When facing colorectal health issues, it’s crucial to understand how a colorectal surgeon determines the necessity of surgery. In Glendale, highly skilled professionals like Dr. Armen Gregorian, MD, use a comprehensive and meticulous approach to evaluate their patients. This ensures that any surgical intervention is necessary and tailored to the patient’s needs. Here’s a detailed look at how a colorectal surgeon in Glendale assesses the need for surgery.
Initial Consultation and Medical History Review
The first step in assessing the need for surgery involves a thorough initial consultation. During this meeting, the Glendale colorectal surgeon will review the patient’s medical history in detail, including any previous surgeries, chronic conditions, and medications. Understanding the patient’s health is crucial for identifying potential risks and determining the best action. Dr. Armen Gregorian, MD, emphasizes the importance of this step, as it sets the foundation for all subsequent evaluations and decisions.
Symptom Evaluation and Physical Examination
After reviewing the medical history, the colorectal surgeon will evaluate the patient’s symptoms. Common symptoms that may indicate the need for colorectal surgery include chronic abdominal pain, rectal bleeding, changes in bowel habits, and unexplained weight loss. A comprehensive physical examination is also performed to identify any palpable abnormalities in the abdominal or rectal areas. This hands-on assessment helps the surgeon gather critical information about the patient’s condition.
Diagnostic Testing
Diagnostic testing is often necessary to gain a more precise understanding of the patient’s colorectal health. This may include:
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Colonoscopy: This procedure allows the surgeon to examine the inside of the colon and rectum using a flexible tube with a camera. It helps identify issues such as polyps, tumors, or inflammation.
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Imaging Tests: CT scans, MRIs, and X-rays provide detailed images of the abdominal area, helping detect structural abnormalities.
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Laboratory Tests: Blood tests can reveal signs of infection, inflammation, or other underlying health issues that may affect the decision to proceed with surgery.
Dr. Armen Gregorian, MD, utilizes state-of-the-art diagnostic tools to ensure accurate and comprehensive assessments.
Assessing the Severity and Progression of the Condition
Once diagnostic tests are completed, the colorectal surgeon in Glendale will assess the severity and progression of the patient’s condition. Conditions like colorectal cancer, diverticulitis, and inflammatory bowel disease (IBD) can vary widely in their severity. Early-stage cancers or mild cases of IBD may be managed with medication and lifestyle changes, whereas more advanced stages might require surgical intervention.
Considering Non-Surgical Treatment Options
Before recommending surgery, the colorectal surgeon will consider all non-surgical treatment options. These may include medications, dietary changes, and other therapies. For instance, certain cases of IBD can be managed with anti-inflammatory drugs, and nutritional adjustments can alleviate symptoms of conditions like irritable bowel syndrome (IBS). Dr. Armen Gregorian, MD, believes in a conservative approach where surgery is considered only when necessary and all other options have been exhausted.
Patient’s Overall Health and Fitness for Surgery
The patient’s overall health and fitness play a significant role in decision-making. Surgery, especially major procedures, can be physically demanding, and it’s essential to ensure that the patient is fit to undergo surgery. Age, weight, cardiovascular health, and other chronic conditions are carefully evaluated. Preoperative assessments may include cardiac evaluations, pulmonary function tests, and consultations with other specialists if needed.
Risk-Benefit Analysis
A critical aspect of the assessment process is conducting a risk-benefit analysis. The colorectal surgeon will weigh the potential benefits of surgery against the possible risks and complications. For instance, while surgery might effectively remove a cancerous tumor, it also carries risks such as infection, bleeding, and adverse reactions to anesthesia. This analysis helps ensure that the decision to proceed with surgery is well-justified and in the patient’s best interest.
Patient Preferences and Informed Decision-Making
Finally, patient preferences and informed decision-making are central to the process. The colorectal surgeon will discuss the findings, treatment options, and potential outcomes with the patient. This includes clearly explaining the risks and benefits of surgery and non-surgical treatments. Dr. Armen Gregorian, MD, prioritizes patient education, ensuring that individuals understand their condition and feel empowered to make informed decisions about their care.
Conclusion
Assessing the need for colorectal surgery involves a multifaceted approach, integrating medical history, symptom evaluation, diagnostic testing, and patient preferences. In Glendale, colorectal surgeons like Dr. Armen Gregorian, MD, are dedicated to providing comprehensive and personalized care. By meticulously evaluating each patient’s unique circumstances, they ensure that surgical interventions are both necessary and beneficial, ultimately enhancing patient outcomes and quality of life.
