Posts in "shekar-narayanan-md-colorectal-surgeon/"

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New cancer center a beacon of hope

Written by Community Health Network on 4/18/2014 11:55:00 AM

The doors to our new state-of-the-art cancer facility on Indiana's south side are now open. The new cancer center will bring more than world-class cancer treatment to cancer patients, it will bring hope.

Over 100 people gathered at 1440 East County Line Road yesterday as a celebratory ribbon was cut and the facility welcomed its first patients.

Leaders from Community Health Network and Greenwood Chamber of Commerce joined Indiana State Senator Brent Waltz (R), Indiana State Representative Dave Frizzell (R), Community cancer patients and employees at this momentous event. 

“Like so many families, my family has also been touched by cancer,” said Frizzell. “That’s why I’m so glad to see that families in our community will have access to world-class cancer care at Community Cancer Center South.”

Attendees heard from Community South Region President Tony Lennen, VP of Oncology Services Myra Fouts and Dr. Darrel Ross, a radiation oncologist who will be practicing at the new cancer center. continue reading ...


Cancer answers: Who should get a colorectal screening?

Written by Community Health Network on 2/23/2014 12:00:00 PM

An interview with Shekar Narayanan, MD, FACS, FASCRS, colorectal surgeon and certified MD Anderson Cancer Network® physician.

Last year, 3,250 Hoosiers were diagnosed with colorectal cancer and 1,170 died from colorectal cancers. Colorectal cancer is highly treatable if detected early, so why are the death numbers high in our state?

One reason is that colorectal cancer is often diagnosed after it has become more advanced. Currently Hoosiers are behind the national norm in terms of cancer screening in most categories. So who should be screened and when?

Men and women age 50 should have a colonoscopy of their large intestine (called the colon) and the rectum.

If you have a family history of colon cancer you are at high risk. In fact, 25 percent of colorectal cancer cases have a family history. Being African American or having (unusually large) polyps that show precancerous changes within the cells will also put you in a high-risk category. It is recommended that high-risk groups be screened at age 45 and repeat colonoscopies within five years.

Screening options

When it comes to screening for colorectal cancer, there are options. continue reading ...


Live colonoscopy: Q/A with Dr. Narayanan, colon and rectal cancer specialist

Written by Community Health Network on 10/31/2013 12:00:00 PM

On October 29, 2013 during a live 30-minute colonoscopy procedure, Dr. Shekar Narayanan, colorectal surgeon at Community Health Network, answered questions about colon and rectal cancer and why it’s important to have a colonoscopy if you are 50 years and older - or earlier if you have a family history of colorectal cancer.

Replay now available! Watch the broadcast below or at eCommunity.com/coloncancer.

Patient Tami Schwenk of Columbus, IN, whose father is recovering from colon cancer, felt having a colonoscopy is a common sense thing to do and encourages others to take time to prevent the third most common  cancer for men and women and the second leading cause of cancer deaths. One in 20 adults are at risk for developing colorectal cancer. Watch videos: More about Tami and her history >>

Tami prepped the day before, drinking a solution throughout the day to clean out her large intestine. Dr. Narayanan said as he observed her colon during the colonoscopy, her overall prep condition was fair, but not excellent. There were sections of Tami’s colon that could not be observed with the digital camera/scope that traveled from her rectum through the large intestine/colon to the start of the small intestine. The folds in the lining of her colon are normal, said Dr. Narayanan. In the rectum, a hemorrhoid was observed. With her family history and this being her first colonoscopy, he would recommend a repeat colonoscopy in five years instead of 10 years as part of her best practices. continue reading ...


Tami’s story: Know your risk for colorectal cancer

Written by Community Health Network on 10/30/2013 9:30:00 AM

Tami Schwenk, a 50-year old Central Indiana woman with a family history of colon cancer says, “Having a colonoscopy to screen for colon cancer just makes good sense. It’s preventive care that gives you control.” Tami’s father was diagnosed with colon cancer three years ago. She knows we all have risk factors for cancer: "The work we do, our family history for colorectal cancer or adenomatous polyps, genetic background, and our overall health and diet all play a role." Meet Tami in this video

Another thing people may not know: Individuals with Type 2 diabetes or who have a history of inflammatory bowel disease including ulcerative colitis and Crohn’s disease all have a higher risk for developing colon cancer. Long-term smokers are at risk for many types of cancer from colorectal to lung, larynx (voice box), mouth, throat, esophagus, kidney and bladder cancer. continue reading ...


Colonoscopy effective at detecting cancer

Written by Community Health Network on 10/29/2013 2:16:00 PM

The National Institutes of Cancer (NCI) recently reported (July 25, 2013) several clinical studies about the effectiveness of colonoscopy.

  • 10.5 percent of 3,121 mostly male U.S. veterans (average age 63 years) had cancerous adenoma lesions greater than 10mm in diameter.
  • In an employee sponsored study of 1,994 adults (ages 50 years and older) who had a colonoscopy screening, 5.6 percent were found to have advanced neoplasms.
  • Detection rates as reported by gastroenterologists (the number of lesions per patient screened) ranges from 9.4%–23.7%. Detection rates are also related to how quickly the scope is removed, with six minutes being the optimum rate for higher detection rates of lesions.

A highly-trained endoscopic physician also looks for flat, difficult-to-detect cancer in right side of the colon. A 2011 study found great variability for detecting flat serrated polyps during a routine digital rectal exam. Different types of scopes also provide more advanced detection. continue reading ...


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