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Colon Cancer: Uniting For Strength, Inspiring Hope Together

Colon cancer poses significant challenges, often diagnosed late. Yet, through early detection, advanced treatments, and unwavering support, we strive to improve outcomes and offer hope to those affected.

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Insights Of Colon Cancer

With extensive training, experience, and dedication to patient care offering the comprehensive services tailored to meet the unique needs of each individual.

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Colon Overview: Essential Functions

The Intestine is the part of the digestive system that is the longest—the “gut.” The long tube that begins at the back of the mouth and connects the stomach and intestines to the anus is the digestive system. It circulates within the body.

The “rectum”, which measures approximately 15 centimeters in length, and the “colon”, which measures approximately 1.5 meters in length. Through the anus, the rectum connects to the outside of the body.

Your Colon Has Two Major Functions :
  • The intestine serves to allow food to pass through, where it is absorbed and digested, with intestinal motions aiding in waste expulsion.
  • Comprising the small and large intestine, food absorption primarily occurs in the small intestine, while the large intestine primarily absorbs water and salts.
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About Colon Cancer

Colon cancer, also known as colorectal cancer, is a type of cancer that develops in the colon or rectum. It typically starts as small, noncancerous growths called polyps, which can gradually transform into cancer over time.

The region of the Intestine is generally affected by cancer:
  • Intestinal cancer primarily affects the rectum or colon, with small intestine cancer being rare.
  • Originating from the mucosa, the inner lining of the intestine, untreated cancer can penetrate deeper into the intestinal wall and potentially spread to nearby lymph nodes and distant organs like the lungs or liver.

Polyps, small outgrowths of the inner lining of the intestine resembling mushrooms, can serve as the starting point for intestinal cancer. People over the age of 50 frequently develop these polyps, which are typically not cancerous. However, some polyps have the potential to develop into cancer.

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Causes Of Colon Cancer

It is unclear what exactly causes cancer of the intestines. The causes of colon cancer include a combination of genetic, lifestyle, and environmental factors, such as family history of colorectal cancer or polyps, age, certain genetic conditions etc.

Risk Factors For Colon Cancers Are:
  • Family History: Having a family history of colorectal cancer or polyps significantly increases the risk of developing colon cancer.
  • Diet and Lifestyle: Factors such as a diet high in red or processed meats, low intake of fruits and vegetables, lack of physical activity, obesity, smoking, and heavy alcohol consumption contribute to an elevated risk of colon cancer.

Having ulcerative colitis, where the lining of the colon is inflamed, for more than eight to ten years.

The Factors Associated With Colon Cancer Includes:

Explore the diverse array of factors associated with colon cancer, ranging from genetic predisposition to lifestyle choices and dietary habits.

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Explore Some Common Symptoms Of The Intestine Cancer

You should see a doctor for a checkup if you have any of the symptoms for longer than two weeks. To check for early signs of intestinal cancer, a faecal occult blood test (FOBT) can be performed. This test looks for small amounts of blood in stools. Every two years, 50-year-olds without symptoms or a family history should take a FOBT.

The test for intestine cancer is not a confirmatory one; rather, it is only a screening one that looks for any source of bleeding from an area of the intestine.

One of the underlying causes of such bleeding may be colorectal cancer. If the test comes back positive, your doctor will provide you with additional information.

Discover The Typical Symptoms Associated With Intestine Cancer

Blood in motions

Blood in motions can indicate gastrointestinal bleeding, which may be caused by conditions like hemorrhoids or more serious issues such as colorectal cancer.

Diarrhoea & constipation

Diarrhoea, constipation or feeling that the intestine does not empty completely, particularly if this is a change from normal habits. Any persistent or unexplained changes in bowel habits should be promptly evaluated by a healthcare professional.

Blood in vomit or black-colored stools

Blood in vomit and black-colored stool (melena) suggest gastrointestinal bleeding, requiring immediate medical evaluation to determine the underlying cause, which could include stomach ulcers or esophageal varices.

Constant tiredness, weakness and paleness

Constant tiredness, weakness, and paleness may signal anemia, often due to conditions like iron deficiency or chronic diseases such as leukemia.

General discomfort in the abdomen

General discomfort in the abdomen can be caused by various conditions, including indigestion, gastritis, or more serious issues like appendicitis or pancreatitis.

Mucus in motions

Mucus in motions can indicate inflammation of the intestines or infections such as bacterial gastroenteritis, requiring assessment by a healthcare provider to determine appropriate treatment.

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Treatment Of Colon Cancer

Doctors are better able to determine which treatments are most likely to be effective for a given type and stage of cancer thanks to their years of experience treating cancer patients and participating in clinical trials.

  • Treatment for colon cancer is personalized based on factors such as overall health, cancer type, location, and extent of spread.
  • Surgery and chemotherapy are the primary treatment modalities for colon cancer, tailored to individual cases.
  • Surgery to remove the colon is typically recommended for localized colon cancer, while surgery may still be beneficial even if the cancer has spread to other parts of the body, which is unique to colon cancer treatment.

Treatment Of Rectum Cancer

Doctors are better able to determine which treatments are most likely to be effective for a given type and stage of cancer thanks to their years of experience treating cancer patients and participating in clinical trials.

You will be advised on the most effective cancer treatment. This will depend on your overall health, the type of cancer you have, where it is and how far it has spread.

  • Chemotherapy and surgery are the primary treatments for rectal cancer, often used in combination.
  • Pre-surgery treatments such as chemo-radiotherapy or radiotherapy may be administered to shrink the tumor and reduce the risk of cancer recurrence in the rectum.
  • Surgery to remove the rectum is typically offered for localized or non-spreading rectal cancer, while surgery may still be beneficial even if the cancer has spread to other parts of the body, a unique aspect of rectal cancer treatment.
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Tests Are Carried Out To Diagnose Intestine Cancer

This section lists common tests. It is not necessary for all the tests to be performed and your doctor will select the tests that will provide maximum information about the tumor/ disease.

Your doctor will examine you and take a complete medical history before referring you for tests. You may likewise have a blood test and CT Scan to really look at your overall wellbeing.

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Rectal Examination

Test of the rectal area This procedure enables the doctor to examine the last six to eight centimeters of your intestine. Your doctor will feel inside your rectum for anything unusual by inserting a gloved finger into your anus. Although the test may make you feel as though you are about to open your intestines, you won’t lose control.

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Computerised Tomography (CT) Scan

A CT examine is a sort of x-beam that gives an image of organs and different designs (counting any cancers) in your body. It is used to examine a cancer in greater detail and its relationship to your body’s surrounding organs. It likewise gives data connected with disease spread into the lymph hubs, liver or lungs.

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Positron Emission Tomography (PET) Scan

Positron Emission Tomography (PET) Scan This test is combined with a CT scan by injecting a radioactive substance into the body to highlight all of the places where the tumor has or can spread. After an MRI or CT scan, additional information may be gathered through this test. All patients do not require a PET-CT scan. This scan’s necessity will be determined by your physician.

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Sigmoidoscopy / Colonoscopy

Sigmoidoscopy and colonoscopy In order to view the lining of your intestines, an endoscope, a flexible, lighted tube, will be inserted into your anus. The doctor can use small instruments to insert into the scope and extract some tissue if they notice anything unusual. The tissue can be inspected under a magnifying instrument for a determination.

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Endorectal ultrasound scan

Endorectal ultrasound scan: If other tests show that you have cancer in your rectum, your doctor may recommend that you have an endorectal ultrasound to learn more about the tumor’s local spread.

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Biopsy

A biopsy is a diagnostic procedure performed under a microscope by a pathologist using a small amount of tissue taken from an abnormally found area or lump. If the doctor notices anything unusual during the endoscopy or EUS, they can remove some tissue with small instruments and examine it under a microscope. Cancer has been confirmed by this.

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Magnetic Resonance Imaging (MRI)

Similar to a CT scan, magnetic resonance imaging (MRI) creates images of your abdomen’s organs using magnetism rather than x-rays. Unlike a CT scan, an MRI does not cause any pain and the magnetism is harmless. In cases of low rectal cancer, an MRI scan may provide more information.

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Blood Tests

A specific tumor marker test known as CEA (carcinoembryonic antigen) will also be performed in addition to the usual haemoglobin and routine blood tests. Find Here The Best Colon Cancer Treatment In Mumbai The substance (CEA) that is produced in large quantities by intestine cancer cells is the subject of this blood test.

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Surgery For Colon Cancer

Despite the fact that cancer surgeries are time-consuming and extensive; Surgery has become safer thanks to improved medical care, and surgical instruments are now available. The overall safety of cancer surgical procedures has been significantly improved by improved post-operative monitoring and anesthesia techniques.

Surgery For Rectum Cancer

Despite the fact that cancer surgeries are time-consuming and extensive; Surgery has become safer thanks to improved medical care, and surgical instruments are now available. The overall safety of cancer surgical procedures has been significantly improved by improved post-operative monitoring and anesthesia techniques.

Explore The Different Required Stages Of Surgery

Step By Step Process For Operation

  • You will typically be admitted one or two days prior to the scheduled surgery date if you are determined to be suitable for the procedure. Prior to surgery, you may be prescribed laxatives and subject to dietary restrictions.
  • Your blood will be tested to see what your blood group is, and blood is typically kept for all major abdominal surgeries. After being admitted to the hospital, it is always a good idea to begin with exercises that involve deep breathing.
  • You might get a physiotherapist from your doctor to help you with the same thing. For the surgery, most of your body will be shaved. A consent form for your signature will be given to you.
  • The specifics of the procedure that will be carried out on you by your treating surgeon would be listed on the form. Feel free to ask the surgical team any questions if you have them.
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1. Colon Cancer Surgery :

The position of the tumor in the colon will determine how much of colon is removed. If the left side of the colon is removed, it is called a left hemi colectomy. A temporary colostomy or ileostomy, or diversion of stools, may be performed by the surgeon to allow the area to heal. A few months later, you have another surgery to fix the temporary stoma. This is known as a stoma inversion. You are wearing a colostomy bag over the bowel opening at this time.

  • If the middle part of the bowel is removed (the transverse colon) it is called a transverse colectomy.
  • If the right side of the colon is removed, it is called a right hemi colectomy.
  • If the sigmoid colon is removed it is called a sigmoid colectomy.
  • After your surgeon removes the part of the bowel containing the tumour, they join the ends of the colon back together. The place where they join is called an anastomosis.

2. Removal Lymph Nodes Close To Colon :

Procedures to reduce to chance of this cancer:

  • Removing cancerous growths decreases the risk of cancer recurrence in the future.
  • Examination of lymph nodes in the laboratory assists doctors in determining the stage of cancer and selecting suitable treatment options.
  • Staging helps in understanding the extent of cancer spread and guides the choice of treatment for optimal outcomes.

Removal of Lymph Nodes Near the Colon All of the lymph nodes near the colon will be removed during the surgery. Lymphadenectomy is the term for this. Lymph nodes are surgically removed because they may contain cancer cells that have separated from the primary cancer.

3. Bypass Surgery :

Sometimes the cancer is very big and can’t be taken out because it is attached to important organs in the abdomen. In the event that this occurs, the surgeon may establish a connection between the intestines prior to and after the blocked site to allow food to pass through the obstruction.

Step By Step Process After Operation :

  • Patients are transferred to the intensive care unit (ICU) post-surgery for monitoring, typically for 48 to 72 hours, with an average hospital stay of 10 to 14 days if no complications arise.
  • The anesthetic team manages discomfort & pain post-surgery, administering painkillers and intravenous fluids to replenish the body’s fluids until oral intake is possible.
  • A naso-gastric (NG) tube may be inserted to drain fluids from the stomach or small intestine to prevent nausea, usually removed within 48 hours.
  • Occasionally, a catheter may be placed into the bladder to drain urine into a collection bag.
  • Early mobility post-surgery is encouraged to aid recovery, with nurses promoting leg movements and deep breathing exercises, and physiotherapists offering assistance

After an anaesthetic, the movement of the bowel slows down and usually takes about 72 hours to get back to normal. After about 48-72 hours you will probably be ready to start taking small sips of water, however your doctors will tell you when it is appropriate for you to start drinking some fluids.

This will be gradually increased after a couple of days until you are able to eat a light diet, usually four or five days after your operation.

You will probably be ready to go home in about two weeks after your operation and once your stitches have been removed. If deemed appropriate your doctor may send you home with stitches and call you later to remove the stitches.

By and large you should be able to climb several flights of stairs after your discharge from the hospital and you will be given diet instructions.

Before you leave hospital you will be given an appointment for a post-operative check-up at the outpatient clinic.

After colon surgery, you can resume your usual diet without restrictions, though initially, certain foods like fruits and vegetables may cause loose stools or affect a colostomy. Individual tolerance varies, so consulting with a hospital dietitian can help manage dietary concerns. Increased bowel movements post-surgery can be addressed with medications prescribed by your doctor, and keeping a food diary can assist in identifying and adjusting to foods that may trigger symptoms.

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Common symptoms include changes in bowel habits (such as diarrhea or constipation), blood in stools, abdominal discomfort or pain, unexplained weight loss, and fatigue.

Risk factors include age (especially over 50), family history of colorectal cancer or polyps, personal history of inflammatory bowel disease (IBD), such as Crohn's disease or ulcerative colitis, a diet high in red or processed meats, obesity, smoking, and sedentary lifestyle.

Colon or intestine cancer is diagnosed through various methods including colonoscopy, sigmoidoscopy, imaging tests such as CT scans or MRI, biopsy and blood tests to detect tumor markers.

Treatment options depend on the stage and location of the cancer but may include surgery to remove the tumor, chemotherapy, radiation therapy, targeted therapy to attack specific cancer cells, and immunotherapy. Palliative care may also be used to relieve symptoms and improve quality of life.

Prognosis varies widely based on the stage at diagnosis, overall health of the patient, and response to treatment. Early detection significantly improves outcomes.

Looking For Another Perspective On Colon Cancer Insights?

About doctor

Dr. Deepak Chhabra

MS. (Bom), DNB, M.R.C.S. (Edin. UK)
Fellow GI Surgical Oncology & Robotics (Seoul, Korea)
Specialist HPB Training (Nagoya Univ, Japan)

Dr. Deepak Chhabra is a consultant Surgical Oncologist with an extensive experience in cancer surgeries. He is has specialized in Hepato (Liver) -Biliary (Gallbladder) and Pancreatic Cancer Surgeries.

  • Member at the Department of Surgical Oncology at Lilavati Hospital, Mumbai
  • First clinical Co-Ordinator of the Asia-Pacific Neuroendocrine tumor registry (AP-NET registry) in India.
  • One of few specialist in Hepatobiliary and Pancreatic Cancer Surgeries from Nagoya University in Japan.
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15

Years Of Experience

5000

Critical Surgeries

50

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  • He is one of the prestigious Colon Cancer Doctor in Mumbai.
  • Experienced doctor, compassionate and takes individualized care.
  • Patients receive ongoing support, reassurance, empowerment at their journey.
  • Committed to guide patients with empathy and understanding.
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    Patient’s Reviews

    Discover first hand accounts from patients who have experienced compassionate care and expert treatment at our clinic. Read their reviews to get to know their journey.

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    4.7 Out of 5

    “Two years back had my father's major Liver surgery done by Doctor Deepak Chhabra, right now he is absolutely fit and fine. As a Doctor he is very well mannered calm & easily understand the condition of the patient. He use to explain comprehensively about the infection and procedure of surgery and its pros and cons. Respectful Doctor in the field of Oncosurgery/Surgical Oncology in mumbai. Recommended doctor by some of the best Cancer Doctors & Medical Oncologist in Mumbai."

    RAMMURTHY MOHAN SWAMY
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    “My mother was diagnosed of colon cancer, and I was recommended to see Dr Deepak Chhabra for consultation. The first impression of Dr Chhabra was… he is so young! But after consulting him we realized his level of experience and there was a sense of confidence he spilt over us.We knew we could trust him....."

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    “Dr Chhabra is a highly experienced surgeon. He had done the treatment for my mother who was diagnosed with breast cancer. He is very patient and understanding and handles his patients with lots of care. I highly recommend him for any sort of medical advice or surgery."

    Atul Arora
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    “We came to Dr.Deepak Chhabra for my mother's Colon Cancer treatment in the year 2019. We we're extremely satisfied with the level of excellence and professionalism he handles his patients. Very quick decision maker and guides the patient very well. I would specialy like to thank him for his positive approach & great support during the entire treatment. One of the Best, Outstanding & Amazing doctors one can ever get. We are truly very grateful to him & his team who kept my mother in good health. Thank you and God bless!"

    Vanessa D’souza
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    “Dr. Deepak is a godsend. Being empathic towards patient is critical to being a good surgeon and Dr. Deepak left no stone unturned in his treatment for my mother. He would always help my mom with a positive and encouraging outlook during the course of recovery. He was thorough and accurate in his plan of surgery and treatment from the very beginning. We couldn't have chosen a better surgeon for treating my mother's diagnosis. Extremely grateful to Dr Deepak and his entire team for providing topnotch and the most thoughtful healthcare to my mother."

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    “I,myself preferred Lilavati & then I chose Dr.Deepak Sir. I feel so blessed to know u & have u as my doctor. Any doctor can prescribe, but only a few good ones can really impress. I can vouch for the fact that ur abilities r unmatched & U’ve gone above & beyond everything I ever would’ve expected. The world would be a much better place if all of the doctors/peoples were like u! U & the staff has been really awesome & thanks for everything."

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