How often do doctors miss polyps on colonoscopies, and why does this happen?

Doctor's Answers 1

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Dr Jason Lim

Colorectal Surgeon

It is not uncommon for doctors to miss polyps during a colonoscopy.

There are no figures locally on how often this happens but these can be due to three main factors:

  1. Poor bowel preparation causing the polyp to be obscured by stools
  2. Small polyps behind the corners or folds of the colon, which are not visualized well during the colonoscopy
  3. Inexperienced endoscopist

To find out more about getting a colonoscopy in Singapore, you can read my Complete Guide To Colonoscopies In Singapore (2018).

Similar Questions

Which will give the best results between a standard colonoscopy, a virtual colonoscopy and a capsule endoscopy?

To find out more about getting a colonscopy in Singapore, you can read my Complete Guide To Colonoscopies In Singapore (2018). A standard colonoscopy’s sensitivity is in the range of 95 – 98% accurate, while a CT Colonography’s sensitivity can range from 90 – 95%. However, it is imperative to note that the sensitivity and accuracy of either investigation is highly dependent on the quality of the bowel preparation before the procedure. The poorer the bowel preparation, the lower the accuracy.

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Answered By

Dr Jason Lim

Colorectal Surgeon

Do I need a colonoscopy for tailbone and anal pain to rule out cancer?

Hi, The description of your symptoms appear to be proctalgia ani. While it literally translate to "pain in your anus", the persistence of your symptoms warrants a physical examination by a doctor. The causes can range anywhere from an anal fissure (tear in your anus), to deep anal infections, to referred pain from somewhere else e. g. coccydynia / pelvic floor strain (from your weight lifting), and stress.

Photo of Dr Jason Lim

Answered By

Dr Jason Lim

Colorectal Surgeon

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