Colorectal Cancer: Dan's Survivor Story

This colorectal cancer diagnosis at a glance

Sex
Male
Treatment
colonoscopy, surgery, supportive care and surveillance
Outcome
Survivorship / Surveillance

Treatment course, step by step

  1. First colonoscopy after about 18 months of bowel changes and blood in stool found many polyps
  2. One advanced precancerous growth and a mass very close to cancer were found
  3. More than 100 polyps were present at different growth stages
  4. Minimally invasive total colectomy connected the small intestine directly to the rectum
  5. Stayed in hospital for several days
  6. No chemotherapy was needed
  7. Used over-the-counter medicines to regulate bowel movements
  8. Celiac disease was diagnosed and a gluten-free diet was needed.

What happened, in summary

Dan Gut was 39 when symptoms he had ignored for about 18 months led to a major colorectal cancer prevention surgery. He had changes in bowel habits and blood in his stool, often after eating ice cream, and thought he might be lactose intolerant. When the symptoms persisted, his first colonoscopy found numerous polyps and 1 advanced precancerous growth in his colon. Cleveland Clinic evaluation showed the largest mass was an intramucosal carcinoma, an advanced lesion very close to becoming cancer. More than 100 other polyps were also present in different stages of growth. Because waiting could allow cancer to develop and spread, Dan’s surgeon recommended removing the colon to prevent colorectal cancer. He underwent minimally invasive laparoscopic total colectomy using small incisions rather than open surgery. His small intestine was connected directly to the rectum so digestion and bowel movements could continue. Dan stayed in the hospital for several days and recovered quickly. Because the removed lesions were precancerous, he did not need chemotherapy. He used over-the-counter medications to help regulate bowel function and also changed his diet after being diagnosed with celiac disease during the evaluation. As of March 2022, Dan reported higher energy, feeling better than before surgery, and being grateful he was treated before invasive cancer developed.

Where this story comes from

This is a lay summary of an account first published by Cleveland Clinic. Read the original in full

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