What’s new in colon and anal diseases

Tumors of the digestive system spread as a result of eating fast foods (sandwiches) that contain high levels of oils and flavorings added to them, as well as green foods and fruits resulting from cultivation in greenhouses in which chemicals and hormones are used.

What’s new in colon and anal diseases

08/11/2023
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Tumors of the digestive system spread as a result of eating fast foods (sandwiches) that contain high levels of oils and flavorings added to them, as well as green foods and fruits resulting from cultivation in greenhouses in which chemicals and hormones are used. It is recommended to eat traditional crops (organic) in agricultural fields without the use of chemicals and hormones. The latest scientific studies have advised that eating home meals of vegetables, dairy products, and fruits is the best way to avoid colon and anal tumors.

Early detection depends on the patient’s feeling of any change in his usual method of excretion or the appearance of unprecedented blood bleeding. In this case, an initial stool analysis must be performed, then followed by a colonoscopy or colon x-ray to determine the causes of the bleeding, given that anal bleeding is often treated as hemorrhoids or anal fissures, which leads to a delay in early detection of the tumor, and the primary treatment in this case is This condition involves partial colon resection as soon as possible.

  •   ? Why early detection

At the beginning of its occurrence, the tumor is small in size and is still within the area of its occurrence. Over time, the size of the tumor doubles as the fetus grows in the womb, and the blood vessels feeding it increase. The cancer cells begin to separate from the mother tumor and then spread through the blood vessels to all parts of the body to settle. Liver, lungs, or bones. The cancerous tumor transforms from a local tumor into a general tumor through the blood circulation and is difficult to control.

  • ? What is new in these surgeries

What is new in these surgeries is the ability to completely remove the tumor and lymph nodes while connecting the colon and not making an exit hole in the abdominal wall (colostomy). The usual practice in such surgeries is to divert the abdomen to the abdominal wall if the tumor is located in the rectum at a distance of 9-12 centimeters from the anus. The scientist has concluded that the surgeon is able to remove the anal tumor, no matter how close it is to the anus, and to preserve the anal constrictor muscles in order to maintain the process of controlling defecation and to connect the colon to the anal canal, so that the patient can defecate in the natural way.

  • ? A large segment of patients suffer from abdominal exit holes (colostomy). Is there a new solution to this problem

Colostomy (excretory opening from the abdomen), which is the diversion of waste into the abdominal wall, is one of the methods that has been used less and less in recent decades. This method was commonly used and is still used in some medical centers for cases of removal of anal cancerous tumors and cases of high anal fistula. As for cases of low anal tumors, it was difficult to connect the colon to the anal canal after removing the tumor, but now these connections have become simple using surgical staplers, through which the intestine can be connected to the anal canal while preserving the anal constrictor muscles, so the patient can excrete normally and control the excretion process. . As for the high anal fistula, it has only been scientifically proven that diverting the excretory tract to the abdomen does not close the fistula automatically, but knowing the direction of the fistula and the anatomical character of the muscles through modern diagnostic methods such as magnetic resonance imaging and three-dimensional anal ultrasound, the map and path of the anal fistula can be determined. Removing it completely leads to recovery in these cases without diverting the stool to the abdomen.

 

  • ? The excretory openings in the abdomen (colostomy) are placed around a waste collection bag, but what about cases of incontinence, use of diapers, and suffering from skin infections

Lack of control over excretion is still a chronic problem for doctors, but the reasons are many and vary between lack of control resulting from a cut in the anal muscles (as a result of a previous injury), paralysis of the anal muscles (resulting from a disease in the lower spine), or chronic megacolon resulting from partial paralysis of the colon that leads to increased Storage inside the colon, which results in chronic constipation and then ends with lack of control over excretion, and affects children from the age of 3 to 18 years.

  • ? What are the latest treatment methods

The therapeutic methods vary based on the diagnosis of the cause and knowledge of the injury to the anal muscles. Is it an injury to the muscle itself or to the nerve supplying the muscle A in the colon? Based on the diagnosis, the method of treatment and muscle repair is determined for cases of muscle tear, which are usually the result of hemorrhoid surgery, a previous anal fissure, or after natural birth, especially. Which is done in homes and primitive centers, because the baby’s head is large, causing a laceration of the vaginal opening and anal muscles unless the obstetrician and gynecologist deals with it surgically by surgically widening the vaginal opening and then closing it again.

 

  • ? Many patients suffer from pain in the anus and perineum that is not related to the bowel movement. Is there anything new in this field

Anal pain has always bothered doctors before patients because the anal area is one of the most sensitive areas in the human body. Therefore, when pain occurs, it is severe and affects the patient like toothache, and sometimes it stops the patient’s activity completely. The known causes of anal pain are anal fissure, clotted hemorrhoids, and fistula. Inflamed anal ulcers and the pain goes away by removing the cause. However, there is a group of cases that suffer from severe pain while sitting and sometimes walking and are not related to defecation, and this group of patients suffer from pelvic nerve stenosis.

 

  •   ? What is the pelvic nerve and what are the symptoms of pelvic nerve strangulation

The pelvic nerve and symptoms of pelvic nerve asphyxia: The pelvic nerve is a nerve that emerges from the bottom of the spine to nourish some of the pelvic organs. Such as the perineum area and the bottom of the anal canal, then it nourishes the anal constrictor muscles and nourishes the penis. Pelvic nerve suffocation [Pudendal Canal Syndrome]   is one of the diseases discovered in the last decade. It was not previously known. The patient suffers from pain in the anal and perineal area while sitting or walking, not related to the process of excretion. When examining the anal canal, there is no crack, hemorrhoids, or fistula in it.

But in other patients, the complaint is of weak erectile ability or lack of complete erection, because the pelvic nerve nourishes the penis, which is a branch of the pelvic nerve. In some other cases, the anal constrictor muscles are affected by the anus, which is Also from the branches of the pelvic nerve.

  • ? How is the condition diagnosed

Unfortunately, these cases are not diagnosed in many cases because pelvic nerve strangulation is a modern disease and is not studied in the stages of medical education before graduation. Many of these cases are treated by doctors as hemorrhoids, anal fissures, or general sexual dysfunction, and diagnosis is made through clinical examination and drawing nerve pulses. The pelvis, if it is slow, then the nerve is suffocated.

There are degrees of suffocation that are treated with medications and other degrees that are treated with nerve injections. Sometimes we resort to surgical intervention to clear the nerve away from suffocation and release it.



we care,we can




Professor Dr. Ali Ahmed Shafik

* Professor and Head of the Department of Colon and Anal Surgery – Kasr Al-Aini Faculty of Medicine.

* Diploma in Laparoscopic Surgery, University of Strasbourg.

* President of the Mediterranean Society of Colon and Anus.

* Regional President of the International Association of Colon and Proctologists.

0111-6644-419


0111-6644-419

Contact us now, we will answer you and provide you with medical aid.



© 2023 All rights reserved –  Professor Dr. Ali Ahmed Shafik



we care,we can




Professor Dr. Ali Ahmed Shafik

* Professor and Head of the Department of Colon and Anal Surgery – Kasr Al-Aini Faculty of Medicine.

* Diploma in Laparoscopic Surgery, University of Strasbourg.

* President of the Mediterranean Society of Colon and Anus.

* Regional President of the International Association of Colon and Proctologists.

Contact us now, we will answer you and provide you with medical aid.

0111-6644-419


© 2023 All rights reserved –  Professor Dr. Ali Ahmed Shafik