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 Home | Publications | HealthViews Magazine | Archives & Downloads | Sep/Oct 2007 | Early Detection Is Worth a Pound of Cure

Early Detection Is Worth a Pound of Cure

With the new technology medicine has to offer today, Benjamin Franklin may have revised his famous quote to be: "An ounce of prevention and early detection is worth a pound of cure."

It was early detection, along with advanced surgical technology and skilled physicians, that saved Nick Goumas from colon cancer.

Nick, 51, admitted to being delinquent in having a colonoscopy done. "So when Cigna sent me a home kit to test my blood and stool, I decided to take the test." When Nick received a positive result, he was instructed to follow up with his doctor. From that point, Nick was on the road to an effective treatment through Riverview Medical Center.

Nick went to his primary care doctor, Kalyani Gardilla, M.D., who referred him to Robert Gialanella, M.D., a board certified gastroenterologist. Nick’s first step with Dr. Gialanella was a colonoscopy, which revealed a number of benign polyps and a very large tumor — about the size of a golf ball. Nick was concerned about the prognosis but felt reassured as soon as he met his surgeon, Walter Hayne, M.D., a board certified surgeon affiliated with Riverview.

"Dr. Hayne was incredibly professional, and he really took the time to explain all the issues and possible risks associated with a laparoscopic surgery," says Nick. "I wanted to have the surgery with Dr. Hayne, because he had done a number of laparoscopic surgeries on cases just like mine. He also had excellent training."

Advanced Technology in the Right Hands
Dr. Hayne has an impressive educational and professional background. Trained at Temple University and Cornell Medical Center with annual rotations at Memorial Sloan Kettering Cancer Center, he is also skilled in laparoscopic surgery and has performed many laparoscopic colon resections.

Laparoscopic surgery is a minimally invasive surgical technique in which operations are performed through small incisions. "Laparoscopic surgery, by and large, is the best approach for the patient," explains Dr. Hayne. "For a patient like Nick, a laparoscopic colon resection means much smaller incisions, quicker recovery, and fewer complications." Laparoscopic surgeries are performed through incisions that are usually about 1 centimeter long. Many surgeries are now performed using this approach, which is why Riverview Medical Center recently built two new laparoscopic operating rooms. Physicians often prefer this technique even though the surgery may take longer, because of the easier recovery it provides for patients.

Getting Home Faster
Unlike the typical colon resection, which requires about six weeks of recovery time, patients who receive laparoscopic surgery can recover after two weeks. "I was in the hospital for five days and then spent two weeks at home recovering," Nick recalls. "By the second week, I felt like myself again."

After the surgery, Nick was even more relieved to hear that the tumor was benign. "I was so lucky that we found it early. The doctor told me that in another couple of years, it may have become cancerous," recounts Nick.

Six weeks after the surgery, Nick was back on the elliptical machine, his favorite exercise. "Now I feel great," says the Holmdel resident, "and I have no doubt the laparoscopic surgery and Dr. Hayne are the reasons for my quick recovery."

There is just one thing that is different for Nick since the surgery. "Now I stop to smell the tulips!" he says.

Tria Deibert– Tria Deibert

The Truth About Colorectal Cancer

Take this quiz to learn the risk of colorectal cancer, or cancer of the colon or rectum.

True or False?

  1. Women do not need to worry about colorectal cancer.
    True     False


  2. Walking may help prevent colorectal cancer.
    True     False


  3. Chronic diarrhea may be a symptom of colon cancer.
    True     False

1. False. The disease strikes women and men almost equally. Age, rather than gender, is a major risk factor. Beginning at age 50 — if not sooner — your doctor may recommend that you regularly have one or more of the following screening tests:

  • Rectal exam
  • A blood stool test
  • X-rays of the large intestine
  • Sigmoidoscopy or colonoscopy

2. True. Evidence suggests that walking for 60 minutes a day may decrease prostaglandin E2 levels — a substance associated with colorectal cancer.

Other prevention strategies: Avoid smoking and eat a diet low in fat. Some studies also show that eating a lot of fruits, vegetables, and whole-grain products may reduce your risk.

3. True. Other symptoms include blood in the stool, frequent stomach discomfort, and unusual changes in bowel habits.


About The Doctor
No Picture Available Gardilla, Kalyani I., M.D.
Board certified in Internal Medicine
Tinton Falls, NJ  07701
(732) 741-3600
Picture Available Gialanella, Robert J., M.D.
Board certified in Internal Medicine
Red Bank, NJ  07701
(732) 842-4294
Picture Available Hayne, Walter C., M.D.
Board certified in General Surgery
West Long Branch, NJ  07764
(732) 403-2075

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