Colon cancer, also referred to as colorectal cancer, is the second leading cause of cancer deaths in America, with more than 150,000 new cases diagnosed each year. This type of cancer is defined as cancer that occurs anywhere in the colon or rectum.
Colon cancer screening is the best way to help prevent this disease. Through colon cancer screening, NYC gastroenterologist Dr. Anthony Borcich can examine for and detect precancerous polyps in the colon in order to remove them before they become cancerous. Testing also makes it possible to detect colon cancer at an earlier stage – even before symptoms appear – which can greatly improve treatment success. Our practice provides the highest level colon cancer test in Manhattan with FUSE technology that allows for panoramic imaging of the large intestine. This detailed level of visualization enables higher detection rates for precancerous polyps. Contact us today for a colon cancer screening.
Who should undergo colon cancer screening?
Dr. Borcich will advise patients who meet certain qualifications or risk factors to undergo colon cancer testing. Relevant factors include:
- Having a family history of colon cancer
- Having a family history of adenomatous polyps
- Having a history of inflammatory bowel disease, including ulcerative colitis and Crohn’s disease
- Having a history of heavy alcohol use
- Having a history of smoking
- Having type 2 diabetes
- Being overweight or obese
An individual patient’s specific risk factors guide the decision to undergo a screening colonoscopy. Such screening is often appropriate for patients in their 30s or 40s, and rarely before the age of 20. For patients with no unusual risk factors, starting screening colonoscopies at the age of 50 is a reasonable compromise, although it must be stated that 11% of colon cancers arise before the age of 50.
How do I prepare for colon cancer screening?
Before undergoing a colon cancer screening (colonoscopy), Dr. Borcich will perform a thorough review of your medical history. In preparation for your screening, you’ll receive a detailed list of instructions. Dr. Borcich will tell you what dietary restrictions to follow and what cleansing routine to use. Preparation consists of limiting your diet to clear liquids the day before and consuming either a large volume of a special cleansing solution or special oral laxatives. In order for the procedure to be comprehensive and accurate, the colon must be completely clean.
What can I expect during colon cancer screening?
Before the procedure begins, you’ll receive a sedative or painkiller in order to help you relax and not feel any pain. Once you are comfortably positioned on your side or your back, Dr. Borcich will insert a colonoscope along your large intestine to examine the lining. He will examine the lining again as he slowly withdraws the colonoscope. The procedure usually takes around 45 minutes to perform and the entire process, including preparation and recovery, typically lasts between two and three hours.
Our practice provides the highest level colon cancer screening in Manhattan with technology that allows for a 100% cecal intubation rate. This detailed level of visualization leads to higher adenoma detection rates and extremely high patient satisfaction.
Dr. Borcich performs colon cancer tests at Manhattan Endoscopy Center, a state-of-the-art facility offering the latest FUSE equipment for the most advanced screening and highest detection rates. With this technology and his vast experience, Dr. Borcich finds adenomatous polyps in 58% of patients. This means that his patients are provided a screening colonoscopy that offers 60% or greater protection against colon cancer than an average screening colonoscopy.
Manhattan Endoscopy Center aims to make each patient’s procedure as efficient and pleasant as possible, maintaining the personal attention of an office-based procedure while ensuring hospital-level safety standards.
For more information about colon cancer screening or to schedule a screening appointment with NYC gastroenterologist, Dr. Anthony Borcich, please contact our NYC gastroenterology office or request an appointment by filling out the form on this page.
PLEASE NOTE: Any top gastroenterologist should have a high ADR. It is now tracked to assure quality examinations are being performed. While no single colonoscopy is guaranteed to have perfect polyp detection, if a patient has only one polyp and it is not found during their screening colonoscopy, that patient is considered to not have polyps and the normal recommendation for a polyp-free patient is to return for their next colonoscopy in 10 years. This situation can result in what’s known as an “interval cancer,” that is, cancer which develops between usual screening intervals. A landmark study published in the prestigious New England Journal of Medicine demonstrated that for every 1% increase in polyp detection rate (over the target 15% to 25% detection rate that a given gastroenterologist may achieve), their patient’s risk of colon cancer falls by 3% and the risk of death from colon cancer falls by 5%. Dr. Borcich previously had a very high adenoma detection rate of 38% in men and 33% in women (women as a group grow fewer polyps than men), providing his patients a screening colonoscopy with 60% or greater protection against colon cancer than an average screening colonoscopy. In 2015, Dr. Borcich began using a Fuse panoramic colonoscope utilizing not one but three cameras, allowing for an even more thorough examination. As a result, for the last 9 months, his ADR has soared to 58%; while no single test is perfect, this should allow for an even higher level of protection from colon cancer. This is just one of the reasons why patients have such high levels of satisfaction after their screening colonoscopy experience with Dr. Borcich. However, no matter where you choose to have your screening colonoscopy performed, you should know your doctor’s polyp detection rate. It is recommended that you see a doctor with at least a 25% detection rate.