitted infection.
- History of cancer: Those who have cancer in near by organs like cervical are at high risk.
- HPV infection is another major causes.
- Smoking or intake of immuno-suppressive drugs increases the risk of anal cancer
Constipation is common conditions in which there is an absence of stool discharge (fewer than three times a week). It could persist for several weeks or longer.
In most of the cases the causes of constipation is not known and rarely constipation could hinder your ability to do your daily tasks. It also affects your mental health.
- Passing fewer than three stools a week
- passing of hard stools
- feeling of fullness
- feeling of blockage in rectum
If you experience any of the above symptoms for more than 3 months then the constipation could be termed as chronic constipation.
Prolonged constipation could lead up to another conditions like
- Anal fissure that is tear in the anus due to passing of hard stools
- colon or rectum cancer
- Blockage of colon
Hemorrhoids are called piles in layman’s language in which a veins gets swollen near the anus. It can develop inside the rectum or in the anus.
Piles is so common that 4 out of 5 people have gone through this disease in their lifetime. The cause of hemorrhoids is unknown.
There are enough available treatment option for piles provided that the patient makes necessary lifestyle changes.
Severity and types of hemorrhoid have different symptoms at different stage.
Based on the location of the affected part the disease is divided into two parts that is internal and external hemorrhoids.
In external hemorrhoids the affected part is inside the skin near the anus. Symptoms includes:
- itching near anus
- pain causing discomfort
- swelling or irritation near the anus
- it can extend up to bleeding
Internal hemorrhoids are not visible from outside and they cause minimal discomfort. The affected part is inside the rectum.
- bleeding but painless during excretion.
- pain or irritation while passing stool.
- irritation or pain when hemorrhoid pushes itself out of anal opening.
Thrombus is blood clot in external hemorrhoids causing
- Severe pain and swelling
- irritation, inflammation, discomfort
- appearance of clot near anus
It is important to see a doctor when you observe bleeding after bowel movements as it could also point to chances of having other disease like colon cancer or anal cancer. Hence it is very vital in early diagnosis and treatment.
01. Organization !
We are a group of surgeons from different surgical specialities and not a intermediate/ middleman medical website company just in the business of giving second opinion.
02. Our principles !
We want to re-establish the dwindling lack of trust between the doctors and patients with our honest second opinion.
03. No financial expectation bias !
For your second opinion, We choose surgeons who practice in a city away from your place, so they won’t have any expectation that you would be coming to them for surgery – so no bias of financial expectation
04. We are not a Hospital !
Lot of Hospitals give second opinion. Their opinion cannot be unbiased as they would definitely be benefited if they advise surgery and they would expect you to be coming to them as patients. Whereas we are not a hospital.
05. Surgeons preferred by other doctors !
We choose the surgical panel team very carefully –after taking suggestion from other fellow doctors as to whom they would prefer if someone of their own family requires a surgery.