Colorectal Surgery

Colorectal surgery is a surgical specialty under the scope of general surgery that focuses on the diagnosis and treatment of all conditions relating to the large intestine which includes the colon, rectum, and anus. The large intestine plays an important role in the gastrointestinal function in your body, from absorbing water and electrolytes, producing and absorbing vitamins and forming waste products for elimination, completing the digestion process. A damaged large intestine may have significant implications to your digestive health that could affect your overall quality of life.

Specialists in this discipline of medicine, known as colorectal surgeons, are highly skilled in navigating complex surgical procedures relating to the lower gastrointestinal (GI) tract. If you exhibit symptoms such as diarrhoea, constipation, bloating, abdominal pain, and rectal bleeding, amongst others, you may be referred to our colorectal surgeons if your condition is deemed necessary for surgical treatment by our gastroenterologist after a physical examination.

List of Conditions
  1. Colorectal cancer
    1. Cancer that develops in the colon or rectum, usually starting as benign polyps.
  2. Inflammatory bowel disease
    1. Crohn's disease and ulcerative colitis
    2. Chronic conditions causing inflammation of the digestive tract, leading to symptoms like abdominal pain, diarrhoea, and weight loss.
  3. Diverticulosis and diverticulitis
    1. Formation of abnormal pouches in the colon wall and inflammation or infection of said pouches (diverticula) that can form in the walls of the colon
  4. Haemorrhoids
    1. Swollen veins in the rectum or anus causing discomfort and bleeding.
  5. Anal fissures
    1. Tears or cracks in the lining of the anus, often causing pain and bleeding.
  6. Anal abscesses
    1. Pockets of pus that can form in the anal region due to infection.
  7. Anal fistulas
    1. Abnormal connections or tunnels between the anal canal and the skin.
  8. Rectal prolapse
    1. The rectum protrudes outside the anus, sometimes causing discomfort or leakage.
  9. Bowel obstruction
    1. Partial or complete blockage preventing the normal movement of stool through the intestines.
  10. Polyps in the colon or rectum
    1. Abnormal growths that can turn cancerous if not removed.
  11. Irritable bowel syndrome (IBS)
    1. A functional gastrointestinal disorder characterized by abdominal pain and changes in bowel habits.
  12. Gastrointestinal bleeding
    1. Bleeding that occurs anywhere in the digestive tract, often causing symptoms like bloody stools.
  13. Anal warts
    1. Growth of small, flesh-coloured or pink lumps caused by the human papillomavirus (HPV).
  14. Anal dysplasia
    1. Abnormal cells in the lining of the anus that may progress to cancer.
  15. Anal cancer
    1. Cancer that develops in the tissues of the anus.
  16. Rectal cancer
    1. Cancer that starts in the rectum, the lower part of the colon.
  17. Colon cancer
    1. Cancer that develops in the colon, the longest part of the large intestine.
  18. Perianal infections - Infections around the anal region, which can include abscesses or cellulitis.
  19. Anorectal abscesses
    1. Collection of pus under the skin within the anus and rectum area.
  20. Ischemia
    1. Lack of blood flow to parts of the body, in this case within the digestive tract.
  21. Functional bowel disorders
    1. Faecal incontinence - Inability to control bowel movements, leading to accidental leakage.
    2. Chronic constipation – Difficulty in passing stools regularly, often associated with hard or dry stool.

Typically, in an appointment, our colorectal surgeons consult and examine you to further understand your conditions and devise your individual treatment and management plan in tackling the condition. Some diagnostic tests you may be put under during this are such as stool tests, blood tests, and visual examination including:

  1. Colonoscopy
  2. Digital rectal exam (DRE)
  3. Anoscopy (examination of the anal canal and rectum)
  4. Proctoscopy (rigid sigmoidoscopy)
  5. Flexible sigmoidoscopy
  6. Imaging studies
    1. Computed tomography (CT) colonography
    2. Magnetic resonance imaging (MRI)
    3. Barium enema followed by x-ray imaging
    4. Defecography (radiology test to observe your muscles and organs during defecation) 
  7. Endorectal ultrasound
  8. Anorectal manometry (non-invasive procedure to evaluate rectal and anal muscle’s function)

At Pantai Hospital Kuala Lumpur, our colorectal surgeons, who are specially trained in colorectal conditions, practice various endoscopic and surgical techniques for your GI tract complications, employing advanced techniques to restore optimal gastrointestinal function.

List of Procedures
  1. Colonoscopy
  2. Colectomy - Surgical removal of all or part of the colon, commonly performed for conditions like colorectal cancer, diverticulitis, or inflammatory bowel disease.
  3. Haemorrhoidectomy: Surgical removal of haemorrhoids (swollen and inflamed veins in the rectum and anus).
  4. Anal Fistulotomy - Surgical procedure to treat an anal fistula by creating an opening to allow drainage and promote healing.
  5. Anal Abscess Drainage - Surgical drainage of an abscess near the anus to alleviate pain and prevent further complications.
  6. Colostomy or Ileostomy: Surgical creation of an opening (stoma) in the abdominal wall to divert faecal flow when part of the colon or rectum is removed or bypassed.
  7. Enteroscopy
  8. Sigmoidoscopy
  9. Laparoscopy
  10. Laparoscopic surgery
  11. Robotic surgery
  12. Polypectomy
  13. Endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD)
  14. Transanal endoscopic microsurgery
  15. Bowel resection surgery
  16. Ostomy surgery
  17. Anastomosis surgery
  18. Appendectomy - Minimally invasive removal of the appendix, often performed in cases of appendicitis.
  19. Anoplasty
  20. Rectopexy
  21. Sacrocolpopexy
  22. Laparoscopic Hernia Repair - Minimally invasive procedure to repair hernias, which can occur in the abdominal wall, including the inguinal or femoral regions.
  23. Cecostomy or antegrade colonic enema (ACE) surgery
  24. Rectal Resection - Surgical removal of part of the rectum, typically for conditions like rectal cancer.
  25. Laparoscopic Bowel Resection - Minimally invasive removal of a portion of the bowel, often performed for conditions such as Crohn's disease or colorectal cancer.
  26. Anal Sphincter Repair - Surgical procedure to repair or reconstruct the anal sphincter muscles, often required for cases of faecal incontinence.

Our Specialists

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