Health Sciences North Foundation | Fondation Horizon Santé


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Tuesday, July 24, 2012


A newly recruited surgeon at Health Sciences North/Horizon Santé-Nord (HSN) has successfully performed a J-pouch reconstructive surgery for an ulcerative colitis patient. It is the first time this procedure has been performed in the City of Greater Sudbury.

Dr. Antonio Caycedo, a colorectal surgeon who arrived in Sudbury in August of 2011, performed the procedure July 16th at the Ramsey Lake Health Centre of HSN. In the past, patients from northeastern Ontario had to travel to other parts of the province for this specialized procedure.

J-pouch reconstructive surgery is performed for patients with chronic ulcerative colitis, or familial polyposis, who require the removal of their large intestine (colon) and rectum.

The procedure involves a small pouch that is reconstructed inside the patient's body from a section of the small intestine. The new pouch serves as a storage site for solid waste and allows patients to control bowel movements and expel the waste in a normal fashion. This surgery avoids the need for a permanent ileostomy, in which a bag is attached to the outside of a patient's body for the collection of solid waste.

"As a surgeon, I want to be able to provide the care that my patients need and I am pleased that we can now offer this surgery here," says Dr. Antonio Caycedo. "It is a very specialized procedure, and patients had to travel to major centres like Toronto or London to receive it. By offering this surgery here, we are improving the quality of life for these patients."

This is the second time that Dr. Caycedo has introduced a new surgical procedure to Greater Sudbury. In May of 2012, he performed Sudbury's first trans-anal endoscopic microsurgery to remove a malignant polyp from a patient. That operation marked the first use in Canada of a medical instrument called a GelPOINT Path Transanal Access Platform. The microsurgery procedure, using different equipment, is only performed in two other locations in Ontario: Toronto and Ottawa.

"The work of Dr. Caycedo is an excellent example of the value of our evolution as an academic health sciences centre," says Dr. Denis Roy, President and CEO of HSN. "By creating an atmosphere that fosters breakthrough innovation, we are attracting skilled physicians like Dr. Caycedo who are bringing to our community new procedures and techniques, and that benefits our patients."


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