Colorectal Cancer Screening 101
What is Colorectal Cancer Screening?
In most cases, colorectal cancer develops from abnormal growths known as polyps in the colon or rectum. Colorectal cancer screening tests are done to help find polyps so that they can be removed before they turn into cancer. Regular screening to prevent colorectal cancer should begin in healthy adults at the age of 45. However, sometimes screening should be started before then, as in cases where a family member has had colorectal cancer, you have an inflammatory bowel disease (IBD), you are African American or you have a genetic syndrome.
There are several colorectal cancer screening options, including the following.
Colonoscopy at South Denver GI
This is the only tier one screening test, and is the best way to detect and prevent colorectal cancer. A colonoscopy will detect abnormalities or changes in the colon and rectum. During a colonoscopy, a long, flexible tube with a camera attached called a colonoscope is inserted through the rectum to view the entire colon and large intestine. If needed, abnormal tissue can be removed through the scope during this exam. In healthy adults, a colonoscopy should be done every 10 years, and more frequently if you have risk factors or a history of polyps or cancer.
Flexible Sigmoidoscopy
This procedure is used to assess the lower part of the colon and rectum. During this exam, a thin, flexible tube with a small video camera attached (sigmoidoscope) is inserted into the rectum. If needed, tissue samples may be taken through the scope. In healthy or average-risk adults, a flexible sigmoidoscopy should be performed every 5 years, although colonoscopy is the better test to screen for polyps and prevent cancer.
Stool Tests
There is a selection of different stool tests that can be used to screen for colorectal cancer near Denver, Colorado. The first is the guaiac-based fecal occult blood test (gFOBT), which uses a chemical called guaiac to detect blood in the stool. The next stool DNA test is the fecal immunochemical test (FIT), which uses antibodies to detect blood in the stool.
The last test is the FIT-DNA test (Cologuard®), which combines the FIT method with a test that detects DNA that has changed in the stool. None of the tests that utilize stool samples are very effective in detecting colorectal polyps, may be falsely positive, and also may miss colorectal cancers. A positive stool test will lead to a colonoscopy as the next step.
Cologuard FAQs
What does a positive cologuard result mean?
Can hemorrhoids cause positive cologuard?
How do I get Cologuard?
Does a positive cologuard mean cancer?
How often should you use cologuard?
Can I order Cologuard myself?
Who owns Cologuard?
Is cologuard better than fit test?
Is cologuard as good as a colonoscopy?
How much does cologuard cost?
Following Colorectal Cancer Screening
Following your colorectal cancer screening test, you will be taken to a recovery room. Your doctor will then speak with you regarding the results of your test. You may feel bloated or pass more gas than usual for a while after the exam, which is normal. You will need someone to drive you home following your test. There is no downtime required unless specified by your doctor, so you can return to normal activities as soon as you would like.
How Do I Prepare for My Screening Procedure?
Prior to a colonoscopy or flexible sigmoidoscopy, there are some steps you must take to prepare. Your doctor will provide you with specific preparation instructions, which may be similar to the following:
The day before your procedure, you may need to limit drinks to clear liquids. You may also be asked not to eat or drink anything after midnight the night before your test.
You will need to empty your colon before your test so that your doctor can see clearly into your colon. To do this, you may have to take a laxative or use an enema kit.
Your doctor may have you adjust your medication dosages or temporarily stop taking certain medications for your test.
Your South Denver GI Team
Patients who are experiencing the symptoms associated with colorectal cancer should schedule an appointment with one of our doctors at South Denver GI. Our team of physicians and advanced practice professionals will work closely with you to determine the best plan of action, including screening or treatment.
Your South Denver GI Team
At South Denver GI, our team of physicians and advanced practice providers have the expertise to provide you with outstanding care. If you would like to learn more about Colorectal Cancer Screening and Prevention or need to schedule an appointment at our office, contact us today!
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