Blog

Colon Cancer

Category: Events, News

Colon Cancer by: JoAnn E. Warrick, M.D.

Colon cancer is the 3rd most common cause of cancer, and it is the second leading cause of cancer death in the United States.  It affects both men and women equally.  It is the most preventable of all types of cancer, and studies show that with regular screening approximately 60% of deaths can be prevented.  The reason it is preventable is that it invariably starts as an asymptomatic polyp, and with proper screening and removal, the progression to cancer is halted.  Studies also show that there is a 66% reduction  in progression to carcinoma in those undergoing a polypectomy.

Although the incidence of colon cancer has been slowly dropping due to increased adherence to screening, there is still a lifetime risk of 4.4% according to SEER data.  That means that 1 in 22 Americans will develop colon cancer in their lifetime.  The data also shows that approximately 75% of all new cases of cancer occur in those without predisposing factors.  Only about 5-10% of all colon cancer is familial.  The majority is sporadic meaning no identifiable family history.

Because the risk of colon cancer increases significantly after age 50, all current guidelines recommend screening to begin at age 50 for average risk persons, except in African Americans.  The American College of Gastroenterology recommends screening at age 45 in African Americans because they are being diagnosed at a younger average age than other groups. Screening is considered the standard of care and is a part of best practices.  Screening is not based on symptoms at all.  All asymptomatic persons who are average risk should be offered screening.

There are a variety of methods available for screening.  They include an annual fecal occult blood test, periodic flexible sigmoidoscopy, flexible colonoscopy, virtual CT colonography, a specialized stool DNA test (which examines the stool for exfoliated DNA which is a marker for advance polyps and colorectal cancer) and a recently approved serum marker for colorectal cancer.

The non-invasive screening tests typically do not screen for polyps, but instead screen for established colon cancer.  Although more invasive, colonoscopy screens for polyps and removes these lesions when detected, and it is also the gold standard.  Several studies including the national polyp study suggest that screening colonoscopy reduces the incidence of colon cancer from 76 to 90 percent.

Any of the screening tests mentioned meets the standard of care for screening and the choice of screening should be based on what is appropriate for the patient after an informed discussion of the pros and cons of each of the options.  Insurance typically pays for screening colonoscopy, sigmoidoscopy, or fecal occult blood test.  The other screening tests are not typically covered by most insurances.


Catch Colon Cancer Early

Category: Events, News

Did you know that colon cancer is 90% curable if caught early?  All men and women should begin routine screening for colon cancer at age 50 or older (45 if African American).  If you have family history, you may need to be screened earlier!

Medicare and most insurance companies cover screening.  Call (318) 631-9121 to schedule a colonoscopy or click here.

Colon Cancer by: JoAnn E. Warrick, M.D.

Colon cancer is the 3rd most common cause of cancer, and it is the second leading cause of cancer death in the United States.  It affects both men and women equally.  It is the most preventable of all types of cancer, and studies show that with regular screening approximately 60% of deaths can be prevented.  The reason it is preventable is that it invariably starts as an asymptomatic polyp, and with proper screening and removal, the progression to cancer is halted.  Studies also show that there is a 66% reduction  in progression to carcinoma in those undergoing a polypectomy.

Although the incidence of colon cancer has been slowly dropping due to increased adherence to screening, there is still a lifetime risk of 4.4% according to SEER data.  That means that 1 in 22 Americans will develop colon cancer in their lifetime.  The data also shows that approximately 75% of all new cases of cancer occur in those without predisposing factors.  Only about 5-10% of all colon cancer is familial.  The majority is sporadic meaning no identifiable family history.

Because the risk of colon cancer increases significantly after age 50, all current guidelines recommend screening to begin at age 50 for average risk persons, except in African Americans.  The American College of Gastroenterology recommends screening at age 45 in African Americans because they are being diagnosed at a younger average age than other groups. Screening is considered the standard of care and is a part of best practices.  Screening is not based on symptoms at all.  All asymptomatic persons who are average risk should be offered screening.

There are a variety of methods available for screening.  They include an annual fecal occult blood test, periodic flexible sigmoidoscopy, flexible colonoscopy, virtual CT colonography, a specialized stool DNA test (which examines the stool for exfoliated DNA which is a marker for advance polyps and colorectal cancer) and a recently approved serum marker for colorectal cancer.

The non-invasive screening tests typically do not screen for polyps, but instead screen for established colon cancer.  Although more invasive, colonoscopy screens for polyps and removes these lesions when detected, and it is also the gold standard.  Several studies including the national polyp study suggest that screening colonoscopy reduces the incidence of colon cancer from 76 to 90 percent.

Any of the screening tests mentioned meets the standard of care for screening and the choice of screening should be based on what is appropriate for a patient after an informed discussion of the pros and cons of each of the options.  Insurance typically pays for screening colonoscopy, sigmoidoscopy, or fecal occult blood test.  The other screening tests are not typically covered by most insurances.


Be Aware of Hepatitis C

Category: Events, News

hcv_landingpage

Millions of Americans have Hepatitis C and half don’t know they are infected. People can live with the virus for decades without any symptoms. A blood test is the only way to know.  If left untreated, Hepatitis C can lead to liver damage, liver cancer, and ultimately liver failure. Treatments are available at GIS that can cure this disease. CDC recommends any born 1945-1965 get tested. Take charge of Hepatitis C! Call (318) 631-9121 to make an appointment.

Dr. David Dies Q&A: Hepatitis C

David F. Dies, MD, MBAHow big a problem is Hepatitis C infection?

In the United States, it is estimated that 3.2 million persons are infected with HCV. To put it into perspective, there are 2.8 million with breast cancer, 2.5 million with prostate cancer and 0.9 million with HIV, so there are more people with hepatitis C than these other significant diseases. Sadly, between 50-75% of people with HCV do not even know that they have it.

What are the potential long term consequences of hepatitis C?

Between 60-70% will develop chronic liver disease. Approximately 20% will develop cirrhosis after 20-30 years of infection. After progression to cirrhosis, several studies estimate that somewhere there is between a 1 to 5 per cent chance of liver cancer per year. Further, after a diagnosis of cirrhosis, up to 1/3 of patients will start to develop liver failure over the next 10 years.

What medical specialty cares for the Liver?

While there is overlap in all medical specialties, the main specialist for the liver is called a Hepatologist. There are specialized training programs and even board certification in Hepatology. The Liver Center at GastroIntestinal Specialists has two Board certified Hepatologists, Dr. Humberto Aguilar and myself.

Can Hepatitis C be cured?

Of course it can, but in the past it was very difficult. In the early days we used injections of interferon and probably cured no more than 9%. Later, we found other drugs to add to the interferon injections and the cure rate increased to over 50% of the patients we treated. However, interferon had a lot of side effects.

Studies suggest that only about 10% of all patients with hepatitis C have been treated. Many chose not to be treated due to the side effects of therapy. This has changed with the new direct acting antivirals (called DAA’s).

What are the new medications and how good do they work?

As stated, the new medicines are called DAA’s. DAA’s are pill (not injections) that can be taken without any interferon shots. Our research has shown that we can successfully cure over 95% of patients with pills: there is no longer a need for the interferon injections.  Our Liver center was recently recognized as the #2 prescriber of hepatitis medicine in the country. We have ongoing studies for even newer therapies for hepatitis C in our clinical research company, Louisiana Research Center.

What are the Side Effects of Treatment?

In the “old days” of interferon, patients basically felt like they had a bad case of the flu for 48 weeks. That is no longer the case as interferon will not be used much anymore. The newer therapies are pills initially given for just 12 weeks. Side effects of these pills are minor. It was the interferon that mainly gave the side effects.

When will the new medicines be released and when will they be available?

They are available now. There are several to choose from. More are expected to be released in 2017.

Do you treat other kinds of liver disease?

Yes! We are the only private clinic in North Louisiana that has board certified doctors in Liver Medicine. We provide care in liver transplant medicine, cirrhosis care, liver masses, liver drug reactions, fatty liver disease, genetic liver disease, autoimmune hepatitis and just about any liver condition. We also have a large hepatitis B clinic.

What have been the biggest obstacles?

Most patients (and even health care providers) do not understand that most liver diseases now have a cure – including hepatitis C! However, the highest chance of cure is when we treat early, when the numbers are not that high and there are no symptoms.

How can I make an appointment?

You can make an appointment by calling (318) 631-9121.

Dr. David Dies discusses Hepatitis C on KTBS Healthline 3. Watch the replay below. 


Crohn’s & Colitis Treatment

Category: Events, News

IBD_landingPg

Inflammatory bowel disease (IBD) is a chronic inflammatory condition of the gastrointestinal tract. It has two main conditions – ulcerative colitis and Crohn’s disease. Ulcerative colitis affects the colon and Crohn’s can affect any part of the GI tract from the mouth to the anus. Symptoms include: abdominal pain, cramps, diarrhea, constipation, weight loss, and loss of appetite. 

If you’re suffering from Crohn’s or Colitis or not responding to your current treatment, GIS can help.  Our research center has multiple drugs in development that can aid you in regaining control of your disease.  Call (318) 631-9121 to make an appointment

Inflammatory Bowel Disease: Q&A with Dr. Aguilar

AguilarWhat is inflammatory bowel disease and how is it diagnosed?

Inflammatory bowel disease is a chronic inflammatory condition of the gastrointestinal tract.  It has two main conditions – chronic ulcerative colitis and Crohn’s disease.  Typically, it is diagnosed by endoscopy with some assistance of radiological techniques.  The difference between Crohn’s and ulcerative colitis is that ulcerative colitis only affects the colon and Crohn’s can affect any part of the GI tract from the mouth to the anus.

Do I have ulcerative colitis or Crohn’s and how to differentiate that?

The difference is that ulcerative colitis is limited to the colon and Crohn’s disease typically has a combined involvement of the small bowel and the colon, although Crohn’s can also affect the stomach and any part of the GI tract.  The way to tell the difference depends on the parts that are affected and the behavior of the disease.

What part of my intestine is affected?

Typically, Crohn’s affects any part of the GI tract but ulcerative colitis only the colon.

Could any other disease be causing my symptoms?

Typically, the most common presentation is bloody diarrhea, diarrhea and abdominal pain and, in young patients, weight loss.  The symptoms could be caused by a problem as simple as IBS and in the absence of bleeding sometimes it is very difficult to differentiate between IBD and IBS.

How is IBD different from IBS?  Can I have both?

The difference between IBD and IBS is IBD is chronic, usually persistent, is associated with bleeding, weight loss and is a more severe condition.  IBS tends to be mainly symptoms that are not associated with any alarm signs.  Some people with IBD do also have IBS and those two diseases can overlap.

How is IBD treated?

The treatment of IBD depends on the severity of the condition.  When the disease is mild, we can treat that with tablets but when the disease is more aggressive, we tend to use injectables that are called biologics, usually monoclonal antibodies that are designed to decrease inflammation that is causing this disease.

What are the potential side effects of the medicines? 

Regarding the potential side effects of the medication, first of all we need to say that the medications overall are extremely safe.  The risks for complications are small and infrequent and usually the benefits of the treatment outweigh the risks.

Diet?

Regarding diet, there are so many different diets that have been used throughout the years for IBD but none of those have proven to be consistently effective.  My behavior regarding diet is if the diet is not detrimental to the overall health of my patients, I let them try because of the potential benefits of the patient’s dedication to those diets but overall they have not been consistently shown to be effective.  There are some specific kinds of patients that will benefit from a low fiber diet but most of the time, diet is very well tolerated, especially patients with ulcerative colitis.

Smoking?

Regarding smoking, smoking has been noticed to be detrimental for patients with Crohn’s disease and maybe somewhat protective for the ulcerative colitis; however, the damage that smoking causes is much worse than any potential benefit in ulcerative colitis, so we always encourage patients to stop smoking.

What are the possible complications of Crohn’s disease and ulcerative colitis?

Well, one of the most detrimental complications of this condition is colon cancer.  Chronic inflammatory changes are also associated with increased risk for colon cancer.  For that reason, it is recommended that when you have a duration of the disease for more than 8 – 10 years to undergo colonoscopies every other year.  Other complications are the development of abscess and perforations that would require surgery.

Will I need an operation and, if so, will the surgery cure my IBD?

About 30% of patients with IBD, especially with Crohn’s, undergo surgery within 5 – 10 years of the diagnosis of the disease.  In Crohn’s disease, surgery is not curative and in ulcerative colitis a total colectomy would be curative; however, there could be a relapse at the level of the anastomosis.  So, with surgery, you have a new beginning and at that time would tend to know that it is better to treat patients before the disease comes back.  Increase of colon cancer as already mentioned, but you have the duration of more than 8 – 10 years that increases the risk for colon cancer.

Treatment?

Regarding treatments, we have many treatment opportunities now.  We are doing high scientific research and we have many options for patients, so we will offer that to them. Call (318) 631-9121 to make an appointment.


Free Non-Surgical Weight Loss Information Session

Category: Events, News

Join us at a free information session.

The Nutrition & Weight Loss Center at GastroIntestinal Specialists is offering FREE information sessions about non-surgical weight loss options. Sessions are held on the 1st Tuesday of every month at 5:30 p.m.

Call (318) 213-3460 to register

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At our information session you will:

  • Meet our Registered Dietitian, Daniel Martin, who will guide you through your wellness and weight loss goals.
  • Discover how our medically managed weight loss programs can help you.  These programs focus on nutrition, physical activity, and lifestyle optimization.
  • Learn about about the ORBERA Gastric Balloon, a safe non-surgical weight loss procedure performed in-house by our physicians, the local endoscopic experts.

When

October 4, 2016, 5:30 p.m.

November 1, 2016, 5:30 p.m.

December 6, 2016, 5:30 p.m.

Where

Shreveport Endoscopy Center Waiting Room

3217 Mabel Street, Shreveport, LA 71103

Rating
5 Stars

1 Review | Average Rating: 5

5 Stars

Excellent information! Great people

New Nutrition & Weight Loss Center

Category: Events, News

New horizons… GIS is proud to announce our newest business platform, the Nutrition and Weight Loss Center.

Healthy living – Better Choices – Finding the new you; all wrapped in a comprehensive program that is administered and managed by our in house Registered Dietitian and Care Plan Coordinator, guide you to success.

NutritionWeightLossCenterThe tenants of the Nutrition and Weight Loss Center are a combination of Wellness Programs, customized to fit your calendar and weight loss goals, in addition to offering non-surgical weight loss options.  Also available, our Registered Dietitian has carefully selected food products such as protein drinks, food bars and prepared meals to compliment your customized Nutrition Plan – those are available for purchase during visits to our offices or, online with shipment to your home for added convenience.

It is our belief that eating right, active exercise and an individual’s willingness to change are the keys to long term success! A new you! Package these with personalized nutrition plans, workout plans and personal self-help support while being administrated and managed by healthcare professionals, are what separate the Nutrition and Weight Loss Center from any other diet, workout plan or weight loss product you may have tried.

Please click here to visit the Nutrition & Weight Loss page to learn more. Or, call (318) 213-3460 to schedule an appointment today.


A Silent Epidemic: Hepatitis C

Category: Events, News

Did you know that people born from 1945-1965 are five times more likely to have Hepatitis C? Dr. David Dies discusses Hepatitis C on KTBS Healthline 3. Watch the replay here or read about Hepatitis C below.

Dr. David Dies Q&A: Hepatitis C

How big a problem is Hepatitis C infection?

In the United States, it is estimated that 3.2 million persons are infected with HCV. To put it into perspective, there are 2.8 million with breast cancer, 2.5 million with prostate cancer and 0.9 million with HIV, so there are more people with hepatitis C than these other significant diseases. Sadly, between 50-75% of people with HCV do not even know that they have it.

What are the potential long term consequences of hepatitis C?

Between 60-70% will develop chronic liver disease. Approximately 20% will develop cirrhosis after 20-30 years of infection. After progression to cirrhosis, several studies estimate that somewhere there is between a 1 to 5 per cent chance of liver cancer per year. Further, after a diagnosis of cirrhosis, up to 1/3 of patients will start to develop liver failure over the next 10 years.

What medical specialty cares for the Liver?

While there is overlap in all medical specialties, the main specialist for the liver is called a Hepatologist. There are specialized training programs and even board certification in Hepatology. The Liver Center at GastroIntestinal Specialists has two Board certified Hepatologists, Dr. Humberto Aguilar and myself.

Can Hepatitis C be cured?

Of course it can, but in the past it was very difficult. In the early days we used injections of interferon and probably cured no more than 9%. Later, we found other drugs to add to the interferon injections and the cure rate increased to over 50% of the patients we treated. However, interferon had a lot of side effects.

Studies suggest that only about 10% of all patients with hepatitis C have been treated. Many chose not to be treated due to the side effects of therapy. This changed in the Fall of 2014 when the new direct acting antivirals (called DAA’s) were released.

hepCWhat are the new medications and how good do they work?

As stated, the new medicines are called DAA’s. DAA’s are pill (not injections) that can be taken without any interferon shots. Our research has shown that we can successfully cure over 95% of patients with pills: there is no longer a need for the interferon injections.  Our Liver center was recently recognized as the #2 prescriber of hepatitis medicine in the country. We have ongoing studies for even newer therapies for hepatitis C in our clinical research company, Louisiana Research Center.

What are the Side Effects of Treatment?

In the “old days” of interferon, patients basically felt like they had a bad case of the flu for 48 weeks. That is no longer the case as interferon will not be used much anymore. The newer therapies are pills initially given for just 12 weeks. Side effects of these pills are minor. It was the interferon that mainly gave the side effects.

When will the new medicines be released and when will they be available?

They are available now. There are several to choose from. More are expected to be released in the next 12-18 months.

Do you treat other kinds of liver disease?

Yes! We are the only private clinic in North Louisiana that has board certified doctors in Liver Medicine. We provide care in liver transplant medicine, cirrhosis care, liver masses, liver drug reactions, fatty liver disease, genetic liver disease, autoimmune hepatitis and just about any liver condition. We also have a large hepatitis B clinic.

What have been the biggest obstacles?

Most patients (and even health care providers) do not understand that most liver diseases now have a cure – including hepatitis C! However, the highest chance of cure is when we treat early, when the numbers are not that high and there are no symptoms.

How can I make an appointment?

You can make an appointment by calling (318) 631-9121.


Colon Cancer: Treatable, Beatable, Curable

Category: Events, News

Colon Cancer By Dr. James C. Hobley

HobleyStill considered the number two overall cause of cancer death in the United States in men and women, colorectal cancer is a disease that should and will be dealt with.  We now understand the most common cause of this disease. 85% of all cases are due to pre-cancerous growth called polyps. These polyps grow unnoted and undetected within the colon over a period of time.

There are some factors that increase your risk of developing colon polyps, hence developing colon cancer. These risks include, but are not limited to, age, family history, environmental factors and other diseases that exist in the person.  The recommended age for screening is 50 yrs. Some studies have recommended that African Americans should start screening at 45.  Knowledge about family history is critical in understanding the source of developing colon polyps and preventing colon cancer. Removing the precancerous polyps before they become a cancer prevents Colon cancer. It is important to note that colon cancer is a very treatable disease and if found in it’s early stages can be cured.

One of the greatest barriers to the prevention of colon cancer has to do with the actual procedure that can prevent the cancer itself. Colonoscopy has some urban myths that may have prevented people from receiving the true benefit of colon cancer prevention by removing these polyps.  Understanding these myths and dispelling them is critical in our quest to reduce the burden of colon cancer deaths in this country.

One big myth is that this procedure is painful. Today with the use of anesthesia during these procedures we can render a painless procedure for our patients. Another myth is that this is a very embarrassing procedure. There’s great care and concern taken when caring for our patients. The patient’s privacy is protected in this procedure.

Another myth is that patients feel that when they have no symptoms there are no problems. As stated earlier: polyps can grow undetected and unnoted by the patient. It’s not about symptoms it’s about early detection. The only way to detect colon cancer early is to look for it. While there are other means of looking for polyps (i.e. CT colonography) colonoscopy can both find the polyps and remove it at the same time. This cuts down on patient exposure to procedures and it also save the patient any exposure to possible painful experiences, as most CT scans are not done with sedation.

We are presented with a time in medicine where we have a disease that we know its origins and we have the opportunity to prevent the disease or cure it in its very early stages.  Patients have the power to prevent this disease by choosing to view screening for colorectal cancer as a routine part of their health care maintenance.   We have an opportunity to bring our country into the new millennium by eliminating one of the top causes of cancer related death.  I invite you to join me in this task. Call (318) 631-9121 to schedule an appointment.

GIS_transit_ad_CRC


Colitis Vs. Crohn’s

Category: Events, News

Inflammatory bowel disease (IBD) is a chronic inflammatory condition of the gastrointestinal tract. It has two main conditions – ulcerative colitis and Crohn’s disease. Ulcerative colitis affects the colon and Crohn’s can affect any part of the GI tract from the mouth to the anus. Learn more about the differences of Crohn’s & Colitis below.

crohns-vs-colitis

 


Crohn’s & Colitis Awareness

Category: Events, News

GIS_transit_ad_IBD

Inflammatory bowel disease (IBD) is a chronic inflammatory condition of the gastrointestinal tract. It has two main conditions – ulcerative colitis and Crohn’s disease. Ulcerative colitis affects the colon and Crohn’s can affect any part of the GI tract from the mouth to the anus. Symptoms include: abdominal pain, cramps, diarrhea, constipation, weight loss, and loss of appetite. Let GIS find a treatment that works for you!

Inflammatory Bowel Disease: Q&A with Dr. Aguilar

AguilarWhat is inflammatory bowel disease and how is it diagnosed?

Inflammatory bowel disease is a chronic inflammatory condition of the gastrointestinal tract.  It has two main conditions – chronic ulcerative colitis and Crohn’s disease.  Typically, it is diagnosed by endoscopy with some assistance of radiological techniques.  The difference between Crohn’s and ulcerative colitis is that ulcerative colitis only affects the colon and Crohn’s can affect any part of the GI tract from the mouth to the anus.

Do I have ulcerative colitis or Crohn’s and how to differentiate that?

The difference is that ulcerative colitis is limited to the colon and Crohn’s disease typically has a combined involvement of the small bowel and the colon, although Crohn’s can also affect the stomach and any part of the GI tract.  The way to tell the difference depends on the parts that are affected and the behavior of the disease.

What part of my intestine is affected?

Typically, Crohn’s affects any part of the GI tract but ulcerative colitis only the colon.

Could any other disease be causing my symptoms?

Typically, the most common presentation is bloody diarrhea, diarrhea and abdominal pain and, in young patients, weight loss.  The symptoms could be caused by a problem as simple as IBS and in the absence of bleeding sometimes it is very difficult to differentiate between IBD and IBS.

How is IBD different from IBS?  Can I have both?

The difference between IBD and IBS is IBD is chronic, usually persistent, is associated with bleeding, weight loss and is a more severe condition.  IBS tends to be mainly symptoms that are not associated with any alarm signs.  Some people with IBD do also have IBS and those two diseases can overlap.

How is IBD treated?

The treatment of IBD depends on the severity of the condition.  When the disease is mild, we can treat that with tablets but when the disease is more aggressive, we tend to use injectables that are called biologics, usually monoclonal antibodies that are designed to decrease inflammation that is causing this disease.

What are the potential side effects of the medicines? 

Regarding the potential side effects of the medication, first of all we need to say that the medications overall are extremely safe.  The risks for complications are small and infrequent and usually the benefits of the treatment outweigh the risks.

Diet?

Regarding diet, there are so many different diets that have been used throughout the years for IBD but none of those have proven to be consistently effective.  My behavior regarding diet is if the diet is not detrimental to the overall health of my patients, I let them try because of the potential benefits of the patient’s dedication to those diets but overall they have not been consistently shown to be effective.  There are some specific kinds of patients that will benefit from a low fiber diet but most of the time, diet is very well tolerated, especially patients with ulcerative colitis.

Smoking?

Regarding smoking, smoking has been noticed to be detrimental for patients with Crohn’s disease and maybe somewhat protective for the ulcerative colitis; however, the damage that smoking causes is much worse than any potential benefit in ulcerative colitis, so we always encourage patients to stop smoking.

What are the possible complications of Crohn’s disease and ulcerative colitis?

Well, one of the most detrimental complications of this condition is colon cancer.  Chronic inflammatory changes are also associated with increased risk for colon cancer.  For that reason, it is recommended that when you have a duration of the disease for more than 8 – 10 years to undergo colonoscopies every other year.  Other complications are the development of abscess and perforations that would require surgery.

Will I need an operation and, if so, will the surgery cure my IBD?

About 30% of patients with IBD, especially with Crohn’s, undergo surgery within 5 – 10 years of the diagnosis of the disease.  In Crohn’s disease, surgery is not curative and in ulcerative colitis a total colectomy would be curative; however, there could be a relapse at the level of the anastomosis.  So, with surgery, you have a new beginning and at that time would tend to know that it is better to treat patients before the disease comes back.  Increase of colon cancer as already mentioned, but you have the duration of more than 8 – 10 years that increases the risk for colon cancer.

Treatment?

Regarding treatments, we have many treatment opportunities now.  We are doing high scientific research and we have many options for patients, so we will offer that to them. Call (318) 631-9121 to make an appointment.

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