ポリープ切除術

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.

全身麻酔で考えられる副作用にはどのようなものがありますか?

考えられる副作用としては、吐き気や嘔吐、口渇、喉の痛み、筋肉痛、頭痛、打撲傷（点滴による）、かゆみ、震えや寒さ、排尿困難、眠気などが挙げられます。高齢の患者では、記憶喪失や一時的な混乱が起こる可能性があります。

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 リープフロッグ・グループ、全国的な非営利医療監視組織。そして、インディアナ州で最も安全な病院に選ばれました。 ローン研究所病院のインデックス。

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.

外科チームは私の病歴を知っていますか?

あなたの健康履歴は編集され、手術前、手術中、手術後にチームが利用できるようになります。あなたが Hancock Health の患者の場合、私たちはシステム内のあなたの記録にアクセスできます。そうでない場合は、医師と協力して必要な情報を入手します。

どの外科医のアドバイスに従うべきかをどのように決定すればよいですか?

私たちの外科医であろうとなかろうと、あなたが安心できる外科医と一緒に仕事をする必要があります。

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

セカンドオピニオンまたはサードオピニオンはいつでも受けることができますが、必須ではありません。

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

• 保険のご案内  
• かかりつけ医からの病歴を含む医療記録
• 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.

薬をもらうたびに名前と生年月日を聞かれるのはなぜですか?

自分に処方された薬を確実に服用するための安全対策です。

私の手術チームにはなぜこれほど多くの人がいるのですか?

外科医に加えて、麻酔科医、看護師（患者の対応を専門とする看護師もいれば、外科医を補助する看護師もいます）、そして診察や診察記録の作成などを行うサポートスタッフがいます。彼ら全員が協力してそれぞれの仕事を実行するため、手順は可能な限り成功します。

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?

• 手術の数時間前に到着し、術前待合室に案内されます。
• 衣服や装飾品をすべて脱いで、病衣を着ます。 （貴重品は安全な場所に保管するか、ご家族に預けさせていただく場合がございます。） 
• 必要な書類に署名すると、術前看護師がバイタルサインを測定し、薬を確認し、質問に答えます。
• You’ll meet your anesthesiologist and the members of your surgery team. 
• IV (静脈ライン) が手または腕に設置され、全身麻酔を含む薬の投与が可能になります。別の種類の麻酔を使用する場合は、注射が行われます。
• 手術の時間になると、担架に乗って手術室へ運ばれます。

手術前に食事をしてはいけないのはなぜですか?

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.

私の様子について家族はいつ連絡されますか?

私たちのスタッフは、手術中に手術室の手術チームから情報を入手し、常に最新の情報を提供します。

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.

手術直後に鎮痛剤は投与されますか?

ほとんどの場合、患者は手術直後に鎮痛剤を受け取ります。

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?

手術直後、回復室にいる間、外科医と話すことができます。

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 は、すべての患者が手頃な価格で優れた治療を受けられるよう支援することに尽力しています。お支払いオプションの詳細については、こちらをご覧ください。 HancockRegionalHospital.org の請求と保険に関する FAQ ページ。

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 価格見積りツール。

How much does a polypectomy cost?

に相談してください。 価格透明性ツール at HancockRegionalHospital.org for an idea of how much a polypectomy might cost.