Services
A. Colorectal Cancer
As an integral component of TMC's Augusto P. Sarmiento Cancer Institute, the colorectal clinic provides the following services for colorectal cancer patients (in coordination with the corresponding support units as mentioned):
1. Screening
- Immunochemical fecal occult blood
- Diagnostic and therapeutic flexible sigmoidoscopy and colonoscopy (Center for Endoscopy and Physiologic Studies)
2. Diagnosis
- X-rays, CT scans, MRI (Department of Radiology)
- Bone Scan (Nuclear Medicine)
- Histopathology (Department of Pathology)
- KRAS testing (Regenerative Medicine)
- CEA, CA 19-9 and other blood tests (Department of Pathology)
- Endorectal ultrasound (Center for Endoscopy and Physiologic Studies)
- Diagnostic and Therapeutic Colonoscopy, including endoscopic submucosal resection (Center for Endoscopy and Physiologic Studies)
3. Multimodality Treatment
- Multidisciplinary Team Approach for assuring high quality of cancer (Augusto P. Sarmiento Cancer Institute)
- Chemotherapy (Augusto P. Sarmiento Cancer Institute at the 8th floor)
- Radiotherapy (Department of Radiation Oncology)
- Surgery, promoting minimally invasive procedures for early cases, as well as radical operations for advanced/recurrent cases
- Minimally invasive colorectal surgery procedures:
- Laparoscopic Surgery
- Trans anal Endoscopic Microsurgery
- Robotic Surgery
4. Post-treatment Cancer Surveillance at the Colorectal Cancer Unit
5. Stoma Care and Maintenance with the Stoma and Complex Wound Care Clinic
B. Anorectal Diseases
1. Hemorrhoidal Disease
- Conservative and Medical Management
- Ambulatory Treatment
- Rubber band ligation
- Transanal Hemorrhoidal Dearterialization (THD)
- Surgical Treatment
- Stapled Hemorrhoidopexy
- Ligasure/Harmonic Hemorrhoidectomy
- Excisional surgery using conventional methods
2. Simple and Complex Anal Fistula
- Endoanal ultrasonography
- Highly specialized sphincter preserving techniques
- LIFT technique (Ligation of Intersphincteric Fistula Tract)
- Endorectal advancement flaps
- Fibrin plug
3. Sexually Transmitted Anal Disease, including Warts (HPV) and HIV (in coordination with I-REACT Clinic)
- Immunization (HPV Vaccines)
- Conservative and Medical Management
- Ambulatory Treatment
C. Pelvic Floor Disorders, Constipation and Fecal Incontinence
- Endoanal and Anal Sphincter Ultrasound
- Pelvic MRI and lower endoscopy
- Conservative and Medical Management
- Surgical Treatment
- Laparoscopic Surgery
- Pelvic and Rectal Prolapse Surgery
- Repair of Anal Sphincter
Colonoscopy Clinic Features
The Unit has specific multidisciplinary programs for advanced, Stage IV disease, including metastasectomy for either liver or lung metastasis, and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for abdominal carcinomatosis. Permeating throughout the unit is an overall commitment to excellence and quality. It utilizes the official Enhanced Recovery After Surgery (ERAS) program developed in Europe to ensure quick recovery and minimal complications, particularly for elderly patients. ERAS is a multidisciplinary program aimed at improving patient outcomes and recovery after surgery. It focuses on the involvement of the patients being active participants in their own recovery and ensures that they receive only evidence-based care at the right time.
State-of-the-art staging modalities:
(1) Endorectal UTZ;
(2) Triphasic UTZ;
(3) MRI
State-of-the-art surgery:
(1) Mesorectal excision;
(2) Sphincter preservation - to avoid permanent;
(3) Pelvic nerve preservation;
(4) Minimally invasive surgery;
(5) Cytoreductive surgery (CRS);
(6) Hyperthermic Intraperitoneal Chemotherapy (HIPEC);
(7) Enhanced Recovery After Surgery (ERAS)
Our Team
The Colorectal Cancer Unit is managed by a team of board-certified experts headed by Dr. Carlo Angelo C. Cajucom. The team includes:
Colorectal Surgeons
- Dr. Manuel Francisco Roxas
- Dr. Robert Chang
- Dr. Carlo Angelo Cajucom
- Dr. Catherine Co
- Dr. Marc Paul Lopez
- Dr. Marie Dione Sacdalan
- Dr. Joseph Roy Fuentes
- Dr. Jeryl Anne Silvia Reyes
Gastroenterologists
- Dr. Maria Lourdes Daez
- Dr. Atenodoro Marciano Ruiz Jr.