Colorectal State-of-the-Art Treatments (11)


At the Forefront of Colorectal Care in the Philippines


Colorectal Cancer Screening Saves Lives

In the United States, colorectal cancer accounts for almost 10% of all cancer deaths. A total of 51,690 deaths from colorectal cancer are estimated for 2012. It is the third most common cancer in both men and women. In the Philippines, according to the Philippine Cancer Society, there were about 5,797 new cases for the year 2010, of which, there were 3,208 male and 2,579 female cases.

 Those who were born in the ‘60’s and are now in or near their golden years should undergo a colorectal cancer screening. This is because the chances of developing the disease increase considerably after reaching the half century mark. In fact, according to Dr. Robert L. Chang, President of the Philippine Society of Colon and Rectal Surgeon (PSCRS), “more than 90 percent of colorectal cancer cases are diagnosed in people older than 50”.

There are different ways to screen for colorectal cancer


Fecal Occult Blood Test (FOBT) This test should be performed every year to check for tiny amounts of blood in the stool. FOBT involves placing a small amount of stool on a test pack. New FOBT uses the latest immunological-based test which does not require fasting and diet preparations. In concert with anFOBT, a flexible sigmoidoscopy should be done every 3 years. A positiveFOBT should warrant a complete colonoscopy.



During this procedure, a long flexible tube is inserted into the rectum and gradually advanced through the colon to look for polyps, suspicious areas that may have malignancy, or cancer. Polyps or tissue samples may be removed during a colonoscopy and send to the laboratory for biopsy. This procedure is recommended every 5 to 10 years.


A sigmoidoscopy is an examination that allows the doctor to look inside the rectum and lower (sigmoid) colon for polyps using a narrow, lighted tube called a sigmoidoscope. If any polyps are found during the exam, they can be removed in a procedure called a polypectomy. A sigmoidoscopy is recommended every three to five years.

Digital Rectal Exam

During a digital rectal exam, a doctor inserts a lubricated, gloved finger into the rectum to feel for abnormal lumps or areas. This should be part of a routine physical examination.


From the time the first abnormal cells start to grow into polyps, it usually takes about 10 to 15 years for them to develop into colorectal cancer. Regular screening can, in many cases, prevent colorectal cancer altogether. This is because some polyps, or growths, can be found and removed before they have the chance to turn into cancer. Screening can also result in finding colorectal cancer early, when it is highly curable.


Colorectal Specialists provides comprehensive, advanced, and efficient care to wide range of colorectal conditions. Its expertise is in the surgical management of colorectal cancer, diverticulitis, inflammatory bowel diseases, and other benign disorders like hemorrhoids, fissures, fistulae, polyps, constipation, fecal incontinence, sexually transmitted anorectal diseases, and other colorectal problems. It always strives to provide comfort, privacy and total quality service to its clienteles.


This specialist clinic is located at the 3rd Floor, Medicard Lifestyle Center, #51 Paseo de Roxas Cor. Sen. Gil Puyat (Buendia) Ave., Makati City, with Tel. No. 555-0832, Cell phone No. 09266305759. The clinic is open from Mondays to Fridays - 1:00 PM to 7:00 PM, and on Saturdays - 9:00 AM to 3:00 PM. Also, please visit or





Endorectal Ultrasound, also called transrectal ultrasound, is a special ultrasound technique in which the transducer is directly inserted through the anus and into the patient's rectum. The sound wave echoes detected by the transducer are converted by a computer into an image.

Transanal Hemorrhoidal Dearterialization (THD)

Using a doppler ultrasound, the blood vessel supplying the hemorrhoid is identified and ligated with stitches. Deprived of its blood supply, the hemorrhoid then shrinks and shrivels. There is no wound outside and is therefore almost painless.

Stapled Hemorrhoidopexy

Using a specially-designed, single-use stapler instrument, the hemorrhoids are excised and the anus repaired from the inside. The end result is that the surgical wound is inside, and no wound is visible outside the anus. Scientific studies have proven that this is less painful than traditional surgery. It is best recommended for hemorrhoids with prolapse.


Rubber Band Ligation (RBL)

A  procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow. The hemorrhoid then shrinks, in about a week, and then falls off.

Colorectal Laparoscopic Surgery

Laparoscopic surgery, also called minimally invasive surgery or keyhole surgery,  is a modern surgical technique in which operations in the abdomen are performed through small incisions.

Robotic-Assisted Colorectal Surgery

Robotic-assisted colorectal surgery revolutionizes the field of minimally-invasive surgery. The robotic machine combines 3D high definition vision with multiple instruments that have a complete range of subtle movement and rotations in the body. This allows the surgeon enhanced dexterity, precision and control of the instruments.

Robotic-assisted colorectal surgery provides many benefits to patients. There are small incisions hence, reduced scarring. There is less operative pain and lower risk of infection. There is faster recovery and return to normal function. Overall, there is superior treatment outcome.

Anal Sphincter Preservation

Anal sphincters are the muscles surrounding the anus that provide fecal continence, or the ability to control farting or defecation. The preservation of anal sphincter function and the avoidance of the need for permanent colostomy are of utmost importance. The preservation of continence is determined by the knowledge and skill of the surgeon. Your specialists continuously refine their techniques to preserve the anal sphincter during operations for cancer of the colon and rectum, and other colorectal conditions.

Repair can also be done to anal sphincters damaged by prior surgery and childbirth injuries. Techniques are now available to assess sphincter function by Anal Manometry,
Endoanal ultrasound, and nerve testing.


Transanal Hemorrhoidal Dearterialization (THD)

Using a doppler ultrasound, the blood vessel supplying the hemorrhoid is identified and ligated with stitches. Deprived of its blood supply, the hemorrhoid then shrinks and shrivels. There is no wound outside and is therefore almost painless.