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

Treatment Reference

 

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