Why My Patient Left the Office
- Have a surgeon remove the R side of the colon, which would guarantee safe and complete removal of residual polyp in one session.
- Refer the patient to an expert colonoscopist at one of our nearby teaching institutions. There are advanced techniques and skills that could complete the task that I left unfinished without surgery. This is certainly easier to go through than an operation, but there is a lower probability that all of the polyp will be removed in one session. Therefore, future colonoscopies would be needed to reexamine the site to verify that it is clean. Colonoscopies have risk and inconvenience. This approach, in my view, affects quality of life as for a long period of time, the patient has concern about polyp tissue left behind.