Doctor insights on:
Non Invasive Colonoscopy
I've read various stories on less invasive colonoscopy procedures out there. Can you help me better understand their effectiveness verus traditional?
Effective: Traditional colonoscopy is still most reliable way of evaluating your colon, but it has very slight risk .Other way is "virtual colonoscopy " which involves swallowing a capsule which is actually a small camera going thru your intestines and taking pictures. Of course you have to collect the capsule camera on its way out. Insurances usually do not cover it yet.But it's safe ...Read moreSee 1 more doctor answer
A : A colonoscopy is always invasive. It is a scope with a light and camera on it that goes into the rectum and all around the colon looking for abnormalities. If they are found then most of the time it can be used to remove or biopsy the abnormality. Other tests that look at the colon that are not as invasive are xray studies including a barium enema or ct colonography. These tests can see lesions but cannot do anything about them and colonoscopy is then needed to remove the lesions. ...Read moreSee 1 more doctor answer
Diagnosis suspected : ...If your GI imaging radiograph (ct enterography, mr enterography, small bowel study) shows "skip lesions" ; if your ibd markers are consistent with crohn's, however, there is no substitute for procedural evaluation at which time visual inspection can be accurately assessed ; biopsies taken. Finding granulomas on those biopsies is highly supportive of a crohn's diagnosis then. ...Read more
Yes: Double contrast barium enema xray or ct colonography however if some thing is found on either of the above, you will still need a colonoscopy. If either are negative, there is no guarantee that something wasn't missed due to the prep or performance of those studies. Colonoscopy is the gold standard. ...Read moreSee 1 more doctor answer
Is it necessary to get a colonoscopy every 3 yrs as my doc recs? He found polyps and says yes. But it's expensive and invasive. Is there cheaper way?
No cheaper way: Colonoscopy is the best way to screen for colon cancer. How often you repeat a colonoscopy depends on the number of polyps and type. Every three years is within the recommended range. Seems like your doctor is well informed. We all hope that there was another way to do this but unfortunately there is not. ...Read more
Do gastroenterologist always use colonoscopy to diagnose abdominal pain? Do they usually go with least invasive diagnostics first?
No, not necessarily: The causes for pain in abdomen can be many. Colonoscopy can only check the inside of colon which can have problems to cause abdominal pain but it is not the commonest source of pain. You need a physical examination and your doctor can then guide you what tests are most appropriate, depending on his impression of the likely cause of your pain, which can come from many organs located int he abdomen. ...Read more
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