Life-threatening emergency? Call 911
Member Services: (951) 791-1111
Enrollment Information: (951) 390-2840

Virtual Colonoscopy

NOTE: The medical information on this website is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. No provider-patient relationship is created by your use of this site. Always consult your own physician or qualified healthcare provider before making any health decisions — never disregard or delay professional medical advice because of something you read here. Read the full Medical Information Disclaimer HERE.

If you are experiencing a medical emergency, call 911 immediately.

At PromiseCare Medical Group, a virtual colonoscopy is considered an essential screening tool for detecting polyps and colorectal cancer as patients approach or surpass 45.

This non-invasive procedure utilizes low-dose CT scans, eliminating the need for sedation and enabling quick recovery. Preparation involves following a clear liquid diet and bowel cleansing. The procedure itself takes approximately 10-15 minutes.

With virtual colonoscopy, detailed images are produced to help identify abnormalities. If any are found, the medical team at PromiseCare Medical Group will guide the following steps, empowering patients to take control of their colon health and gain a clearer picture of their overall well-being.

Overview

Virtual colonoscopy, also known as CT colonography, is a non-invasive imaging technique that uses X-rays and computer processing to create detailed images of the colon and rectum. This procedure is primarily used for screening polyps and colorectal cancer.

A clear liquid diet and bowel cleansing are required to prepare for the procedure, which may include laxatives and a contrast medium to ensure precise imaging.

The procedure is quick, lasting approximately 10 to 15 minutes, and doesn't require sedation. As a result, individuals can resume their normal activities immediately after the test.

Virtual colonoscopy is recommended for average-risk individuals starting at age 45, with screenings occurring every five years if no abnormalities are found. While it's effective for detecting larger polyps and cancers, it can't perform biopsies or remove polyps, so a follow-up traditional colonoscopy may be necessary if abnormalities are detected.

This imaging technique offers a proactive step towards protecting one's health and gaining peace of mind.

Types

Understanding the different types of virtual colonoscopy procedures can help individuals feel more informed and prepared for colorectal cancer screening.

Virtual colonoscopy, also known as CT colonography, has two primary types: standard and high-resolution. The latter provides more detailed images of the colon. Both types use low-dose radiation to generate cross-sectional images of the colon and rectum to detect polyps and cancerous growths.

The procedure can be further differentiated using contrast media, such as oral or rectal contrast agents, which enhance image clarity. The imaging protocol employed also varies, including single-slice or multi-slice CT techniques, impacting the speed and quality of the imaging process.

For average-risk individuals, virtual colonoscopy is recommended every five years, but this frequency may vary based on the type of findings and individual risk factors. Understanding these differences can help individuals discuss their options and make an informed decision about colorectal cancer screening.

A healthcare provider will help determine the best type of virtual colonoscopy, taking into account individual needs and medical history.

Why it's done

Virtual colonoscopy is a noninvasive screening option primarily performed to detect polyps and colorectal cancer. It enables early detection for improved treatment outcomes, giving patients a better chance of successful treatment.

Virtual colonoscopy is done for several reasons:

  • Early detection of polyps and colorectal cancer: It helps detect polyps and cancer in their early stages when they're easier to treat.

  • Alternative to traditional colonoscopy: Virtual colonoscopy is a safer and more comfortable option for individuals unable to undergo conventional colonoscopy due to health issues.

  • Detailed images with low-dose CT scans: Low-dose CT scans provide detailed images of the colon and rectum, allowing for thorough examination without unnecessary discomfort.

For average-risk individuals, screening is recommended starting at age 45, with follow-up screenings every five years if no abnormalities are found.

Virtual colonoscopy offers a proactive approach to health, providing the best chance at a healthy future.

Who it's for

The decision to undergo virtual colonoscopy depends mainly on individual health needs and risk factors. For average-risk individuals, guidelines recommend starting screening for colorectal cancer at age 45 with a virtual colonoscopy. However, those with a family history of colorectal cancer or genetic predispositions may need earlier screening, often before 45.

Virtual colonoscopy is an excellent option for those seeking a less invasive alternative to traditional colonoscopy. Since it doesn't require sedation, normal activities can be resumed immediately after the procedure. Additionally, individuals on blood thinners or with certain health conditions that prevent traditional colonoscopy may find virtual colonoscopy a suitable alternative for medical reasons.

Ultimately, virtual colonoscopy provides a comfortable screening experience, especially for those apprehensive about the discomfort associated with traditional colonoscopy. It's a quicker and less invasive procedure that can give peace of mind and help detect colorectal cancer early on.

Risks

Potential risks are a natural consideration when undergoing a virtual colonoscopy. The benefits of this minimally invasive procedure should be weighed against possible complications. While virtual colonoscopy is generally regarded as safe, some risks exist.

  • Perforation of the colon lining carries a negligible risk, but it's estimated to be lower than traditional colonoscopy.

  • The procedure involves exposure to low levels of radiation, equivalent to the natural radiation exposure over two years.

  • Small polyps (those smaller than 10 mm) may not be detected, whereas a traditional colonoscopy would likely identify them.

Air inflation in the colon may cause mild discomfort, cramping, or bloating. These symptoms usually resolve quickly. Certain conditions, such as severe obesity or previous bowel surgery, increase the risk of complications.

Before the procedure, consulting a healthcare provider is essential to determine if a virtual colonoscopy is appropriate and ensure awareness of the potential risks. Understanding these risks is crucial for informed decision-making about care.

The risk of complications highlights the need for careful assessment before choosing a virtual colonoscopy. A thorough consultation can provide clarity on risks and suitability for the procedure.

Evaluating the procedure's pros and cons makes it easier to make informed choices.

How you prepare

Preparation for a virtual colonoscopy requires several days of careful planning to ensure the procedure's success. A clear liquid diet must be followed for 1-2 days before the exam. This diet may feel restrictive, but it's essential for achieving precise imaging results.

In addition to the diet, bowel cleansing is necessary. This involves taking strong laxatives and possibly using enemas on the day before the exam. Discomfort may occur, but it's an essential step.

A contrast medium may also be administered to enhance imaging clarity. Any previous reactions to contrast media or current medications, including over-the-counter drugs, should be disclosed, as adjustments may be necessary.

Pregnant individuals should weigh the risks associated with radiation exposure and discuss alternative options. By carefully following these steps, patients can be well-prepared for a successful virtual colonoscopy.

What you can expect

A virtual colonoscopy appointment typically begins after bowel preparation, which includes a clear liquid diet and possibly a contrast medium to ensure ideal imaging results.

A small tube is inserted into the rectum to inflate the colon with air during the procedure; this may cause mild cramping or discomfort, but it's essential for more precise imaging. The procedure usually lasts 10 to 15 minutes, and normal activities can be resumed immediately after.

Unlike traditional colonoscopies, the procedure doesn't require sedation, allowing for driving and other daily activities as usual. Some bloating or cramping may occur after the procedure, but this typically resolves quickly as the air is expelled from the intestine.

Imaging results will determine whether a follow-up traditional colonoscopy is needed or whether no further action is required.

Results

Understanding the results of a virtual colonoscopy is crucial in maintaining colon health. As one waits for the results, it's natural to wonder what they might mean. Will they be negative, indicating no abnormalities, or positive, suggesting the presence of polyps or other irregularities?

If the results are positive, a follow-up traditional colonoscopy may be recommended to evaluate further and possibly biopsy any polyps or irregularities.

The accuracy of virtual colonoscopy is generally high for detecting larger polyps, but it may miss smaller ones compared to traditional colonoscopy. If abnormalities are found, a follow-up colonoscopy is often recommended to address any potential issues within a short time frame.

The results are usually discussed within a few days, and guidance is provided on the next steps based on the findings. By understanding the results, one can make informed decisions about colon health and any necessary follow-up screening.

This knowledge can also help alleviate anxiety and uncertainty, allowing individuals to take control of their health.

Questions About This Test or Procedure?

A PromiseCare provider can help you understand if it’s right for you and what to expect.

Explore Health Topics

Feeling apprehensive about your upcoming test or proceedure?

A PromiseCare provider can walk you through what to expect, how to prepare, and what your results mean.
No surprises — just clear, supportive care.