Does Colon Polyp Treatment Need Surgery?

Colon polyps are basically benign tumors, but there are still some cases where polyps progress to cancer, which is a health risk. So how to treat colon polyps? Follow the article below to get answers to this problem.
Overview of colon polyps
Colon polyps are growths on the inner lining of the colon (large intestine) and are a fairly common disease today. Most colon polyps are benign, but some also progress to malignancy. Based on size, number and histopathology, the doctor can diagnose which patients are most likely to develop polyps as well as the risk of colon cancer

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Changes in the genetic material of colon lining cells are thought to be the main cause of polyps. Accordingly, there are many different types of colon polyps with different tendencies to progress to malignancy. It is important to monitor and detect in your family if anyone has ever had a colon polyp, because it is highly likely that you are at high risk for yourself and cancer Can be prevented if detected early.




Only a small percentage of polyps cause specific symptoms or signs. In particular, there are a few symptoms as follows:
Red blood mixed with stool or red blood on stool surface;
Persistent loose stools or constipation;
Headache, dizziness, pale skin;
Stomachache.
Colon polyps are a common disease involving the gastrointestinal tract
The treatment of colon polyps
Colon polyps are usually diagnosed with colonoscopy or some tests, CT scans, etc., and are usually treated with laparoscopy or sometimes surgery.
Medical treatment (medication)
In case of specific medical treatment using medication, usually prescribed for mild illnesses such as low polyps and very small size, the doctor will appoint patients to use some anti-inflammatory drugs to support treatment.
The best support for the treatment and prevention of polyps is the use of nonsteroidal anti-inflammatory drugs (NSAIDs), a group of medicines including aspirin, ibuprofen (Motrin, Advil), celecoxib (Celebrex) and many others. Aspirin has been shown in several studies to reduce polyps formation by 30% to 50% However, there is concern about the side effects of aspirin when gastrointestinal bleeding can occur if taken in excess.




In fact, these drugs do not guarantee the thorough treatment of polyps and only work when used, but after stopping the drug, the disease can still develop normally.
Surgical treatment
Usually when a polyp is detected, the best treatment is to remove it. However, the method of cutting will depend on the location and size, the number and the type of polyp to determine the appropriate method.
If the size of polyps is small, it can be removed through colonoscopy. Accordingly, the doctor will perform cutting with medical instruments inserted through the endoscope.
In the case of peduncle polyps will be cut with a thermopsy pliers, there are stems will be cut by Snare or in case of large stalks will use Blend Cut or Coagulation with low intensity to limit the current. Bleeding object at cutting position.
Where polyps are located in difficult to cut places, the plastic tube can be attached to the end of the scanner and then removed.




For large polyps that cannot be removed during colonoscopy, the patient may be ordered to have laparoscopy or open surgery for treatment. If the polyp is too large and the patient does not respond to laparoscopic surgery, then abdominal fat will need to be removed to remove the polyp.
In the event that a polyp biopsy reveals the risk of developing cancer, it is likely that the patient will need to have a surgical removal. Alternative surgeries are performed by removing the complicated colon and then connecting the normal segments together. When the rectum is removed, the patient may be given an artificial anatomy in the form of opening an opening in the small intestine out of the abdominal wall. Feces will be excreted with artificial anus.
Endoscopic surgery
Does colon polyps recur?
Colon polyps are a relatively high risk of recurrence, so patients who have had polyp resection surgery need to have a follow-up visit to check for recurrence of polyps. The time for the re-examination can be based on the doctor's request as well as the type of polyps you have had.



Accordingly, some timeline for re-examination that you can refer to are:
If polyps are not found on the first test, you should do the second test after 10 years;
If the only polyps found are hyperplastic polyps, and they are limited to the rectum and sigma colon and all are less than 1cm in size, a second check should be done in 10 years;
If one or two tubular polyps are found and they are less than 1cm in size, the person should be sick.

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