From faint symptoms to large rectal polyps
For about a year now, Ms. N.T. C (48 years old, Ninh Binh) has had prolonged constipation, although she has adjusted her diet but it has not improved. In the past three months, she has experienced fresh red blood in her stools, and unshaped stools, but believes that the cause is hemorrhoids or fissures in the anus, so she is monitoring at home.
When additional symptoms of fatigue, weight loss and dull pain in the lower abdomen appeared, she went to the National Hospital for Tropical Diseases for examination.
BSCKII. Nguyen Dac Hanh - Head of the Department of On-Demand and International Examination, under the Center for On-Demand and International Examination, Central Tropical Diseases Hospital - said: The endoscopy results revealed a diffuse rectal polyp clot with a size of 2.5 x 3.5 cm. Due to the large polyp and its close adhesion to the mucosa, removal by conventional endoscopy methods is difficult and the risk of recurrence is high.
ESD helps preserve the rectum
Dr. Tran Viet Hung - Deputy Director of the Center for Gastrointestinal Endoscopy and Functional Exploration, National Hospital for Tropical Diseases - said that after consultation, doctors decided to apply endoscopic submucosal dissection (ESD) technique to remove the entire polyp mass. This is a modern interventional endoscopic method, allowing complete dissection of the lesion without open surgery or intestinal segment removal.
The intervention was successful, helping to completely preserve the rectum and natural anal function, while shortening the recovery time for the patient.
Experts recommend that people should not be subjective with signs such as prolonged constipation, changes in bowel habits, unshaped stools or bloody stools. Periodic gastrointestinal endoscopy, especially in people over 40 years old or with a family history of colorectal disease, helps detect precancerous lesions early and improve treatment effectiveness.
