Dr. Srikanta Talukdar

B.Sc. (Kol), B.A.M.S. (Kol), A.M.O. Govt of WB

Expert in Ksharsutra Therapy & Laser Treatment in Proctology for Piles, Fistula, Fissure

Rectal Polyps

It is mass or swelling arising from mucosal lining of bowel wall. It may be pedunculated or sessile. The polyp consists of rounded head and long pedicle which is attached to the mucasal surface. It my occur any where in the large intestine but most common site of polyp is rectosigmoidal region.

Clinical feature :-

Rectal polyp is common in children between 3-11 years of age. Bleeding and protrusion of mass during defaecation replaced it self or digitally is the common complaints of patient. Some times there is no protrusion of mass during defaecation only bleeding is the main complaints.

What does a rectal polyp look like?

Polypoid polyps look like a mushroom, but flop around inside the intestine because they are attached to the lining of the colon by a thin stalk. Sessile polyps do not have a stalk, and are attached to the lining by a broad base.

Can you feel rectal polyps?

Rectal polyps are usually not associated with symptoms. When they occur, symptoms include rectal bleeding, bloody stools, mucous discharge, mass, protrusion from the anus, and abdominal pain. A change in bowel habits may occur including constipation and diarrhea.

What percentage of rectal polyps are cancerous?

Approximately 1 percent of polyps with a diameter less than a centimeter are cancerous. If you have more than one polyp or the polyp is bigger than a centimeter, you're considered at higher risk for colon cancer. Up to 50 percent of polyps greater than 2 centimeters (about the diameter of a nickel) are cancerous.

What foods cause polyps?

fatty foods, such as fried foods. red meat, such as beef and pork. processed meat, such as bacon, sausage, hot dogs, and lunch meats.

Diagnoses :-

Digital examination reveals pedunculated polyp freely mobile on rectal mucasa. Sometimes the polyp is delivered out side the anal orifice during digital examination.

Kshar Sutra Treatment :-

The polyp is delivered out at anal orifice and Kshar Sutra is ligated. The post operative review of 140 cases of rectal polyp treated by Kshar sutra did not show any recurrence during last 30 years review.

Do polyps grow back?

Can polyps come back? If a polyp is removed completely, it is unusual for it to return in the same place. The same factors that caused it to grow in the first place, however, could cause polyp growth at another location in the colon or rectum.

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