Polypektomie

What kind of outcome is typical for a polypectomy?

A polypectomy should allow your doctor to determine if you have any cancerous tissue in the colon. Follow-up colonoscopies and polypectomies will depend on the results of your first one.

What are the risks of not having a polypectomy?

Polypectomies are used to check for colorectal cancer. Delaying or avoiding a polypectomy may put you at risk for undiagnosed cancer or other gastrointestinal conditions.

What are the alternatives to a colonoscopy and polypectomy?

There are other ways to screen for colon cancer. These include stool tests, such as the fecal immunochemical test (FIT), fecal occult blood test (FOBT), and stool DNA tests. These tests allow you to collect your stool samples at home and then return them to your doctor or mail them to a lab.

Was sind die möglichen Nebenwirkungen einer Vollnarkose?

Zu den möglichen Nebenwirkungen gehören Übelkeit und Erbrechen, Mundtrockenheit, Halsschmerzen, Muskelschmerzen, Kopfschmerzen, Blutergüsse (von der Infusion), Juckreiz, Zittern und Kältegefühl, Schwierigkeiten beim Wasserlassen und Schläfrigkeit. Bei älteren Patienten sind Gedächtnisverlust und vorübergehende Verwirrung möglich.

What are possible side effects and complications of a polypectomy?

While rare, some of the possible complications of your polypectomy may include bleeding from the site where a tissue sample (biopsy) was taken or a polyp or other abnormal tissue was removed, a tear in the colon or rectum wall, or an adverse reaction to the sedative used during the exam.

How safe is a polypectomy?

In general, severe complications from polypectomies are rare. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by Die Leapfrog-Gruppe, eine nationale gemeinnützige Überwachungsorganisation für das Gesundheitswesen; und wurde zum sichersten Krankenhaus in Indiana gekürt Krankenhausindex des Lown Institute.

How do I know a polypectomy is right for me?

Most polypectomies occur during colonoscopies—your surgeon will determine whether, or not, you need a polypectomy while performing your colonoscopy. You might be a good candidate for these procedures if you are a person of average risk for colorectal cancer. It’s recommended that you get your first colonoscopy between ages 45 and 50.

Do I have options for anesthesia for a polypectomy?

A polypectomy can be done with conscious sedation, sometimes referred to as “twilight sedation,” or with a deeper sedation using general anesthesia.

What issue does a polypectomy solve?

A polypectomy is usually used to remove noncancerous growths before they become cancerous.

How is a polypectomy done?

During a polypectomy, you will lie on your side with your knees drawn up towards your chest as the procedure is done through your anus. A small amount of air is used to expand your colon, so the doctor can see your colon’s walls. (If you are awake, you may feel mild cramping during the procedure.) The colonoscope is slowly withdrawn while the lining of your bowel is examined. 

If polyps are discovered, there are several ways they can be removed. The procedure your doctor chooses will depend on the type of polyps in your colon.

• For small polyps less than 5 millimeters in diameter, biopsy forceps can be used to snip them off. 
• Larger polyps can be removed through a snare polypectomy, when your doctor will loop a thin wire around the bottom of the polyp and use heat to cut it off. Then the remaining tissue is cauterized. 
• If you have a polyp that can’t be removed with either of the two above methods, there are other options. Your surgeon can perform either an endoscopic mucosal resection, when the polyp is lifted using a fluid injection and then removed in pieces, or an endoscopic submucosal dissection, when the polyp is removed in one piece.

There are some large polyps that can’t be removed endoscopically and, in those cases, bowel surgery might be necessary.

Once a polyp is removed, it can then be sent to a lab where it will be tested to determine if it is cancerous. (The results of these tests are usually available in about a week.)

Why might I have to wait to schedule a polypectomy?

In some cases, it takes time for a patient’s body to be ready for a polypectomy. For example, if you have another medical issue including another surgical procedure or an illness, we might wait to perform your polypectomy. Your health and safety are our top priorities, so we schedule surgeries when they’re best for our patients.

Wird das Operationsteam meine Krankengeschichte kennen?

Ihre Krankengeschichte wird erfasst und steht dem Team vor, während und nach der Operation zur Verfügung. Wenn Sie ein Hancock Health-Patient sind, können wir in unserem System auf Ihre Unterlagen zugreifen. Ist dies nicht der Fall, werden wir mit Ihren Ärzten zusammenarbeiten, um die notwendigen Informationen zu erhalten.

Wie soll ich entscheiden, welchen Rat des Chirurgen ich befolgen soll?

Sie sollten mit dem Chirurgen zusammenarbeiten, bei dem Sie sich wohl fühlen, unabhängig davon, ob es sich um einen unserer Chirurgen handelt oder nicht.

Do I have to get a second or third opinion for a polypectomy?

Sie können jederzeit eine zweite oder dritte Meinung einholen, dies ist jedoch nicht erforderlich.

What should I bring to my first appointment with a surgeon?

• Versicherungsinformation  
• Krankenakten, einschließlich Ihrer Krankengeschichte, von Ihrem Hausarzt
• A complete list of all medications you take on a regular basis, including any over-the-counter medication

Do I need a referral to see a surgeon for a polypectomy?

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about a polypectomy.

How long does it take the anesthesia to wear off after my polypectomy?

It takes about an hour for general anesthesia to wear off, but you may notice the effects for a day or so. It usually takes 30 minutes to an hour for local anesthesia to wear off, though the effects can last a few hours.

What do I need to bring to the hospital the day of my polypectomy?

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications. You probably will not be there overnight, but it’s a good idea to be prepared.

Warum werde ich jedes Mal nach meinem Namen und meinem Geburtsdatum gefragt, wenn ich Medikamente bekomme?

Es handelt sich um eine Sicherheitsvorkehrung, um sicherzustellen, dass Sie die Medikamente erhalten, die Ihnen verschrieben wurden.

Warum sind in meinem OP-Team so viele Leute?

Zusätzlich zum Chirurgen haben Sie einen Anästhesisten, Krankenschwestern – einige von ihnen sind auf die Arbeit mit Patienten spezialisiert, andere unterstützen den Chirurgen – und Hilfspersonal, das Sie ein- und auscheckt, Ihre Unterlagen zusammenstellt und vieles mehr. Sie alle arbeiten zusammen und erfüllen ihre individuellen Aufgaben, damit das Verfahren so erfolgreich wie möglich ist.

Will I need someone to take me home after a polypectomy?

For your safety and the safety of other motorists, you willneed someone to drive you home. If you don’t have a ride, we’ll help you arrange one.

What should I expect right before a polypectomy?

• Sie treffen einige Stunden vor Ihrer Operation ein und werden zum präoperativen Wartebereich begleitet.
• Sie werden Ihre gesamte Kleidung und Ihren Schmuck ausziehen und einen Krankenhauskittel anziehen. (Ihre Wertsachen werden an einem sicheren Ort aufbewahrt oder können einem Familienmitglied übergeben werden.) 
• Sie unterschreiben alle erforderlichen Unterlagen und eine präoperative Krankenschwester nimmt Ihre Vitalfunktionen auf, überprüft Ihre Medikamente und beantwortet alle Fragen.
• You’ll meet your anesthesiologist and the members of your surgery team. 
• Eine Infusion (intravenöser Zugang) wird in Ihre Hand oder Ihren Arm gelegt, sodass Medikamente – einschließlich einer Vollnarkose – verabreicht werden können. Wenn Sie ein anderes Anästhetikum verwenden, erhalten Sie eine Injektion.
• Wenn es Zeit für Ihre Operation ist, werden Sie auf einer Trage in den Operationssaal gerollt.

Warum kann ich vor der Operation nicht essen?

For your polypectomy, it’s important that your colon is completely clear. There’s also a risk of aspiration, which means you’re breathing foreign objects, like food or saliva, into your lungs. This can occur because the anesthetic for surgery can impair your body’s ability to stop the contents of your stomach from entering your lungs.

How should I prepare for a polypectomy?

As a patient, you play a critical role ahead of your polypectomy through a process called bowel preparation. There are a few different kinds, almost all of which involve consuming a liquid. Your doctor will determine what kind is best for you based on your medical history and their particular preference. Some of these products require a prescription, while others are available over-the-counter. They all have the same goal: to remove everything in your colon prior to the procedure. You may experience some skin irritation around the anus due to the passage of liquid stools. You can prevent and treat this skin irritation by applying ointment to the skin around the anus before drinking the bowel preparation medication.

What are the side effects of local anesthesia?

Some temporary side effects of local anesthesia can include nausea, dizziness, headaches, blurred vision, twitching muscles, numbness, and tingling.

How long will I be in the hospital after a polypectomy?

While the length of a hospital stay depends on each patient’s individual needs, patients are typically discharged within a few hours following the procedure.

How long will I be under?

A polypectomy is often done with conscious sedation. You are given a pain reliever and a sedative intravenously, so the polypectomy will not hurt. But you will not be unconscious unless your physician decides to use general anesthesia.

How long will the polypectomy take?

A polypectomy typically lasts from 30 to 60 minutes.

Wann wird meine Familie darüber informiert, wie es mir geht?

Unsere Mitarbeiter werden während Ihrer Operation Informationen vom Operationsteam im Operationssaal einholen und diese auf dem Laufenden halten.

What will happen during a polypectomy?

You’ll lie on your side with your knees drawn up towards your chest as the procedure is done through your anus. You will feel relaxed and drowsy, due to conscious sedation, or become unconscious, due to general anesthesia.

Will I need to fill any prescriptions or take medication after a polypectomy?

Your doctor may prescribe medications to ease cramping, gas pains, or other discomfort associated with the procedure.

How soon after my polypectomy can I eat or drink?

Unless otherwise instructed, you may immediately return to your normal diet.

Bekomme ich direkt nach der Operation Schmerzmittel?

In den meisten Fällen erhalten Patienten unmittelbar nach der Operation Schmerzmittel.

How soon after a polypectomy will I be up and moving around?

You will be up and moving around almost immediately after the procedure, but patients are encouraged to avoid alcohol, driving, and operating machinery for 24 hours after a polypectomy. 

When will I get to talk to my surgeon after my polypectomy?

Sie können unmittelbar nach dem Eingriff im Aufwachraum mit Ihrem Chirurgen sprechen.

How will I know if the polypectomy worked?

Your surgeon will discuss your procedure with you, and you will likely receive the results of any biopsies in a few days.

What can I expect right after my polypectomy?

After the procedure, you will be moved to a recovery room where you will stay until you’re ready for discharge. The amount of time you are in recovery depends on whether or not you were sedated and what type of pain medication you receive.

What are payment options like for polypectomy at Hancock Health?

Hancock Health setzt sich dafür ein, dass eine erstklassige Pflege für alle Patienten erschwinglich wird. Weitere Informationen zu den Zahlungsoptionen finden Sie unter die FAQ-Seite zu Abrechnung und Versicherung unter HancockRegionalHospital.org.

Will Medicare cover my polypectomy?

Medicare parts A and B will cover the cost of a polypectomy, but it’s important for your doctor to indicate that the surgery is medically necessary.

Will insurance cover my polypectomy?

In most cases, insurance will cover most of the costs associated with a polypectomy. To obtain an estimate of your possible out-of-pocket expenses, use our Preisschätzungstool.

How much does a polypectomy cost?

Konsultieren Sie die Preistransparenz-Tool at HancockRegionalHospital.org for an idea of how much a polypectomy might cost.