Académique Documents
Professionnel Documents
Culture Documents
Arjun Luthra
Mentor: Dr. Aakash Gajjar
UTMB Multispecialty Care Center
Teachers name: Kristi Click
Introduction
Colorectal Surgeon
Education:
Certification: The American Board of Surgery, The American Board of Colon and Rectal
Surgery (ABCRS)
Mentorship Site
UTMB Specialty Care Center
ISM is an advanced academic course that students to observe and follow a mentor, an adult
professional, of their choice
Students will receive instruction by mentor and develop a project presentation of a specific
topic within the chosen field of study
Students are expected to complete 2 mentor and 3 activity hours per week
Students are expected to complete an activity log and submit a journal entry each week
Students develop an online portfolio that showcases their research and gathered artifacts
My Online Portfolio
http://arjunluthra.weebly.com/
According to the CDC, colorectal cancer is the second leading cause of cancer-related
deaths in the United States and the third most common cancer in men and in
women.(Center of Disease Control and Prevention)
Colon Cancer is also considered to be a preventable disease
Normal colon cells have normal blood cells, stem cells have DNA in chromosomes
APC gene mutation encodes proteins for cell adhesion and transcription
Tumors require the growth of blood vessels(angiogenesis) for nutrients and oxygen supply
Cancer can interfere in absorption of iron and may cause patient to become anemic
Change in bowel habits that last for more than few days
Fecal immunochemical test: Check for blood in the stool, sign of polyps
Colonoscopy: A diagnostic procedure where a thin lighted tube with a camera is inserted
through the rectum and goes to colon. This allows the physician to examine inside the colon
Barium Enema: Doctors insert barium into rectum and takes x-ray to provide images of the
gastrointestinal tract
Positron Emission Topography: A form of radioactive sugar which is injected into the
bloodstream. Sites of cancer growth will absorb the radioactive sugar.
About 1 in 3 adults (23 million) between 50 and 75 years old is not getting tested.
According to my Survey, 36.84% of the participants above the age of 50 have not
received a colonoscopy
Endoscopic Resection
Surgical Resection
Systemic Therapy
Chemotherapy
Biological Therapy
Endoscopic Resection
Surgical Resection
Surgical Resection
Laparoscopic- use of a thin, lighted tube with a tiny camera at the end
During surgery, lymph nodes are sampled to assess whether cancer has spread
Systemic Therapy
Chemotherapy: Use of anticancer drugs that enter bloodstream and kill off cancerous cells
(Useful for cancer that has been metastasized)
Advances in Treatment
Targeted Therapy
Bevacizumab stops the cancerous cells from getting blood needed for survival
Along with developing new drugs, new approaches to treat colon cancer include a new
cancer vaccine, monoclonal antibody therapy, radio-immunotherapy, imaging guided and
robot-assisted surgery and molecular-targeted therapies
People must increase their fiber intake, specifically of fruits and vegetables
According to Nutrition Review, fiber intake not only decreases the prevalence of
esophageal cancer, GERD, diverticular disease and constipation, but also leads to the
potential reduction in the risk of colorectal cancer
Studies have shown that Most people in the United States consume less than half of
the recommended levels of dietary fiber daily.
Conclusion
I liked this study because I got the chance to really go in depth about colon cancer and learn
about how all the body can affected by it. It was interesting to learn about the risks of certain
treatments and why it is important to use treatment that is least invasive to the patients
condition.
I hope you all developed an increased awareness of colon cancer and have also developed an
understanding of how it is important to seek out treatment as well as make lifestyle changes
to reduce the prevalence of colon cancer
Questions?
Thank You
I would like to thank my mentor, Dr. Gajjar, Mrs.Click and my parents Dr. Gurinder Luthra
and Mrs. Bhawna Luthra for making my independent mentorship an invaluable experience.
Works Cited
"Colon Cancer Treatment." National Cancer Institute. National Cancer Institute, n.d. Web. 22
Oct. 2015. <http://www.cancer.gov/types/colorectal/patient/colon-treatment-pdq>.
"Colon Polyps: Symptoms, Types, Causes and Pictures." MedicineNet. N.p., n.d. Web. 11 Oct.
2015. http://www.medicinenet.com/colon_polyps/article.htm
"Colorectal Cancer." (n.d.): n. American Cancer Society. American Cancer Society. Web. 10 Oct.
2015. http://www.cancer.org/acs/groups/cid/documents/webcontent/003096-pdf.pdf
"Colorectal Cancer Statistics." Centers for Disease Control and Prevention. Centers for Disease
Control and Prevention, 20 Aug. 2015. Web. 20 Nov. 2015.
<http://www.cdc.gov/cancer/colorectal/statistics/index.htm>.
Marshall, James R. "Nutrition and Colon Cancer Prevention." Current Opinion
in Clinical
Nutrition and Metabolic Care 12.5 (2009): 539-43. US National Library
of Medicine. Web. 05 Nov. 2015.
<http://www.ncbi.nlm.nih.gov/pubmed/19512917>.
Ketwaroo, Gyanprakash A., and Mandeep S. Sawhney. "Quality Measures and Quality
Improvements in Colonoscopy." Current Opinion in Gastroenterology 31.1 (2015): 5661. US National Library of Medicine. Web. 05 Nov. 2015.
<http://www.ncbi.nlm.nih.gov/pubmed/25402548>.
Perkins, Sharon. "Complications and Side Effects of Laparoscopic Colectomy Surgery." Suite.
N.p., 17 Sept. 2010. Web. 11 Oct. 2015. https://suite.io/sharon-perkins/46nm26h
Shead, Dorothy A., Laura J. Hanisch, and Lacey Marlow. "NCCN Guidelines for Patients| Colon