Colonic Polyps is a discrete mass of the tissue, that protrude into the lumen of the bowel Polyps are categorized as non neoplastic polyps and neoplastic polyps.
Neoplastic polyps
Adenoma
Non neoplastic polyps
Hyperplastic polyps
Juvenile polyps
Peutz Jeghers polyps
Inflammatory polyps
Adenoma
Adenoma are benign neoplastic polyps, and are of two types, tubular and villous adenomas. Polyps which are larger than 2 cms and with villous morphology are more likely to have transformation to malignancy
Polyps less than 5 mm are called diminutive polyp, these polyps are highly unlikely to have malignant potential
Risk factors
Inherited susceptibility
Excessive dietary intake of fat and low fiber
Clinical features
Most of the polyps are clinically silent
Pain abdomen
Rectal bleeding
Diarrhea and constipation
Colonic obstruction
Detection of Colonic Polyps
Most of the polyps are diagnosed during colonoscopy.
Treatment
Adenomas without deeper invasion can be taken out endoscopically, resected polyp should be submitted for histopathology to confirm the complete resection
Polyp with invasion of deeper layers should be taken out surgically
Colon cancer
Colon cancer is a major cause of morbidity and mortality
Risk factors
High fat low fiber diet
Smoking
Colorectal adenomas polyposis syndromes
Family history of colorectal cancer
Ulcerative colitis and Crohn’s disease
Symptoms
Tumor on the right side of the colon, are larger in size and present with chronic bleed and there may be palpable mass also
Tumor on the left side of the colon present with change in bowel habits, pain abdomen, anemia and chronic bleed’
Diagnosis
Colonoscopy is done for confirmation of diagnosis, biopsy is taken from abnormal areas for histopathological confirmation
CECT abdomen and chest are done to r/o distant metastasis
Treatment
Surgery is the treatment of choice for colon cancer
Patients with advanced disease (disease beyond serosa/lymph node positive cases patients with liver metastasis) should be offered chemotherapy
I have come across Dr Vikas post lots of research via internet,going through the various feedbacks& I hope my feedback will help anybody who is in dilemma in selecting right doctor.Without a doubt he is one of the top doctors in GI.
Dr Vikas is one of the wonderful,gentle&talented doctor I have come across,he provides the correct direction &also helps in clearing all the doubts/concerns. Moreover his attendent is also very helpful& will heIp you in all possible way.I am very pleased on the overall experience & highly recommend.Thanks doctor for you wonderful support in all ways.May God bless you more & keep on giving great service !!!
Catherine
Dear DGOC
Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit)
Gaurav khare
The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
Ankit sharma
I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.
The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
Dear DGOC
Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit).
