Fecal Microbial Transplantation (FMT)

Fecal transplantation involves obtaining stool from a healthy donor, and transferring it into the colon of the patient with the stubborn infection. The rationale is that the reintroduced “good” bacteria will replace the “bad” bacteria and allow for a full and complete recovery.

Before Your Colonoscopy: Proper Bowel Preparation

Prior to your colonoscopy, your colon and rectal specialist will provide you with a short to-do list that you will complete the day prior to your examination. While many patients comply with their physician’s guidelines, others do not follow the guidelines correctly. Inadequate preparation of the bowel could result in reduced efficiency of the colonoscopy examination. A recent study has found that pre-cancerous polyps in Los Angeles could go undetected during a colonoscopy exam if the patient did not properly cleanse the bowel the night before the colonoscopy.

Tips for Healthy Eating With Crohn’s Disease

Patients with Crohn’s disease in Los Angeles and elsewhere can frequently improve their symptoms with a healthy eating plan. One of the first steps in establishing a successful plan is consulting with a nutritionist who has expertise with this disease. Although there is no known cure for this chronic inflammatory bowel disease, each person may have a set of trigger foods that can make the disease worse. Likewise, there are foods that might help alleviate the pain and problems.

PPH: To Staple or Not to Staple: That is the Question

Get the PDF version of this article INTRODUCTION Symptomatic internal and external hemorrhoids present with some of the most vexing problems known to mankind and to surgeons. Each year, over 525,000 patients are treated for symptoms associated with hemorrhoids. (1) Of these, 10-20% ultimately require surgical treatment. Watch this brief video of Hemorrhoid Treatment Options

Leaving the Hospital after Major Surgery

Leaving the hospital after a major operation is a natural source of anxiety both for patients who have had an operation, as well as for their families who will need to provide additional support during the remainder of the recovery period.

Which Medications to Avoid Before Your Procedure

Get the PDF version of this list Medications To Avoid Prior To Your Procedure: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Herbal/Alternative (This list is not a substitute for a discussion with your physician. Please be

DISCONTINUED Colonoscopy Prep: Visicol Tablets, OsmoPrep

Get the PDF version of this letter To Our Patients: Due to concerns regarding the safety of Osmoprep® and Visicol®, both of these products are no longer available for use in bowel preparation prior to a colonoscopy or other surgical procedures. There have been reported cases of renal (kidney) damage following the use of these

DISCONTINUED Colonoscopy Preparation: Fleets PhospoSoda®

Get the PDF version of this letter To Our Patients: Due to concerns regarding the safety of Fleets Phosphosoda,®this product is no longer available for use in bowel preparation prior to a colonoscopy or other surgical procedures. There have been reported cases of renal (kidney) damage following the use of this medication. Our office has been

Laparoscopic Colon Surgery

Minimally invasive surgical techniques have gained popularity in approaching benign diseases such as cholecystitis, appendicitis, gastric fundoplications, benign colorectal polyps, and recurrent diverticulitis. Initial concerns for the laparoscopic approach to colorectal cancer have centered around the oncologic principles of adequate tumor excision, lymph node and mesentery excision, early reports of port-site (incisional) recurrence, and lack of long-term follow-up in well conducted studies. A significant number of recent well conducted prospective studies have shed new light on these topics, effectively reshaping the approach to colorectal cancer.

Polyps – Colon Polyps – Scopefest (LA Daily News article)

Get the PDF version of this article Celebrating Their Health: Colonoscopies Make For A Most Unusual Birthday Party By Valerie Kuklenski, Staff Writer; U-Entertainment Jack Merrick was drawing on the straw in his jumbo Scorpion cocktail with such gusto, it seemed the drink’s floating gardenia would be vacuumed up. Surrounded by old friends, good food,

Thrombosed External Hemorrhoid Removal: Home Care

The numbness from the local anesthetic will wear off in 3 or 4 hours. When this occurs, there may be some discomfort. Take aspirin, Tylenol or a prescribed pain medication until the pain is no longer bothersome. The discomfort may last from a few hours to a few days.

Prevention & Screening for Colorectal Cancer

Cancer of the colon and rectum is the second leading cause of cancer-related death in the United States in both men and women. Approximately 131,000 Americans will be diagnosed every year with colorectal cancer, and approximately 55,000 people will die from their disease. Detection and removal of pre-cancerous lesions is the key to the prevention of colorectal cancer.

Dietary Fiber

Fiber is an edible material that is derived from the cell wall of plants. It is an essential part of a well-balanced diet whose importance is being increasingly recognized. Studies show that dietary fiber may help prevent such diseases as colon cancer, diverticular disease, elevated cholesterol, chronic constipation and hemorrhoids. We know, for instance, that different countries with higher fiber intakes have lower rates of colon cancer and diverticular disease. A word of caution: these studies are not conclusive or final. They are open to interpretation and need verification.

Procedure for Prolapse & Hemorrhoids (PPH)

A 15- to 35- minute minimally invasive procedure is the new gold standard for hemorrhoidectomy, according to American and European experts in the field. The procedure, known as PPH (procedure for prolapse and hemorrhoids) stapled hemorrhoidectomy, combines hemorrhoidal devascularization and repositioning to return the veins to the anal canal. “This year, this is the revolutionary new procedure in the United States,” Gary Hoffman, MD, clinical faculty member in general and colorectal surgery, Cedars-Sinai Medical Center, Los Angeles, told General Surgery News after moderating a live PPH telesurgery at the 2003 annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons. “PPH stapled hemorrhoidectomy will supplant the traditional open operations in patients with symptomatic grades 3 and 4 hemorrhoids, because it results in a tremendous reduction in postoperative pain, and in a rapid return to work and to activities of daily living.”

Laparoscopic Colon & Rectal Resection For Colorectal Cancer

Minimally invasive surgical techniques have gained popularity in the treatment of many benign diseases. However, there have been concerns surrounding the laparoscopic approach in the removal of colorectal carcinomas.Recently, these questions have been addressed in well-controlled, prospective, randomized studies.

Rectal Pouches

The rectum is a specialized reservoir which provides vital sensory and storage functions for the gastrointestinal system. When diseases such as inflammatory bowel disease, cancer, polyposis or congenital anomalies require the surgical removal of the rectum, an important part of the body is lost. Quite often, these disease processes occur in young patients between the ages of 30 and 45. Physical and emotional adjustments must be made to compensate for this loss. Research has been directed toward finding a suitable replacement for the surgically removed rectum. The major focus of investigation has been on the creation of a neorectum, or rectal pouch.