Dr. Starpoli blog on GI disorders

Better Colonoscopy Preparations Lead to Better Examinations!

Written by Anthony Starpoli | Oct 14, 2010 2:41:00 PM

The American College of Gastroenterology, based on two recent studies, is recommending patients split their colonoscopy preparation into two parts, one the evening before and the other about six hours prior to the exam, as it leads to clearer colonoscopy views and better results. The presence of residual stool will make it harder for the colonoscopist to identify abnormal growths that could develop into cancer.  The idea is really very simple. The gastroenterologist uses a camera which can identify under high resolution tiny growths. The idea is to get the growths when they are very small and not when they have grown to a size which increases the risk of cancer. Generally speaking, polyps that are greater than 2.5 cm, have a much higher risk of progressing to colon cancer. If there is debris in the bow that it scares the view, you can easily miss the smaller growths. We have a variety of new preparations.  The majority, the preparation involved, consuming liquid, but there are newer tablet base preparation's. The most important aspect of preparing for a colonoscopy is to drink plenty of clear liquids. Considered the preparation medicines as a concentrated soap that needs to be rinsed. I often will tell my patients that when you wash your hair, you also rinse it.  The same applies to cleaning the colon.

It is important that you ask your doctor about which preparation may be most suitable for you.  It is equally essential that you follow his or her instructions so to attain a clean colon for your colonoscopy.  "Cheating" during preparation time, for example, by eating solid foods or not completing the preparation will be a set up for a poor colon cancer screening.  Better visualization will make colon polyp detection much easier and safer.  It will also reduce the likelihood of missing any abnormal growths in the colon.

Your doctor should explain to you all of the aspects of colonoscopy including preparation, length of the test and the types of sedation that are available.  Colon cancer screening with colonoscopy begins at age 50 and at age 45 for African Americans.  Annual stool testing for the presence of blood begins at age 40 and is performed annually.