息肉切除術

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.

全身麻醉可能有哪些副作用？

一些可能的副作用包括噁心和嘔吐、口乾、喉嚨痛、肌肉酸痛、頭痛、瘀傷（來自靜脈注射）、搔癢、發抖和感覺寒冷、排尿困難和嗜睡。老年患者可能會出現記憶喪失和暫時性混亂。

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 蛙跳集團，一個全國性非營利醫療保健監督組織；並被評為印第安納州最安全的醫院 勞恩研究所醫院指數。

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.

手術團隊會知道我的健康史嗎？

您的健康史將在手術前、手術期間和手術後收集並提供給團隊。如果您是 Hancock Health 患者，我們將能夠在我們的系統中存取您的記錄。如果您不這樣做，我們將與您的醫生合作以獲取必要的資訊。

我該如何決定遵循哪位外科醫師的建議？

您應該與您感覺舒服的外科醫生一起工作，無論他是否是我們的外科醫生之一。

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

您隨時可以獲得第二或第三意見，但這不是必需的。

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

• 保險資訊  
• 來自您的初級保健醫生的醫療記錄，包括您的病史
• 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.

為什麼每次取藥時都會詢問我的姓名和出生日期？

這是一項安全預防措施，可確保您收到為您開立的藥物。

為什麼我的手術團隊裡有這麼多人？

除了外科醫生之外，您還有麻醉師、護士（其中一些專門負責與患者合作，其他人協助外科醫生）以及支援人員，他們負責為您辦理入住和退房手續、編制您的記錄等。他們一起工作，完成各自的工作，因此整個過程盡可能成功。

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?

• 您將在手術前幾個小時到達並被護送到術前等候區。
• 您將脫掉所有衣服和珠寶，並穿上病號服。 （您的貴重物品將被放置在安全區域或可能交給家庭成員。） 
• 您將簽署所有必要的文件，術前護理師將測量您的生命徵象、檢查您的藥物並回答任何問題。
• You’ll meet your anesthesiologist and the members of your surgery team. 
• IV（靜脈注射管）將放置在您的手或手臂上，以便進行藥物治療（包括全身麻醉）。如果您使用不同類型的麻醉劑，您將接受注射。
• 當您進行手術時，您將被擔架推入手術室。

手術前為什麼不能吃東西？

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.

我的家人甚麼時候會知道我的狀況？

在您手術期間，我們的同事將從手術室的手術團隊中獲取資訊並及時更新。

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.

手術後我會立即接受止痛藥嗎？

在大多數情況下，患者在手術後立即接受止痛藥。

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?

手術後，當您在復健室時，您可以立即與您的外科醫生交談。

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 致力於幫助所有患者提供負擔得起的優質護理。要了解有關付款方式的更多信息，請訪問 HancockRegionalHospital.org 上的計費和保險常見問題解答頁面。

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 價格估算工具。

How much does a polypectomy cost?

諮詢 價格透明度工具 at HancockRegionalHospital.org for an idea of how much a polypectomy might cost.