{"id":1542,"date":"2016-11-09T14:58:39","date_gmt":"2016-11-09T14:58:39","guid":{"rendered":"http:\/\/blogs.cooperhealth.org\/sjmedicalreport\/?p=1542"},"modified":"2021-11-22T15:04:18","modified_gmt":"2021-11-22T15:04:18","slug":"new-transanal-minimally-invasive-surgery-tamis-capability-advances-md-anderson-coopers-gi-cancer-treatment-options","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/2016\/11\/09\/new-transanal-minimally-invasive-surgery-tamis-capability-advances-md-anderson-coopers-gi-cancer-treatment-options\/","title":{"rendered":"New Transanal Minimally Invasive Surgery (TAMIS) Capability Advances MD Anderson Cooper\u2019s GI Cancer Treatment Options"},"content":{"rendered":"
\"Steven

Steven J. McClane, MD
Head, Division of Colorectal
Surgery; Co-director,
Gastrointestinal Cancer
Program<\/p><\/div>\n

\u201cPatients with colorectal\u00a0cancer don\u2019t have to go\u00a0anywhere else for the best\u00a0care,\u201d says Steven J. McClane,\u00a0MD<\/a>, head of the Division\u00a0of Colorectal Surgery<\/a> and\u00a0co-director of the Gastrointestinal\u00a0Cancer Program at MD\u00a0Anderson Cancer Center at\u00a0Cooper<\/a>. \u201cOur affiliation with\u00a0MD Anderson Cancer Center\u00a0\u2013 a global leader in cancer care\u00a0\u2013 has elevated care here to that\u00a0of a world-class center, complete\u00a0with proven treatment\u00a0protocols, innovative research,\u00a0and the latest clinical trials.<\/p>\n

\u201cThis affiliation also has\u00a0enabled us to recruit some of\u00a0the nation\u2019s finest clinicians\u00a0\u2013 both senior physicians and\u00a0surgeons \u2013 and those from top\u00a0fellowship programs,\u201d he adds.<\/p>\n

Colorectal surgeon Michael\u00a0E. Kwiatt, MD<\/a>, is a case in point.\u00a0After completing his fellowship\u00a0at the Cleveland Clinic last year,\u00a0he joined MD Anderson Cooper,\u00a0adding his expertise in transanal\u00a0minimally invasive surgery (TAMIS) to the\u00a0Cancer Center\u2019s already-considerable skillset\u00a0for treating gastrointestinal cancers.<\/p>\n

TAMIS is a specialized, minimally invasive\u00a0approach to removing benign polyps\u00a0and some early-stage<\/a> tumors within the\u00a0rectum and lower sigmoid colon. It\u2019s considered\u00a0an organ-sparing procedure in that the\u00a0surgeon can precisely remove the diseased\u00a0tissue, leaving the rest of the natural bowel\u00a0lumen intact, so patients experience a quick\u00a0return to normal bowel function.<\/p>\n

\u201cAppropriate patients are able to have a\u00a0small procedure that\u2019s performed completely\u00a0through the anus without any incisions or\u00a0scars on the abdomen,\u201d Dr. Kwiatt explains.<\/p>\n

\u201cThey can avoid conventional\u00a0open colon resection, with its\u00a0several days to a week-long\u00a0hospital stay, and even longer\u00a0recovery. Instead, with TAMIS,\u00a0they spend just one night in the\u00a0hospital and are back to their\u00a0regular activities within days.\u201d<\/p>\n

Who is the appropriate\u00a0candidate for TAMIS?<\/p>\n

\u201cThis procedure is for\u00a0patients with the earliest rectal\u00a0cancers,\u201d Dr. Kwiatt says.\u00a0\u201cThese are T1 lesions\u2014those\u00a0that have invaded only into the\u00a0sub-mucosa but not deeper\u00a0into the muscular layers of the\u00a0bowel.\u201d<\/p>\n

\u201cThe decision as to which\u00a0patients are candidates for TAMIS\u00a0isn\u2019t made solely by the\u00a0surgeon,\u201d Dr. Kwiatt stresses.\u00a0\u201cAll cases are reviewed at our\u00a0tumor board meeting, where\u00a0input from pathologists, radiologists,\u00a0radiation oncologists,\u00a0medical oncologists, gastroenterologists, and other clinical\u00a0experts help determine the\u00a0best course of treatment for each patient.\u201d<\/p>\n

\u201cThis strong, multidisciplinary approach\u00a0to GI cancer care is what sets us\u00a0apart,\u201d Dr. McClane notes. \u201cFrom screening\u00a0and diagnosis, through treatment and\u00a0survivorship, patients are seen by multiple\u00a0specialists, and this comprehensive team\u00a0shares their expertise to develop a care\u00a0plan tailored to the individual\u2019s unique\u00a0health needs.\u201d<\/p>\n

This team expands to include an array\u00a0of supportive services including social work,\u00a0nutritional therapy, and genetic testing and\u00a0counseling.<\/p>\n

MD Anderson Cooper is equally\u00a0committed to preventing colorectal\u00a0cancer, pledging its support for the \u201c80%\u00a0by 2018\u201d initiative spearheaded by the National\u00a0Colorectal Cancer Roundtable. This\u00a0awareness initiative aims to get 80 percent\u00a0of eligible men and women screened for\u00a0colorectal cancer by 2018.<\/p>\n

\u201cCurrently, nationwide numbers for\u00a0screening colonoscopy<\/a> in patients over age\u00a050 are in the 50 to 60 percent range,\u201d Dr.\u00a0McClane notes. \u201cThese rates are lower in\u00a0South Jersey, however, especially in areas of\u00a0Camden.<\/p>\n

\u201cSo we have work to do in getting\u00a0word out, and engaging and educating\u00a0the community,\u201d he adds. \u201cBut this is a\u00a0preventable cancer, so there\u2019s so a great deal to be gained.\u201d \u25a0<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cPatients with colorectal\u00a0cancer don\u2019t have to go\u00a0anywhere else for the best\u00a0care,\u201d says Steven J. McClane,\u00a0MD, head of the Division\u00a0of Colorectal Surgery and\u00a0co-director of the Gastrointestinal\u00a0Cancer Program at MD\u00a0Anderson Cancer Center at\u00a0Cooper. \u201cOur affiliation with\u00a0MD Anderson Cancer Center\u00a0\u2013 a global leader in cancer care\u00a0\u2013 has elevated care here to that\u00a0of a world-class center, complete\u00a0with proven treatment\u00a0protocols, … [Read more…]<\/a><\/span><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[135,159,12,160],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-rmineo","4":"post-1542","6":"format-standard","7":"category-new-initiatives","8":"post_tag-cancer","9":"post_tag-colorectal-cancer","10":"post_tag-cooper-cancer-institute","11":"post_tag-md-anderson-cancer-center-at-cooper"},"_links":{"self":[{"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/posts\/1542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/comments?post=1542"}],"version-history":[{"count":4,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/posts\/1542\/revisions"}],"predecessor-version":[{"id":1888,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/posts\/1542\/revisions\/1888"}],"wp:attachment":[{"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/media?parent=1542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/categories?post=1542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.cooperhealth.org\/sjmedicalreport\/wp-json\/wp\/v2\/tags?post=1542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}