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
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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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