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Rectal cancer management - what are the stages of colon cancer - how to treat rectal cancer administrator 4 Views • 2 years ago

Rectal cancer management requires a multimodality approach and this talk by Dr. Gunjan Desai of liver and digestive diseases clinic, Mumbai and Navi Mumbai outlines the approach beautifully in the fourth webinar of Edusurg Clinics on non-metastatic rectal cancer management.

The talk begins with the anatomy of the rectum which includes the sub-divisions of the low rectum, mid rectum, and upper rectum, lymphatic drainage of the rectum as well as the concept of mesorectum and total mesorectal excision. The video then highlights the clinical presentation including the rectal cancer symptoms as well as the signs followed by the workup and tests that are required to establish the diagnosis as well as stage the disease.

The talk then focuses on the aims of treatment which predominantly include sphincter preservation and oncological safety. He gives a rectal cancer treatment protocol and summarizes the updates in rectal cancer management as well. The role of long course and short course neoadjuvant radiation, as well as chemotherapy, are discussed and selection criteria elaborated. This management outline will definitely answer the question of which neoadjuvant treatment in rectal cancer to give and when.

The talk then focuses on surgical treatment options for rectal cancer based on Rullier's classification of low rectal tumors and describes the principles of Bill Heald's Total mesorectal excision surgery. It also describes the three critical sites of injury during TME and advocates Nerve-sparing TME. New techniques for rectal cancer surgery are also touched upon towards the end. The talk describes the surgical management of rectal cancer in a very simplified, yet descriptive manner.

So, let us have a look at the video. Stay tuned to our next webinar and leave topics in the comments section below or email us and we will surely include them in our discussion.

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What Are the Differences Between Colon Cancer and Hemorrhoid Symptoms and Signs? administrator 6 Views • 2 years ago

My #1 recommendation for getting rid of hemorrhoids: http://bit.ly/stophemorrhoidsnow

In this video I’m going to talk about What Are the Differences Between Colon Cancer and Hemorrhoid Symptoms and Signs?

Colon cancer is the growth of abnormal cells in the colon.Hemorrhoids are are swollen and enlarged veins in the lower part of the rectum and the anus. There are three types of hemorrhoids which are internal, external, and thrombosed.

Signs and symptoms of colon cancer and hemorrhoids that are similar include:Rectal bleeding,Blood in the stool or The feeling as if you haven’t finished a bowel movement.Colon cancer symptoms may not be noticeable until the disease has progressed.

Signs and symptom of colon cancer (when they do occur) that do not occur with hemorrhoids may includes Changes in frequency of bowel movements,Symptoms of bowel obstruction such as abdominal distention or pain,Unexplained or persistent nausea or vomiting,Unexplained weight loss,Changes in stools, for example,Narrow or ribbon-like stools,Constipation or rarely, rectal pain.

Signs and symptoms of internal, external, and thrombosed hemorrhoids that do not occur with colon cancer may include:Painless bleeding,Pain, which increases with swelling of an external or ruptured hemorrhoid,Anal itching or a lump outside the anus.

Causes of colon cancer include adenomatous polyps, genetic abnormalities, inflammatory bowel disease (ulcerative colitis or Crohn's colitis [Crohn's disease)], past or present cancers (breast, uterine, or ovarian), a family history of colon cancer, obesity, smoking, and possibly diet.

Causes of hemorrhoids include situations that increase pressure within the hemorrhoidal blood vessels such as straining to have a bowel movement (due to constipation or diarrhea), prolonged sitting, inactivity, low fiber diet, obesity, pregnancy, colon cancers, liver disease, inflammatory bowel disease (IBD), anal intercourse, and spinal cord injury.

People commonly attribute all rectal bleeding to hemorrhoids, thus preventing early diagnosis owing to lack of concern over "bleeding hemorrhoids." So always see a doctor if you are concerned and to make sure nothing is wrong!

Factors that may affect your risk of developing a colon cancer include: diet:Whether diet plays a role in developing colon cancer remains under debate. The belief that a high-fiber, low-fat diet could help prevent colon cancer has been questioned.Studies do indicate that exercise and a diet rich in fruits and vegetables can help prevent colon cancer.
Obesity has been identified as a risk factor for colon cancer
and cigarette smoking has been definitely linked to a higher risk for colon cancer.Drug effects: Recent studies have suggested postmenopausal hormone estrogen replacement therapy may reduce colorectal cancer risk by one-third. Patients with a certain gene that codes for high levels of a hormone called 15-PGDH may have their risk of colorectal cancer reduced by one-half with the use of aspirin.

Common situations that increase pressure within the hemorrhoidal blood vessels and lead to abnormalities include Colon cancers,Straining to have a bowel movement. This may be due to constipation or diarrhea,Prolonged sitting, including on the toilet,Lack of exercise,Low fiber diet,Obesity,Pregnancy,Liver disease,Inflammatory bowel disease,Anal intercourse or a spinal cord injury.

When to Call the Doctor for Colon Cancer Symptoms and Signs:
Bright red blood on the toilet paper, in the toilet bowl, or in your stool when you have a bowel movement,Change in the character or frequency of your bowel movements,Sensation of incomplete evacuation after a bowel movement,Unexplained or persistent abdominal pain or distension,Unexplained weight loss,Unexplained, persistent nausea or vomiting.

If you have any of these symptoms, go to the nearest hospital Emergency Department.Large amounts of bleeding from your rectum, especially if associated with sudden weakness or dizziness,Unexplained severe pain in your belly or pelvis or Vomiting and inability to keep fluids down.

When to Call the Doctor for Hemorrhoid Symptoms and Signs:

Hemorrhoids do not cause abdominal pain.Prolapsed hemorrhoids that cannot be pushed back through the anus or Thrombosed external hemorrhoids may cause significant pain, and a doctor may need to remove the clot.So always seek medical advice if your not sure what’s happening to you and your body.Hope you liked the video and don’t forget to click the link.

To learn more about how to get rid of hemorrhoids, check out this study and program:http://bit.ly/stophemorrhoidsnow

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Keywords:
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Check out my other video about hemorrhoids here:https://youtu.be/xxba4c7ZjgA