Re: Dr. McCollister:

Howard McCollister wrote:
"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

Totally agree with Howard. I had fleets phospho soda once and it totally
tore me up (bleeding and raw) and there was no way I could do it all over
again the next morning like suggested. My last gastro told me it was banned
from the market but it sounds like some docs still use it. I asked for
saline solution for my last colonoscopy from a surgeon, and it was much
milder and I didn't get raw (if you can stand drinking all that salt water
without vomiting. The colyte or half-lytley is also better than the phospho
soda. I'd say the saline solution is the least damaging for me (but I go
forty times to the water closet and it wipes me out no matter what I use).
Don't like colonoscopy preps :-) . I would never take phospho soda again.

Pete


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