Our Summary

In this study, researchers compared two methods of removing abnormal growths from the colon (a part of the digestive system): the conventional method (CEMR) and a newer method that involves performing the procedure underwater (UEMR). They randomly assigned patients to receive one of the two procedures and monitored them for six months to see if the growths came back.

They found that the underwater method had a lower rate of the growths coming back, especially for larger growths. Both methods were equally successful at removing the growths and had similar rates of side effects. However, the underwater method resulted in fewer cases of bleeding during the procedure.

In conclusion, the underwater method may be a better option for removing certain colon growths because it has a lower risk of the growths returning.

FAQs

  1. What are the two methods of removing abnormal growths from the colon discussed in this study?
  2. Which method resulted in a lower rate of the growths coming back, especially for larger growths?
  3. Did the underwater method and the conventional method have similar rates of side effects?

Doctor’s Tip

One helpful tip a doctor might give to a patient undergoing intestinal resection is to follow a healthy diet post-surgery to aid in the healing process and prevent complications. This may include eating plenty of fiber-rich foods, staying hydrated, and avoiding foods that may cause discomfort or blockages in the intestines. It is also important to follow any specific dietary guidelines provided by the healthcare team to promote proper healing and recovery.

Suitable For

Patients who are typically recommended for intestinal resection include those with:

  1. Colon cancer or other types of colorectal cancer
  2. Severe inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis
  3. Intestinal obstructions or blockages
  4. Severe diverticulitis
  5. Large polyps that cannot be removed by other methods
  6. Intestinal perforation or severe trauma to the intestines

These patients may benefit from intestinal resection to remove the affected or diseased portion of the intestine and improve their overall health and quality of life.

Timeline

  • Before intestinal resection:
  1. Patient experiences symptoms such as abdominal pain, bloating, diarrhea, constipation, and blood in the stool.
  2. Patient undergoes diagnostic tests such as colonoscopy, CT scan, and blood tests to confirm the presence of abnormal growths in the colon.
  3. Patient consults with a surgeon to discuss the possibility of intestinal resection as a treatment option.
  4. Patient undergoes pre-operative preparation, which may include bowel cleansing and fasting.
  • During intestinal resection:
  1. Patient is placed under anesthesia.
  2. Surgeon removes the abnormal growths from the colon through either conventional or underwater method.
  3. The affected portion of the intestine is removed, and the healthy ends are reconnected.
  4. Patient is monitored in the recovery room post-surgery for any complications.
  • After intestinal resection:
  1. Patient is kept in the hospital for a few days for recovery and monitoring.
  2. Patient may experience pain, bloating, and changes in bowel habits post-surgery.
  3. Patient is put on a liquid diet initially and then gradually transitions to solid foods.
  4. Patient is advised to avoid heavy lifting and strenuous activities for a few weeks.
  5. Patient undergoes follow-up appointments with the surgeon to monitor healing and check for any signs of complications.
  6. Patient may require further treatment or therapy to manage any long-term effects of the intestinal resection.

What to Ask Your Doctor

  1. What is the reason for recommending an intestinal resection?
  2. What are the potential risks and complications associated with the procedure?
  3. How will the surgery be performed and what is the expected recovery time?
  4. What are the chances of the intestinal growths returning after the procedure?
  5. Are there any alternative treatment options available?
  6. How will the surgery affect my digestion and bowel movements?
  7. Will I need any additional treatments or medications after the procedure?
  8. How often will I need follow-up appointments to monitor my progress?
  9. Are there any lifestyle changes I should make to support my recovery after the surgery?
  10. What is the long-term prognosis for my condition after undergoing intestinal resection?

Reference

Authors: Lenz L, Martins B, Andrade de Paulo G, Kawaguti FS, Baba ER, Uemura RS, Gusmon CC, Geiger SN, Moura RN, Pennacchi C, Simas de Lima M, Safatle-Ribeiro AV, Hashimoto CL, Ribeiro U, Maluf-Filho F. Journal: Gastrointest Endosc. 2023 Mar;97(3):549-558. doi: 10.1016/j.gie.2022.10.033. Epub 2022 Oct 26. PMID: 36309072