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01-25-2008, 11:07 PM
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#1
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Thinks s/he gets paid by the post
Join Date: Oct 2007
Location: Willamette Valley, Oregon
Posts: 1,979
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Virtual Colonoscopy
Anyone had one? Just had a routine physical and my new doctor was on me its time for sigmoido or colonoscopy. I asked him about virtual colonoscopies which I had recently read about. He said, in my area at least, they are still in experiemntal and evaluation stage. One would have to be in a "study group" to get one in Portland. Said it would probably be a few years before this new procedure started being more widely used.
Anu experience or comments?
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01-26-2008, 12:06 AM
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#2
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Thinks s/he gets paid by the post
Join Date: Apr 2007
Posts: 1,305
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Nope, they stuck the d*mn thing up my *ss again. However, as I think many have mentioned before, the prep is worse than the actual colonoscopy (or should be).
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01-26-2008, 12:20 AM
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#3
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Recycles dryer sheets
Join Date: Nov 2007
Location: Quezon City, Philippines
Posts: 91
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Quote:
Originally Posted by megacorp-firee
Nope, they stuck the d*mn thing up my *ss again. However, as I think many have mentioned before, the prep is worse than the actual colonoscopy (or should be).
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I agree. Why cant't they come up with a virtual prep?
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01-26-2008, 05:33 AM
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#4
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Mar 2007
Posts: 14,328
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If I understand correctly, if they see anything suspicious on the virtual test, they have to go in and take a sample anyway via the usual route. Not sure if this is immediate or if you get to do the prep all over again.
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01-26-2008, 06:00 AM
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#5
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Thinks s/he gets paid by the post
Join Date: Apr 2007
Posts: 1,305
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Quote:
Originally Posted by travelover
If I understand correctly, if they see anything suspicious on the virtual test, they have to go in and take a sample anyway via the usual route. Not sure if this is immediate or if you get to do the prep all over again.
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... since you have to do the prep, why not 'get it over with' ... I would REALLY HATE to go through another prep..
Once every 5 years is enough ... dreading it ... 4 years 7 months to go...
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01-26-2008, 10:55 PM
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#6
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Recycles dryer sheets
Join Date: Jan 2007
Posts: 284
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The prep is exactly the same.
It takes longer than the normal CT scan
If anything abnormal is detected, you have to re-do the whole damm thing over again to get a colonoscopy and biopsy
I think you still need a regular colonscopy at some interval to make sure the virtual colonoscopy isn't missing something.
It certainly doesn't cost any less.
There are some problems it will not detect.
I would rather do the right thing, once.
I'm in the healthcare field, and I would much rather have my gastroenterologist do a complete upper endoscopy/ colonoscopy.
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01-26-2008, 11:16 PM
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#7
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Thinks s/he gets paid by the post
Join Date: Jan 2008
Posts: 2,020
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Personally, I would go with a sigmoidoscopy if your doctor feels it acceptable. A sigmoidoscopy may not be as effective as a colonoscopy in screening for polyps. However, it also carries slightly lower risks and lower costs since you do not need to be sedated and the scope doesn't need to get around that intestinal bend (I'm sure there's still a chance for tearing with a sigmoidoscopy).
The other huge advantage of the sigmoidoscopy is that you get to watch along with the doc. With a colonoscopy, you just get pictures.
I have very fond memories of prepping for my sigmoidoscopy...
edit: And, as has already been amply pointed out, if the virtual finds anything they need to go in anyway... and that will involve a second prep. You will be cursing all that is holy after the first prep so why do it to yourself twice.
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01-27-2008, 02:16 AM
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#8
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Thinks s/he gets paid by the post
Join Date: Apr 2007
Posts: 1,305
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Quote:
Originally Posted by Marquette
Personally, I would go with a sigmoidoscopy if your doctor feels it acceptable. A sigmoidoscopy may not be as effective as a colonoscopy in screening for polyps. However, it also carries slightly lower risks and lower costs since you do not need to be sedated and the scope doesn't need to get around that intestinal bend (I'm sure there's still a chance for tearing with a sigmoidoscopy).
The other huge advantage of the sigmoidoscopy is that you get to watch along with the doc. With a colonoscopy, you just get pictures.
I have very fond memories of prepping for my sigmoidoscopy...
edit: And, as has already been amply pointed out, if the virtual finds anything they need to go in anyway... and that will involve a second prep. You will be cursing all that is holy after the first prep so why do it to yourself twice.
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I AM NOT THAT CURIOUS ... nor am I a micro manager... so I don't have to 'sing along' with the DR.
I think THE benefit of a colonoscopy is that you are NOT AWAKE! Just start counting ... and wake up done.
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01-27-2008, 04:12 AM
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#9
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Jul 2005
Posts: 6,193
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i wouldnt do the virtual because the prep is the same and if they see something rather than just deal with it there and take out a polyp you have to go thru the prep all over again so they can now deal with it
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01-27-2008, 01:22 PM
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#10
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Mar 2007
Posts: 14,328
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Quote:
Originally Posted by megacorp-firee
I AM NOT THAT CURIOUS ... nor am I a micro manager... so I don't have to 'sing along' with the DR.
I think THE benefit of a colonoscopy is that you are NOT AWAKE! Just start counting ... and wake up done.
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I think the worst part of my sig was watching it with the doc. I felt sorta invaded.
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01-27-2008, 01:26 PM
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#11
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Apr 2003
Location: Hooverville
Posts: 22,983
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Quote:
Originally Posted by Marquette
Personally, I would go with a sigmoidoscopy if your doctor feels it acceptable. A sigmoidoscopy may not be as effective as a colonoscopy in screening for polyps.
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I've had both of these. The sigmo hurt like hell, the colo was painless as I was out. Add to it that the colo is more thorough and the cost is very close I would always go for the full colonoscopy.
Ha
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01-27-2008, 01:51 PM
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#12
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Jul 2005
Posts: 6,193
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Quote:
Originally Posted by travelover
I think the worst part of my sig was watching it with the doc. I felt sorta invaded.
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i know what you mean, forget flowers and dinner he dosnt call, he dosnt write.
ha ha ha maybe hes just up to his elbows in work
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01-27-2008, 02:32 PM
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#13
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Recycles dryer sheets
Join Date: Jan 2007
Posts: 284
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You should definitely get a full colonoscopy, not a sigmoidoscopy. I'm surprised a physician would have even mentioned a sigmoidoscopy. It just can't evaluate the right and transverse colon. I'd be surprised if it is the standard of care to do a sigmoidoscopy alone.
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01-27-2008, 03:17 PM
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#14
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Thinks s/he gets paid by the post
Join Date: Jun 2002
Posts: 1,637
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I'm no doctor, so take what I say with a grain of salt. I've had both sigs and full colonscopies. The prep is the same for each. None of them were the best 2 days of my life, but there's certain stuff you have to do as you get older, so my advice is to just deal with it. Sigs only give a partial look; full colonoscopies are much more comprehensive. Seems to me that if you have a choice of one of the other, go for the full colonoscopy because they get to look at more and who knows where problems may be lurking?
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01-27-2008, 03:19 PM
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#15
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Thinks s/he gets paid by the post
Join Date: Feb 2007
Posts: 1,015
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Quote:
Originally Posted by haha
I've had both of these. The sigmo hurt like hell, the colo was painless as I was out. Add to it that the colo is more thorough and the cost is very close I would always go for the full colonoscopy.
Ha
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I've had both as well and found the colonoscopy was far less "stressful". Yes, there was the prep, but even that was easier than that I had to do for the sigmoidscopy. For the sigmo, I remember having to self administer Fleet enemas (ugh!!!!), where for the colonoscopy it was drinking a quart or so of liquid mixed with Miralax and staying within quick distance of the bathroom for an afternoon.
In my case, the sigmoidscopy missed the fact that I had the beginnings of a potential problem because the scope doesn't look at the entire colon. I would definitely recommend the colonoscopy over the sigmoidscopy and the real deal over the virtual one. I for one will put up with a bit of personal discomfort if it means I can avoid colon cancer.
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01-27-2008, 03:45 PM
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#16
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Dec 2004
Location: the City of Subdued Excitement
Posts: 5,588
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I, too, have had both. Forget the sigmoidoscopy. See above comments.
I also heard about the virtual colonoscopy from a Canadian doctor. My family doctor said it was a waste of time. Resolution is not good enough and you can't see colour. Go with the colonoscopy. Buy the videotape.
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01-27-2008, 08:56 PM
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#17
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Recycles dryer sheets
Join Date: Mar 2007
Posts: 128
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Since the prep is the same I just don't see the point of undergoing a high-radiation procedure all over my torso every few years when there's a (reasonably) safe, non-radiating alternative. I'd opt for the standard colonoscopy.
Quote:
Originally Posted by Ed_The_Gypsy
Go with the colonoscopy. Buy the videotape.
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Colonoscopy: The Movie. Starring "Tail Pipe" Colon and U.B. Doc.
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01-27-2008, 08:58 PM
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#18
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Thinks s/he gets paid by the post
Join Date: Oct 2007
Location: Willamette Valley, Oregon
Posts: 1,979
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Quote:
Originally Posted by A854321
You should definitely get a full colonoscopy, not a sigmoidoscopy. I'm surprised a physician would have even mentioned a sigmoidoscopy. It just can't evaluate the right and transverse colon. I'd be surprised if it is the standard of care to do a sigmoidoscopy alone.
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He favored the full colo, actually. The sigmoido he said I need to do the occult blood tests every year in between. I have had a previous sigmoido and occult blood tests is why it is in the discussion. I am doing occult blood tests now as part of routine physical. He said if blood found, he wants me to do full colo. Makes sense.
Otherwise though, I read up info on a couple of medical info websites. Said there was as yet no definitive demonstrated advantage in outcomes between sigmoido's with occult blood tests, vs full colos. (ie, percent who eventually show up with colon cancer). Makes me then wonder about full colo risk of puncturing if that's true.
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Dreams Worth Dreaming are Dreams Worth Planning For. I Spent a Career Planning for Early Retirement.
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01-27-2008, 09:01 PM
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#19
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Thinks s/he gets paid by the post
Join Date: Oct 2007
Location: Willamette Valley, Oregon
Posts: 1,979
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P.S. Isn't ER great? One can spend one's time delving into the finer points of full colonoscopies vs sigmoidoscopies!!
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Dreams Worth Dreaming are Dreams Worth Planning For. I Spent a Career Planning for Early Retirement.
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01-27-2008, 11:15 PM
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#20
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Recycles dryer sheets
Join Date: Jan 2007
Posts: 284
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Stop dithering. The risk of perforation is directly related to the number of biopsies. Having had two friends die of colon cancer that originated in the right colon area, I am a strong advocate for getting the full monty. I think having to do home stool occult blood tests is just impractical and not reliable.
It sounds like you are looking for an excuse. I consider my colonoscopy the best medical insurance I have. Now I know what I have and don't have.
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