My dad has stage 2 colorectal cancer with blood loss and also had a heart attack recently. He's been diagnosed with CAD TVD and has around 90% blockage doctors suggested bypass surgery but can't do it because of the blood loss from cancer. What's the best way to handle the cancer surgery in this situation?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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Taking up for colon surgery with CAD TVD would be very risky. Depending on the location of tumour, management can be decided. If it is rectal cancer, then you can give neoadjuvant radiation which will control the bleeding, then plan for cardiac surgery followed by LAR surgery for rectal cancer. However if it is colon cancer, then it is difficult. You can consult any interventional radiologist to see if any Embolisation procedure can be planned for controlling the bleeding. Next Steps Proceed to any higher centre as this case needs multidisciplinary approach

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Answered 27 days ago

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