The Colorectal Division has an expansive scope of services that includes the diagnosis and treatment of benign, inflammatory, functional, and malignant disease of the small bowel, colon, rectum and anus. The following is a list of some of what we offer:
- In-office and innovative operating room treatment for hemorrhoids
- Treatment of anorectal abscesses and non-sphincter cutting treatment of anorectal fistula
- Treatment of rectovaginal fistula
- Non-operative and operative treatment of anal fissure
- Surgical treatment of inflammatory bowel disease (Crohn’s disease and ulcerative colitis) with an emphasis on sphincter sparing and minimally invasive operative approaches
- Treatment of diverticular disease using laparoscopic techniques
- Diagnosis and treatment of fecal incontinence, rectal prolapse, and pelvic floor dysfunction including operative treatment of slow transit constipation
- Evaluation and management of patients and families with inherited colorectal cancer syndromes such as Hereditary Non-Polyposis Colon Cancer Syndrome (HNPCC) and Familial Adenomatous Polyposis (FAP)
- Operative treatment for colon cancer with an emphasis on the use of laparoscopic or minimally invasive surgical techniques
- Treatment of rectal cancer and polyps with a strong emphasis on multidisciplinary treatment, laparoscopic treatment, transanal endoscopic microsurgery and other transanal techniques and radical sphincter sparing operative and non-operative approaches
- Diagnosis and treatment of anal cancer and premalignant lesions of the anus and perianal tissues including use of high-resolution anoscopy
- Operative treatment of retrorectal or pre-sacral cysts and tumors
- Complex pelvic surgery
- In office anal and rectal ultrasound for benign and malignant disease
- Lower GI endoscopic services including anoscopy, proctoscopy, flexible sigmoidoscopy and colonoscopy.
The Division of Colorectal Surgery consists of three surgeons, three nurse practitioners, and two registered colorectal nurse specialists who see patients at the Froedtert West Clinic, and the MCW/Froedtert Clinical Cancer Center. As a part of the only academic medical center in eastern Wisconsin, the Colorectal Surgery Program at the Medical College of Wisconsin is able to offer services that patients won’t find anywhere else.
New and ongoing initiatives include our Colorectal Cancer Program, our Anal Intra-Epithelial Neoplasia and High Resolution Anoscopy Clinic and our Inflammatory Bowel Disease Program.
The Colorectal Cancer Program is housed in the Faith Clinic at the MCW/Froedtert Clinical Cancer Center. In one clinic, patients with colon, rectal, small bowel and anal cancer can be seen and evaluated by the range of specialists that will or may be involved in their care: Colorectal Surgeon, Surgical Oncologist, Medical Oncologist, and Radiation Therapist. On a weekly basis, these specialists and dedicated body imaging Radiologists, Interventional Radiologists and GI pathologists take part in a Colorectal Cancer Multidisciplinary Tumor Board where cases are discussed and personalized treatment plans are formulated. For our rectal cancer patients, we emphasize accurate staging using rectal ultrasound and state of the art MRI imaging, use of neo-adjuvant treatment with chemotherapy and radiation therapy with the goal of improving cancer outcomes, maximizing the use of sphincter sparing techniques, treating patients with minimally invasive or laparoscopic techniques, and ultimately improving the quality of life for our rectal cancer patients. For our colon cancer patients, laparoscopic surgical techniques are emphasized. Patients with metastatic or advanced disease particularly benefit from a multidisciplinary approach since having all the right people in the same room, each bringing to the table their expertise and ideas, assures the best and most innovative treatment available will be offered.
Our Division is proud to be the only center in Wisconsin to offer specialized services for anal intra-epithelial neoplasia with high resolution anoscopy. We are using this clinical service not only as a means of diagnosis and treatment for patients affected by the human papilloma virus but also as a means to better understand how this virus can contribute to the development of anal cancer.
We continue to work with our Gastroenterology colleagues in treating patients with inflammatory bowel disease. Combined clinics, combined clinical rotations for our students and fellows, and a monthly case conference are all aimed at improving treatments and outcomes.