262: Are Colonoscopies Helping Us?
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262: Are Colonoscopies Helping Us?
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To learn more about preparing your brain for anesthesia, read the Amen Clinics Blog on Anesthesia and POCD or the Amen Clinics Blog on Surgery Risks.
Are Colonoscopies Helping Us? How to Make Colon Cancer a Problem You Don’t Have to Have
www.healthcouragecollective.com
Are colonoscopies actually helping (women and society)? Colorectal cancer (the second leading cause of cancer deaths in the U.S.) is one of the most preventable because it usually develops predictably over about 10 years and colonoscopy can both find and remove polyps in the same visit. She contrasts this with mammograms (episode 258) and explains why colonoscopy payoff is high but not perfect: prep quality and provider skill strongly affect what gets missed, with an adenoma miss rate around 24%. She reviews updated screening guidance to start at 45 (earlier with risk factors), discusses alternative tests like Cologuard and SHIELD, and weighs real risks—prep complications, perforation, bleeding, and sedation—against the dramatic survival difference between localized and metastatic disease.
00:00 You Can Prevent This Cancer
00:49 Podcast Welcome And Breathing
01:37 Mammograms To Colonoscopies
04:19 Why Colon Cancer Is Predictable
06:42 Colonoscopy Removes Polyps
07:55 Rising Rates And When To Screen
09:35 Prep Quality And Doctor Metrics
12:23 Miss Rates And Screening Gaps
15:58 Risks And Sedation Concerns
20:26 Risks Of Skipping Screening
23:31 Other Tests And Costs
25:38 Wrap Up And Final Thoughts
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