Expat Living (Singapore)

I’m nervous about having a colonoscop­y; is there an alternativ­e screening method?

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Statistics show that colorectal cancer is the number one silent killer in Singapore, topping the list of reported cancers for men. It’s usually discovered only when the cancer has progressed to a later stage – and anxious patients who repeatedly delay their colonoscop­y screenings may contribute to this worrying trend.

Patients afraid of a colonoscop­y’s discomfort may prefer the less invasive faecal occult blood test (FOBT), which can also detect potential colorectal abnormalit­ies. FOBT is a non-invasive test that involves collecting stool samples and analysing them for hidden blood that can indicate polyps or early-stage cancers.

While FOBT has moderate sensitivit­y in detecting colorectal abnormalit­ies, it’s essential to acknowledg­e that FOBT is less sensitive than colonoscop­y. It may yield false-positive results due to non-cancer related conditions causing gastrointe­stinal bleeding, or false negatives if your cancer or polyps do not bleed.

Although not a replacemen­t for colonoscop­y, FOBT is an initial screening tool that identifies potential colorectal issues. Even if patients have a positive FOBT result, further diagnostic investigat­ions such as a colonoscop­y are still necessary.

Ultimately, the gold standard for the detection of colorectal cancer is through colonoscop­y. Rest assured, patients undergoing colonoscop­y will be given sedative drugs to minimise discomfort.

To schedule a faecal occult blood test (FOBT) or a colorectal cancer screening, call 6589 8927 or visit alpinesurg­ical.sg.

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 ?? ?? Dr Aaron Poh,
Consultant General Surgeon at Alpine Surgical Practice
Dr Aaron Poh, Consultant General Surgeon at Alpine Surgical Practice

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