Tests SummaryFlexible SigmoidoscopyFecal Occult Blood Test (FOBT)Double Contrast Barium Enima (DCBE)Colonoscopy

Colonoscopy

Advantages

  • Complete examination of colon
  • Most accurate
  • Need to do only every 10 years
Things to Consider

  • Requires clear liquid diet, laxatives and/or enemas for 1-2 days before test
  • Very painful, requires anesthesia
  • Expensive, $800-$1,600
  • Done at hospital
  • Usually miss a day of work
Colonoscopy examines the rectum and entire colon using an instrument called a colonoscope. The procedure is done in a hospital and takes 30-60 minutes. A lighted, flexible tube is inserted through the anus and allows the doctor to see if there are any polyps or cancer. During a colonoscopy, a doctor can remove polyps and may insert a small biopsy forceps through the tube to remove a small amount of tissue for examination.

Before having this test, patients are given a sedative. This makes them feel little pain or discomfort during the procedure. Colonoscopy is often performed as a follow-up to other tests that check for colorectal cancer. One option recommended by the American Cancer Society is that patients have a colonoscopy every 10 years along with yearly fecal occult blood tests (FOBT).

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