The term “colon” or “large bowel” means the first six feet of the large intestine which is part of the body’s digestive system. And the last six inches are the rectum and the anal canal. All the disorders related to the colon, rectum and anus are dealt with in the field of medicine called colorectal surgery. The field is also known as proctology, but used more for treatments of rectum and anus in particular.
The conditions for the colon can be many, some of which may need medication or some procedure to rectify the problem. One of the conditions of the colon is small pouches in the lining of the colon that bulge out through weak spots. Each pouch is known as diverticulum, and the condition of having multiple pouches is called diverticulosis. Further, if the pouch become inflamed the condition is known as diverticulitis. The condition normally happens in the lower part of the large intestine, there are 10- 25% chances of diverticulosis to become diverticulitis. Together the condition is known as diverticular disease.
The presence of diverticulosis may not have discomfort or any other symptom. Sometimes individuals may experience crampy pain in the lower abdomen or it may also cause bloating and constipation. Diverticulitis if present is mostly exhibited with abdominal pain. Though there are no clear symptoms, on first examination the most common sign is tenderness in the left side of the abdomen. Also the pain may be mild initially and may become severe over a period of time, or may exhibit as bout of severe pain for a period.
Diverticulitis is a condition that requires clearing up the inflammation and infection, and to give rest to the colon to prevent any further complications. The course of treatment is usually oral antibiotics, pain reliever, rest and liquid diet. For most cases that are mild this course of treatment works, failing of this may require hospital stay to administer IV antibiotics, few days without food and drink to give rest to the colon and in some cases may require surgery.
Surgery for diverticulitis requires removing affected parts of the colon and joining the remaining sections. The surgery which is known as partial colectomy helps in preventing complications or any other related surgery in future. Sometimes surgery for diverticulitis is done in two parts; the first is to clean the abdominal cavity and second is to remove the affected colon and perform a colostomy that creates a stoma in the abdomen. For the period healing happens, stool is collected in a pouch attached to the stoma which allows normal eating in that period.
Colorectal surgery in Pune also includes disorders such as swelling, inflammation of the veins in the rectum and anus; cracks that are not natural in the anus; abnormal connections that are present between the rectum and other anorectal area; condition of severe constipation; fecal incontinence; walls of the rectum protrude through the anus; congenital defects such as imperforate anus; severe colic conditions such as Crohn’s disease; colorectal cancer; reposition rectal area if it displaces; anal cancer though rare; any injury to the anus; removing objects that are inserted in the anus by purpose.
Surgery may be the treatment for some of the conditions which may include colectomy, colostomy, polypectomy, strictureplasty, hemorrhoidectomy, anoplasty and some other surgical forms which depends on the severity of the condition. Diagnostic procedures, such as colonoscopy are important which gives the physician clear understanding of the condition and the treatment to be given. Some other diagnostic procedures that are used by colorectal surgeons are proctoscopy, defecating proctography, sigmoidoscopy. In recent times, laparoscopic surgery has become popular due to its lower risks, less recovery time and precise incision using laparoscopic instruments.
Multi-Specialty Jehangir Hospital is the best hospital in Pune providing health care services related to heart, kidney, joints, critical care and more.
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