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A new Canadian study
suggests that colonoscopy may detect polyps and early cancers only 60
to 70 percent of the time, even if colonoscopies have long been
considered the gold standard for colorectal cancer screening. It is
well known that a colonoscopy is 90 percent effective in detecting
the second leading cancer killer of men and women in the US.
According to the study, whether a colonoscopy saves a life may depend
on exactly where in the colon the cancer starts.
It looks like a
colonoscopy prevents two-thirds of the deaths from left sided colon
cancer. Unfortunately, the procedure does not prevent any of the
deaths from right-sided colon cancer. Why is that? Well, a possible
explanation is that polyps on the left side of the colon are more
likely to be raised and easy to detect, while those on the right side
are flatter and, therefore, easy to miss. However, these results are
still debated by doctors, as only about 30 percent of the
colonoscopies in this study were performed by gastroenterologists.
Another study about
colonoscopies states that doctors who rush through the procedure can
miss polyps. In addition, it can be the patient's fault too, if he
does not follow the instructions for colon cleansing to the letter.
Even if colonoscopies seem to be less accurate than previously
thought, they're still the best way to prevent colon cancer, but it's
important to know they do not detect some polyps. Colon cancer
screenings are recommended for most people starting at age 50, and
patients should choose experienced doctors and make sure they follow
their doctors' directions to the letter when preparing for the
procedure.
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