Many patients with gastrointestinal issues can be managed through diet, exercise and medication. But when surgery is needed to manage pain and discomfort, a colorectal surgeon can help.

Our team uses minimally invasive techniques when possible to minimize postoperative pain, scarring and recovery time. They are also fellowship trained in complex colon and rectal surgery. Learn More by reading the article below.
Cancer is a disease that begins when cells in the body begin to grow uncontrollably and eventually damage or kill surrounding tissues. If diagnosed early, colorectal cancer can be prevented or treated with surgery and/or chemotherapy. A colonoscopy is the best way to screen for tumors in the large intestine. This procedure involves inserting a flexible tube into your large intestine and taking tissue samples for biopsy. The results allow your doctor to determine if polyps in the colon are benign or malignant. Polyps are abnormal growths that can lead to a colon cancer and must be removed.
Most cancers that affect the colon and rectum start in noncancerous polyps on the inner lining of the colon or rectum. These polyps can turn into cancer over several years, leading to a mass called a tumor that can impact your ability to digest food and pass bowel movements. Regular screening can catch these changes, allowing them to be removed before they become a problem.
Colorectal surgeons use minimally invasive procedures such as laparoscopy or robotic techniques to remove masses, repair hernias and perform colon surgeries. These approaches require smaller incisions, reduce pain and blood loss, and speed recovery. Our doctors participate in national and international research to promote surgical outcomes for people with colorectal conditions such as inflammatory bowel disease, diverticulosis and cancer.
Your doctor will determine the stage of your cancer by examining your colon’s lining, checking lymph nodes in your abdomen and evaluating a blood test called CEA (carcinoembryonic antigen). These tests help evaluate how far the cancer has spread. Stage I: The cancer has spread into the second layer of tissue lining the colon or rectum but has not reached adjacent lymph nodes.
Stage II: The cancer has spread deeper into or through the colon wall and may have affected nearby lymph nodes. It can also be spreading to distant organs, including the liver and lungs.
If a tumor has already spread, your doctor may remove a portion of the colon or rectum and reconnect the healthy ends in a procedure known as an anastomosis. Cigarette smoking, steroids and high blood sugar can interfere with the healing of this connection, causing it to leak waste into your abdomen. In these cases, a colonostomy can be created by making an opening (stoma) in the abdomen, connecting the end of your intestine to the skin and placing a flat bag over the stoma for waste collection.
Diverticulosis
Diverticula are pouches that form in the lower wall of your large intestine (colon). These pouches usually develop near your rectum in a part of the colon called the sigmoid colon. Diverticula are quite common and, in most people, they don’t cause problems. However, these pockets can become inflamed or infected. When they do, you’ll experience pain in your colon and, possibly, a fever, nausea, vomiting, a dull or sharp abdominal pain or chills. You may also notice a red or maroon color in your stool.
If your symptoms are mild, you can be treated at home with antibiotics and a liquid diet to rest the colon. If the symptoms are severe, you may need to be hospitalized and given IV fluids and antibiotics. If your diverticulosis causes complications, you may need surgery to remove sections of the colon.
The exact causes of diverticulosis are unknown but they often appear in people who have a low-fiber diet, excessive amounts of red meat and fat, a sedentary lifestyle, smoking, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or hormones. In some cases, the bowel can’t handle pressure from the diverticula and the pouches break open, causing bleeding and inflammation in the bowel lining (diverticulitis).
A severe episode of diverticulitis can lead to a collection of pus outside the colon wall that forms an abscess or to a generalized infection in the entire lining of the abdomen, known as peritonitis. In such cases, emergency surgery is needed to create a new passage through the bowel that bypasses the inflamed area, such as a colostomy or ileostomy.
Diverticulitis surgery can be dangerous and requires a surgeon with specialized training in gastrointestinal procedures. A colorectal surgeon who is experienced in this type of surgery can help you avoid serious complications such as infection or blood loss, which could require a blood transfusion. In addition, the use of a colon wash and antibiotics can significantly reduce your risk of having to undergo surgery. In addition to medical treatment, some people find relief from a variety of herbal supplements such as turmeric and ginger.
Inflammatory Bowel Disease (IBD)
Inflammatory bowel disease, or IBD, causes a number of symptoms in the digestive tract and gut, including diarrhea. It is a chronic condition that may be lifelong, with periods of good health (remission) and times when symptoms get worse (flare-ups).
Crohn’s disease and ulcerative colitis are the main types of IBD. They differ in where the inflammation occurs. With Crohn’s, it can be anywhere in the gastrointestinal tract; with ulcerative colitis, it’s only in the large intestine and the anus.
The exact causes of IBD aren’t known, but researchers think it is an immune system response to normal bacteria in the digestive tract or some genetic factor. Treatment for IBD includes medications and surgery.
In some cases, doctors may recommend a colon resection. This operation involves removing part of the colon to treat serious complications from long-term IBD. It’s usually done with minimally invasive techniques, such as laparoscopic and robotic surgery, which have less blood loss and a faster recovery.
Doctors can also use surgery to remove a hernia in the lower gastrointestinal tract. This is done by passing a long, flexible tube with a camera lens on the end through the mouth and esophagus and into the stomach and small intestine. They can look at the insides of these areas and take samples for testing, called biopsies.
Surgery can also be used to fix problems caused by IBD, such as anal fistulae or rectum hernia. This type of surgery is typically only done when other treatments haven’t worked well enough.
If you have IBD, you’ll need to find a treatment plan that works for you and your family. Most people who have IBD can lead active lives with controlled symptoms once they have the right treatment. Learn how to manage your IBD, so you can do the things you love.
Colostomy
A colonoscopy is a procedure that can determine if an obstruction is present in your digestive tract. It can also detect any areas of cancerous growth or abnormal cells in the lining of your colon or rectum. If your GI doctor finds an abnormality that cannot be addressed with dietary changes or medication, they will refer you to a colorectal surgeon for further examination.
A colostomy is a surgical procedure that involves the creation of an opening in the abdominal area (called a stoma) on the colon’s end, which connects to the abdomen’s anterior surface. The stoma can be temporary, which is then reversed when the colon has healed, or permanent. A colostomy is sometimes required as part of the treatment for certain cancers, diverticular disease, trauma with perineal perforation and radiation proctitis.
In many cases, a colostomy is needed because more non-invasive treatments like diet and medication are unable to address your symptoms. It may also be necessary if you are suffering from severe pain, bleeding and other discomfort.
The most common cause of a colostomy is colorectal cancer, which can result in the need to remove all or part of your colon. Other causes include severe pockets of inflammation (diverticular disease), surgery to treat a tumor in your colon, and accidents that damage the lower intestinal tract.
Before your colostomy, your doctor will mark an area of the abdominal wall for your ostomy site. This is usually done while you are sitting, standing or lying down, and takes into account the location of your scars, belt line, pant height, abdominal shape and other factors. It is important to understand where your stoma will be so that you can ask your stomal therapy nurse any questions and be prepared for how to care for it once it is in place.
Your stomal therapy nurse will help you understand your stoma and teach you how to properly insert and remove your stoma and how to use collection bags. Depending on your needs, you may also be taught how to manage your bowel movements through the stoma and how to urinate with your stoma.