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Gastroenterology (Expert Forum)
Barium Report: several sessile polypoid lesions
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Barium Report: several sessile polypoid lesions
by dynasinger, Sep 09, 2006 12:00AM
Barium Report: several sessile polypoid lesions
I am 51 years old. I am 5’6 and weigh 128 pounds. Good blood pressure.
Recently had a barium enema, which was ordered due to a failed colonosocpy. My Doctor was unable to complete the procedure last October. He said that in performing over 30,000 colonoscopies he has never seen a more redundant twisted colon.
I have been suffering the past year with severe bloating, (sometimes look 5-6 months pregnant) nausea, lower back pain, 4-5 day intervals to have a bowel movement, many bowel movements are filled with mucus and I suffer from fatigue. I have little appetite and can only seem to eat small meals otherwise, I am in misery.
The findings from the Barium Enema with Air Contrast is as follows:
The entire colon is well visualized. It is severely redundant. Several nodular areas are demonstrated within the midtransverse colon. This may represent adherent stool, but a sessile lesion may have a similar appearance. The largest is in the proximal transverse colon. The ileocecal valve is competent. No extrinsic lesions are identified.
1. The Colon is markedly redundant
2. Several lesions demonstrated in the transverse colon may represent adherent stool or sessile polypoid lesions.
3. No evidence for diverticulitis
History: AT RISK
Here's my comments and question: I believe that I was well prepped for the procedure. Based on having been told in the past that my colon was severely redundant, I ate a soft food diet three days prior and liquids two days prior to the Barium Enema. I also took a double dose on the prep kit.
So what is the likelihood of these sessile polypoid lesions being stool? And since my doctor told me a year ago that it would be life threatening to have completed the colonoscopy due to the high risk of colon perforation or the camera becoming lodged in my colon what will be the treatment for these nodules and sessile lesions? Will I require surgery? If so, will they be able to find all of these lesions and remove them?
I do not have an appointment to see my doctor for another month and would like to know what my risks and options are a.s.a.p.
Thanks,
Patricia
I am 51 years old. I am 5’6 and weigh 128 pounds. Good blood pressure.
Recently had a barium enema, which was ordered due to a failed colonosocpy. My Doctor was unable to complete the procedure last October. He said that in performing over 30,000 colonoscopies he has never seen a more redundant twisted colon.
I have been suffering the past year with severe bloating, (sometimes look 5-6 months pregnant) nausea, lower back pain, 4-5 day intervals to have a bowel movement, many bowel movements are filled with mucus and I suffer from fatigue. I have little appetite and can only seem to eat small meals otherwise, I am in misery.
The findings from the Barium Enema with Air Contrast is as follows:
The entire colon is well visualized. It is severely redundant. Several nodular areas are demonstrated within the midtransverse colon. This may represent adherent stool, but a sessile lesion may have a similar appearance. The largest is in the proximal transverse colon. The ileocecal valve is competent. No extrinsic lesions are identified.
1. The Colon is markedly redundant
2. Several lesions demonstrated in the transverse colon may represent adherent stool or sessile polypoid lesions.
3. No evidence for diverticulitis
History: AT RISK
Here's my comments and question: I believe that I was well prepped for the procedure. Based on having been told in the past that my colon was severely redundant, I ate a soft food diet three days prior and liquids two days prior to the Barium Enema. I also took a double dose on the prep kit.
So what is the likelihood of these sessile polypoid lesions being stool? And since my doctor told me a year ago that it would be life threatening to have completed the colonoscopy due to the high risk of colon perforation or the camera becoming lodged in my colon what will be the treatment for these nodules and sessile lesions? Will I require surgery? If so, will they be able to find all of these lesions and remove them?
I do not have an appointment to see my doctor for another month and would like to know what my risks and options are a.s.a.p.
Thanks,
Patricia
Doctor's Answer
by Kevin Pho, MD, Sep 09, 2006 12:00AM
, Sep 09, 2006 12:00AM
I cannot speculate on what the lesion is without seeing the study.
Normally, a colonoscopy would be required to definitively diagnose the lesion. This obviously can't be done in your case.
Another option would be a virtual colonoscopy to visualize the lesion. If it is a polyp, and a colonoscopy cannot be performed, surgery can be considered to remove and biopsy the lesion.
These options can be discussed with your personal physician - preferably at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Normally, a colonoscopy would be required to definitively diagnose the lesion. This obviously can't be done in your case.
Another option would be a virtual colonoscopy to visualize the lesion. If it is a polyp, and a colonoscopy cannot be performed, surgery can be considered to remove and biopsy the lesion.
These options can be discussed with your personal physician - preferably at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
