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Colon Cancer – You can Prevent It | Screening Colonoscopy |
Day of Procedure | What is a Colonoscopy


The death rate from Colorectal Cancer has been decreasing for the past 15 years. Most Colon Cancers (98%) start from a polyp. Thanks to Colorectal Cancer Screening, polyps can be found and removed before they turn into Cancer. Also Colorectal Cancer can be detected in the early stages with Screening Colonoscopy and treated when it is easier to manage.

Knowing your risk and discussing with your Primary Care Health Provider is the first step towards Colon Cancer prevention.

Controllable and Uncontrollable Risk Factors:

  • Family History: First-degree relative (father, mother, brother, sister, or child) who has had Colon Polyps or Colon Cancer.
  • Personal History: Previous Polyps, previous Colon Cancer removed, or Ulcerative Colitis/Crohn's Disease.
  • Age: Higher risk after the age of 50.
  • Diet: High fat diets (animal sources) increases the risk of Colon Cancer.
  • Ethnic Background: People of Eastern European descent who are Jewish have a higher risk of Colon Cancer.
  • Alcohol: Colon Cancer has been linked to heavy alcohol use.
  • Smoking: Studies have showed smokers are 30%-40% more at risk for having Colon Cancer.
  • Lack of exercise: Inactivity puts you at a higher risk of Colon Cancer
  • Overweight: Being overweight puts you at a higher risk, especially if you have the extra fat in the waist area more so than around the hips.

Symptoms to look for:

  • Changes in bowel movements such as diarrhea or constipation, or if the caliber of stool changes (narrowing) for more than a few days.
  • Blood in the stool, on the toilet paper, or any rectal bleeding.
  • Cramping or abdominal pain, which is steady.
  • Weakness, tiredness or unintentional weight loss of significant amount.
  • Feeling of having to have a bowel movement even after having one.

Having these symptoms does not mean that you have Colon Cancer, but you do need to talk to your Primary Care Health Provider. Some people have Colon Polyps or Colon Cancer with no symptoms at all. That is why Screening is invaluable.

Who should be screened?

The screening process should start at age 50 if there are no factors indicating a high-risk profile. People who are considered high risk are those who have a personal or family history of polyps or Colon Cancer. If you have a family history then your screening should start 10 years before the age of the family member who was diagnosed (e.g., father at age 48 then you start screening at age 38). Family members include first degree relatives - father, mother, brother, sister or children.

Screening Tests

The colonoscopy is considered the "Gold Standard" Screening Test. It allows the entire length of the large colon to be visualized. A bowel cleansing solution is ingested the evening before this procedure, and the patient receives sedation for the procedure. The GI Specialist will visualize the lining of the colon through the Colonoscope and any abnormality can be biopsied or removed at that time. There are other Screening Tests that can be performed: Fecal Occult Blood Test (stool cards), Flexible Sigmoidoscopy - this visualizes the lower one-third portion of the colon, and Barium Enema. Your Primary Care Health Provider will discuss these options with you.

How our Screening Colonoscopy Clinic Works

A referral with your History and Physical Exam will be sent from your Primary Care Health Provider directly to the office of one of our GI Specialists.

The GI Specialist will schedule a date for your procedure in coordination with the Scheduling Office at the Culpeper Surgery Center. The GI Specialist will also advise of the Bowel Prep that they intend to select for your procedure.

You will then be contacted by phone by one of the Preoperative Screening Nurses from the Culpeper Surgery Center and a Medical Screening will be performed.

A packet of information will then be sent to you, which will include a prescription for the Bowel Prep and will also include other forms for Demographics, Medical History and Insurance.There will also be instructions and a contact name at the Culpeper Surgery Center for any questions that need answering. You will be expected to fill and return the packet in entirety at the earliest to facilitate confirmation of your appointment.

One week before your appointment you will be contacted by one of the Coordinators from the Culpeper Surgery Center or from the GI Specialists office to review preparation instructions.

On the day of your procedure, you will report to The Culpeper Surgery Center and will be checked in for the Procedure.

After the procedure the GI Specialist will review any findings and answer your questions. A follow-up letter will be given to you and copies of any reports will be sent to your referring Primary Care Provider.

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