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What’s stopping you? A colonoscopy can save your life. Digestive Disease Institute What is a colonoscopy? A colonoscopy is an outpatient procedure in which the inside of the large intestine (colon and rectum) is examined. A colonoscopy enables the physician to see abnormalities like inflamed tissue, polyps, ulcers, bleeding and diverticulosis. The procedure is commonly used to screen for colon cancer. Why should I get one? In nearly all cases, colon cancer starts as a precancerous growth in the colon called an adenomatous polyp, which usually doesn’t cause symptoms. This is why it’s important to have regular screenings. A colonoscopy detects polyps so they can be removed before they turn into cancer and cause symptoms. Colon cancer is the second leading cause of cancer among men and women in the United States. But, the good news is, according to the National Cancer Institute, deaths from colon cancer are declining due to increased use of screening. Who is it for? The American College of Gastroenterology recommends colon cancer screenings begin at age 50; or age 45 if you are black, as this group is at higher risk than whites, Hispanics and other ethnic groups. Some people should begin screening earlier if they have any of the following, which could increase their colon cancer risk: • Personal history of colon cancer or precancerous colon polyps, called adenomas • History of inflammatory bowel disease (Crohn’s colitis or ulcerative colitis) • Numerous relatives with colon cancer or adenomatous polyps • Family history of familial adenomatous polyposis or hereditary non-polyposis colon cancer What happens during a colonoscopy? During a colonoscopy, a physician uses a colonoscope (a long, flexible instrument about one-half inch in diameter) to view the lining of the colon. The colonoscope is inserted through the rectum and advanced through the large intestine. If necessary during a colonoscopy, small amounts of tissue can be removed for analysis (called a biopsy) and polyps can be identified and removed. In many cases, colonoscopy allows accurate diagnosis and treatment without the need for a major operation. What are the benefits of a colonoscopy? The main benefit of a colonoscopy is that it detects and removes polyps before they can turn into cancer. Colonoscopies also can find colorectal cancer early. If cancer is detected and found early, 90 percent of these cases are curable. What about the preparation? To complete a successful colonoscopy, the bowel must be clean so your physician can clearly view the entire colon. Without proper prep, the procedure may have to be repeated. Fortunately, today’s bowel prep is easier than before. Rather than having to consume a gallon of solution, patients can choose half-gallon options. What’s more, many physicians prescribe a split dose for best cleaning, where at least half the prep is taken on the day of the procedure. continued on back What’s Stopping You? Can it be too painful – or even risky? About the Digestive Disease Institute About 99 percent of patients should be able to be adequately sedated through conscious sedation or twilight sleep to be comfortable during their colonoscopy. Most patients don’t even remember the exam! Cleveland Clinic also offers monitored anesthesia care for patients who require deeper sedation. Cleveland Clinic Digestive Disease institute (DDI) unites all specialists within one unique, fully integrated model of care – aimed at optimizing patient experience. Our departments include: When performed by specially trained professionals, colonoscopies are safe. The risk of perforation is less than 1 in 1,000 cases, and the risk of bleeding is less than 1 percent. • Colorectal Surgery Why come to Cleveland Clinic? Board-certified gastroenterologists and colorectal surgeons at Cleveland Clinic’s Digestive Disease Institute are highly experienced in colonoscopy, performing more than 20,000 colonoscopies per year. These physicians are available at 17 locations around Northeast Ohio to meet your needs before and after the procedure. • Gastroenterology & Hepatology •Bariatrics • General Surgery (including Hepato-pancreato-biliary & Transplant Surgery) • Human Nutrition Cleveland Clinic has been ranked No. 2 in the nation in gastroenterology by U.S. News & World Report’s, and is the top-ranked gastroenterology program in Ohio. The Digestive Disease Institute is at the forefront of colon polyp and cancer prevention through patient screening, education, detection and treatment. Five-year survival rates for early-stage colon cancer patients at Cleveland Clinic is above 90 percent. The institute’s colorectal surgeons perform more colon and rectal cancer surgeries than any other hospital in Ohio – and has one of the highest volumes of colorectal surgeries in the nation. Schedule your colonoscopy today! Call 216.444.7000 to make an appointment for a colonoscopy or to see a digestive specialist at one of our convenient locations: • C leveland Clinic main campus • B eachwood Family Health & Surgery Center • C hestnut Commons Family Health Center • Concord Endoscopy Center • Hillcrest Digestive Disease Center • Independence Family Health Center We are additionally committed to advancements in hereditary colon cancer through our Sanford R. Weiss, MD, Center for Hereditary Colorectal Neoplasia. The Weiss Center is home to the David G. Jagelman Inherited Colorectal Cancers Registries, the nation’s largest registry of patients with hereditary colon cancer. The center also contains an expanded database for genetic research into hereditary colon cancers, which can be used to help identify at-risk individuals and provide more efficient care. • Landerbrook Endoscopy Center Talk to your doctor today about getting screened for colon cancer, or make an appointment at a convenient location. • W illoughby Hills Family Health Center • Lorain Family Health & Surgery Center • Lutheran Hospital • Marymount Hospital • M edina Hospital • R ichard E. Jacobs Health Center (Avon) • S outh Pointe Hospital • S trongsville Family Health & Surgery Center • Twinsburg Family Health & Surgery Center • Wooster Family Health & Surgery Center © 2016 The Cleveland Clinic Foundation | 9500 Euclid Avenue | Cleveland, Ohio 44195 16-DDI-297 16-DDI-297