Today, we discuss the latest reduction in cancer death rates – down more than 23%. Reduction in smoking is the largest contributor to this improvement, followed by breast cancer screening, colon cancer screening with colonoscopy, and weight loss through MORE FRUITS AND VEGETABLES! How novel? Enjoy the video and make sure everyone is aware of the cancer screening guidelines.
by Dr. Joe Galati on 04/07/2013
March is Colon Cancer Awareness month, and on a recent segment of Your Health First, Dr. Joe Galati dedicated a segment to review some o the basic facts regarding colon cancer, as well as colonoscopy and the need to be screened starting at age 50 years old.
by Dr. Joe Galati on 09/18/2012
by Dr. Joe Galati on 06/01/2012
Colon cancer screening with colonoscopy saves lives. But, the bowel prep must be good enough that we can see the lining of the colon, searching for colon polyps, that may lead to colon cancer. A poor prep, where we cannot see the bowel wall, is useless. Directions to the prep must be followed 100%, or you get results like these…and you need to repeat the process all over again.
The brief video below shows you what it should not look like. The key to a good bowel prep is following the directions. Period.
by Dr. Joe Galati on 09/11/2011
I recently had the opportunity to remove a large colon polyp from a young man who presented with rectal bleeding. Thinking it was a hemorrhoid, he delayed seeking treatment. Once we did the colonoscopy, it becomes very clear what this is…a huge colon polyp, that if left along, likely would have turned to colon cancer.
Enjoy the video. Comments are always welcomed.
by Dr. Joe Galati on 03/09/2010
March is Colon Cancer Awarenessmonth. One of the methods for screening for colon cancer is a colonoscopy. For most patients, there is anxiety over the need to take the bowel preparation, which is a sometimes bad tasting solution that is consumed the day before the procedure. Technology has improved, and the products we use at Liver Specialists of Texas are much improved, and most patients do not complain too much.
There is a podcast on the Liver Specialists of Texas website that outlines the specific directions for the bowel prep we use. In all cases, consult with your own physician regarding the bowel prep they request. Listen to the podcast posted below.
PODCAST: Download Bowel Prep Instructions
by Dr. Joe Galati on 03/07/2010
March is Colon Cancer Awareness Month.
Listen below to an audio file from Dr. Galati regarding general issues related to colon cancer.
by Dr. Joe Galati on 01/15/2008
While this blog is indeed dedicated to the liver, I always promised that I would add additional topics of interest, including digestive health. Regardless of what your health status is, a finely tuned gut will always be beneficial. In my own liver practice, it is a daily ritual to discuss diet and digestive health. Specifically, the role of dietary fiber. While a longer discussion of fiber will follow, the issue at hand now is what happens when you don’t have enough fiber in the diet?
The most common ailment of a low fiber diet is diverticulosis. Many people have small pouches in their colons that bulge outward through weak spots, like an inner tube that pokes through weak places in a tire. Each pouch is called a diverticulum. Pouches (plural) are called diverticula. The condition of having diverticula is called diverticulosis. About 10 percent of Americans over the age of 40 have diverticulosis. The condition becomes more common as people age. About half of all people over the age of 60 have diverticulosis.
When the pouches become infected or inflamed, the condition is called diverticulitis. This happens in 10 to 25 percent of people with diverticulosis. In this setting, there is pain, fever, bleeding and the risk of serious infections as well as perforation of the colon. This is a true medical and surgical emergency.
Symptoms of diverticulosis range from none, to chronic left sided, lower abdominal pain. In many cases, a history of constipation is also reported. For some, they are given the diagnosis of irritable bowel syndrome.
I have posted one of the best video images of diverticulosis I have ever captured. This short clip recorded a few weeks ago clearly shows what happens with diverticulosis. Food and stool get trapped inside these pouches. The pouches get irritated and infected, causing pain and all of the other complications. Through the colonoscope, I bombarded this particular spot until the stool was washed free. It took a few minutes of close irrigation to push it free. There was a big sigh in the room from the nurses once this little bit of stool was freed.
I recommend 35 to 40 grams of dietary fiber daily. Here is a link to get started looking at fiber content in foods. It takes work but very much worth it in the end.
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