Doctor insights on:
Risk Of Perforation With Virtual Colonoscopy
Yes: The bowel is adjacent to the uterus so it is at risk of injury during surgery to remove the uterus. This is especially of concern if there are adhesions or scar tissue due to endometriosis, previous surgery, or cancer. I recommend bowel preps before a davinci or laparoscopic hysterectomy to minimize risks of a bowel perforation and to facilitate repair if it should occur. ...Read more
Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)
No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more
Bowel issues 3 years, 4 Ct scans over that time with oral contrast, sigmoidoscopy to 35 cm, only diverticulosis seen, chances of missed cancer?
Slim: in spite of the low chance of missing a cancer, a complete colonoscopy would examine the rest of the colon not visualized on sigmoidoscopy. CT is only fair to see colon cancers unless large because stool may get in the way. If you are still concerned then talking to your doctor may resolve these issues. ...Read more
Are mesenteric varices a potential complication of abdominal adhesions after colectomy be of colon cancer? (in the setting of none to mild cirrhosis)
Possibly.: There is a high prevalence of colon cancer in patients with streptococcus bovis bacteremia. Whether or not it causes colon cancer does not seem to be known. But patients with >10 year history of crohn's or ulcerative colitis, familial polposis symdromes, and a diet high in animal fat do have inccreased risk for colon cancer. ...Read moreSee 2 more doctor answers
Very low: This procedure very seldom causes any perforation of the uterine wall. ...Read more
Can CT with rectal and IV contrast rule out small polyps or lessions in the colon?proctoscope and rectal exam are clean.no blood in stool.
What percentage of colonoscopy screenings end up damaging or perforating the colon? 1/1000? 1/2000?
Very low: For screening colonoscopies the rate of serious complications is generally less than 0.1%. The rate is higher if polyps are removed and the rate also goes up with age of the patient. The rate is lower for doctors who do a lot of them, ie, gastroenterologists. ...Read moreSee 1 more doctor answer
If there is past family history of 2 deaths from bowel perforation (1 colonoscopy, 1 cdif) could there be increased risk for other family members?
Endoscopy: Complications rate is very low(less than 1%) but includes aspiration, perforation , bleeding, infection , missed findings , reaction to sedation including death. As stated, complications are rare. They should be discussed with you by the person performing the examination. Risks & benefits are discussed prior to the examination. This is referred to as "informed consent .". ...Read more
Sometimes: Ct colography is never meant to replace a colonoscopy. At high volumn centers, the detection sensitivity of ct exam is indeed comparable to colonoscopy but you need to know the rate of detection of your imaging facility. Bowel prep is required for both procedures - no way around the unpleasant process. Beware that there is significant radiation exposure with the exam. ...Read moreSee 4 more doctor answers
Doc could not complete colonoscopy due to severe angulation in sigmoid and thickened colon had anesthesia. Any future problem?What next?
Sounds complicated: Given your history, it sounds very complicated! recovering from a perforated colon, a colonoscopy is good to help get answers. There are very advanced docs who do colonoscopies with special equipment. It might be worth getting a referral to someone with more specialized training and tools who can try to navigate. ...Read more
Very rare: Polyp is a premalignant condition, which means that if you let it go without removing it, it will turn into cancer. Usually takes an average of 10 years for a polyp to turn into cancer. The larger the polyp the greater the chance to have cancer, the size of 2cm could be worrisome. It is recommended to have repeat colonoscopy 3 years after removing the polyp for surveillance. ...Read more
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