Colonoscopy FindingsĮxamples of findings during colonoscopy include diverticulosis and colon polyps. If no polyps are found, you will likely not need a colonoscopy for another 10 years if you are at average risk for colon cancer. If colon polyps are removed, your doctor might recommend a follow-up colonoscopy in as few as three months, depending on the size and number found. If a biopsy is taken during the procedure, the doctor will follow up with the results. Be sure to ask your gastroenterologist when you can resume medications you stopped before the colonoscopy. You should be able to resume normal activity the next day.
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You will need someone to drive you home because it can take up to a day for the full effects of the sedative to wear off. What to Expect After a Colonoscopy?ĭepending on the type of sedation (moderate or deep) used for your colonoscopy, it can take anywhere from 30 minutes to an hour to recover from the sedation. The gastroenterologist will then visit you to discuss your procedure and immediate findings. The scoping process typically takes 30 minutes.Īfter the procedure, the nurse will move you to a recovery area, where the sedation will wear off. As the scope is guided through the colon, the gastroenterologist will view the interior lining on a monitor, remove colon polyps and sample abnormal tissue. Once sedation has taken effect, the colonoscope will be carefully inserted through the rectum and moved gently around the bends of the colon. When it is time to begin the examination, you will lie on your side, and the anesthesiology provider will begin intravenous (IV) sedation.
You may be asked to stop taking blood thinners or iron supplements in the days before the procedure, but check with the doctor for precise instructions.įinally, arrange for someone to drive you home afterward because the lingering effects of sedation will make it unsafe for you to drive until the next day. Unless otherwise instructed, continue taking your regularly prescribed medication. Your gastroenterologist will need to know if you have heart disease, lung disease or any other medical condition. To avoid dehydration on the day prior to the colonoscopy, drink clear, fat-free bouillon or broth, gelatin, strained fruit juice (no grape juice or any liquid with red color) and water. You will not be permitted to eat or drink the day of the procedure. Please confirm the details of your preparation instructions with your gastroenterologist. The following recommendations are general guidelines. Your gastroenterologist will provide specific instructions for bowel preparation which typically include a pill or liquid laxative and restriction from solid foods a day or two before the test. Thorough cleansing of the bowel is essential to have an effective procedure and to avoid retesting. Removing these pre-malignant polyps (adenomas) significantly reduces the likelihood of developing colon cancer. A higher ADR means the doctor has located and removed precancerous colon polyps from a higher percentage of patients. The ADR is the proportion of individuals undergoing a colonoscopy who have one or more adenomas, or colon polyps, detected. Adenomas are precancerous polyps that GI specialists identify and remove during colonoscopy. One measure of a gastroenterologist’s skill level is their adenoma detection rate (ADR). Patients who have a family history of colon cancer, a condition such as inflammatory bowel disorder (IBD) or any other risk factor for colon cancer may need to begin screening earlier or to be screened more often.Ĭhoosing a qualified gastroenterologist to perform a colonoscopy, a potentially life-saving procedure, is as important as scheduling the appointment itself. As of May 2018, the American Cancer Society revised the recommended age for a first-time colonoscopy to 45 due to an increased incidence of the disease among 45-49 year olds. Men and women who are at average risk for colon cancer are advised to schedule regular colonoscopies beginning at age 45 and at 10-year intervals thereafter. Using the instrument, the doctor can view the interior of the colon and can remove colon polyps or suspicious tissue for further laboratory evaluation. It is also used to explore causes of abdominal pain, rectal bleeding, chronic constipation, chronic diarrhea and other intestinal issues.ĭuring the procedure, the gastroenterologist uses a lighted, flexible tube called a colonoscope that has a small video camera attached to the tip.
The procedure is used as a method of routine or diagnostic screening for colon cancer. The following sections provide information about the procedure, how it is performed and why it is important.Ĭolonoscopy allows a gastroenterologist to examine the entire length of the large intestine. Thank you for your interest in learning more about your upcoming colonoscopy.
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