There were no survivors. [Warning: GRAPHIC]

Colorectal Cancer Awareness Month continues on! However let’s face it, awareness by itself is not enough! To have an impact, we need to take action against colon cancer. We must also have the necessary tools, tactics, and training to take care of business when polyps rear their ugly head. It's a bad month to be a polyp!!!

What causes colon polyps?

Roughly half of all cases of colon cancer (and by extension, colon polyps) are a result of modifiable risk factors. These are the things that you can control. If we know what these risk factors are, maybe we can make better choices...

Removing a large polyp with the new lifting agent Eleview

Now there is a new product called Eleview (Aries Pharmaceuticals) that is specifically made for endoscopic procedures requiring submucosal injection. This product is supplied in 10-mL ampules and is ready-to-use, making it much faster and more convenient to just ask for in the middle of a procedure

What does a positive Cologuard test mean?

What is immediately apparent from these numbers is that Cologuard rarely misses cancer. However, if we count polyps as a significant finding, there are plenty of false-positive results (45%) and plenty of false-negatives too (34%). So is Cologuard a good test overall?

Retroflexion in the right colon: Why to do it.

Should retroflexion in the right colon become a routine part of screening colonoscopy? Let's frame this question with the following facts: Colonoscopy is less-protective against right-sided cancers (which implies that colonoscopy is less-effective at finding or removing right-sided polyps...

Retroflexion as a necessary maneuver to resect a large colonic polyp.

Sometimes repositioning the lesion is what it takes to get it done. A better angle between the snare and the polyp can be the difference between sliding over the top or capturing the lesion. In this case, retroflexing the scope in the ascending colon was the key maneuver needed to get the rest of the polyp out.

My doctor found a colon polyp. When do I need to repeat a colonoscopy?

If you notice, the basic idea here is pretty simple. According to the guidelines, there are really only a few options for follow-up intervals for colonoscopy: 10 years (negative exam), 5 years (low risk polyps), and 3 years (high risk polyps). Less than 3 years is only recommended in the truly unusual case of a large polyp burden or invasive cancer in a polyp. And that's it.

Find the hidden polyp! Colon cancer screening in action!

I thought it would be a good time to show a real-life example of colorectal cancer prevention in action. Let's pretend that you are a friendly neighborhood gastroenterologist, just minding your own business and doing a screening colonoscopy on a patient.