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Colorectal Surgery

Care of the lower digestive system including the colon, rectum, and anus
Conditions managed include cancer and colonoscopy screening, inflammatory bowel disease, and hemorrhoids
Treatments can be nonoperative or surgical, performed in the office, in outpatient centers, or in the hospital

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Overview

Colorectal surgeons are specialists in the treatment of the lower gastrointestinal (GI) system, including the small and large bowel (or colon), the rectum, and the anus. They are trained general surgeons with additional fellowship training in specialized techniques for surgery on these organs. The most common disorders treated are cancer, diverticulitis, inflammatory bowel disease, and hemorrhoids. Specialized techniques include robotic surgery, laparoscopic surgery, transanal surgery, and colonoscopy.

ONCOLOGY

Cancer

Colon and rectal cancer are the second most common cause of cancer death in the United States. Colon and rectal surgeons are specially trained to assess and remove these tumors and assist in a full functional recovery. We work alongside medical and radiation oncology specialists to ensure our patients have access to the best comprehensive cancer care available.

ANUS

Hemorrhoids and other anorectal conditions

Colorectal surgery specialists have expertise in managing anal conditions that can cause pain, itching and bleeding. Anal fissures, fistulas, abscesses hemorrhoids, pruritus, and pilonidal disease are among the diseases that can be evaluated in the office. Many conditions can be treated with minimal downtime.

Screening

Colonoscopy

Colorectal surgeons are trained to do colonoscopy to evaluate conditions of the intestine. They perform routine cancer screenings, remove growths, and perform biopsies.

DIGESTIVE SYSTEM

Minimally invasive surgeries

Many colorectal procedures can be managed using minimally invasive techniques including laparoscopic surgery, robotic surgery, using the latest generation da Vinci robotic surgical systems, and transanal endoscopic microsurgery.

DIGESTIVE SYSTEM

Inflammatory bowel disease

Crohn’s disease, ulcerative colitis, ulcerative proctitis, and indeterminate colitis are often managed in conjunction with our team in medical gastroenterology. Patients are often treated with a combination of medical and surgical options.

Colon disease

Diverticulitis and diverticulosis

Colon and rectal surgeons are experts in evaluating and managing the spectrum of diverticular disease. Treatments range from medications, colonoscopy, diet and lifestyle management to elective and emergent surgery for complicated diverticular disease. Abscesses, fistulas, and bowel perforations as well as obstructive symptoms can all be managed.

Rectum

Pelvic floor

Rectal prolapse, rectocele, obstructed evacuation, and incontinence are all conditions that can affect the pelvic floor and bowel emptying. These conditions can be improved with surgery and are often managed jointly with pelvic floor physical therapists and colleagues in urogynecology.

Anus

HPV disease and anal cancer

Precancerous lesions of the anus, anal cancers, and anal warts are related to the human papilloma virus family. Colorectal surgeons have experience in evaluating and treating these lesions as well as surveillance after treatment.

Rectum and anus

Rectal incontinence

Rectal incontinence or leakage of gas or stool is a complex problem with profound effects on quality of life. Evaluation may include x-ray or MR evaluation, nerve testing, endoscopy, and office examination. Treatments include abdominal or pelvic surgery, implantation of sacral nerve stimulation, and muscular reconstruction.

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