Level of Risk of Colonoscopy, Dallas, TX
Colonoscopy enables visual inspection of the entire large bowel from the distal rectum to the cecum. It remains the gold standard for the detection of polyps and colorectal cancer.
Colonoscopy
is performed routinely for colorectal cancer (CRC) screening, follow-up of
other abnormal screening tests, workup of signs and symptoms of
gastrointestinal disease, and surveillance after CRC and polyp removal.
A a health care professional will give you written bowel prep instructions to follow at home before the procedure so that little or no stool remains in your intestine. A complete bowel prep lets you pass stool that is clear and liquid.
A screening test is a test provided in the absence of signs or symptoms based on
a patient’s age, gender, medical history, and family history. A screening test
is a routine test performed on a patient without any signs or symptoms for the
purpose of testing for the presence of colon cancer or colon polyps.
Level
1 risk of Colonoscopy
Colonoscopy
is a procedure in which a viewing tube is inserted into the rectum to look at
the lower colon and rectum. These options are best discussed with the doctor.
- Yearly test for blood in the
stool, starting at age 50.
Level
2 risk of Colonoscopy
It is
recommended that the person discuss the guidelines with their doctor to decide
what is best. Some factors, which may influence the decision, include:
- The age at which the
parent, sister, brother, or child was diagnosed with colon or rectal
cancer.
- The presence of colon or
rectal cancer in other, more distant, family members.
- The presence of other
cancers in the family.
Level
3 risk of Colonoscopy
The
patient should discuss these guidelines with their doctor to decide what age and
testing interval is best for them. There is a level 3 risk of colonoscopy.
- Colonoscopy with a digital
rectal exam every 3-5 years, beginning either at age 35-40 or 5-10 years
earlier than the earliest age at which colon or rectal cancer occurred in
your family, whichever is younger.
- A yearly test for blood in the stool, beginning at age of the
first colonoscopy.
Level
4 risk of Colonoscopy
- Colonoscopy with a digital
rectal exam every 1-3 years, beginning either at age 25 or 5-10 years
earlier than the earliest age at which colon or rectal cancer occurred in
your family, whichever is younger.
- Yearly test for blood in
the stool, beginning at age of the first colonoscopy.
Increased
risk for colorectal cancer
- People with one or more
family members who have had colon cancer
- People who have had certain
types of polyps removed during a colonoscopy
- People who have had colon
or rectal cancer
- People who have had
radiation to the abdomen or pelvic area to treat a prior cancer
High
risk for colorectal cancer
- People with inflammatory
bowel disease
- People knew or suspected to
have certain genetic syndromes
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