Which Medical Specialty Performs Colonoscopy Procedures? - Surgery

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Colonoscopy is performed by a gastroenterologist?


Dear Doctor: I previously underwent a colonoscopy, which was initially performed by my consulting surgeon.
However, when the surgeon identified an issue, he referred me to another physician for the removal procedure.
I later learned that this second physician specializes in gastroenterology and hepatology.
For my follow-up appointments, I have been directly seeing this gastroenterologist.
Therefore, I am quite puzzled about which specialty is responsible for performing colonoscopies.
Thank you for clarifying this for me!

Qimei, 40~49 year old female. Ask Date: 2011/01/23

Dr. Ke Fangxu reply Surgery


Hello: In response to your question, the answer is that it varies.
Some physicians perform polypectomies, while others only conduct colonoscopies.
Some only remove polyps smaller than one centimeter, while others may remove polyps that are less than two centimeters.
It depends on each physician's proficiency and individual principles.
It is best to inquire beforehand before undergoing the examination to avoid the inconvenience of repeated procedures.

Reply Date: 2011/01/23

More Info


Colonoscopy procedures are primarily performed by specialists in gastroenterology, which is the branch of medicine focused on the digestive system and its disorders. Gastroenterologists are trained to perform various endoscopic procedures, including colonoscopies, to diagnose and treat conditions affecting the gastrointestinal tract. However, general surgeons can also perform colonoscopies, particularly in cases where surgical intervention may be necessary, such as polyp removal or treatment of colorectal cancer.

In your case, it seems that your initial consultation was with a general surgeon who may have identified an issue during the colonoscopy that required further intervention. This is not uncommon, as general surgeons are trained in a wide range of surgical procedures, including those involving the colon. When a specific issue is detected, such as a polyp or lesion that needs to be removed, the general surgeon may refer the patient to a gastroenterologist, who specializes in the endoscopic techniques required for such procedures.

The collaboration between these two specialties is essential for providing comprehensive care. Gastroenterologists often have more extensive training in performing colonoscopies and managing gastrointestinal diseases, while general surgeons are equipped to handle surgical interventions that may arise from findings during the procedure. This multidisciplinary approach ensures that patients receive the most appropriate care based on their specific needs.

Regarding your experience, it is not unusual for patients to see different specialists throughout their treatment journey. If a gastroenterologist is now managing your follow-up care, it is likely because they are better suited to monitor and treat any ongoing gastrointestinal issues that may arise from your initial findings. It is important to have a clear line of communication with your healthcare providers, and you should feel comfortable discussing any concerns or questions you have about your treatment plan.

In summary, colonoscopy procedures are primarily performed by gastroenterologists, but general surgeons can also conduct them, especially when surgical intervention is needed. The choice of specialist often depends on the specific circumstances of the patient's condition and the findings during the procedure. If you have further questions about your care or the roles of different specialists, don't hesitate to reach out to your healthcare team for clarification. They are there to support you and ensure you receive the best possible care for your gastrointestinal health.

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