According to global data, CRC or colorectal cancer is the third most common cancer in males and the second most commonly diagnosed cancer in females. There are low incidences of colon cancer in India. However, with growing sedentary lifestyles, we can see an increase in colorectal cancer cases in India.
If you are diagnosed with colon cancer or worried about getting it, consult Dr. Jay Chokshi for immediate medical treatment. Dr. Chokshi is South Gujarat's first National Board Certified HPB and GI surgeon. He has experience administering colon cancer surgeries and CRC treatment with successful outcomes for more than a decade.
As with any other GI cancer, the problem with colon cancer is that it is difficult to detect without regular medical screenings. Often, it does not show any symptoms, and when the patients experience the signs of colorectal cancer, it has spread, making curative cancer surgeries difficult.
Overall, 5-year survival rates of CRC for Stage I are 88-92%, Stage II is 60-85%, Stage III is 50-80%, and Stage IV is 12-13%. The numbers show that early detection is the key to fighting against colon cancer. So, it is essential to look for subtle signs of CRC and visit your colon cancer specialist for routine medical checkups.
If you notice any of the following signs and symptoms of colon cancer, visit Dr. Jay Chokshi for oncological treatment.
When the doctor detects colon cancer early through routine screening, there are higher chances of a successful treatment. With screenings, you can treat and remove colon polyps before they turn cancerous and prevent a cancer diagnosis in the first place.
The risk of colon cancer or the cancer of the rectum and anus can intensify due to certain modifiable and non-modifiable risk factors.
1. A few genetic syndromes: familial adenomatous polyposis (FAP), Hereditary nonpolyposis colon cancer (HNPCC) or Lynch syndrome, Turcot, Gardner, and MyH-associated polyposis have a predisposition towards colon cancer.
2. If you have a family history of colon polyps or colorectal cancer, visit a colon cancer specialist regularly.
3. Personal history of IBD, Crohn's disease, Ulcerative Colitis, and Type 2 Diabetes.
4. Being overweight or obese, especially among men, is linked to CRC.
5. The absence of regular physical activity can increase your risk of getting colon and rectum cancer.
6. Diets high in red meat and processed meat, cooking a meal at higher temperatures, and meals without fresh produce can significantly increase your chances of colon cancer.
7. A lower level of Vitamin D can increase your risk.
8. People who smoke tobacco or consume alcohol regularly have higher chances of colon cancer.
9. People over the age of 50 should undergo regular CRC screenings to avoid cancer.
10. If you have had previous treatment of cancer, especially males with testicular cancer, they can have a predisposition towards colon cancer.
If you have a family history of colon cancer or colorectal polyps, it is more concerning. Talk about your family history with Dr. Jay Chokshi. The colon cancer specialist may suggest genetic testing if required. A physical examination of the abdomen for tumor and Digital Rectal Exam (DRE) are essential to understand the patient situation.
You may have to undergo any of the following different tests including:
Depending on the tumor size, spread to nearby lymph nodes, and metastasis to nearby organs, Dr. Jay Chokshi may recommend different treatment modalities. Often surgery is the most effective treatment for treating the patient.
1. Early or Operable Disease: Primary surgery with or without adjuvant chemotherapy or radiotherapy (for rectal cancer).
2. Locally Advanced Disease: Primary surgery unlikely: Consider preoperative chemotherapy/radiotherapy.
3. Isolated Metastatic Disease: Consider resection of primary disease followed by metastasectomy with or without neoadjuvant and/or adjuvant chemotherapy.
4. Widespread Metastatic Disease: Palliative chemotherapy and supportive care.
Commonly used chemotherapy 5-Fluorouracil with Oxaliplatin (FOLFOX) or Capecitabine with Oxaloplatin (CapeOx) as adjuvant treatment for stage III, IV, and selected stage II CRC. Patients with stage II and above rectal cancer require preoperative or postoperative CTRT (combination chemoradiotherapy).
At Dr. Jay Chokshi’s Gastro Center, the focus is your complete digestive health. With the doctor's expertise and experience in oncological treatment of colon diseases, he has performed several surgeries with positive clinical outcomes.
Dr. Jay Chokshi may recommend different surgery depending on the extent of the disease and patient condition.
1. The doctor can treat early colon cancer and most non-cancerous polyps with the help of a colonoscopy. The surgery to remove a polyp is called a polypectomy. The doctor may also recommend a local excision to remove tiny tumors in the lining of the colon.
2. Colectomy includes the surgical removal of a part or entire colon by the surgical gastroenterologist.
a. Right/Extended Right - Hemicolectomy - The doctor will remove the ascending part of the colon and attach the end of the small intestine to the transverse colon.
b. Left/Extended Left - Hemicolectomy - The doctor will perform the surgery to remove the lower or the descending part of the colon attached to the rectum. In this procedure, the transverse colon is connected to the rectum directly.
c. Low Anterior Resection (LAR) Surgery - The doctor will remove a part of the rectum affected by cancer. The remaining is attached to the colon.
d. Abdominoperineal Resection - To eliminate the cancerous tumor in the last part of the rectum and anus, the doctor will remove the anus, rectum, and sigmoid colon (the last part of the colon).
Dr. Jay Chokshi is a laparoscopic GI surgeon who can perform colectomy with the help of a laparoscope. Instead of an open colectomy, laparoscopic-assisted colectomy has many benefits. It leads to smaller incisions, faster recovery, and shorter hospital stay.
In many cases, the laparoscopic GI surgeon may have to perform an ileostomy. It includes a surgical procedure to create a diversion for the small bowel or the small intestine through an opening in the abdomen to help remove the waste out of the body.
As the treatment for colon and rectal cancer includes adopting the MDT (Multi-Disciplinary Team) approach, the cost is high. The cost of colon cancer surgery in Surat Gujarat ranges from INR. 60,000 to INR. 100,000. It involves the fees of CRC Surgeon, Gastroenterologist, Medical Oncologist, Radiation specialist, Pathologist, Radiologist & the nursing staff.
Please note that the cost may differ depending on the cancer stage, patient condition, and the choice of hospital facilities. For colon cancer surgery cost in Surat, call +91-9016519832. Teleconsultation facilities are available at South Gujarat’s top-rated colon cancer surgeon.
Dr. Jay Chokshi is a reputed colon cancer surgeon in Gujarat. Residing in Surat, he is available at Dr. Jay Chokshi’s Gastro Center.