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Colon & Rectal Surgical Specialists

What is the Difference?

Colorectal Specialist vs. Gastroenterologist

Knowing the difference between two types of doctors can be confusing for some patients—especially if it appears the doctors do the same procedures.  


Although these fields overlap in some areas, the specialties are different in the conditions they treat and the options they have available for treatment. 


A Colorectal Surgeon, also sometimes referred to as a proctologist, are experts in the surgical and non-surgical treatment of colon and rectal problems. They are called upon to treat many benign problems such as hemorrhoids, diverticulitis, constipation, and colitis as well as malignant conditions such as colon and rectal cancers. They have extensive surgical training in the treatment of diseases of the colon, rectum and anus and a certified Colon and Rectal surgeon will also participate in continuing medical education to remain current in new trends and treatments.  Colon and Rectal Surgeons also perform routine colonoscopy screening for detection of polyps and cancers.  When a problem is found, they are ideally suited to offer the best treatment options. 


A gastroenterologist is a doctor who has completed initial training in internal medicine and further training in gastroenterology. A gastroenterologist specializes in diseases of the digestive system (gastrointestinal (GI) tract). Gastroenterologists diagnose and treat many conditions that affect the esophagus, stomach, small intestine, large intestine (colon), and biliary system (e.g., liver, pancreas, gallbladder, and bile ducts). Gastroenterologists are not trained to operate on patients.


Some gastroenterologists can provide non-surgical treatment of hemorrhoids like internal banding or cauterization. This may be appropriate for smaller hemorrhoids, but may not be the best solution for larger, external or advanced hemorrhoids.  They may then refer the patient to a Colon and Rectal Surgeon to discuss other treatment options based on severity.

As Colon and Rectal Surgeons, we work closely with our gastroenterologist colleagues to coordinate care and provide the best possible outcome for our patients. Our combined expertise and frequent communication is an essential part in how we practice medicine. 


By understanding the similarities and differences between a Colon and Rectal surgeon and a GI doctor, and understanding the breadth of treatments we offer from the office to the operating room, you will be better able to make the best choice of where to be evaluated and treated.  If you are still not sure, give us a call, and we will help you make the right decision.


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