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I am 56 years old and have had 2 colonoscopies. The first was when I was 51 and 4 small polyps were removed in the 2 to 5 mm range that were listed as having features suggestive of sessile serrated polyp. There was also a 5 mm polyp with overlapping features of sessile serrated and hyperplastic polyp removed from the ascending colon. I had a second colonoscopy 2 years later at 53 and and 2 polyps were removed 1-2mm and listed as polypoid mucosal excrescence with a stromal lymphoid aggregate.
My gi doctor is suggesting I get another colonoscopy this year which will be 3 years after the second colonoscopy. I am trying to decide whether to go ahead with it or delay for a year or 2. I have read some of the tables for surveillance and seems like it can range from 3 to 5 years for a third colonoscopy. My grandmother died of colon cancer so that might be an added risk. On the other hand, I have a very healthy diet and lifestyle and not sure how much to consider that.
I am also wondering if it would make sense to do the Cologuard test this year instead of the colonoscopy and stretch out the colonoscopy schedule. I worry about something going wrong with the colonoscopy, such as perforation. Not sure what the risks of perforation are versus the benefit of possibly detecting cancer with another colonscopy. Any thoughts or advice will be appreciated!
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