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Re: Stool for Occult blood From: Meenan, Anna (annam@uic.edu) Wed Jun 28 00:11:09 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Ainsworth: "2nd trimester fetal demise" Previous message: Lea Harth, Operations Manager: "OBGYN.net Update Newsletter - June 27, 2006" In reply to: igold@cox.net: "Stool for Occult blood" The recommendation in your personal case would be for colonoscopies every five years starting at 40. Adenomatous polyps run rampant in my family, and one uncle had colon CA, but the recommendation for me is also q5 years, and that is what I'm sticking to. The natural history of colon CA starting from tiny polyp takes 10 years. No way would I have colonoscopy every 3 years unless a polyp was found on the most recent one. Keep in mind that colonoscopy itself carries risks. I once saw a pt almost lose an arm due to inadvertent intra-arterial injection of IV valium which caused prolonged vasospasm and required a ganglion block to protect the circulation until the valium wore off. Have also seen emergency laparotomy due to colon perf. Yup, 5 years suits me just fine. One of the more interesting cases I saw in the last few years I was working at my former clinic was a 6-yr-old who was found to have a high-grade villous adenoma with dyaplastic features. My question to the peds GI was, At what age should her future kids start having colonoscopies? Anna Meenan, MD >I do them on everyone at their annual over 40 years old. Perhaps my >practice patterns have something to do with personal experience. No >one did one on my mom who was diagnosed with colon cancer at 51 and >dead in a year. I've had colonoscopies myself every 3 years since I >was 26, when she was diagnosed. BTW, they said she probably had it >for 7 years before they found it. By then it was Stage 4. > >Ingrid Gold, CNM ,Phoenix Next message: Dr. Ainsworth: "2nd trimester fetal demise" Previous message: Lea Harth, Operations Manager: "OBGYN.net Update Newsletter - June 27, 2006" In reply to: igold@cox.net: "Stool for Occult blood"

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