No one looks forward to a colonoscopy. This observation of the interior of the large intestine is still feared, mainly because of the strict preparation: a few decades ago, patients first had to clean their colon using laxatives such as castor oil in many days. Very unpleasant. Since last year, the preparation for screening Colorectal cancer may be less painful thanks to new pills, we know the Washington Post.
In 1984, Golytely treatment entered the medical scene. This disgusting tasting powder for oral solution allows patients to pass “three days of torture [avant une coloscopie, ndlr] half past three”, explains gastroenterologist Jack Di Palma, professor at the University of Medicine of Alabama, to the American daily. But this colon cleansing treatment must be taken in large quantities: more than four liters of the foul-smelling liquid.
more doctors tried to give some advice to their patients to make swallowing easier, such as “Swallow the solution with a straw, hold your nose, chew gum [entre plusieurs gorgées]»explains Louis Korman, a gastroenterologist in the Washington DC area “Everyone has heard anecdotes about this terrible preparation. Everyone remembers this and it is unfortunately a deterrent to colonoscopy.
Screening is required
The validation, in 2021, of a new preparation by the Food and Drug Administration (FDA, the American food and drug agency) is therefore good news for patients. This new solution called Sutab works just as well as the old one, but without the harsh taste. The twenty-four pill pack allows patients “For whom taste is a real difficulty” so as not to catch the sight of colorectal cancer. Twelve pills had to be taken the day before, then twelve on D-Day, a few hours before the exam.
If this preparation for the colonoscopy remains bad, it is nevertheless important and necessary for the doctor’s intervention, because its purpose is to completely empty the intestine of its contents. During the the examthe doctor introduces a flexible tube, at the end of which is a camera, which air in this part of the digestive tract to identify any benign tumor and to remove polyps, precursor signs of cancer in Cologne. This is the best way to detect this type of cancer.
While until now guidelines recommended people over 50 and at high risk to be screened, the American Cancer Society now encourages anyone over 45 at moderate risk to take no and do an appointment for a colonoscopy.
There are alternatives to internal colonoscopy, however, such as screenings that can be done at home through a stool sample. However, as Duke University oncologist Arif Kamal explains, “The operation must be repeated every two to three years, compared to seven to ten years for an internal colonoscopy”.
According to Public Health France, “Colorectal cancer is one of the most common cancers (third in men and second in women) and represents the second leading cause of cancer death”. Note before testing in France: currently, the Sutab solution is not marketed in France.