Procedures Offered

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Procedures Offered

The services offered by Colorectal Specialists at the Medical City Colorectal Clinic include the following:

A.     Colorectal Cancer

As an integral component of TMC Cancer Center, Colorectal Specialists provides the following services for colorectal cancer patients (in coordination with the corresponding units mentioned).

             1. Screening

·         Immunochemical fecal occult blood test (Laboratory)

·         Diagnostic and therapeutic flexible sigmoidoscopy and colonoscopy (Center for Endoscopy and Physiologic Studies) 

2.     Diagnosis

·         X-rays, CT scans, MRI (Department of Radiology)

·         Bone Scan (Nuclear Medicine)

·         Histopathology (Department of Pathology)

·         KRAS testing (Regenerative Medicine)

·         CEA, CA 19-9 and oyher blood tests (Department of Pathology)

·         Endorectal ultrasound (Center for Endoscopy and Physiologic Studies)

·         Diagnostic and therapeutic colonoscopy including endoscopic submucosal resection(Center for Endoscopy and Physiologic Studies)

3.     Multimodality Treatment

·         Multidisciplinary Team Approach for assuring high quality of cancer care (Cancer Center)

·         Chemotherapy  (Cancer Center)

·         Radiotherapy (Department of Radiation Oncology)

·         Surgery, promoting minimally invasive procedures for early cases.

·         Minimally invasive colorectal surgery procedure offered include: 

-          Laparoscopic Surgery

-          Transanal Endoscopic Microsurgery

-          Robotic Surgery

4.     Post-treatment Cancer Surveillance 

5.     Stoma care and maintenance with the Stoma and Complex Wound Care Clinic

B.     Anorectal Diseases

1.     Hemorrhoidal Diseases

·         Conservative and Medical Management

·         Ambulatory Treatment

-          Rubber band ligation

-          Transanal Hemorrhoidal Dearterialization (THD) 

·           Surgical Treatment

-          Stapled Hemorrhoidopexy

-          Ligasure/Harmonic Hemorrhoidectomy

-          Excisional surgery using conventional methods 

2.     Simple and Complex Anal Fistula 

·         Endoanal ultrasonography

·         Highly specialized sphincter preserving techniques

-          LIFT technique (ligation of intersphincteric Fistula Tract)

-          Endorectal advancement flaps

-          Fibrin plug

3.      Sexually transmitted Anal Disease, including warts (HPV) and HIV (In coordination with I-REACT Clinic)

·         Immunization (HPV Vaccines)

·         Conservative and Medical Management

·         Ambulatory Treatment

Out-patient surgical services, diagnostic and laboratory procedures are offered at the Medicard Colorectal Clinic. Procedures that are not available are referred to the team’s affiliated hospitals. 

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