WOMENS-HEALTH Messages for March, 2003: Re: Impact of endometrial adhesions on colonoscopy

Re: Impact of endometrial adhesions on colonoscopy

From: Curious (anonymous@obgyn.net)
Mon, 31 Mar 2003 15:41:27 -0600 (CST)

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You need better communication with your gastroenterologist ( I would hope a good, experienced, one). If pain is a major consideration colonoscopies can be done under general anesthesia.

However, endometriosis and adhesions can both increase the risks of perforation during a colonoscopy under certain circumstances. Under normal circumstances the risk of perforation during a scope is rare.

Colonoscopy is the procedure of choice to detect precancerous and cancerous conditions in the colon. However, the risks must be weighed against the benefits. I would think a thorough discussion with your gyn and with a good, experienced gastro and perhaps even between your gyn and gastro should help to better inform you and help the three of you to decide your best course of action.

If narrowing or stricturing of the colon or small intestine is suspected an upper and lower barium GI series might be the way to go for more information at considerably less risk altho it is unlikely to reveal any precancerous condition.

At Sun, 30 Mar 2003, Linda wrote: >
>At age 30 I had a hysterectomy because of an ovarian cyst and very
>severe endometriosis with the worst adhesions my OB-GYN said he had ever
>seen.
>
>My doctor has recommended I have a colonsocpy for routine screening. I
>met with a gastroenterologist who said that the presence of severe
>adhesions would most likely make it difficult if not impossible to
>complete and colonoscopy and that the procedure would be very painful
>because of the adhesions. Is this a valid concern for me?
>
>If this is a valid concern, would a virtual colonoscopy be a better
>alternative? I understand that they are not as accurate and that if they
>saw something they would have to perform a regular colonoscopy. However,
>if they couldn't even complete a regular colonoscopy because of the
>adhesions, what would I gain by have one performed?
>
>I would appreciate any recommendations and/or advice.
>Thanks
>
>--
>Linda
>

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In reply to: Linda: "Impact of endometrial adhesions on colonoscopy"
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