Benign Polyps: What You Need to Know After a Colonoscopy - Gastroenterology and Hepatology

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About benign polyps?


Hello Dr.
Chen, I just had a colonoscopy on January 14th.
When the scope was inserted, everything appeared normal up to the cecum.
However, when the doctor was withdrawing the scope, he took another look and found a very small polyp that was magnified and had a color change.
The doctor examined it for about 30 seconds before saying, "Alright, let's remove it." Unfortunately, I accidentally moved, and the doctor was unable to locate it again (the endoscopist searched for it again).
He later told me that this was likely a benign hyperplastic polyp and that there was no need to remove it, advising me to return for another colonoscopy in five years.
I am concerned about any potential issues that may arise in the future.
I've been quite anxious about this and regret moving during the procedure.
Thank you.

Xiang, 20~29 year old female. Ask Date: 2016/01/17

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Due to the lack of biopsy, the nature of the polyp is unknown.
If it is an adenomatous polyp, it may develop into cancer, typically over a period of 3 to 5 years.
However, if it is a hyperplastic polyp, it will not progress to cancer.
It is recommended to undergo another colonoscopy, avoiding any movement during the procedure and considering a sedation option; alternatively, a follow-up examination can be done in three years.

Reply Date: 2016/01/17

More Info


After undergoing a colonoscopy, it's understandable to have concerns about the findings, especially when it comes to polyps. In your case, the doctor identified a very small polyp that was deemed benign and suggested that it does not require immediate removal. Here’s a comprehensive understanding of benign polyps and what you should consider moving forward.


Understanding Benign Polyps
1. Nature of Benign Polyps: Benign polyps, such as hyperplastic polyps or adenomatous polyps, are growths on the lining of the colon that are not cancerous. Hyperplastic polyps are generally considered to have a low risk of progressing to cancer, while adenomatous polyps can have a higher risk depending on their type and size. The fact that your doctor classified the polyp as "likely benign" is reassuring.

2. Follow-Up Recommendations: The recommendation to return for a follow-up colonoscopy in five years is standard practice for monitoring polyps. This interval is based on the understanding that most benign polyps grow slowly, and regular monitoring can help catch any changes early. If the polyp were larger or had concerning features, the follow-up period would likely be shorter.

3. Risks of Not Removing the Polyp: While it’s natural to worry about the polyp being left in place, the majority of small, benign polyps do not lead to cancer. However, it’s essential to maintain regular screenings as advised by your healthcare provider. If any changes in bowel habits, such as blood in the stool or significant changes in stool consistency, occur, you should contact your doctor immediately.

4. Your Concerns About Movement During the Procedure: It’s common for patients to feel anxious during a colonoscopy, and slight movements can happen. However, the medical team is trained to handle such situations. The fact that the doctor was able to assess the polyp and determine its nature suggests that they were confident in their findings despite the brief interruption.

5. Long-Term Monitoring: After a colonoscopy, especially when polyps are involved, it’s crucial to adhere to the recommended surveillance schedule. This may include lifestyle modifications, such as a healthy diet rich in fiber, regular exercise, and avoiding smoking and excessive alcohol consumption, which can all contribute to colon health.

6. Communication with Your Doctor: If you continue to feel anxious about the findings or have specific questions about your risk factors, don’t hesitate to reach out to your healthcare provider. They can provide personalized advice based on your medical history and the specifics of your case.


Conclusion
In summary, while it’s normal to feel apprehensive after discovering a polyp during a colonoscopy, the information provided by your doctor indicates that there is no immediate cause for concern. The recommendation for a follow-up in five years is a standard approach for monitoring benign polyps. Maintain open communication with your healthcare provider, adhere to follow-up schedules, and focus on a healthy lifestyle to support your overall colon health. If you experience any new symptoms or changes, be proactive in seeking medical advice.

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