![]() It can show if you have anemia (too few red blood cells). These tests also can be used to help monitor your disease if you’ve been diagnosed with cancer.Ĭomplete blood count (CBC): This test measures the different types of cells in your blood. Your doctor might also order certain blood tests to help determine if you have colorectal cancer. (A stool blood test should not be the next test done if you’ve already had an abnormal screening test, in which case you should have a diagnostic colonoscopy, which is described below.) Blood tests For more on how these tests are done, see Colorectal Cancer Screening Tests. These types of tests – a fecal occult blood test (FOBT) or fecal immunochemical test (FIT) – are done at home, and require you to collect 1 to 3 samples of stool from a bowel movement. If you are seeing the doctor because of anemia or symptoms you are having (other than obvious bleeding from your rectum or blood in your stools), a stool test might be recommended to check for blood that isn’t visible to the naked eye (occult blood), which might be a sign of cancer. During this test, the doctor inserts a lubricated, gloved finger into your rectum to feel for any abnormal areas. You may also have a digital rectal exam (DRE). You will also be asked if you’re having any symptoms and, if so, when they started and how long you’ve had them.Īs part of a physical exam, your doctor will feel your abdomen for masses or enlarged organs, and also examine the rest of your body. Your doctor will ask about your medical history to learn about possible risk factors, including your family history. PLAN: Colonoscopy is recommended in 10 years.If you have symptoms that might be from colorectal cancer, or if a screening test shows something abnormal, your doctor will recommend one or more of the exams and tests below to find the cause. The patient tolerated the procedure well. The instrument was withdrawn through the transverse, descending, sigmoid colon, and rectum. Hepatic flexure was identified and crossed to the ascending colon, where the cecum was identified by localization of the ileocecal valve and cecal sling. Descending colon was entered, splenic flexure crossed, and the transverse colon entered. There was left-sided diverticular disease. The instrument was inserted and advanced with ease through the rectum and sigmoid colon. PREMEDICATIONS: Demerol 75 mg IV and Versed 6 mg IV.ĭESCRIPTION OF PROCEDURE: The patient was placed in the left lateral decubitus position and the endoscope inserted rectally without difficulty. PREOPERATIVE DIAGNOSIS: Age-appropriate colon cancer screening.ġ. RECOMMENDATIONS: The patient should have a repeat exam in five years. IMPRESSION: A diminutive polyp, ascending colon. Retroflexion in the rectum was unremarkable. There was no other evidence of mucosal abnormality, polyp or cancer. There was pandiverticulosis and diverticular changes noted. This created quite a bit of resistance and multiple positioning had to be performed in order to intubate the cecum. There seemed to be a fixed loop of colon in the patient’s pelvis that was likely sigmoid, which was difficult to reduce, as it appeared to be fixed. Throughout the colon, there was pandiverticulosis. Specimen was retrieved for pathological analysis. ![]() ![]() In the ascending colon, there was a 6 mm sessile polyp, which was removed using forceps in its entirety. There was some liquid stool, which was easily aspirated. Upon withdrawing the colonoscope, all mucosal surfaces were inspected. Cecal intubation was confirmed by the identification of the appendiceal orifice, the ileocecal valve, the cecal strap by palpation. The ultimate position, which allowed cecal intubation, was prone. The Olympus video colonoscope was then passed to the cecum with extreme difficulty. He had a few external skin tags, but no other perianal abnormalities. After induction of IV sedation, a digital rectal exam was performed. PROCEDURE PERFORMED: Colonoscopy to the cecum with polypectomy of a 6 mm polyp, ascending colon.ĭESCRIPTION OF PROCEDURE: The patient was brought to the endoscopy suite and placed in the left lateral decubitus position. PREOPERATIVE DIAGNOSIS: Surveillance colonoscopy. RECOMMENDATIONS: The patient is to have repeat exam in 10 years. IMPRESSION: Normal colonoscopy to the cecum. Retroflexion in the rectum showed small internal hemorrhoids. There was no evidence of malignancy, neoplasia, polyps, or mucosal abnormalities. Cecal intubation was confirmed by the identification of the appendiceal orifice, the ileocecal valve, and cecal strap by palpation. After induction of IV sedation, the Olympus video colonoscope was passed to the cecum without difficulty. PROCEDURE PERFORMED: Colonoscopy to cecum.ĭESCRIPTION OF PROCEDURE: The patient was brought to the endoscopy suite and placed in the left lateral decubitus position.
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