March is national colorectal cancer awareness month.
In my practice as a gastroenterologist, I perform colorectal cancer screening with colonoscopy on a regular basis. The saddest and most difficult part of my work is that sometimes, I have to share bad news with patients. Unfortunately, they did not get screened in time, whether because of issues with insurance coverage, or the dread of the procedure itself.
Telling patients that they have colon cancer is devastating to me as a specialist in digestive health because the fact of the matter is that colon cancer is one of the easiest cancers to prevent.
It starts with a small growth called polyp that can be detected by colonoscopy and removed at the same time within minutes, preventing the development of cancer. Colonoscopy is one of the only cancer screening tests that can prevent cancer at the same time.
It’s so important to patients because colorectal cancer is the second leading cause of cancer death in the United States. It’s estimated that around 50,000 people will die of colon cancer this year of which around 150 are in North Dakota.
Despite all the efforts to increase awareness and the effectiveness of the current screening tools, only 57% of the patients at risk for colorectal cancer are getting the appropriate screening test in North Dakota. Unfortunately, there is still no state requirement for coverage of these services.
The American college of Gastroenterology considers colonoscopy as the preferred method for screening. With the sedation used today, the procedure is relatively painless, and the small risk of any complications far outweighs the risk of developing colon cancer.
All people age 50 and above are at risk for colorectal cancer and this risk increases with: Family history of colorectal cancer, Inflammatory Bowel Disease (Crohn’s and ulcerative colitis), Obesity, Diabetes, Smoking, Alcohol and red meat consumption.
For caucasian people with no family history, we recommend a colonoscopy every 10 years starting at age 50, and for African American starting at age 45. Other alternatives include an annual fecal immunochemical test (FIT) that detects traces of blood in stool, and flexible sigmoidoscopy every 5 years.
Talk to your doctor about colorectal cancer screening. Don’t hesitate! Get screened! Your life depends on it!
Fadel Nammour, M.D.
ACG Governor of North Dakota