At Home with Chris Jessen 2018 - 81
olyps in the bowel will occur in
about 20% of the UK population.
A proportion of polyps grow in
the last part of the bowel, the
rectum and near the back passage.
Some can grow to be very large and
others may contain cancerous cells.
Conventionally, large polyps are treated
with major surgery. In some cases, the
back passage is removed completely
requiring a permanent stoma bag
(colostomy) on the tummy surface.
What are the symptoms?
Polyps can sometimes be detected by
the Bowel Cancer Screening Program
(visit nhs.uk), when a stool sample is
tested for blood. However, it's wise to
look out for symptoms, including
irregular bowel habits, bleeding or the
passing of mucus. Occasionally, polyps
near the back passage can also cause
pain and discomfort.
New pioneering surgical
techniques mean there
is very little pain and risks
such as infection
How can they be treated?
The majority of polyps can be cut away
during a colonoscopy, where a flexible
tube is passed via the back passage
into the bowel. Sometimes this is
done under sedation, but if the polyp is
too large or has cancerous cells, it may
not be removed by colonoscopy.
The good news is that a large number
of these cases can be treated with a
minimally invasive operation called
transanal endoscopic microsurgery
(TEM). Performed under a general
anaesthetic, a special tube is placed into
the back passage and under the
guidance of a high definition (HD)
microscope, surgical instruments can
be placed through the tube into the
rectum to remove the polyp.
A new modified technique pioneered
in the UK by Mr Tutton is TEM-ESD
(endoscopic submucosal dissection).
MEET THE EXPERT
Tutton MS FRCS,
is a laparoscopic
Mr Tutton is a
(CGH), a national laparoscopic training
unit, and teaches hernia, gallbladder
and bowel surgery.
His training included fellowships in
the USA and Japan. He is currently
clinical director for both surgery and
research and innovation at CGH, where
he also introduced Transanal
Endoscopic Microsurgery (TEM).
Around 20% of the
population are affected
by bowel polyps
THE GOOD NEWS IS THAT A LARGE NUMBER
OF THESE CASES CAN BE TREATED WITH A
MINIMALLY INVASIVE OPERATION
A special waterjet elevates the polyp
away from the rest of the rectal wall,
then the HD microscope allows precise
excision of polyps and tumours, without
any damage to surrounding tissues and
the deeper structures of the bowel wall.
A quick recovery
Techniques such as the TEM-ESD
operation can often be performed
as a day-case procedure; there is very
little pain and risks such as infection are
significantly reduced. The tissues in the
rectum typically regenerate over the
next few weeks and the bowel habits
usually return to normal during this time.
Most importantly, there is no need for
major disfiguring surgery and a lifelong
stoma bag, so you can get back to living
your life as quickly as possible.
FOR MORE INFORMATION
Call 07714 277220