Our team helps patients suffering from colorectal polyps, fistula and hemorrhoids.
Colorectal polyps can grow in any part of the colon. While the majority of polyps will not become cancer, certain types may be precancerous. Having polyps removed reduces your future risk for colorectal cancer. Your doctor is likely to remove all polyps discovered during a colonoscopy screening. This is called a polypectomy. Polyps that are too large or can’t be removed safely during the screening may require more complex surgery:
● Minimally invasive polypectomy: Polyps are removed laparoscopically, which is performed by inserting an instrument called a laparoscope into the bowel. Learn more about minimally invasive surgeries.
● Colon and rectum removal: If you have a rare inherited syndrome, such as familial adenomatous polyposis, you may need surgery to remove your colon and rectum (total proctocolectomy).
A fistula is an abnormal connection between two body parts, such as an organ or blood vessel and another structure. Infection or inflammation can also cause a fistula to form, or may be the result of surgery. Inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease, can lead to fistulas between one loop of intestine and another. Fistula repair procedures include:
● Fistulotomy: In this procedure, the fistula tract is opened to remove diseased tissue or drain pus. This allows the fistula tract to heal from the inside out.
● Advancement rectal flap procedure: In this procedure, complex fistulas are closed by covering the internal opening with your own healthy tissue. This procedure can help preserve the sphincter muscle.
● Endoscopic fistula repair: If your fistula is in the upper part of your small intestine, our surgeons may be able to remove the fistula with the help of a small flexible tube passed through your mouth and esophagus (endoscope.) Learn more about endoscopy.
All people have hemorrhoidal tissue as part of their normal anatomy. For some, hemorrhoids may become enlarged or painful. Most symptomatic hemorrhoids will not require surgical management. However, surgery may be considered if you have a large external hemorrhoid, combined internal and external hemorrhoids, or a prolapsed internal hemorrhoid. The types of hemorrhoidectomy procedures include:
● Excisional hemorrhoidectomy: In this procedure, your surgeon removes the hemorrhoidal tissue by cutting it. They may choose to leave the tissue wound open or close it with stitches.
● Stapled hemorrhoidopexy: In this procedure, your surgeon removes only a portion of the hemorrhoidal tissues. The remaining hemorrhoidal tissues are lifted back up into the anal canal and stapled into place with a special stapling device.
At Weill Cornell Medicine and NewYork-Presbyterian, we support our patients and their loved ones while they receive treatment. Learn more about what to expect for preparing for your surgery and during your stay.
Whether you visit us virtually through a video visit or you see us in person, you can be assured that we will deliver the highest standards of care with compassion. Our team has taken every step to keep our facilities safe for you to continue your care. Learn more about our safety measures and the changes we’ve made to enhance your patient experience.
If you would like a remote second opinion, we can connect you directly with expert physicians and specialists at the Weill Cornell Medicine Colon and Rectal Surgery Division. They will review your individual situation, answer your questions and provide you with information you can share with your family and local practitioner. You can then decide to come to our facilities for treatment or choose to stay in your hometown and receive treatment locally. Learn more at WCM OnDemand Second Opinion.
The surgeons at the Weill Cornell Medicine Colon and Rectal Surgery Division offer patients the highest level of safety and care. As a top-ranked academic medical center, you have access to our extensive network of specialists who provide seamless care throughout your treatment — to promote long-term physical and mental health.