Questions on colonoscopy for Crohn's patient

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 404
   Posted 9/8/2018 8:15 AM (GMT -6)   
Last week I had my abdominal MRI with contrast, which shows multiple strictures in small bowel, but normal large bowel. Does that mean there is absolutely no stricture in large bowel?

I am thinking of having a colonoscopy in the near future. If the doctor encounters some strictures in large bowel or terminal ileum during colonoscopy, what will happen? Will the colonoscope cause bowel damage at the site of stricture such as bowel perforation? Will they immediately abort the procedure and change it to a pediatric colonoscope? Will they use pediatric colonoscope in the beginning no matter I have strictures or not in the large bowel?

Sorry that I have not had a colonoscopy for a very long time. Hopefully someone with experience can shed some light on this Thanks

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16804
   Posted 9/8/2018 12:07 PM (GMT -6)   
From what you are saying the large bowel is clean, strictures would have shown up same as the small bowel. Where exactly are they saying the "multiple strictures" are located in the small bowel. This should be on the MRI report.

Gi's often use a pediatric scope for folks with strictures. A dr will not risk perforating a patient's bowel, so yes, they abort the scope.

What you are asking here needs to be addressed with your gi so you can be assured of everything prior to a scope.
Susie
Moderator in Chronic Pain & Psoriasis Forums

EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 404
   Posted 9/8/2018 3:31 PM (GMT -6)   
Thank you, Susie. You are always helpful.

The MRI report says: Multiple areas of distal small bowel thickening, mucosal hyperenhancement, and stricturing with upstream bowel dilation. The terminal ileum is normal. The stomach, large bowel, and proximal small bowel are normal.

It appears that my large bowel should be OK for a colonoscopy exam, right?
Diagnosed of Crohn's Disease in 1994. Having been treated exclusively with Chinese herbs for 20 years. Currently not on any western medicine.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16804
   Posted 9/8/2018 7:49 PM (GMT -6)   
Paul, based on what you have written here the large bowel does not have anything going on. Over the years there has been a great deal of many members that had scopes done with a pediatric scope because of strictures & they did fine. You are long overdue for a scope & that should be a concern for you. Even if you are not planning on doing a scope soon, at least talk to your dr about this, perhaps this would help calm your fears.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Labradorite
Veteran Member


Date Joined Sep 2009
Total Posts : 1125
   Posted 9/8/2018 9:59 PM (GMT -6)   
I agree with @Straydog. The colonoscopy is what you need at this point. The stricture I had two years ago in the TI did not show up on any imaging (CTs, X-ray , not 100 percent sure but don’t think it showed up on the MRI either because this became an issue with how to monitor it afterwards) but it was discovered during the colonoscopy.this was not an issue. The doctor was able to do a dilation to begin opening it up and he was very careful about it. It took two of these procedures to fix it but it’s been a little over two years and it has been fine ever since. I had no increase in pain from the procedure. Everyone is different so The best thing you can do is ask your doctor what he or she would do if that situation arises.

mirowpl
Veteran Member


Date Joined Nov 2009
Total Posts : 527
   Posted 9/9/2018 8:26 AM (GMT -6)   
Hey there....since i have had 19 colonoscopies (done by at least 6 different places) i feel like i sort of have a good idea of what to expect. First of all, every Dr told that if they know you have crohn’s or a possible stricture, they will use a pediatric scope. A perforation is still possible no matter what but they will do everything possible to reduce any risk. If you are not sure, ask them before the procedure while talking to the GI before they put you under. Ask them about balloon dialation as well, some members have had excellent results with this and it can be done during the colonoscopy. I have never had one, but that is due to my multiple resection and difficult gut ( partial gut malrotation). Again, this is a discussion to have prior to the procedure. Susie and Labradorite are giving Sound advice
surgeries: 2 resections at terminal ilium, open heart surgery, infected lymphocele surgically removed, crainotomy to remove benign tumor; adominal hernia,

Failed: remicade, cimzia, methotrexate, humire, 6MP, entyvio
G
medications: stelara , verapamil , quinipril, labetalol, clorithidone, atorvastatin, alluporinol, elliquis, Xanax ER

Labradorite
Veteran Member


Date Joined Sep 2009
Total Posts : 1125
   Posted 9/9/2018 9:17 AM (GMT -6)   
Yes, balloon dilation is only possible if the stricture is not big (as in it does not take up a long length of intestine). It’s not for everyone but your GI will know what’s what. Their main goal is “First do no harm”

EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 404
   Posted 9/13/2018 11:59 AM (GMT -6)   
Is the colonoscopy procedure performed by the same gastroenterologist who treated your Crohn's Disease? Or would it be a different doctor? I mean does your main Crohn's Disease doctor order a colonoscopy for you or does he/she perform colonoscopy exam by himself/herself?
Diagnosed of Crohn's Disease in 1994. Having been treated exclusively with Chinese herbs for 20 years. Currently not on any western medicine.

mirowpl
Veteran Member


Date Joined Nov 2009
Total Posts : 527
   Posted 9/13/2018 12:37 PM (GMT -6)   
Except for when in hospital, (or Mayo Clinic) my personal GI has always done my scopes.
surgeries: 2 resections at terminal ilium, open heart surgery, infected lymphocele surgically removed, crainotomy to remove benign tumor; adominal hernia,

Failed: remicade, cimzia, methotrexate, humire, 6MP, entyvio
G
medications: stelara , verapamil , quinipril, labetalol, clorithidone, atorvastatin, alluporinol, elliquis, Xanax ER

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16804
   Posted 9/13/2018 1:12 PM (GMT -6)   
My gi does his own scopes at the hospital. I think for most of us here the patient's gi does the scopes rather than a random dr at a hospital, unless it's an emergency situation. I am basing this on member's comments about their scopes in general.
Susie
Moderator in Chronic Pain & Psoriasis Forums

EruditePaul
Regular Member


Date Joined Jan 2006
Total Posts : 404
   Posted 9/13/2018 2:01 PM (GMT -6)   
For all of what I have researched, a colonoscopy is not as complicated as an abdominal surgery, and can be performed by my GI without fear of a perforation. My last scope was more than a decade ago, and I do not miss the procedure dear to my heart. I would guess my risk of colon cancer is much higher than the risk of a colonoscopy perforation. Thank you so much for all the helpful members here.
Diagnosed of Crohn's Disease in 1994. Having been treated exclusively with Chinese herbs for 20 years. Currently not on any western medicine.
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, September 25, 2018 4:10 PM (GMT -6)
There are a total of 3,006,581 posts in 329,351 threads.
View Active Threads


Who's Online
This forum has 161839 registered members. Please welcome our newest member, Hallieb.
260 Guest(s), 8 Registered Member(s) are currently online.  Details
mauricesr, Girlie, Stevo68, InTheShop, Hallieb, G-Ju, jwebb, LifeisTrash