Preoperative Diagnosis: Guaiac positive stools
Postoperative diagnosis: Multiple colon polyps, diverticulosis
Procedure: Total colonoscopy with biopsy and polypectomy
Description: This is a 65-year-old male who was found to have guaiac positive stools on a routine exam.
The patient was brought to the endoscopy suite and placed in a left lateral decubitus position. 50 mg of Demerol and 2 mg Versed were administered. A digital rectal examination was done, which was normal. An endoscope was introduced and passed through a rather spastic tortuous sigmoid colon with multiple diverticula seen all the way through transverse colon where about 1 cm x 1 cm sessile polyp was seen. It was biopsied and then in piecemeal fashion removed using snare polypectomy after the base was infiltrated with epinephrine. The scope than was advanced through the rest of the transverse colon to ascending colon and cecum. The terminal ileum was briefly reviewed, appeared normal and so did cecum. Ascending colon was unremarkable. At hepatic flexure may be a proximal transverse colon, there was a sessile polyp about 1.2 cm x 1 cm that was removed in the same manner with a biopsy taken, base infiltrated with epinephrine. In transverse colon on withdrawal and relaxation with epinephrine, an additional 1 mm to 2 mm sessile polyp was removed by hot biopsy. Then in the transverse colon, additional larger polyp about 1.3 cm x 1.2 cm was removed in piecemeal fashion again with epinephrine, sclerotherapy, and snare polypectomy. Subsequently, pedunculated polyp in the distal transverse colon near splenic flexure was removed with snare polypectomy. The rest of the splenic flexure and descending colon were unremarkable. Diverticulosis was again seen with almost constant spasm despite glucagon. The endoscope was withdrawn.
PLAN: Await biopsy report. Pending biopsy report, a recommendation will be made when the next colonoscopy should be done at least three years perhaps sooner besides and due to a multitude of the patient’s polyps.
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