Re: Dr. McCollister:


"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message
news:bw8Gj.3626$Qv5.1380@xxxxxxxxxxx

Good to see you haven't completely disappeared from the ng. Things seem
to be deteriorating on usenet--not just here, but on other ng I
participate in.
You may have missed my post from 3 or so weeks ago about a Japanese study
about polypoid vs. sessile or depressed intestinal cancers, and wondered
what you thought of the implications. I wrote then:

Saw in the NY Times today an article about a Japanese study published in
JAMA about flat and depressed colonic lesions.
Does this mean next time I get a colonoscopy by gastroenterologist
won't be happy with phosphosoda prep?
Just out of curiosity, if a significant number of cancers arise in
sessile lesions, wouldn't we have heard about this a long time ago?

Just wonderin',
Steve



The problem is that when we find a colon cancer, we don't really know what
kind of lesion it arose from. As the genetics of colon cancer become more
clear, however, we are finding that lesions we once thought trivial can
indeed be potentially dangerous. In many or most of these cases, the lesions
have been difficult or impossible to see at conventional colonscopy. Narrow
band imaging scopes will help us to see those lesions, but that is expensive
stuff and won't be widely available for awhile because of the cost.

IMHO, the Half-lytley or Miralax/Gatorade preps actually work better than
phosphosoda in terms of visualization. Additionally, Fleets has been
implicated in rare cases of phosphate-induced renal failure. If you google
"Fleets phospho soda" you'll see that several of the first hits are from
malpractice attornies. Unless your gastroenterologist has balls of steel
(most don't), he'll likely stopped using phosphosoda altogether on advice of
legal counsel.

HMc



.