Are there any advanced treatment for recurred polypus in digestive systerm?

Question

Information about the patient,
male, 40,
found rectus polypus 6 month ago, rectus sugery
histology study showed precancer changes
now many polypus are found in his stomach, duodenal
what should he do? any advanced treatment?

Thanks for the answer, Marnie.
The patient has his rectus removed 6 month ago. Endoscope was done regularly.Now quite a lot recurred polypus are found in his upper digestive systerm. Laser sugeries were done at first, yet the polypus seem out of control now.
Under this condition, sugery again? combined with chemicals or radiotherapy? Do you know which has been proved to be the most effective method for this disease?

Answer 1

I'm a RN who has taught Nursing for over 20 years. I'm sorry to hear about your medical history of recurrent colon polyps that showed precancer changes and have now reoccurred in your stomach and small bowel. I acknowledge that you have been closely medically supervised so that the progression of the polyps was caught following a 6month period. You do not mention what surgery you previously had to remove the colon polyps. I expect that you had a colonoscopy and that the polyps were excised and removed during that procedure. Since the polyps in your stomach and small bowel were discovered did your doctor surgically remove them? There are a number of options that your physicians may discuss with you. These options may include:
- evaluation by scoping your esophagus, stomach, and small bowel. During the Endoscopy (scope) most of the GI tract can be visualized including the esophagus, stomach, duodenum, and colon; and biopsies can be taken. Depending on the results of the biopsies a number of options are available.
- these options include several different kinds of surgery, chemotherapy, and radiation therapy or a combination which can be repeated as necessary.
- the physician may then choose laser therapy of the GI tract which can be repeated several times if necessary.
There really are a number of options available so have faith in your doctors and ask lots of questions. Hopefully your polyps have remained precancerous. However it is extremely important to have a team of doctors working with you including your family doctor, endocrinologist, surgeon, oncologist, radiologist, nutritionist, etc. By having such a team co-ordinating your medical/surgical management you get the best from all specialties working together. I can certainly empathize with you as my father went through the same thing although he was much older than you and I nursed him through some of it. Take someone with you when you meet with a specialist so that they can give you support as well as help you to later understand what was discussed at the appointment. Take a pad of paper and a pen or pencil with you so that the specialist can draw simple diagrams for you and list the major points of his discussion with you. My father had a piece of paper that showed a drawing of his GI tract including the various organs and X's marking the locations of tumors as well as brief information about the tumors' size, location, etc. He referred to this drawing many times to refresh his memory including the names of all the specialists, nurses, etc. I wish you God's blessings and healing and hope that this information might be helpful for you.

Answer 2

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