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Colonoscopy vs. Cologuard: Choosing the Right Colorectal Cancer Screening for You

Colorectal cancer is a serious health concern, but early detection is key to successful treatment and improved survival rates. When it comes to screening, you have options. This page provides a clear comparison of two common methods: Colonoscopy and Cologuard, empowering you to make an informed decision in consultation with your doctor.

 

About Colorectal Cancer:

  • Over 100,000 new cases of colon cancer are diagnosed in the U.S. each year.
  • Colon cancer is the second leading cause of cancer deaths in the U.S.
  • Over 50,000 colon cancer deaths occur in the U.S. annually.
  • The survival rate is very high when cancer is found and treated early.

Understanding Your Screening Options: Colonoscopy and Cologuard

Colonoscopy: A colonoscopy is a procedure in which a doctor uses a flexible, lighted tube (colonoscope) to view the entire colon. The colonoscope is inserted into the rectum and advanced through the colon, allowing the doctor to visualize the lining and identify any abnormalities. One of the key advantages of a colonoscopy is that it provides direct visualization of the entire colon. This allows for a clear and comprehensive view, enabling the detection of polyps (pre-cancerous growths) and other abnormalities. Furthermore, a colonoscopy allows for the removal of polyps during the same procedure, preventing them from developing into cancer. Due to these benefits, a colonoscopy is generally considered the gold standard for detecting and preventing colorectal cancer. Cologuard: Cologuard is a convenient, at-home stool test that analyzes your sample for blood and abnormal DNA associated with cancer or pre-cancerous polyps. To use Cologuard, you collect a stool sample at home and mail it to a lab for analysis. While Cologuard offers a convenient alternative to colonoscopy, it’s important to be aware of its limitations. One key consideration is the potential for false positives, which can lead to unnecessary anxiety and follow-up colonoscopies. Additionally, Cologuard is less sensitive than colonoscopy, potentially missing some cancers or advanced polyps. If the Cologuard test is positive, a colonoscopy is required for further evaluation.

Colonoscopy vs. Cologuard: A Side-by-Side Comparison

Feature Colonoscopy Cologuard
Method Direct visualization of the colon using a scope. Analysis of stool sample for blood and abnormal DNA.
Polyp Removal Yes, polyps can be removed during the procedure. No, polyps cannot be removed during the test.
Follow-up Typically not required unless abnormalities are found. A colonoscopy is required if the test result is positive.
Accuracy Generally considered more accurate for detecting and preventing colorectal cancer. Can have a higher rate of false positives and may miss some cancers.
Preparation Requires bowel preparation. No bowel preparation required.
Convenience Requires a visit to a medical facility. Can be done in the comfort of your home.
Discover if a Colonoscopy is Right for You

When to Start Screening

Current guidelines recommend that most adults begin colorectal cancer screening at age 45. Individuals with a family history of colorectal cancer or other risk factors may need to start screening earlier. Talk to your doctor to determine the right screening schedule for you.

Ready to Prioritize Your Colorectal Health?

While Cologuard offers a convenient option, a Direct Screen Colonoscopy provides the most comprehensive and proactive approach to colorectal cancer prevention. Early detection saves lives by allowing doctors to detect and remove polyps early, preventing cancer from developing. A Direct Screen Colonoscopy also provides peace of mind through a thorough examination of your colon, giving you valuable insights into your health.

The Bottom Line:

Both colonoscopy and Cologuard play a role in colorectal cancer screening. However, a Direct Screen Colonoscopy offers the advantage of direct visualization and polyp removal, making it a powerful tool for prevention. Talk to your doctor to determine which screening option is best for your individual needs and risk factors.

Schedule Your Direct Screen Colonoscopy Today!

Take control of your health and schedule a Direct Screen Colonoscopy with Baylor Scott & White Endoscopy Center at Sherman today!

Sources:

Direct Screen Colonoscopy Form

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By checking the box below, you certify that you understand that our facility’s website is not secured as we do not collect personal or private health information via our site. Accordingly, the “Contact Us” form is not intended for use with personal or private health information, however, e-mail sent via the “Contact Us” form is sent to a facility employee on a secure e-mail server. This form is for new patients inquiring about our facility and services. If you are a current patient, please call us at 903.437.6260.(Required)
By checking the box below, you certify that you understand that our facility’s website is not secured as we do not collect personal or private health information via our site. Accordingly, the “Contact Us” form is not intended for use with personal or private health information, however, e-mail sent via the “Contact Us” form is sent to a facility employee on a secure e-mail server. This form is for new patients inquiring about our facility and services. If you are a current patient, please call us at 903.437.6260.