Doctor insights on:
What Is Partial Colonoscopy
I have had ulcerative colitis for 13 yrs getting routine colonoscopies every 2 years. Last one showed cancer tumor. Full or partial colon removal?
Probably: Best is total colon removal because leaving diseased colon in place would keep you at risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read more
I have had ulcerative colitis for 13 years. A recent colonoscopy showed a cancer tumor in the right side of colon. Should I go for a full or partial colon removal?
Probably: Best is total colon removal because leaving diseased colon in place would keep you at future risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read more
Look inside colon: You are sedated (very sleepy, but still breathing on your own). The endoscopist places an instrument through your anus and then passes it into the colon to carefully exam the colon for polyps, cancer, etc. If any abnormalities are found a biopsy may be done. Typically, it is painless - the only bother is cleaning out your bowels beforehand and even that's not so bad. ...Read more
Colonoscopies: A colonoscopy is a procedure where one's colon is carefully inspected with a colonoscopy, a lighted, flexible telescope. Polyps can be removed, tumors can be diagnosed, and diseases of the bowel can be diagnosed. Doctors recommend that all people should get a colonoscopy by the age of 50. ...Read more
A simple test: After appropriate colon preparation at home, arrive at the endoscopy center, change into a gown & IV is inserted. Once in the procedure room, final consent is obtained, IV sedation is given (there are options here--some patients choose no sedation, others want to be "out cold"), & a thin flexible tube with video camera is inserted per rectum & advanced, taking pictures, biopsies, & therapeutics. ...Read more
YES!: A colonoscopy is a safe, thorough examination of your entire colon under sedation to screen for polyps, or to diagnose bleeding issues or other colon abnormalities such as diverticulosis or hemorrhoids. Small growths like polyps rarely cause symptoms until they grow larger, and can lead to colorectal cancer. You should be screened at least at age 50 or sooner if you have any rectal bleeding. ...Read more
Lots of options: There are a lot of different regimens for doing a colonoscopy prep. It depends on your gastroenterologist what they prefer. Ultimate what they want is a clean prep, so you should not have any stool in your colon when they look. You will have a sense of whether your prep is complete when you look in the toilet bowl and you shouldn't see any solid material left. ...Read more
Not bad: The most annoying part is the bowel cleanout the day before. You have to drink a fluid that makes you have enough bowel movements until your stool becomes clear. The colonoscopy procedure itself is usually easy. When you go home you will have some abdominal discomfort and bloating. Sometimes you can have a little rectal bleeding as well. ...Read more
Camera on a snake: A video camera on the end of a flexible stalk, not unlike a snake, is inserted through the rectum while you are asleep. You don't feel a thing, you won't remember it, and the only bed part is the prep. ...Read more
Pretty much anything: Colonoscopies are mostly done for screening, looking for polyps which may be pre-cancerous, thus removing them in essence prevents a cancer. Colonoscopies are also done to evaluate for other problems, like diverticulosis, hemorrhoid bleeding, changes in bowels which may be from comparatively benign conditions, but infectious diseases, inflammatory diseases and other colon problems may be found too. ...Read more
No: A colonoscopy is using a camera inserted into the rectum (under some level of sedation) through your colon to the cecum (area of the appendix) which allows us to look for cancer as well as to biopsy areas of abnormality. A UGI is an x-ray procedure where we use x-rays to take a picture of your esophagus and stomach with dye in it which allows us to look for leaks, blockages and other issues. ...Read more
Much to say: Its a procedure that allows for examination of the colon and part of the small intestinal by direct visualization (seeing it) and also the opportunity to complete procedures when necessary. After a pre-procedure preparation that "cleans out the intestinal tract", it involves sedating a patient (usually!) and then maneuvering the camera on "bendable stick" through the lower intestinal tract. ...Read more
Unlikely: Dying during a colonoscopy or because of one is a very rare event. The risk of a perforation or hole during a colonoscopy is about 1/1500. The risks of dying would increase if one had a perforation that was not noticed. Also there is a risk of having complications from the sedation. One could stop breathing from over sedation which could lead to death, again, a rare event. ...Read more
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