ARTICLE 1: Colonoscopy – A Life-Saving Screening Tool
What is Colonoscopy?
Colonoscopy is a safe, outpatient procedure used to examine the inner lining of the colon and rectum. It allows for detection and removal of polyps, inflammation, ulcers, and early-stage colorectal cancer.
Why Is It Important?
- Detects and removes precancerous growths before they become cancer
- Helps diagnose gastrointestinal symptoms like bleeding or chronic diarrhea
- Screening colonoscopies have demonstrated a ~68% reduction in colorectal cancer mortality
Who Should Get Screened?
Per ACG 2021 Guidelines:
- Adults aged 45–75 at average risk ()
- Individuals with a family history should begin at age 40 or 10 years before the youngest affected relative
- Ages 76–85: screening is individualized based on health status ()
Screening Intervals:
- Normal: every 10 years
- 1–2 small adenomas: 7–10 years
- 3–4 adenomas or ≥1 cm: 3–5 years
- 10 adenomas: repeat in 1 year
Procedure Details:
- Follow split-dose bowel prep protocol per ACG/ASGE
- Sedation for comfort, ~30–45-minute exam, discharge same day
- Post-procedure recovery includes rest and monitoring