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Professor Mario Pescatori (Italian) is the world's leading expert in the field of pelvic floor anal and rectal surgery. He is working at Vinmec International General Hospital from December 8, 2014 to January 7, 2015. Professor Mario has consulted for early detection of colon and rectal diseases.Sir, what are the diseases of the large intestine and pelvic floor?
Common diseases of the large intestine and pelvic floor are: Intestinal cancer, colitis, ulcerative colitis and Crohn's disease. Followed by functional diseases such as fecal incontinence, rectal prolapse and constipation. There are also hemorrhoids, anal fistulas and abscesses, and anal fissures. I see that constipation is a rapidly increasing disease in Eastern countries, including Vietnam due to stressful work and low fiber diets.
With Vinmec's modern facilities, I and the surgeons here can completely achieve positive results in the treatment of rectal cancer, anorectal abscess, anal fistula and defecation. incontinence .
In Vietnam, diseases of the colon and rectum are quite common. Can you tell me what are the signs of these diseases, when a person has symptoms that need to go to the doctor right away?
The most important sign is rectal bleeding. If the patient has blood in the stool, they need to see a doctor immediately. If they are over 40 years old, a colonoscopy is needed to diagnose the disease. With specific diseases, there are distinct symptoms. Like hemorrhoids, the patient finds a lump in the anus, which can be painful and bleed. With anal fissure pain, the patient has anal ulcers and is very painful when defecating. Abscess of anal fistula, the patient can discharge pus and cause fever.
In the field of anorectal, what advanced treatment methods are applied?
Intestinal cancers, rectal prolapse and anal fistula always require surgery. Before treatment, the patient will be evaluated by endoscopic ultrasound, which is a non-invasive, painless means for the patient. However, it is important to note that inflammatory bowel diseases and constipation often have psychological effects. In addition, endocrine and immune diseases can also impact anorectal disease. For example, hypothyroidism can cause constipation and poor immunity, leading to bowel cancer, colitis, and anal fistula. Patients need comprehensive treatment both physically and mentally to achieve the best results. Therefore, the modern definition for a good surgeon in this field is someone who can cure many patients, not someone who can perform many surgeries. I have performed many anorectal surgery at Vinmec international general hospital, mostly benign cases such as: Anal fistula, hemorrhoids and rectal prolapse. However, with Vinmec's modern facilities, I and the surgeons here can completely achieve positive results in the treatment of rectal cancer, anorectal abscess, anal fistula and involuntary defecation.
GS Mario has performed more than 3,000 surgeries and laparoscopy in the field. GS has also published about 200 research articles on ulcerative colitis, rectal prolapse, constipation, fecal incontinence and anal fistula. Currently, Professor Mario Pescatori is in charge of the anorectal disease unit at Villa Flaminia Hospital in Rome.