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A Comprehensive Study and Management of Ano-Rectal Polyps w.s.r. to PCA Therapy

Chaturbhuja Bhuyan, Director, Center for Care of Ano-Rectum Research by Indian System of Medicine and Allied (CCARRISMA), Bhubaneswar, Odisha, India , Chaturbhuja Bhuyan* , S.K. Gupta** , T.S. Dudhamal*** , S.J. Lobo****

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Indian Journal of Ancient Medicine and Yoga 11(2):p 55-62, April-June 2018. | DOI: https://dx.doi.org/10.21088/ijamy.0974.6986.11218.3

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Abstract

Ano Rectal Polyp (ARP) is the local tissue malformations and polyp is a mass of tissue arising from the mucosa and protruding into the Gastro-intestinal lumen. It is a bright red/whitish glistening sphere usually of the size of a pea or more. The delay in approach of treatment becomes sometimes grave concern i.e. malignant transformation. Most of polyps are asymptomatic except for minor bleeding which is usually occult having no potential to be malignant. It is common in children’s age. Though the exact cause for polyp is not known but physiologically the growth and division of new cells is usually regulated by wear and tear process of the body; but in some cases the new cells grow and divide before they are damaged and required. Such excess growth causes to form polyp. The risk factors commonly go to the persons of age over 50, over weight, uncontrolled type-II diabetes, history of- polyp suffering in past ovarian or uterine cancer and life style behaviors like smoking, drinking alcohol regularly, sedentary life style, consuming high fat diet regularly may contribute to growth of polyp. Fresh bleeding, mucous discharge per rectum is cardinal symptoms while prolapsed mass/polyp during defecation is alarming feature. Bleeding may cause anemic. In complication a rectal polyp very rarely initiates Intussusceptions. The surgical treatment is only option where the reoccurrence is possible, hence not successful. Finding the alternate, Para surgical- curable method, the PCA therapy becomes successful with follow up of 2 years having the treatment of 41 cases of polyps alone and 67 cases of polyps with multiple anal diseases. No adverse effect was noticed. The PCA therapy is safe, simple, low cost effective and noninvasive method.

Keywords: RP; PCA; Ksharasootra; SMS; KSS; KO; KSL; KST; SP; MRK; ST; Excision; Resection; Hemorrhiodectomy; EBH.

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DOI: https://dx.doi.org/10.21088/ijamy.0974.6986.11218.3

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