google_counter
background_img

Colostomy Closure for Rectal Cancer treatment in the Best Hospitals in the World

Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of General, Abdominal Surgery and Surgical Oncology

The Department of General, Abdominal Surgery and Surgical Oncology offers the full range of services in these medical fields. Whenever possible, operations are performed using minimally invasive techniques, which are the gold standard of modern surgery. The outstanding quality of medical care is confirmed by numerous prestigious certificates, including certificates from the German Cancer Society, the German Hernia Society, etc. In addition, the department provides innovative hyperthermic intraperitoneal chemotherapy (HIPEC), which is available only in the most progressive clinics in Europe.

Include:
people Interpreter up to 15 hours
list Translation up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of General, Endocrine and Bariatric Surgery

The Department of General, Endocrine and Bariatric Surgery offers the full range of operations to treat surgical diseases of the gastrointestinal tract and abdominal cavity, diseases of the rectum, anus and colon, as well as pathologies of the endocrine organs. In addition, the department specializes in the surgical treatment of morbid obesity. The team of bariatric surgeons successfully performs the most effective weight loss surgeries – gastric bypass surgery and sleeve gastrectomy. The key focus in clinical practice is on the surgical treatment of malignancies of the gastrointestinal tract, colorectal cancer and inflammatory bowel diseases. The surgical interventions are performed in progressive operating rooms equipped with state-of-the-art medical technologies, which guarantee the patient the most sparing treatment in compliance with all hygiene and safety standards. The department's surgeons are distinguished by rich clinical experience and exceptional qualifications. They regularly undergo internships in the best medical facilities in Europe and the United States, thanks to which they brilliantly perform operations of any complexity.

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of diagnostics and surgical treatment in these fields. The department's surgeons perform about 2,000 surgical procedures annually. The therapeutic options cover not only operations on the digestive tract and abdominal organs, but also surgical treatment for soft tissue traumatic injuries, removal of skin and thyroid tumors, including the partial removal. With appropriate clinical indications, the preference is given to minimally invasive techniques, which guarantee the patient minimal postoperative risks and speedy recovery. Also, the department’s scope of activities includes the installation of port systems for chemotherapy and parenteral nutrition.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the best departments in Germany specializing in bowel cancer treatment! The department covers the full range of services in these medical fields and holds the leading position at the national and international level in terms of the number of surgical interventions performed and their success rate. Of particular interest are operations to treat cancer, organ transplants, as well as minimally invasive surgery.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel and lung cancer! The department offers all the modern surgical options for the treatment of diseases of the abdominal cavity and blood vessels. The department's doctors have expert knowledge and vast experience in the treatment of colorectal cancer, stomach, esophageal, pancreatic cancers, liver metastases, inflammatory bowel diseases (diverticular disease, Crohn's disease, ulcerative colitis). Also, they specialize in the surgical treatment of vascular pathologies and thyroid diseases.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of surgical treatment of diseases of the esophagus and abdominal organs, thyroid and parathyroid glands, as well as the interventions in bariatric surgery. The surgeons of the department have a deep knowledge in all open and minimally invasive surgical techniques, perform extensive operations of high complexity with maximum safety for the patient.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The Department of Abdominal, Thoracic and Vascular Surgery offers all modern surgical interventions in these fields. Specialization covers the treatment of diseases of the abdominal organs, endocrine glands, pathologies of the lungs and chest wall, pathological vascular lesions of all parts of the body. In addition, kidney transplantation and pancreas transplantation are part of the surgeons' tasks. Whenever possible, operations are performed using minimally invasive techniques that have several advantages over classical interventions.

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery ranks among the top German medical facilities specializing in bowel cancer treatment! The department performs surgical treatment of general surgical diseases, abdominal pathologies, and also specializes in organ transplantation. Of particular interest are surgical oncology of the abdominal organs, as well as pancreatic and liver surgery. The department annually performs more than 3,000 surgical interventions, which contributes to its credibility at the national level.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of services in these medical fields and guarantees the first-class medical care at the university level. The department specializes in the treatment of diseases of the abdominal cavity, esophagus and thyroid gland, transplantation of liver, kidney and pancreas. The medical facility has won the reputation of one of the three largest and most successful Transplant Centers in Germany. Also, within the clinical practice, doctors hold highly-specialized consultations on rare diseases and provide 24-hour emergency care. 

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal, Adult and Pediatric Transplant Surgery ranks among the top German departments specializing in the treatment of bowel cancer! The department specializes in the treatment of tumors of the gastrointestinal tract, pancreas, liver, and retroperitoneal space (peritoneal carcinomatosis), liver, kidney, pancreas, bowel transplantations in children and adults, as well as the surgical treatment of obesity and general surgical interventions.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery

The Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery offers the full range of services in these fields. The team of the department's surgeons is rightfully proud of their high professionalism and successfully performs operations of varying degrees of complexity for diseases of the thyroid and parathyroid glands, stomach, esophagus, intestines, pancreas, liver, biliary tract, lungs. The medical facility also performs surgery for inguinal, umbilical and incisional hernias. The department has four high-tech operating rooms equipped with advanced surgical instruments, computer systems, devices for intraoperative ultrasound scanning, radiography, etc. Whenever possible, the department's surgeons perform low-traumatic laparoscopic procedures, after which patients need to spend only a few days in the hospital. The department has 100 beds for patient hospitalization.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of General, Abdominal and Pediatric Surgery

The Department of General, Abdominal and Pediatric Surgery offers the full range of surgical treatment of diseases of the organs of abdominal cavity, thorax, emergency surgical care in polytrauma, as well as many surgical interventions in children. Of particular interest is cancer surgery on the liver, gallbladder, and pancreas. In addition, the department's specialists masterfully manage all the methods of bariatric surgery. Many operations are performed using minimally invasive techniques, which facilitate the quickest possible recovery of the patient.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery

According to the Focus magazine, the Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery ranks among the top German departments specializing in colon cancer treatment! The department offers the full range of modern surgical interventions. The priority field of ​​clinical activity is cancer surgery, in particular, sparing minimally invasive procedures and robot-assisted interventions. Each patient receives an individual therapy regimen, which is discussed at daily medical boards with doctors from other medical fields. In addition, the ​​responsibility of the medical facility includes surgeries for endocrine disorders and bariatric interventions for morbid obesity. The team of the department's surgeons has a wealth of experience in classical open and minimally invasive procedures on the abdominal organs, as well as specializes in the innovative da Vinci robot-assisted surgery. The department also successfully performs cytoreductive interventions.

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery

According to the Focus magazine, the Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery ranks among the top German medical facilities specializing in the surgical treatment of gallbladder and biliary tract pathologies! The team of the department's surgeons admits patients with benign and malignant gastrointestinal diseases, namely stomach, liver, esophageal, gallbladder and biliary tract, pancreatic, colon and rectal pathologies. The department also carries out treatment for all types of hernias – the medical facility has a quality certificate from the German Hernia Society (DHG). Of particular interest is the resection of malignant tumors of the digestive system. The department's operating rooms have state-of-the-art medical equipment, therefore, in most cases, surgeons can perform interventions without extensive incisions in the skin and soft tissues, but with the use of minimally invasive techniques. Such an approach to surgical treatment greatly facilitates the patient's postoperative recovery process, reduces the risk of complications and excludes severe pain syndrome. The department's surgeons cooperate closely with gastroenterologists, hepatologists, oncologists, radiologists and other doctors from related medical fields. Doctors demonstrate high treatment success rates, use advanced surgical techniques, and observe hygiene and safety standards. Patients can be sure that their health is in the safe hands of leading European specialists.

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General, Abdominal, Vascular and Pediatric Surgery

The Department of General, Abdominal, Vascular and Pediatric Surgery covers the full range of services in these medical fields. Surgical treatment is provided   both on an inpatient and outpatient basis, in accordance with the advanced recommendations of professional societies. The department is equipped with state-of-the-art operating theaters, in which surgeons perform extensive serious interventions, operations under the control of navigation systems and high-precision minimally invasive procedures that ensure the rapid recovery of patients.

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of General, Abdominal and Minimally Invasive Surgery

The Department of General, Abdominal and Minimally Invasive Surgery offers the full range of services in these medical fields. The department specializes in the surgical treatment of abdominal organs: esophagus, stomach, small and large intestine, liver, pancreas, gallbladder and bile ducts, thyroid gland. Here are used only proven and sparing surgical treatment methods, which guarantee a rapid recovery of patients.

Colorectal cancer is a cancer of the colon, sigmoid, and rectum. Most colorectal cancers start with small, benign tumors called adenomatous polyps and adenomas. Over time, some of these polyps can transform into a malignant tumor.

Symptoms of colorectal cancer

Colorectal cancer symptoms depend on the stage and location of the tumor. However, similar symptoms can be observed with other diseases. An important fact is that often symptoms only appear at the advanced stages of cancer.

The most common symptoms are:

  • Blood in the stool
  • Stool changes (diarrhea or constipation)
  • Stomachache
  • Losing weight
  • Weakness, fatigue

However, none of these symptoms indicates specifically colorectal cancer. For example, blood in the stool can occur with hemorrhoids, and bowel infection can cause diarrhea.

If the bleeding is caused by colorectal cancer, it can continue for many months. In this case, the person may not even notice the blood loss, and the patient's main complaints might be shortness of breath, fatigue, and dizziness, which are the symptoms of anemia.

When the tumor increases in volume, it can completely block the intestines. In this case, a blockage or significant narrowing of the intestines complicates the movement of stool and intestinal gases, so bloating occurs.

Diagnostics

Patients with suspected colorectal cancer need urgent diagnostics.

Endoscopy, which is called colonoscopy in regards to bowel examination, is the main test for diagnosing colorectal cancer.

This is an outpatient procedure during which the rectum and colon are examined from the inside using a special probe (endoscope). The colon is expanded with a small amount of air so that the doctor can examine the tissues lining it (the image can be seen on the monitor). If a part of the intestine needs to be examined more thoroughly, instruments are inserted through the endoscope for a painless biopsy. These tissues are sent to a laboratory for analysis. Microscopic analysis of tissue is essential for correct diagnosis making and staging of colorectal cancer.

Another method of examination, sigmoidoscopy, allows doctors to examine the lower third of the colon, rectum, and sigma. If diagnostic imaging tests indicate that a more detailed examination is needed, a colonoscopy with biopsy should be performed.

A barium enema can also be used for the diagnostics of colorectal cancer. A barium enema (or air-contrast barium enema) is an X-ray technique used to produce an image of the colon. Two days before the examination with a barium enema, a patient should consume a light, mostly liquid food, and in the evening before the examination a laxative should be taken. On the day of the examination a barium enema is administered, the air is inflated into the colon and an X-ray of the abdomen is carried out.

It is very important to differentiate colorectal cancer from Crohn's disease and severe ulcerative colitis (it should be noted that both diseases are connected with a risk of the colorectal cancer development).

In the case of severe ulcerative colitis, general inflammation of the mucous membrane, edema, fragility of the mucous membrane with hemorrhages are noted. In Crohn's disease, repeated cycles of ulceration, followed by periods of healing, occasionally cause areas of the mucous membrane to lift up, resulting in the formation of the polyps-like formations called pseudo polyps. A characteristic feature of Crohn's disease during the endoscopic examination is the typical appearance of a mucous membrane similar to a cobblestone pavement.

Colostomy overview

A doctor form a colostomy in following health conditions:

  • The large intestine is blocked or damaged
  • A part of the large intestine is surgically removed
  • A ruptured colon causes an abdominal infection
  • Colostomy might be needed after rectal cancer surgery

People with certain types of cancer, such as colorectal cancer, may need a colostomy. Most people who need a cancer-related colostomy only need it for a few months, while the colon or rectum heals.

A colostomy is also performed in the following pathologies:

  • Colon polyposis
  • Disorders of the structure and functioning of the intestine
  • Nonspecific ulcerative colitis
  • Intestinal obstruction
  • Acute diverticulitis
  • Crohn's disease

An intestinal stoma is an artificially formed connection between the intestine and the surface of the skin. There are two main types of stomas: ileostomy and colostomy. The ileostomy is formed from a loop of the small intestine, while a fragment of the large intestine is used for a colostomy.

After a colostomy, the patient does not feel the urge to bowel evacuation and does not control the process, and feces and intestinal gases are released spontaneously. The contents of the intestines are collected in an airtight, odor-proof bag called a colostomy bag. Colostomy bags are also designed to protect the skin surrounding the stoma. These bags are disposable and reusable, they are not visible under clothing and do not cause discomfort.

In most cases, colostomy, in other words, the creation of an artificial anus, is prescribed for cancer of the large intestine or rectal cancer. The procedure is not indicated for all patients who have undergone surgery for rectal cancer treatment. When elaborating a treatment protocol, factors such as the location and size of the tumor, the degree of damage to nearby tissues, and the general health state of the patient are taken into account.

Besides, the colostomy surgery is indicated when the condition of the intestine is unsatisfactory for carrying out a conventional surgery. In addition, in many cases, doctors face a serious health state of a patient who has been admitted to the hospital. In order to alleviate symptoms and save the patient's life, it is necessary to create the intestinal stoma.

The successful operation of creating the stoma requires high qualifications and experience from the surgeon.

Complications of colostomy

The most common complications include:

  • Peristomal dermatitis. Peristomal dermatitis manifests itself in irritation of the skin surrounding the stoma, hyperemia, the appearance of ulcers, pain, and burning sensation.
  • Bleeding from the stoma. Bleeding from the stoma is usually caused by the injury to the intestinal mucosa due to improper care. Usually, bleeding stops soon without special treatment, but prolonged bleeding requires immediate medical attention.
  • Purulent inflammation of the tissues surrounding the stoma.
  • Necrosis of tissues adjacent to the stoma.
  • Narrowing (stenosis) of the stoma. Until the narrowed intestinal stoma does not interfere with the excretion of feces and does not cause the patient any pain, stenosis is considered normal.
  • Stoma retraction.
  • Stoma prolapse.

With the loss of a larger segment of the intestine, the excretion of the contents of the intestine is hampered, and care becomes more complicated. The prolapse worsens when the patient stands, coughs, or exerts any physical effort.

A colostomy can be temporary or permanent. A temporary colostomy is more common. The main indications are pelvic trauma, complicated intestinal obstruction, stoma in rectal cancer, ulcerative colitis, Crohn's disease, intestinal polyposis.

A temporary stoma is formed during the primary surgery for rectal cancer treatment, followed by the reversal colostomy. Subsequently, bowel function is fully restored.

In some cases of colorectal cancer, when anal bleeding or acute obstruction is observed, permanent colostomy is performed. Surgeons choose such measures in the presence of indications, when a reconstructive surgery is impossible for one or another reason.

Colostomy closure

Reversal colostomy is a surgery that closes the intestinal stoma (artificial anus) and normalizes bowel function. The modern equipment and high level of training of the surgeons allow successfully carrying out this type of reconstructive surgery.

Removal of the stoma is considered the final stage of surgical rectal cancer treatment. It follows the surgery for artificial opening creation that is formed to empty the bowel.

Colostomy closure is often performed after the surgical removal of colorectal cancer. This usually happens 4-6 months after the first rectal cancer surgery. The period length may vary depending on the patient's health state.

The presence of an unnatural intestinal opening often causes physical and moral discomfort in patients. It is clear that reversal colostomy and restoration of normal bowel function is extremely important for patients.

On average, a reversal colostomy is performed 3-4 months after the formation of a temporary stoma, when the person has fully recovered from the first surgery. This period can be lengthened if there is inflammation in the abdominal cavity, complications, and relapses of rectal cancer. In such cases, additional measures are taken to restore the functioning of the non-working part of the intestine.

During reversal colostomy, anesthesia is used. To close a temporary stoma, surgeons remove the stitches from the surfaces and spread the stoma to the sides.

After connecting parts of the intestine, surgeons evaluate the quality of stitches before finishing reversal colostomy. Reconstruction of the large intestine and restoration of natural bowel movement depend on the length of the disconnected area, the presence of adhesions, inflammation, and other factors.

The reversal colostomy surgery is considered a very complex surgery in proctology. It requires a satisfactory health state of the patient and a highly qualified surgeon.

When deciding to carry out this surgery, certain factors are taking into consideration, including:

  • Life expectancy prognosis in rectal cancer patients
  • Absence of pathologies (cancer tumors, inflammation)
  • Absence of severe side effects after colostomy

The patient should be informed in detail about the complexity of this surgery, the risk of postoperative complications, and the expected results of the surgery.

Where can I undergo colostomy closure for rectal cancer treatment abroad?

The best success rates in reversal colostomy are demonstrated by:

  1. Academic Hospital Brothers of Charity Munich, Germany
  2. University Hospital of Ludwig Maximilian University Munich, Germany
  3. Charite University Hospital, Germany
  4. University Hospital Ulm, Germany
  5. Tel Aviv Sourasky Medical Center, Israel
  6. Medipol Mega University Hospital Istanbul, Turkey

You can check out the full list of hospitals on the Booking Health website.

The cost of rectal cancer treatment with colostomy closure

The prices in hospitals listed on the Booking Health website are relatively low. With Booking Health, you can undergo rectal cancer treatment in the best hospitals in the world at an affordable price.

The cost varies, as the price for treatment depends on the hospital, the diagnosis, and the complexity of treatment:

  1. The price for treatment in Germany is from 16,727 EUR to 26,157 EUR
  2. The price for treatment in Israel is approximately 14,400 EUR
  3. The price for treatment in Turkey is approximately 8,300 EUR

The final cost may differ from the prices mentioned above. To make sure that the price for treatment is suitable for you, contact us by leaving the request on the Booking Health website.

How can I undergo colostomy closure in the best hospitals in the world?

It is not easy to choose the right hospital that ensures successful colostomy closure surgery. It is vital to have accurate information on the success rates in rectal cancer treatment of the specific hospital.

We have up-to-date information on rectal cancer treatment in the best hospitals in the world. You can be free of unnecessary troubles, while Booking Health takes care of all organizational issues. Our goal is to find the best facility for rectal cancer treatment for you.

We may help you during this difficult period and take on all the troubles. Booking Health will select a hospital, taking into account your wishes and the indications for rectal cancer treatment.

Rectal cancer can be treated! The earlier you start the treatment, the higher the chances of returning to your day-to-day life. All you need to do is to leave the request on the Booking Health website and our manager will contact you shortly.




Feedback of our customers from other resources

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.