Compassionate and quality care for the effective management and treatment of colon and rectal disorders

Baylor Scott & White Colon & Rectal Surgical Consultants of North Texas offers evaluation and treatment of colon and rectal diseases, which include a broad range of conditions that are often difficult to diagnose.

Founding physician Sarah Boostrom, MD, is board-certified in colon and rectal surgery, as well as general surgery from the Mayo Clinic College of Medicine in Rochester, MN. Dr. Boostrom is experienced in minimally invasive surgical techniques that include laparoscopy and robotic surgery.

She specializes in the treatment of colon and rectal disorders, including:

  • Colon and rectal cancer
  • Inflammatory bowel syndromes
  • Diverticulitis
  • Pelvic floor dysfunction
  • Anorectal disease, such as abscesses, fissures and hemorrhoids
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Insurances accepted

Baylor Scott & White has established agreements with several types of insurances in an effort to make sure your health needs are covered.

Insurance listings are subject to change without prior notice. Please call the hospital or health plan to verify coverage information before scheduling your visit/procedure.
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  • Aetna - (22)
    Health Network Option
    Aetna Medicare Eagle II (PPO)
    Aetna Medicare Choice Plan (PPO)
    Aetna Medicare Choice II Plan (PPO)
    Group Retiree Medicare PPO - Limited to Exxon/Mobil
    Aetna Signature Administrators
    Aetna Medicare Dual Complete Plan (HMO D-SNP)
    Open Choice PPO
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    Choice POS II
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    Open Access Select
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    Aetna Medicare Freedom Plan (PPO)
    HMO
    Aetna Medicare Eagle Plan (PPO)
    Select
    Health Network Only
  • American Health Advantage of Texas - (1)
    American Health Advantage of Texas HMO I-SNP
  • Baylor Scott & White Health Plan - (4)
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Medical services

​​​​​​​​​​​​​Baylor Scott & White Colon & Rectal Surgical Consultants of North Texas offers expertise and treatment options conveniently located near you.
  • Anal manometry

    Anal manometry

    We measure the strength of the entire sphincter complex, coordination of the muscles of the pelvic floor, sensation in the rectum and function of reflexes in the anus and rectum.

  • Anal ultrasound

    Anal ultrasound

    We capture images of the sphincter and surrounding tissue. This assesses accidental bowel leakage, sphincter injuries and defects following childbirth, abscess and fistula.

  • Anorectal disease

    Anorectal disease

    Anorectal diseases occur in the anal and rectal portions of the large intestine. The most common diseases are hemorrhoids, tears, anal abscess, fissure, and fistula. Most people experience some form of the anorectal disease in their lifetime. Symptoms include itchiness, burning, blood and swelling around the rectum and anus. Treatments can vary so please consult your doctor for the best option for you.

    Here is a list of anorectal diseases:

    • Abscess
    • Fistula
    • Fissures
    • Hemorrhoid
    • Condyloma
    • Sphincteroplasty
    • Pilonidal disease
    • Transanal excision
  • Biofeedback pelvic floor muscle retraining

    Biofeedback pelvic floor muscle retraining

    We can treat accidental bowel leakage and constipation.

  • Colon and rectal cancer

    Colon and rectal cancer

    Colon cancer

    Like most cancers, colon cancer begins with the abnormal growth of cells that have the ability to invade or spread to the other parts of the body. Cells join together in the tissues of the colon forming polyps which can then become cancerous growths. Symptoms include a change in bowel habits including diarrhea or constipation, rectal bleeding, blood in your stool, abdominal discomfort or bloating, the feeling of not being able to empty the bowel completely, fatigue, loss of appetite, and weight loss. Early detection is key in preventing colon cancer. It is recommended to receive regular screening tests starting at the age of 50, but people who have a family history should start sooner.


    Rectal cancer

    Rectal cancer is cancer that forms in the final portion of the large intestine. Symptoms are similar to colon cancer such as different bowel habits than usual, diarrhea, constipation, rectal bleeding, and change in the size of the shape in stool. Early stages may not show symptoms so it is vital for all patients to receive a screening starting at the age of 50.

    Colon/rectal cancer procedures:

    • Laparoscopic resection
    • Robotic resection
  • Colonic transit study

    Colonic transit study

    This test helps to determine whether the cause of constipation is due to a problem with ineffective contraction of the colon or due to a problem with the evacuation of the stool.

  • Diverticulitis

    Diverticulitis

    Diverticulitis occurs when small bulging sacs or pouches of the inner lining of the intestine become inflamed of infected. This happens when feces get trapped in the pouches allowing bacteria to grow, leading to infection. Symptoms include fever, bloating, gas, diarrhea, constipation, nausea, and loss of appetite. The severity of symptoms depends on the extent of the infection.

  • Endoscopy

    Endoscopy

    Lower GI endoscopy allows your doctor to view your lower gastrointestinal (GI) tract. Your entire colon and rectum can be examined (colonoscopy). Or just the rectum and sigmoid colon can be examined (sigmoidoscopy).

    Below are types of endoscopy procedures we perform:

    • Anoscopy
    • Proctoscopy
    • Flexible sigmoidoscopy
    • Colonoscopy
    • Polyp removal
  • Hemorrhoid care

    Hemorrhoid care

    Procedures for external hemorrhoids

    • Rubber band ligation—This method is performed by placing tight elastic bands around the base of the hemorrhoid. This cuts off the blood supply to the hemorrhoid. The hemorrhoid then falls off in approximately one week
    • Infrared coagulation—This procedure is performed using a small probe that exposes the hemorrhoid to short bursts of infrared light, thus sealing the blood vessels and causing it to shrink. Bleeding may occur for a few days
    • Bipolar coagulation
    • Electro destruction
    • Sclerotherapy—This procedure is performed by injecting a chemical into the tissue around the hemorrhoid, thus causing the hemorrhoid to shrink within a few days
    • Thrombosed external hemorrhoids—Thrombosed external hemorrhoids are very painful. The swollen hemorrhoid stretches the sensitive skin around it. To relieve the pain, your doctor needs to remove the blood clot. The procedure requires the area to be numbed with local anesthetic. The blood clot is then removed. The hemorrhoid is normally removed as well to prevent large skin tags.

    Procedures for internal hemorrhoids

    Internal hemorrhoids do not have nerves that sense pain so discomfort is minimal. Most patients return to their normal daily routine the same day. Some hemorrhoids may require multiple treatments.

  • Inflammatory bowel disease

    Inflammatory bowel disease

    Inflammatory bowel disease (IBD) is a group of conditions affecting the colon and small intestine. It is the inflammation of a patient’s digestive tract. The main types of IBD are Crohn’s disease and ulcerative colitis. Crohn’s disease is the inflammation of any part of the gastro tract from mouth to the anus but often affects the small intestine. Ulcerative colitis is the inflammation of the large intestine and/or the rectum. Symptoms of these two IBD diseases are similar. These include abdominal pain, vomiting, diarrhea, rectal bleeding, constipation, loss of appetite, fever, severe internal cramps in the region of the pelvis, and weight loss.

    Procedures for inflammatory bowel disease:

    • Laparoscopic colon resection with ileoanal pouch
    • Strictureplasty
    • Stomas
  • InterStim and sacral nerve stimulation

    InterStim and sacral nerve stimulation

    We use a simple in-office neuromodulation procedure to treat fecal incontinence.

  • Rectal prolapse

    Rectal prolapse

    Your rectum is the lower part of your colon, where stool forms. If the rectum drops out of its normal place within the body and pushes out of the anal opening, the condition is called rectal prolapse.

    Rectal prolapse is usually caused by a weakening of the muscles that support the rectum. In the early stages, a prolapse may happen only after a bowel movement. The protruding rectum may then slip back through the anal canal on its own. Over time, however, the prolapse may become more severe and could require surgery.

Anal manometry

We measure the strength of the entire sphincter complex, coordination of the muscles of the pelvic floor, sensation in the rectum and function of reflexes in the anus and rectum.

Anal ultrasound

We capture images of the sphincter and surrounding tissue. This assesses accidental bowel leakage, sphincter injuries and defects following childbirth, abscess and fistula.

Anorectal disease

Anorectal diseases occur in the anal and rectal portions of the large intestine. The most common diseases are hemorrhoids, tears, anal abscess, fissure, and fistula. Most people experience some form of the anorectal disease in their lifetime. Symptoms include itchiness, burning, blood and swelling around the rectum and anus. Treatments can vary so please consult your doctor for the best option for you.

Here is a list of anorectal diseases:

  • Abscess
  • Fistula
  • Fissures
  • Hemorrhoid
  • Condyloma
  • Sphincteroplasty
  • Pilonidal disease
  • Transanal excision

Biofeedback pelvic floor muscle retraining

We can treat accidental bowel leakage and constipation.

Colon and rectal cancer

Colon cancer

Like most cancers, colon cancer begins with the abnormal growth of cells that have the ability to invade or spread to the other parts of the body. Cells join together in the tissues of the colon forming polyps which can then become cancerous growths. Symptoms include a change in bowel habits including diarrhea or constipation, rectal bleeding, blood in your stool, abdominal discomfort or bloating, the feeling of not being able to empty the bowel completely, fatigue, loss of appetite, and weight loss. Early detection is key in preventing colon cancer. It is recommended to receive regular screening tests starting at the age of 50, but people who have a family history should start sooner.


Rectal cancer

Rectal cancer is cancer that forms in the final portion of the large intestine. Symptoms are similar to colon cancer such as different bowel habits than usual, diarrhea, constipation, rectal bleeding, and change in the size of the shape in stool. Early stages may not show symptoms so it is vital for all patients to receive a screening starting at the age of 50.

Colon/rectal cancer procedures:

  • Laparoscopic resection
  • Robotic resection

Colonic transit study

This test helps to determine whether the cause of constipation is due to a problem with ineffective contraction of the colon or due to a problem with the evacuation of the stool.

Diverticulitis

Diverticulitis occurs when small bulging sacs or pouches of the inner lining of the intestine become inflamed of infected. This happens when feces get trapped in the pouches allowing bacteria to grow, leading to infection. Symptoms include fever, bloating, gas, diarrhea, constipation, nausea, and loss of appetite. The severity of symptoms depends on the extent of the infection.

Endoscopy

Lower GI endoscopy allows your doctor to view your lower gastrointestinal (GI) tract. Your entire colon and rectum can be examined (colonoscopy). Or just the rectum and sigmoid colon can be examined (sigmoidoscopy).

Below are types of endoscopy procedures we perform:

  • Anoscopy
  • Proctoscopy
  • Flexible sigmoidoscopy
  • Colonoscopy
  • Polyp removal

Hemorrhoid care

Procedures for external hemorrhoids

  • Rubber band ligation—This method is performed by placing tight elastic bands around the base of the hemorrhoid. This cuts off the blood supply to the hemorrhoid. The hemorrhoid then falls off in approximately one week
  • Infrared coagulation—This procedure is performed using a small probe that exposes the hemorrhoid to short bursts of infrared light, thus sealing the blood vessels and causing it to shrink. Bleeding may occur for a few days
  • Bipolar coagulation
  • Electro destruction
  • Sclerotherapy—This procedure is performed by injecting a chemical into the tissue around the hemorrhoid, thus causing the hemorrhoid to shrink within a few days
  • Thrombosed external hemorrhoids—Thrombosed external hemorrhoids are very painful. The swollen hemorrhoid stretches the sensitive skin around it. To relieve the pain, your doctor needs to remove the blood clot. The procedure requires the area to be numbed with local anesthetic. The blood clot is then removed. The hemorrhoid is normally removed as well to prevent large skin tags.

Procedures for internal hemorrhoids

Internal hemorrhoids do not have nerves that sense pain so discomfort is minimal. Most patients return to their normal daily routine the same day. Some hemorrhoids may require multiple treatments.

Inflammatory bowel disease

Inflammatory bowel disease (IBD) is a group of conditions affecting the colon and small intestine. It is the inflammation of a patient’s digestive tract. The main types of IBD are Crohn’s disease and ulcerative colitis. Crohn’s disease is the inflammation of any part of the gastro tract from mouth to the anus but often affects the small intestine. Ulcerative colitis is the inflammation of the large intestine and/or the rectum. Symptoms of these two IBD diseases are similar. These include abdominal pain, vomiting, diarrhea, rectal bleeding, constipation, loss of appetite, fever, severe internal cramps in the region of the pelvis, and weight loss.

Procedures for inflammatory bowel disease:

  • Laparoscopic colon resection with ileoanal pouch
  • Strictureplasty
  • Stomas

InterStim and sacral nerve stimulation

We use a simple in-office neuromodulation procedure to treat fecal incontinence.

Rectal prolapse

Your rectum is the lower part of your colon, where stool forms. If the rectum drops out of its normal place within the body and pushes out of the anal opening, the condition is called rectal prolapse.

Rectal prolapse is usually caused by a weakening of the muscles that support the rectum. In the early stages, a prolapse may happen only after a bowel movement. The protruding rectum may then slip back through the anal canal on its own. Over time, however, the prolapse may become more severe and could require surgery.

Pay bill

Baylor Scott & White Health is pleased to offer you multiple options to pay your bill. View our guide to understand your Baylor Scott & White billing statement.

We offer two online payment options:

Other payment options:

  • Pay by mail

    To ensure that your payment is correctly applied to your account, detach the slip from your Baylor Scott & White billing statement and return the slip with your payment. If paying by check or money order, include your account number on the check or money order.

    Please mail the payment to the address listed on your statement.

  • Pay by phone

    Payments to HTPN can be made over the phone with our automated phone payment system 24 hours a day, seven days a week. All payments made via the automated phone payment system will post the next business day. Please call 1.866.377.1650.

    If you need to speak to someone about a bill from a Baylor Scott & White Hospital, our Customer Service department is available to take payments over the phone from Monday through Friday from 8:00 AM - 5:00 PM and can be reached at 1.800.994.0371.

  • Pay in person

    Payments can be made in person at the facility where you received services.

Financial assistance

At Baylor Scott & White Health, we want to be a resource for you and your family. Our team of customer service representatives and financial counselors are here to help you find financial solutions that can help cover your cost of care. We encourage you to speak to a team member before, during or after care is received.

View financial assistance options

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Procedure prep instructions

​​​​​​​​​​​​​
  • CLENPIQ split dose prep

    CLENPIQ split dose prep

    Please follow these instructions to prepare:

    • For seven days prior to surgery, do not take any aspirin products. You may take Tylenol.
    • If you are a diabetic or on blood-thinning medication, such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil or other anti-inflammatory drugs, inform the doctor NOW.
    • Prep has been called into your pharmacy.

    Starting in the morning the day before your colonoscopy:

    • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
    • That evening (5:00 PM or 6:00 PM), drink one bottle of CLENPIQ right from the bottle. Then, keep hydrating. Drink 5 cups (8 oz. each) of clear liquid. Finish liquids over the next 5 hours slowly. This allows the prep to flush through.
    • You may continue to sip on clear liquids throughout the evening as tolerated in small amounts.

    The day of your colonoscopy:

    • At 4 hours before your arrival time, drink the other bottle of CLENPIQ right from the bottle. Then, keep hydrating. Drink at least 3 cups (8 oz. each) of clear liquids over the next 1 hour. Be sure to finish all liquids 3 hours before your arrival time. Drink nothing during this 3-hour time frame.
    • You may take your usual medications with a small amount of water.
    • No breakfast. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)
    • Someone will need to come with you to drive you home.
  • NuLYTELY prep

    NuLYTELY prep

    Please follow these instructions to prepare:

    • For seven days prior to surgery, do not take any aspirin products. You may take Tylenol.
    • If you are a diabetic or on blood thinning medication such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil, or other anti-inflammatory drugs inform the doctor NOW.

    Starting in the morning the day before your colonoscopy:

    • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
    • Drink nothing red or purple, and avoid all dairy.
    • Mix your NuLYTELY solution and place it in the refrigerator to chill.
    • Starting at 6:00 PM, drink 1 eight (8) ounce glass of NuLYTELY every 10-15 minutes until it is gone.
    • Have nothing to eat or drink (including water) after midnight until after your colonoscopy is completed. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)

    The day of your colonoscopy:

    • You may take your usual medications with a small amount of water 4 hours before arrival time.
    • No breakfast.
    • Someone will need to come with you to drive you home.
  • SUPREP pre split dose prep

    SUPREP pre split dose prep

    Please follow these instructions to prepare:

    • For seven days prior to surgery, avoid all aspirin products. You may take Tylenol.
    • If you are a diabetic or on a blood-thinning medication, such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil or other anti-inflammatory drugs, inform the doctor now.

    Starting in the morning the day before your colonoscopy:

    • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
    • That evening (5:00 PM or 6:00 PM), pour one (1) 6-ounce bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquid in the container. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour.
    • Nothing after midnight except your SUPREP the morning of your colonoscopy.

    The day of your colonoscopy:

    • At 4 hours before your arrival time, pour one (1) 6-ounce bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquids in the container. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour. Finish liquids 3 hours before your colonoscopy.
    • You may take your usual medications with a small amount of water.
    • No breakfast. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)
    • Someone will need to come with you to drive you home

CLENPIQ split dose prep

Please follow these instructions to prepare:

  • For seven days prior to surgery, do not take any aspirin products. You may take Tylenol.
  • If you are a diabetic or on blood-thinning medication, such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil or other anti-inflammatory drugs, inform the doctor NOW.
  • Prep has been called into your pharmacy.

Starting in the morning the day before your colonoscopy:

  • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
  • That evening (5:00 PM or 6:00 PM), drink one bottle of CLENPIQ right from the bottle. Then, keep hydrating. Drink 5 cups (8 oz. each) of clear liquid. Finish liquids over the next 5 hours slowly. This allows the prep to flush through.
  • You may continue to sip on clear liquids throughout the evening as tolerated in small amounts.

The day of your colonoscopy:

  • At 4 hours before your arrival time, drink the other bottle of CLENPIQ right from the bottle. Then, keep hydrating. Drink at least 3 cups (8 oz. each) of clear liquids over the next 1 hour. Be sure to finish all liquids 3 hours before your arrival time. Drink nothing during this 3-hour time frame.
  • You may take your usual medications with a small amount of water.
  • No breakfast. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)
  • Someone will need to come with you to drive you home.

NuLYTELY prep

Please follow these instructions to prepare:

  • For seven days prior to surgery, do not take any aspirin products. You may take Tylenol.
  • If you are a diabetic or on blood thinning medication such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil, or other anti-inflammatory drugs inform the doctor NOW.

Starting in the morning the day before your colonoscopy:

  • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
  • Drink nothing red or purple, and avoid all dairy.
  • Mix your NuLYTELY solution and place it in the refrigerator to chill.
  • Starting at 6:00 PM, drink 1 eight (8) ounce glass of NuLYTELY every 10-15 minutes until it is gone.
  • Have nothing to eat or drink (including water) after midnight until after your colonoscopy is completed. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)

The day of your colonoscopy:

  • You may take your usual medications with a small amount of water 4 hours before arrival time.
  • No breakfast.
  • Someone will need to come with you to drive you home.

SUPREP pre split dose prep

Please follow these instructions to prepare:

  • For seven days prior to surgery, avoid all aspirin products. You may take Tylenol.
  • If you are a diabetic or on a blood-thinning medication, such as Plavix, aspirin, Coumadin, Motrin, Nuprin, Advil or other anti-inflammatory drugs, inform the doctor now.

Starting in the morning the day before your colonoscopy:

  • Begin a clear liquid diet. This consists of items such as tea, coffee, clear sodas, clear broth, plain jello, apple juice, white cranberry juice, white grape juice, hard candy, and Ensure. Nothing red or purple. No dairy.
  • That evening (5:00 PM or 6:00 PM), pour one (1) 6-ounce bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquid in the container. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour.
  • Nothing after midnight except your SUPREP the morning of your colonoscopy.

The day of your colonoscopy:

  • At 4 hours before your arrival time, pour one (1) 6-ounce bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16-ounce line on the container and mix. Drink all the liquids in the container. You MUST drink two (2) more 16-ounce containers of water over the next 1 hour. Finish liquids 3 hours before your colonoscopy.
  • You may take your usual medications with a small amount of water.
  • No breakfast. (If your scope is later in the day, you may have clear liquids up until 3 hours prior to your colonoscopy.)
  • Someone will need to come with you to drive you home

News and media

What are common symptoms of colon cancer?

Sarah Y. Boostrom, M.D. weighs in on colon cancer and the latest news in colon and rectal surgery.