Should a colonoscopy be performed normally or under general anesthesia?

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Hello doctor! I had a right colon tumor that was removed in 2017, I went for a routine check-up, and the doctor said the indicators were normal and no need for a colonoscopy. I feel worried because many times before, I have been examined and tested, but I can't find anything, but only after colonoscopy can I detect it. The strange thing for me is that when I have a test for surgery, the CEA index is still low. So I wonder if I should do a colonoscopy myself to check or not and should I do a regular colonoscopy or sedation?
After 8 months of surgery, I had the endoscopy again and the results were normal (March 2018). What do I need to do if I want a gastroscopy with anaesthesia? What tests are needed and can I have them first? Please consult your doctor. Thank you!
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Hello! After surgery, you need to have a colonoscopy again after 1 year and periodically after every 2-3 years. In addition, you need to have regular check-ups with your doctor every year to get checked, perform necessary blood tests and abdominal ultrasound, chest X-ray.
The CEA test has low sensitivity and specificity, so it does not tell if you have an abnormality in the colon or gastrointestinal tract?
As for wondering whether to perform a colonoscopy or under general anesthesia, the doctor would like to explain: Endoscopy with sedation will help you not feel uncomfortable when the doctor performs colonoscopy colon. You should consult a gastroenterologist for specific advice on preparation for colonoscopy before performing a colonoscopy. Accordingly, if you do not have other comorbidities (such as endocrine diseases, diabetes, respiratory or cardiovascular disease...) then you do not need any special tests before the endoscopy.
If you still have doubts about the above health issues, you can go to a hospital of Vinmec Health System for a gastroenterology specialist examination and receive more in-depth advice. Best regards!

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Answered by Master, Doctor Pham Thi Thu Huong - Head of Department of Gastroenterology - Endoscopy - Department of General Internal Medicine - Vinmec Times City International Hospital
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