(Colon Polyp Removal)
|A Colon Polyp|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Damage to the colon wall
- Adverse reaction to the sedative
What to Expect
Prior to Procedure
- Physical exam and health history
- Review of medicines
- Your bodily fluids may need to be tested. This can be done with blood tests.
- Pictures of your colon may need to be taken. This can be done with X-raysor a Barium enema .
- An examination of your intestine may need to be done. This can be done with a diagnostic colonoscopy or sigmoidoscopy.
- Enemas —fluid introduced into the rectum to stimulate a bowel movement
- Laxatives—medicines that cause you to have soft bowel movements
- A clear-liquid diet
- Oral cathartic medicines—a large container of fluid to drink, which stimulates a bowel movement
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs like aspirin
- Blood thinners, like clopidogrel (Plavix) or warfarin (Coumadin)
- Iron supplements or vitamins containing iron
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- Wear comfortable clothing.
- If you have diabetes, ask your doctor if you need to adjust your insulin dose.
- Arrange for a ride home after the procedure.
Description of the Procedure
How Long Will It Take?
Will It Hurt?
- The sedative will make you drowsy. Do not drive, operate machinery, or make important decisions the day of the procedure.
- Return to your normal diet the same or next day. Avoid tea, coffee, cola drinks, alcohol, and spicy foods for at least 2-3 days following surgery. These can irritate the digestive system.
- Resume normal activities as soon as you feel able. Most people feel well enough by the next day.
- Ask your doctor when you can exercise.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- You will be scheduled for a follow-up colonoscopy in the future. It will be important to check for polyps.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the rectum—up to ½ cup per day of blood can be expected for up to 3-4 days following polypectomy
- Black, tarry stools
- Severe abdominal pain
- Hard, swollen abdomen
- Inability to pass gas or stool
- Cough , shortness of breath, chest pain, or severe nausea or vomiting
- New, unexplained symptoms
American Gastroenterological Association http://www.gastro.org
American Society for Gastrointestinal Endoscopy http://www.askasge.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Canadian Institutes of Health Research http://www.cihr-irsc.gc.ca
Colon polypectomy (polyp removal). Dartmouth-Hitchcock website. Available at: http://patients.dartmouth-hitchcock.org/gi/colon%5Fpolypectomy.html. Accessed February 6, 2013.
Consolo P, Luigiano C, Strangio G, et al. Efficacy, risk factors, and complications of endoscopic polypectomy: ten-year experience at a single center. World J Gastroenterol . 2008;14(15): 2354-2369.
How is colorectal cancer treated? The American Cancer Society website. Available at: http://www.cancer.org/docroot/CRI/content/CRI%5F2%5F8%5FMaking%5FTreatment%5FDecisions%5FColon%5Fand%5FRectum%5FCancer.asp?sitearea= . Updated January 17, 2013. Accessed February 6, 2013.
Surgery for colorectal cancer. The American Cancer Society website. Available at: http://www.cancer.org/cancer/colonandrectumcancer/overviewguide/colorectal-cancer-overview-treating-surgery . Updated January 17, 2013. Accessed February 6, 2013.
Understanding polyps and their treatment. American Society for Gastrointestinal Endoscopy website. Available at: http://www.askasge.org/patients/patients.aspx?id=396. Accessed February 6, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Mohei Abouzied, MD
- Review Date: 09/2012 -
- Update Date: 02/06/2013 -