Best Colon & Rectal Cancer Surgeon in Mumbai - Dr. Vishnu Agarwal

Colon & Rectal Cancer occurs in Colon (Colon Cancer ) or Rectum (Rectal Cancer), depending upon where they start. They are often named together because they have many features in common.

Colon & Rectum organs are present in the lower portion of the digestive system also known as a large part of the intestine or large bowel. It is also called as LargeBowel Cancer.

It affects men as well as women and mostly found in people 50 years or older.

Colon & Rectal Cancer is the third most common type of cancer in developed countries. It is leading second in causes of cancer death in women and third for men.

Early diagnosis & treatment is key to win battle against Colon & Rectal Cancer.

Dr. Vishnu Agarwal is a Trusted Colon & Rectal Cancer Surgeon in Mumbai, India. He is known for relieving patient’s and their family from the anxiety and keeping patient’s interest at center throughout the treatment.

Snapshot of news article that appeared in The Times of India written by Dr. Vishnu Agarwal.

What Can Cause Colon & Rectal Cancer?

Family History (Colorectal Cancer)

History of Colon Polyps

Genetic Syndromes (Familial Adenomatous Polyposis (FAP))

Inflammatory Intestinal Conditions

African-American Descent

Older Age

Low Fiber

High Fat Diet

Diabetes

Overweight

Smoking

Excessive Alcohol Consumption

Radiation Therapy for cancer

Sedentary Lifestyle

Symptoms of Colon & Rectal Cancer

In the early stage of Colorectal Cancer may not have any symptoms. It may arise usually after it’s spread.

Symptoms of Colon & Rectal Cancer as follows –

Specific Symptoms

Changes in Bowel Habits
Feeling that the Bowel doesn't empty completely
Fatigue or Tiredness
Loss of Appetite
Weight Loss
Diarrhea or Constipation
Bright red blood coming from the Rectum
Dark Patches of blood in or on your Stool
Pain and Bloating in the Abdomen
Pelvic pain
A Lump in the Abdomen
Iron deficiency in Men, or in women after Menopause
Anemia (bleeding in your intestines)

Diagnosis of Colon & Rectal Cancer

A thorough physical examination is the first step in the diagnosis. The doctor may use many tests to find whether cancer has spread to other parts of the body called metastasis.

Depending upon the symptoms and assessment doctor may recommend one or more following tests below to find the cause –

Blood Tests (Complete blood count CBC)
Ultrasound (Sonography)
X-Ray (Large Intestine)
Positron Emission Tomography or Computed Tomography (PET-CT scan)
Magnetic Resonance Imaging (MRI)
Colonoscopy
Biopsy
Proctoscopy
Genetic Tests
Molecular Testing of the tumor

Types of Colon & Rectal Cancer

Colorectal Adenocarcinoma

Carcinoid Tumors

Gastrointestinal Stromal Tumors

Lymphoma

Sarcomas

Melanomas

Colon & Rectal Cancer Stages

After the diagnosis of Colon & Rectal Cancer, the doctor will figure out tumor size, location, and how far it has spread. This process is called Staging.

Staging helps the doctor to predict which kind of treatment is best and what is the chance of recovery.

Staging system of Colon and Rectal Cancer based on the TNM (Tumor, Node, and Metastasis) system as follows –

Stage 0: Cancer cells are found in the mucosa, the innermost layer of the colon or rectum. This is also called as Carcinoma in situ.

Stage 1: At this stage, it indicates cancer has spread through the mucosa to the muscular layer of the colon or rectum.

Stage 2A: Tumor has spread through the outer layers of the colon or rectum.

Stage 2B: Tumor has spread through the lining of the abdomen, called the visceral peritoneum.

Stage 2C – Tumor is spread through the outer layer of the colon or rectum to other nearby tissue or organs.

Stage 3A – Tumor has spread through the muscular layers of the intestine and spread in 1 to 3 lymph nodes.

Stage 3B – Tumor has spread up to 3 nearby lymph nodes.

Stage 3C – Tumor has spread to 4 to 6 nearby lymph nodes.

Stage 4A – Tumor spreads to one distant part of the body such as the liver or lungs.

Stage 4B – Tumor spreads to more than one distant parts of the body.

Stage 4C – Tumor spreads to other organs of the body.

Colon & Rectal Cancer Treatment

Treatment depends upon several factors such as type and stage of cancer, possible side effects, and overall health.

Some common types of treatment used for Colon & Rectal Cancer are listed below–

Colon & Rectal Cancer Surgery

Laparoscopic or Robotic surgery is preferred wherever indicated

Patients Review

Sonu Khanchandani

Dubai

Chandrika Aaditiya

Mumbai

Dr. Saroar - Son of Mohammed Shafiqul

Bangladesh

Mrs. Ranjanben Mehta, age 81 years, was diagonsed with Carcinoma Colon one in sigmoid colon and another growth at hepatic flexture. Small multipls polyps were there in entire colon. We visited many surgerons who advised to go for open surgery and at the age of 81 seemed very difficult for her to recover. Our nearset friend suggested to meet Dr. Vishnu Agarwal. When we met him, he gave us courage and hope. He suggested Laparoscopic total colectomy surgery. Mrs. Ranjanben didn't want stoma bag. Dr. Vishnu consoled her that stoma bag will be there for only one month. As ileostomy was done on 23rd February 2022 and closure was done on 19th April 2022. After regular medication she is all right now. We are very thankful to him.

Bhavna Mehta

Mumbai

Case Study

The cancer was at two places in colon and multiple polyps throughout the colon which also could convert into cancer. The only option was undergoing surgery.

Considering the patient’s age the relatives were in doubt whether to go ahead with such a major surgery. After understanding about the laparoscopic approach in which the surgery is done through small holes and a very small cut is taken to remove the colon, patients family decided to take the risk.

Total Laparoscopic Colectomy was done and the patient recovered very smoothly without any postoperative complications. She is now living a normal life with her relatives with no diet restrictions.

Laparoscopic or Robotic approach for Colorectal Cancers have many advantages like no big cut meaning less postop pain, faster and smooth recovery, hardly any scar and least complications.