Metro Bariatrics - Amir Moazzez MD, FACS

Colon/Rectal Surgery

The colon is the last part of the bowel that connects the small intestine to the anus. The function of the colon is to absorb water, electrolytes, and other nutrients. Colon surgery is performed due to: colon cancer, large polyps (unable to be removed endoscopically), diverticular disease/diverticulitis, bleeding, etc. The majority of these surgeries may be performed laparoscopically to reduce hospital stay and faster recovery rates.

Colon Cancer

Signs/Symptoms:

Diagnosis: The most common manner to diagnose colo-rectal cancer is to perform a colonoscopy (lighted tube test which evaluates the length of the colon looking for masses, polyps, etc. The current recommendations for colo-rectal cancer screening are the following:

Treatment: Once the diagnosis is confirmed (after pathologic evaluation), certain tests will be ordered (blood work, CXR, EKG, CT scan, etc.) The type of surgery will be determined by the location of the tumor. In most cases, we would offer a laparoscopic approach to resect the involved segment of colon. Once the surgery is complete, the specimen is then examined by the pathologist who then determines the size of the tumor, if lymph nodes are involved, etc.

Diverticular disease/Diverticulitis:

Diverticular disease or diverticulosis are outpockets located anywhere on the bowel. More commonly, they are located on the left and sigmoid colon. Most are asymptomatic, but in certain patients these may develop complications:

When patients develop these complications, then we operate to remove the involved segment to reduce the chance of recurrence. Diagnosis is usually via endoscopy or contrast studies.

Pre/post-operative care:

The day before surgery you will need to undergo a bowel prep to cleanse the colon along with oral antibiotics. At midnight, do not eat or drink anything unless instructed by your surgeon. Once the surgery is complete, you will be admitted to a surgical floor to recovery. The following morning, the nurses will assist you in ambulating and your diet may begin. Hospital stay is about 3-5 days to ensure adequate pain control, ambulation, and toleration of a diet.