Posted on 05/04/2024 12:04:20 PM PDT by ConservativeMind
For individuals without a family history of colorectal cancer (CRC), increasing the interval between colonoscopies for those with a first colonoscopy with negative findings seems safe and can avoid unnecessary colonoscopies, according to a study.
Qunfeng Liang and colleagues assessed how many years after a first colonoscopy with findings negative for CRC a second colonoscopy can be performed.
The exposed group included individuals without a family history of CRC who had a first colonoscopy with findings negative for CRC at age 45 to 69 years between 1990 and 2016, while the control group included matched individuals who did not have a colonoscopy during follow-up or who underwent colonoscopy resulting in CRC diagnosis (110,074 and 1,981,332 individuals, respectively).
The researchers found that 484 incident CRCs and 112 CRC-specific deaths occurred during up to 29 years of follow-up of individuals with a first colonoscopy with findings negative for CRC.
For 15 years, the risks for CRC and CRC-specific death were significantly lower in the exposed group than in matched controls. The 10-year standardized incidence ratio was 0.72 at 15 years after a first colonoscopy with negative findings, and the 10-year standardized mortality ratio was 0.55.
Extending the colonoscopy screening interval from 10 to 15 years could miss the early detection of two CRC cases and prevention of one CRC-specific death per 1,000 individuals and could potentially avert 1,000 colonoscopies.
"A longer interval between colonoscopy screenings could be beneficial in avoiding unnecessary invasive examinations," the authors write.
(Excerpt) Read more at medicalxpress.com ...
I’ve had 3. You don’t need to be sedated. I had 2 under sedation and my last one without. Felt the same and I could drive myself home.
I’d love to have fewer colonoscopies, but some of my polyps are always precancerous.
The exam interval of 15 years is a no-go.
Not acceptable to the professionals that perform the exams, since that would mean losing half the business and perhaps 2/3 of their business.
If there were cures for all medical problems, would doctors and hospitals and clinics and medical specialists and drug companies agree to go out of business?
Just rhetorical questions, and not really meant to get real answers. ;)
15 years is a bit too long. My youngest son was diagnosed with cancerous polyps at the age or 48. His doctor told him they were the biggest he’d ever seen, and wished he had come to him 10 years earlier, but they weren’t testing 38 year olds at the time. My own gastroenterologist told me they have been seeing colon cancer more in younger men, so have started screening earlier. After 2 re-sections that took quite a bit of his colon, removing over 70 of his lymph nodes, six months of chemo treatments, he passed a recent colonoscopy, and after five years has been declared a cancer survivor. He will still have to get scans done periodically.
San Fagsicko denizens are deeply saddened.
The colonoscopies are the not the problem.
It’s the preparation. Ugh.
No history of colon cancer in my family. Also, for the past few years, I've had a very clean diet with virtually no processed foods.
20 years ago, my surgeon, (who I outlived!), said while I was awakening,” well, I have good news and bad news! Thankfully, you came in at 49- kind of early. The bad news, there’s four large tumors in there, we’ll have to re- section you!” I had no symptoms!
That stuff is Satan's Kool-Aid.
Ain’t that the truth!
Got that right.
I’ve had all 3 of mine without anesthesia. Listen to a podcast, do some labor breathing ... my GE thinks he’s Mel Brooks and likes having a conscious patient to laugh at his jokes.
Unless this is being used to obscure a link between colon issues and CoupFlu vaxxes...
during my first colonoscopy, they screwed up so bad I will never do it again.
Kudos
My last one they wheeled me in, and it was a female doctor and her two female assistants, all of them nice looking. I wish they had put me under!
(I did catch up on some nice VA hospital gossip though)
I was nursing a baby when I had my first colonoscopy, and they said I couldn’t have anesthesia, “but this will be nothing for you.” It was my 9th baby. And they were right, it was nothing.
You could get a new stool test that is available
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