The colonoscopy is must for families with hereditary colorectal cancer (CRC) syndromes. A colonoscopy is a particular type of procedure which must be performed by a specialist. You should always visit a colon and rectal physician or a gastroenterologist for the procedure. Now the question comes- how to find the best doctor for a colonoscopy? Well, you may look online to find a colonoscopy specialist in your area or may ask your friends/relatives for a recommendation. However, which doctor is the right one for you? The answer to this question is- the doctor who finds the most polyps.
Relation between Polyp Detection Rate and Colon Cancer Rate
A study by New England Journal of Medicine states that the risk of developing colon cancer is reduced among individuals whose doctors removed a greater number of premalignant polyps or adenomas. As per this study, 1% increase in adenoma detection rate can bring 3% decrease in interval cancer risk and 5% decrease in fatal colon cancer risk.
Factors that affect GI’s Polyp Detection rate
The study by New England Journal of Medicine prompts questions such as: Why there is a difference in the polyp detection rates of physicians? Following factors are accountable for different detection rates:
- Demographics- A doctor who serves older people is likely to detect more polyps
- Colon Prep- The detection rate is subject to colon prep and how well the gut has been cleaned.
- Patient Insurance and Reimbursement- How much the doctor is being reimbursed, also affects the thoroughness of the procedure.
Role of Time Spent by Doctor in the Colon
One of the most significant factors in polyp detection rates is the time that your physician spends in your colon to locate polyps. When a doctor takes the colonoscopy instrument (colonoscope) through the entire colon and thoroughly scopes for polyps near the appendix, the chances of detecting polyps are higher.
Do Ask Questions to Your Physician
If it is your first colonoscopy, do not forget to ask following questions to your doctor:
- How much experience you have in performing colonoscopies?
- How much time you normally take to perform the procedure?
- What is your success rate in detecting adenomas for patients of my age?
Make sure you know about every aspect of colonoscopy and refer above mentioned points. Don’t hesitate to ask questions from your doctor. Do your part of colon prep to get effective results. Find a colonoscopy expert with high detection rates.
Firstly you need to find a good Colonoscopy in Los Angeles and then prepare yourself for colonoscopy.