Colorectal cancer: rectal amputation is necessary in specific cases and changes the patient’s routine

Colorectal cancer: rectal amputation is necessary in specific cases and changes the patient’s routine


Singer Preta Gil revealed that she underwent the surgery last year, as part of her treatment for the disease

The singer Preta Gil revealed this Sunday, 8, in interview with Fantasticowho had his rectum amputated last year during treatment colorectal cancer. In some cases the measure is necessary and changes the patients’ routine.

As Sidney Klajner, a digestive surgeon and president of the Albert Einstein Israelite HospitalThe primary goal of any cancer treatment is to eliminate the disease, and in an attempt to achieve this, doctors take a safety margin beyond the tumor area.

When the tumor in the rectum is large enough to bring it close to the anus area, making it impossible to have a minimum margin of 2 centimeters that does not compromise the muscles of the region, the teams resort to some measures.

The first option is for the patient to undergo a treatment consisting of chemotherapy and radiotherapy to shrink the tumor. In this way, although with a safety margin, there is greater preservation of the area and doctors can join the healthy intestine to the anal region so that the patient continues to have the ability to control evacuation.

When this measure does not cause the disease to regress sufficiently to permit removal of the tumor – with a safety margin and preserving the muscles of the anal region – the only effective treatment is amputation of the rectum.

“In other words, the indication for amputation occurs after chemotherapy and radiotherapy treatment where there has not been a complete remission and this tumor is very close to the anus, making it impossible to leave an adequate margin for healing. You are obliged to perform the amputation, otherwise the tumor is definitely removed and there are no conditions for reconstruction so that the anal canal functions,” says Klajner.

Surgery involves removal of the rectum and sometimes the lower portion of the large intestine (sigmoid colon); the lymph nodes and fat around the rectum; the anal canal and the muscles related to continence.

The procedure causes changes in the patient’s daily life. The buttock remains normal in appearance, but the opening that should be the anus is blocked. “Close this step (anus) and externalizes the large intestine through the abdominal wall, so that the feces are evacuated from there through this procedure that we call colostomy,” says the coloproctologist.

According to Klajner, the patient is trained to take care of the colostomy bag themselves. In addition, there are methods to regulate the bowel, including changes in diet, so that the person has more control over bowel movements and this only happens once a day.

Colorectal cancer

According to the National Cancer Institute (Inca)The main risk factors for colorectal cancer are associated with behaviors such as a sedentary lifestyle, obesity, regular alcohol and tobacco consumption, and low fiber consumption.

Other risk factors are associated with genetic or inherited conditions, such as chronic inflammatory bowel disease and a family history of the disease. There are also occupational aspects, such as exposure to X-rays and gamma radiation.

In Brazil, the estimate is 45,630 new cases of the disease per year, of which 21,970 cases are among men and 23,660 among women, corresponding to an estimated risk of 21.10 cases per 100,000 inhabitants.

Source: Terra

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