Understanding colorectal cancer and the role of rectal surgery

Written in association with: Ms Kat Baker
Published: | Updated: 29/10/2024
Edited by: Conor Lynch

Colorectal cancer is a common and serious condition that affects the colon or rectum, parts of the large intestine. It usually starts as benign polyps, which are small growths on the inner lining of the colon or rectum.

 

Over time, some of these polyps can become cancerous. Early detection and treatment are crucial, as colorectal cancer can spread to other parts of the body if not treated in time.

 

Causes

The exact causes of colorectal cancer are not always clear, but risk factors include age (most cases occur in people over 50), family history, genetic predispositions, a diet high in red or processed meat, smoking, and heavy alcohol use. Symptoms of colorectal cancer can vary but often include changes in bowel habits, blood in the stool, unexplained weight loss, and persistent abdominal discomfort.

 

Diagnosis

Diagnosis of colorectal cancer is typically made through screening methods such as colonoscopy, where doctors examine the inside of the colon and rectum for abnormal growths. Other diagnostic tools include blood tests, imaging scans, and biopsy procedures.

 

Treatment

When it comes to treatment, rectal surgery plays a crucial role, especially when cancer is detected in the lower part of the colon. The type of surgery depends on the stage and location of the cancer. In cases where cancer is confined to a small area, minimally invasive techniques like polypectomy or local excision can be effective.

 

For more advanced cases, a procedure known as rectal resection or proctectomy may be required. This involves removing part or all of the rectum and, in some cases, surrounding lymph nodes to prevent the spread of cancer.

 

After surgery, patients may require chemotherapy or radiation therapy to destroy any remaining cancer cells. Rectal surgery is often highly effective, but the success of treatment depends on early detection, making regular screenings and monitoring essential for those at risk.

By Ms Kat Baker
Colorectal surgery

Ms Kat Baker is a highly respected consultant colorectal surgeon based in Oxford. She is renowned for her expertise in colorectal cancer, Crohn’s disease and ulcerative colitis, and also specialises in robotic surgery. She offers broad portfolio of cases using the Da Vinci Xi robot, including anterior resection, right hemicolectomy with intra-corporeal anastomosis, subtotal colectomy and proctectomy and pouch surgery. She also provides a full proctology practice.

Ms Baker qualified in medicine from the University of Bristol in 2006. She later undertook a Royal College of Surgeons research fellowship based at University Hospitals Bristol and the University of Bristol. In 2015, she completed an MD in cellular and molecular medicine and colorectal cancer and led an NIHR portfolio adopted study. In recognition of the excellence of her research, Ms Baker received the John of Arderne Medal from the Royal Society of Medicine and the Rosetrees essay prize. Following this, she was awarded a highly esteemed Fulbright scholarship, in which she travelled to New York Presbyterian Hospital and Colombia University, USA to research colorectal cancer outcomes. In this period, she also completed a Value Based Healthcare course at Harvard University. In 2019, the Association of Coloproctology of Great Britain and Ireland (ACPGBI) named Ms Baker as Trainee Coloproctologist of the Year. The following year, she embarked on a specialist fellowship in colorectal surgery, including the use of robotics, at the internationally renowned Royal Brisbane and Women’s Hospital, Australia. Since 2021, she has been appointed as a consultant colorectal surgeon at Oxford University Hospitals NHS Foundation Trust. Ms Baker sees private patients at Nuffield Health The Manor Oxford Hospitals.

Throughout her esteemed career, Ms Baker has held a number of key roles, including with the European Society of Coloproctology as an Education and Training Committee member. She is also a former president of the Dukes' Club of the UK Colorectal Surgery Trainees’ Society and has volunteered as a medic on various charity treks around the world. Ms Baker has published a number of academic papers which appear in peer-reviewed journals and has appeared as an invited speaker at key national and international meetings. She is currently an investigator on several national studies researching robotic surgery and inflammatory bowel disease. She is a fellow of the Royal College of Surgeons and a member of the British Association of Cancer Research and the Association of Coloproctology of Great Britain and Ireland, amongst others.

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