Our Gastroenterology Blog

Posts for tag: Colonoscopy

By GASTROINTESTINAL ASSOCIATES, INC.
November 09, 2018
Category: Gastroenterologist
Tags: Colonoscopy  

We all know that doctors recommend routine colonoscopies beginning at age 50. This painless, minimally-invasive test screens for colon Colonoscopy Consultationcancer, the third most deadly malignancy in the US, says the American Cancer Society. That being said, what are the signs that you need a colonoscopy? At Gastro-Intestinal Associates in Lima, our team of seven board-certified gastroenterologists uses this test to uncover a wide range of intestinal problems. Read about them here.

What is a colonoscopy?

It's an in-office or in-hospital examination of the rectum and large intestine, or colon. Using a flexible, lighted instrument, the physician views the entire length of the colon, looking for structural abnormalities, ulcerations, polyps, and signs of cancer. The scope also allows the doctor to take still and real-time video images and to remove tissue for biopsy.

A colonoscopy in Lima requires special bowel preparation the day before the procedure. The regimen includes a clear liquid diet and laxatives to "clean out" the colon so the doctor obtains accurate and complete images.

Most colonoscopies take about 45 minutes and are performed with benefit of light sedation (such as Valium). Patients can respond to commands but often drop off to sleep during the test. In fact, they may remember little or nothing of the procedure the next day. After a brief stay in a recovery area, the patient must be driven home by an adult friend or relative.

Signs you may need a colonoscopy

Age is a factor, of course. Additionally, your primary care physician may ask you to have this test if you have:

  • Cramping gas attacks
  • Frequent diarrhea
  • Blood in the stool
  • Unexplained loss of weight
  • Persistent fatigue
  • Low red blood cell count
  • Risk factors such as family history of colon cancer
  • Persistent constipation
  • Hemorrhoids
  • Diverticular problems (an irritation of the lining of the intestine)

It's not difficult

In fact, most patients say the day-before preparation is the hardest part of a colonoscopy. However, the effort is worth it because colon screening saves lives and helps your gastroenterologist accurately diagnose and treat other abnormalities of the large intestine.

Contact us

At Gastro-Intestinal Associates, your professional staff cares for many GI conditions and performs state-of-the-art diagnostics. Call them right away if your primary care physician wants you to have a colonoscopy. Call (419) 227-8209 for an appointment in Lima, OH, today!

By GASTROINTESTINAL ASSOCIATES, INC.
September 06, 2017
Category: Uncategorized
Tags: Colonoscopy  

Years ago, exploratory surgery was the only way to determine the cause of gastrointestinal complaints. Today, colonoscopies provide doctorscolonoscopy with an up-close view of your large intestine without the need for surgery. The Lima, OH, gastroenterologists at The Endoscopy Center of West Central Ohio share a few reasons why you might benefit from a colonoscopy.

Colonoscopies are an important cancer detection tool

Colon cancer rarely produces any symptoms until the cancer is at a fairly advanced stage. Unfortunately, it's much more difficult to treat at that point. During your colonoscopy, your gastroenterologist will examine the lining of your large intestine and lower part of your small intestine for polyps or other signs of cancer. Although polyps aren't necessarily cancerous, some of them may turn into cancer if they aren't removed during the procedure. Your doctor may also remove small tissue samples during the colonoscopy and stop bleeding with a heated probe.

Because your risk of cancer increases as you age, it's important to have your first colonoscopy at age 50, whether you're male or female. This year alone, more than 135,000 people in the U.S. will develop colon cancer, according to the National Cancer Institute. If no problems are noted during your procedure, you can wait another 10 years for your next colonoscopy in Lima.

You'll be back to your usual activities quickly after your colonoscopy

Unlike some other diagnostic procedures, recovery from a colonoscopy is quick. Colonoscopies are usually performed using a sedative that wears off quickly when you wake up. In fact, you'll soon feel alert and will have no memory of the test. Although you may feel fine, you won't be able to drive for the rest of the day, due to concerns about the lingering effects of the sedative.

Colonoscopies give your gastroenterologist valuable information about your health

In addition to detecting colon cancer, colonoscopies are also used to find the cause of your gastrointestinal pain or other symptoms. A colonoscopy may be recommended if you experience chronic diarrhea or constipation, abdominal pain, rectal bleeding, unexplained weight loss, changes in bowel movements and anemia.

Protect your health with a colonoscopy. Call the Lima, OH, gastroenterologists at The Endoscopy Center of West Central Ohio at (419) 227-8209 to schedule your appointment.

By contactus@giassociateslima.com
December 05, 2016
Category: Uncategorized
Tags: Colonoscopy   DETECTION RATE  

By Jayde Kurland M.D. FACG, AGAF, FACP.

Adenomas of the colon (large intestine) are a type of polyp that if not removed at an early stage can become cancerous. When planning for your colonoscopy, it’s important to be cautious in your search for a Gastroenterologist (GI) doctor. Some doctors find more polyps than others – and that translates into greater protection from cancer for their patients, so it’s important to select one who provides a minimum percentage of adenomas (a specific type of polyp).

 

What is a colonoscopy?

A colonoscopy is a procedure that uses a thin, flexible instrument called a colonoscope to examine the lining of your colon (large intestine). A very small video camera is attached to the end of the colonoscope, providing direct examination of the lining where polyps and cancers develop. 

This procedure is usually performed in order to screen for colon cancer and to diagnose the cause of rectal bleeding. It typically detects and allows for treatment of precancerous growths. 

What is the adenoma detection rate (ADR)?

The effectiveness of a screening colonoscopy is crucial and can help with prevention and early detection of colon cancer.

 

The ADR represents the proportion of people undergoing a screening colonoscopy who have one or more adenomas detected. The recommended ADR target for a quality screening colonoscopy is now at least 25% in women and men. 

 

A doctor’s ability to detect an adenoma – the most common type of polyp and the most common precursor of colon cancer – has been linked to the likelihood of the patient later developing colon cancer. The better the doctor is at detecting and removing precancerous growths, the lower their patient’s risk of developing colon cancer.

 

Any top Gastroenterologist should have an ADR greater than 25%. This number is now tracked in order to assure that quality examinations are being performed.  ADR is a quality measure now being tracked by Medicare and commercial payers.

 

No single colonoscopy is guaranteed to have perfect polyp detection. But if a patient has only one polyp and it is not found during their screening colonoscopy, that patient is considered to not have polyps. Under normal recommendations, he or she would not have to return for their next colonoscopy for 10 years.

 

Even a small increase in ADR can have a significant impact. For every 1% increase in ADR over the target polyp detection rate, a patient’s risk of colon cancer falls by three times that or 3%, and their risk of death from colon cancer falls by 5%.  Those doctors with high ADRs are providing their patients a higher degree of protection from cancer than an “average colonoscopy” in some cases up to 40%.

 

When should I undergo a colonoscopy?

For the most part, patients begin with screening colonoscopies at the age of 50. However, there are some relevant factors that could prompt a doctor to recommend a colonoscopy at an earlier age. These include:

  • Having a family history of colon cancer

  • Having a family history of adenomatous polyps

  • Having a history of inflammatory bowel disease, including ulcerative colitis and Crohn’s disease

  • Having a history of smoking

  • Having type 2 diabetes

  • Being overweight or obese

    It should be remembered that if you have bleeding you should not wait for a “screening” examination.

    Where can I see a Gastroenterologist with a high adenoma detection rate in Lima?

    Every doctor in Gastrointestinal Associates of Lima and the Endoscopy Center of West Central Ohio has an adenoma detection rate which exceeds the 25% benchmark.   It is important to note that the previous adenoma detection rate minimum was 15%.

     We perform colon cancer screenings at the Endoscopy Center of West Central Ohio, a state-of-the-art facility.

     

    Quality differs among colonoscopists from different specialties other than GI as well.  Make sure to ask your doctor what their ADR is?

By GASTROINTESTINAL ASSOCIATES, INC.
November 17, 2016
Category: Uncategorized
Tags: Colonoscopy  

A colonoscopy is a valuable screening tool that can help detect colon cancer during its earliest stages. The gastroenterologists at The colonoscopyEndoscopy Center of West Central Ohio, located in Lima, OH, share information about colonoscopies and why you may need it.

What is a colonoscopy?

A colonoscopy offers a way to view your large intestine and the first part of your small intestine without surgery. During a colonoscopy, a thin, lighted scope is inserted into your anus, and a miniature camera at the end of the scope sends images of the lining of your intestines to a digital screen. As your doctor passes the scope through your intestines, they examine the lining for polyps, tumors or signs of irritation and infection. Colonoscopies aren't just a diagnostic tool, your doctor can also remove polyps from the lining of your intestines during the procedure and take biopsies.

When are colonoscopies recommended by your Lima, OH gastroenterologists​?

Colonoscopies are used to:

  • Screen for Colon Cancer: If you're 50 or older, your doctor has probably recommended that you receive a colonoscopy. Fifty is the magic number because your risk of developing colon cancer increases as you age. Although some types of cancers cause symptoms in the early stages, colon cancer doesn't usually cause discomfort or other symptoms until it reaches the advanced stages. Screening colonoscopies detect cancer before worsening or spreading.
  • Diagnose Diseases and Conditions: Do you experience frequent abdominal pain, bloating or other unpleasant gastrointestinal symptoms? Colonoscopies provide valuable information that can help your doctor determine the cause of pain, chronic constipation or diarrhea, anemia, bleeding from the rectum, weight loss or changes in your bowel movements or habits.
  • Remove Polyps: You'll never know if you have polyps without a colonoscopy. The clumps of cells grow on your intestinal lining and can be seen very easily during the screening test. Polyps may be benign, pre-cancerous or cancerous. If your doctor sees any polyps during your colonoscopy, he'll remove them and send them to a laboratory for testing.

Protect your health with a colonoscopy. Call The Endoscopy Center of West Central Ohio, located in Lima, OH, at (419) 227-8209 to schedule your appointment.

By The Endoscopy Center of West Central Ohio
May 06, 2016
Category: Uncategorized
Tags: Colonoscopy  

A colonoscopy gives your doctor a close-up view of your large intestine and part of your small intestine. This important test is used to colonoscopyscreen for cancer and detect problems that can cause gastrointestinal issues. The gastroenterologists at The Endoscopy Center of West Central Ohio, in Lima, are here to share a few reasons that you may need a colonoscopy. 

How is a colonoscopy performed?

A miniature camera attached to a thin, flexible scope transmits images from the lining of your intestines to a computer screen during a colonoscopy. Your doctor inserts the colonoscope into your anus and gently moves it into the large intestine and lower section of the small intestine. Every inch of the intestines is examined.

Why do I need a colonoscopy?

Colonoscopies are performed for several reasons, including:

Cancer screening: Screening colonoscopies are recommended at age 50. They will continue every 10 years following the first exam as long as your first test is normal. These screenings are particularly important because there are often no symptoms during the earliest stages of colon cancer. If you have certain gastrointestinal issues or had an abnormal exam in the past, your gastroenterologist may recommend that you have additional colonoscopies sooner than 10 years.

Polyp detection: During the colonoscopy, your doctor will search for and remove any polyps he or she sees. Polyps are small growths that may be cancerous or may eventually become cancerous if they're not removed.

Diagnosis of diseases and conditions: A colonoscopy can help your doctor find the source of your abdominal pain, constipation, chronic diarrhea, rectal bleeding, anemia, unexplained weight loss or changes in bowel habits.

Will do I need to do to prepare for a colonoscopy?

Your intestines must be completely empty for the best view of the intestinal lining. You'll take laxatives that will clear out your gastrointestinal tract and will be limited to clear liquids for two or three days before you have the test.

When will I get the results?

Your doctor can share preliminary results with you immediately after the colonoscopy. You'll receive a full report of his or her findings at your next appointment.

When it's time for your next colonoscopy, call The Endoscopy Center of West Central Ohio, in Lima, at (419) 227-8209 and schedule an appointment with a gastroenterologist. Protect your health with a colonoscopy!

By The Endoscopy Center of West Central Ohio
December 02, 2015
Category: Uncategorized
Tags: Colonoscopy  

You are approaching 50, and it's time for your first screening colonoscopy. A colonoscopy is an outpatient procedure that looks for colon cancer and precancerous conditions. You understand that more than 50,000 American adults die from colon cancer annually; so the test is important. Yet, you worry about the procedure.

Dr. Mark Leitner MD, board-certified West Ohio gastroenterologist, has been in practice since 1985. He and his associate physicians at The Endoscopy Center of West Central Ohio want their patients educated about and comfortable with the colonooscopy procedure. It definitely saves lives.

Three Myths about Colonoscopy

Colonscopy is painful. Veteran colonooscopy patients would tell you that a colonoscopy is basically painless. While some individuals may feel some bloating or light cramping during the 30 to 45-minute procedure, most feel nothing at all. Patients receive sedation before and during their tests to keep them relaxed and comfortable as the doctor inserts the lighted, flexible scope through the anus, rectum and colon. The physician looks at real-time images of the intestinal mucosa on the video monitor. After the procedure, patients often report little or no memory of their colonoscopy. The entire procedure, from entering the facility to leaving, takes 2 to 3 hours.

Additionally, Lima colonoscopies are very safe. Even minor post-operative bleeding is a rare complication. Bowel perforation happens in fewer than one percent of colonoscopies across the country. Dr. Leitner and his team diligently provide the safest and most comfortable environment and techniques possible.

Having a colon polyp spells cancer. This is not true. Physicians at the Cleveland Clinic state that 15 percent of women and 25 percent of men over 50 years of age have colon polyps at some point in their lives. Most of these growths, ranging in size from a pencil-point dot to a few inches in size, are completely non-cancerous. Some, however, may be pre-cancerous, but totally asymptomatic. That's why Dr. Leitner and the other gastroenterologists at The Endoscopy Center, remove polyps and test them for cancer. This procedure is called a "snare biopsy."

The pre-operative preparation is intolerable. In fact, the bowel cleansing necessary for a colonoscopy is easier now than it ever has been. Patients usually consume clear liquid diets the day prior to their procedures. Then, they drink water and laxative powders in the quantity prescribed to render the large intestine perfectly clean, facilitating good images during the tests. Rest assured your physician will prescribe the easiest regimen possible for you.

Turning 50?

Then, contact The Endoscopy Center of West Central Ohio for your personal consultation with one of the physicians. Bring your questions about the colonoscopy and why it's so important. Call (419) 227-8209.