没人会因为没做某检查所以得癌症的，倒是因为做了某检查所以得了检查后遗症的很多很多： https://www.gastrojournal.org/article/S0016-5085%2815%2901353-0/fulltext Hemorrhage, abdominal pain, and perforation were the most common causes of unplanned hospital visits. Fifteen variables were independently associated with unplanned hospital visits (c = 0.67). A history of fluid and electrolyte imbalance (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.29−1.58), psychiatric disorders (OR = 1.34; 95% CI: 1.22−1.46), and, in the absence of prior arrhythmia, increasing age past 65 years (aged >85 years vs 65−69 years: OR = 1.87; 95% CI: 1.54−2.28) were most strongly associated. The facility risk-standardized unplanned hospital visits calculated using Healthcare Cost and Utilization Project data showed significant variation (median 12.3/1000; 5th−95th percentile, 10.5−14.6/1000). Median risk-standardized unplanned hospital visits were comparable between ambulatory surgery centers and hospital outpatient departments (each was 10.2/1000), and ranged from 16.1/1000 in the Northeast to 17.2/1000 in the Midwest. 而且做了检查以后得癌的也乌央乌央的： https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383397/ Invasive cancer was diagnosed in 1.71 per 1000 person-years follow-up. Most cancers (78%) were early stage (I or II); however, 9 (16%) resulted in death from CRC. 52% cancers as probable missed lesions, 19% as possibly related to incomplete resection of an earlier, non-invasive lesion and 24% as probable new lesions, 5% because of failed biopsy detection.
没人会因为没做某检查所以得癌症的，倒是因为做了某检查所以得了检查后遗症的很多很多： https://www.gastrojournal.org/article/S0016-5085%2815%2901353-0/fulltext Hemorrhage, abdominal pain, and perforation were the most common causes of unplanned hospital visits. Fifteen variables were independently associated with unplanned hospital visits (c = 0.67). A history of fluid and electrolyte imbalance (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.29−1.58), psychiatric disorders (OR = 1.34; 95% CI: 1.22−1.46), and, in the absence of prior arrhythmia, increasing age past 65 years (aged >85 years vs 65−69 years: OR = 1.87; 95% CI: 1.54−2.28) were most strongly associated. The facility risk-standardized unplanned hospital visits calculated using Healthcare Cost and Utilization Project data showed significant variation (median 12.3/1000; 5th−95th percentile, 10.5−14.6/1000). Median risk-standardized unplanned hospital visits were comparable between ambulatory surgery centers and hospital outpatient departments (each was 10.2/1000), and ranged from 16.1/1000 in the Northeast to 17.2/1000 in the Midwest. 而且做了检查以后得癌的也乌央乌央的： https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383397/ Invasive cancer was diagnosed in 1.71 per 1000 person-years follow-up. Most cancers (78%) were early stage (I or II); however, 9 (16%) resulted in death from CRC. 52% cancers as probable missed lesions, 19% as possibly related to incomplete resection of an earlier, non-invasive lesion and 24% as probable new lesions, 5% because of failed biopsy detection. rureal 发表于 2023-11-29 09:39
没人会因为没做某检查所以得癌症的，倒是因为做了某检查所以得了检查后遗症的很多很多： https://www.gastrojournal.org/article/S0016-5085%2815%2901353-0/fulltext Hemorrhage, abdominal pain, and perforation were the most common causes of unplanned hospital visits. Fifteen variables were independently associated with unplanned hospital visits (c = 0.67). A history of fluid and electrolyte imbalance (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.29−1.58), psychiatric disorders (OR = 1.34; 95% CI: 1.22−1.46), and, in the absence of prior arrhythmia, increasing age past 65 years (aged >85 years vs 65−69 years: OR = 1.87; 95% CI: 1.54−2.28) were most strongly associated. The facility risk-standardized unplanned hospital visits calculated using Healthcare Cost and Utilization Project data showed significant variation (median 12.3/1000; 5th−95th percentile, 10.5−14.6/1000). Median risk-standardized unplanned hospital visits were comparable between ambulatory surgery centers and hospital outpatient departments (each was 10.2/1000), and ranged from 16.1/1000 in the Northeast to 17.2/1000 in the Midwest. 而且做了检查以后得癌的也乌央乌央的： https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383397/ Invasive cancer was diagnosed in 1.71 per 1000 person-years follow-up. Most cancers (78%) were early stage (I or II); however, 9 (16%) resulted in death from CRC. 52% cancers as probable missed lesions, 19% as possibly related to incomplete resection of an earlier, non-invasive lesion and 24% as probable new lesions, 5% because of failed biopsy detection. rureal 发表于 2023-11-29 09:39
没人会因为没做某检查所以得癌症的，倒是因为做了某检查所以得了检查后遗症的很多很多： https://www.gastrojournal.org/article/S0016-5085%2815%2901353-0/fulltext Hemorrhage, abdominal pain, and perforation were the most common causes of unplanned hospital visits. Fifteen variables were independently associated with unplanned hospital visits (c = 0.67). A history of fluid and electrolyte imbalance (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.29−1.58), psychiatric disorders (OR = 1.34; 95% CI: 1.22−1.46), and, in the absence of prior arrhythmia, increasing age past 65 years (aged >85 years vs 65−69 years: OR = 1.87; 95% CI: 1.54−2.28) were most strongly associated. The facility risk-standardized unplanned hospital visits calculated using Healthcare Cost and Utilization Project data showed significant variation (median 12.3/1000; 5th−95th percentile, 10.5−14.6/1000). Median risk-standardized unplanned hospital visits were comparable between ambulatory surgery centers and hospital outpatient departments (each was 10.2/1000), and ranged from 16.1/1000 in the Northeast to 17.2/1000 in the Midwest. 而且做了检查以后得癌的也乌央乌央的： https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383397/ Invasive cancer was diagnosed in 1.71 per 1000 person-years follow-up. Most cancers (78%) were early stage (I or II); however, 9 (16%) resulted in death from CRC. 52% cancers as probable missed lesions, 19% as possibly related to incomplete resection of an earlier, non-invasive lesion and 24% as probable new lesions, 5% because of failed biopsy detection. rureal 发表于 2023-11-29 09:39
回复 1楼littlekaya的帖子 肠镜必须做。为什么？我来科普一下。结直肠癌是第三大多大癌症，占近10%的癌症死亡案例。这部分病人死得很冤，因为结直肠癌100%可筛查。每个结直肠癌症的开始都是息肉。只要处理掉息肉，癌症100%可防可控。你不做就好像leave money on the table。 国内建议40岁筛查。美国到45才包保险，其实已经晚了。30%的结肠癌病人不到四十就死了。 有的人也许认为癌症离他们很遥远。但是，人一生得癌症的几率高达40%。不同的source会对这个比例作调整，但大体跑不了。 所以对于癌症，防控一定要做好。Prevention is way better than treatment because a lot of times, there’s no treatment!
同感！几年前一次性拔了四颗智齿，也是全麻，术后被护士喊了很久才醒过来，然后被轮椅推到车上的。现在想想还后怕：拔牙的整个过程家属都在外面大厅等，医生和护士做了什么都不知道，而且差点没pass out ，被护士叫醒后被告知脸色很难看，让队友回家密切观察，不知道是否麻药打多了还是我对麻药太敏感，从此对全麻有些后怕！
🔥 最新回帖
肠镜胃镜全部费用1100多软妹币，如果有息肉顺便摘除会多几百吧
能说一下大概费用吗？ 如果没症状胃镜保险不cover，这里医生不会轻易让做。
Big bless
LD来自饮食重口味的省市，一到时间就做了肠镜。虽然息肉小，但是活检结果不好，要一年查一次，而且所有的siblings 不管到没有到45，都要查。
我饮食算清淡的，还拖了了几年没去做。还是有息肉，虽少但个大，也要两年一查。
没有必要讳病忌医，或者因为泻药/麻醉的原因怕这怕那。到时间检查一次，有病治病，没事就放心，改干啥就干啥
我都是在中国做的。第一次做疫情前，有轻微的胃炎和B级食道炎，有两颗良性肠息肉顺便拿掉了。医生让我注意食道炎，说不要吃宵夜，睡觉垫高枕头。我回美国后去home depot买了几块砖头把床垫高了，也戒了宵夜。疫情后回国，就想着看看食道炎有没有改善，约了个胃镜，顺便也把肠镜做了。第二次轻微胃炎依旧，食道炎改善，肠镜没有息肉，医生说胃炎不严重，很多人都有，平时注意一下饮食便可，不需要吃药
我在中国都是全自费，比美国有保险还便宜，也不用等，星期五看的医生，星期一做
🛋️ 沙发板凳
我这里保险只有45岁以上才全包。
我个人实在很不想做，因为准备工作听上去就很艰难。我没家族病史。不过硬着头皮答应了。
一天前就不准吃饭，只能喝清流质液体像果汁清汤软饮料，连牛奶，smoothie都不让喝。
关键是发了一个大桶和泻药，要求把水和泻药混合配成液体，手术前一天晚上喝掉半桶， 清晨再喝完半桶，这可能要喝到吐了吧。这一夜也别睡了。
睡个几分钟的事情，为啥不呢？
真没这么简单。做之前要吃泻药灌水清肠子。很麻烦。
是做的过程中就治，还是做完后治疗好的？怎么治疗？
好像如果是息肉的话，做的过程中就可以清理
麻醉的过程和洗肠受的苦比简直是九牛一毛啊。
就是这睡几分钟让人害怕，完全任人摆布，不能知道发生了什么。
不是必须做
不就是被捅菊花了么。
主要不大信任有些医疗从业人员的技术。听说有把肠子捅破的…
拉没什么，但那药我喝的都要吐了。好在结果特别干净，下一次10年以后了
没人会因为没做某检查所以得癌症的，倒是因为做了某检查所以得了检查后遗症的很多很多：
https://www.gastrojournal.org/article/S0016-5085%2815%2901353-0/fulltext Hemorrhage, abdominal pain, and perforation were the most common causes of unplanned hospital visits. Fifteen variables were independently associated with unplanned hospital visits (c = 0.67). A history of fluid and electrolyte imbalance (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.29−1.58), psychiatric disorders (OR = 1.34; 95% CI: 1.22−1.46), and, in the absence of prior arrhythmia, increasing age past 65 years (aged >85 years vs 65−69 years: OR = 1.87; 95% CI: 1.54−2.28) were most strongly associated. The facility risk-standardized unplanned hospital visits calculated using Healthcare Cost and Utilization Project data showed significant variation (median 12.3/1000; 5th−95th percentile, 10.5−14.6/1000). Median risk-standardized unplanned hospital visits were comparable between ambulatory surgery centers and hospital outpatient departments (each was 10.2/1000), and ranged from 16.1/1000 in the Northeast to 17.2/1000 in the Midwest.
而且做了检查以后得癌的也乌央乌央的：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4383397/ Invasive cancer was diagnosed in 1.71 per 1000 person-years follow-up. Most cancers (78%) were early stage (I or II); however, 9 (16%) resulted in death from CRC. 52% cancers as probable missed lesions, 19% as possibly related to incomplete resection of an earlier, non-invasive lesion and 24% as probable new lesions, 5% because of failed biopsy detection.
现在有吃药片清肠的
怀疑你有没有读懂你自己引用的文章。第二篇文章里面是讲做了肠镜之后4年得肠癌的病人数据分析，几个主要结论：1，做了肠镜之后4年得肠癌概率是6/1000（sample里面主要是老年人，population level一个人一生得肠癌的概率是1/25左右）2. 这些得癌的里面70%的原因是息肉没摘干净
这还不是说明早期摘息肉对预防肠癌有效吗？
做一个，腹泻一天，放心五年，我都做过两次了
你拿一篇学术文章只言片语来辩论我身边的事实？读书读多了是吗？
没做检查是因为有了息肉看不出来，长年息肉长大了致癌，然后扩散，再检查的时候是癌症晚期了。癌症不检查谁知道是癌症？！
肠镜去做一下吧，肠癌是最容易预防的癌症之一，排查没问题就是10年不用再做。检查本身没什么痛苦，你很快睡过去了，就是之前的准备工作时间长一点，从最后一次进食到检查至少30多小时，一定记得约早上第一个做，这样好控制时间。
我怀疑你既没读懂文章，也没读懂这里的对话内容。
文章直接说明做了号称干净了一样得癌，我用它证明前面一位id的“某人因为没做所以得癌”的说法不正确。
这个文章的premise是说得癌是从息肉开始，所以为做了肠镜仍然得癌找的理由是因为息肉没被发现或者没摘干净，但这篇文章没有任何地方证明了这个premise。
你对身边案例的推衍逻辑有问题，与读不读书没什么关系。 没有人会因为不检查而得癌，给个文章是顺手，本来也不需要。 你说那个案例是因为没看见的息肉长大致癌然后扩散，从根本上就没证据：既然没看见息肉，怎么知道癌是息肉来的？
你这个观点真是大错而特错了。
有家族病史的，早做；没有家族病史的，45岁可以免费做的时候，也要去做。不要听这种奇谈怪论而不去做肠镜。
不怕或者不担心得癌就不用做。
我给了两个事实，一是做肠镜手术麻醉均有风险，二是做了肠镜以后照样得癌， 里面没有个人观点，既没有劝人不做，也没有像你那样用个人观点去鼓励任何人去做。
懒得跟你无意义的浪费口舌
总之其他人请注意不要听这人的鬼话就好，一定要了解肠镜筛检很必要很重要
不是 十年做一次吗？
就你说话这素质，真给你的观点减分。
带了避孕套也有怀孕的。
不是鬼话。 现在很多医生 对癌症的筛查 都有保留意见。 肠镜风险是存在的， 虽然不高。
对风险高的， 像 前列腺癌的 活体取样筛查， 在美国可能 大多数 医生都是 保守意见。
带避孕套的风险是......？ 要类比也该用吃药上环之类的吧？既有风险也有怀孕，和肠镜有一比。
吹牛鬼扯没关系，只要不害人
你这种是想害死人的鬼扯，如果早期的肠癌病人听了你的鬼扯，他就可能冒错失及早检测到肠癌而保命的机会，等他有症状了，就很可能已经没有活命的机会了。
你真是太缺德了，你照照镜子，看看里面是人是鬼。
这不是麻醉，这是镇定剂，你可以要求不要深度镇定。 一种是anesthesia 一种是sedation sedation也分deep，minimal
让你睡着sedated是避免你肌肉紧张身体移动打喷嚏之类，主要不是为了止疼。所以没有什么局部之说。 minimal很容易唤醒。有专门麻醉师一旁观测你的体征。
哈哈，大家一起做吧，人生才能完整。
自以为是罔顾事实的人是你，害人的人是你，缺德的人也是你！ 可惜你心眼都瞎了照镜子也不自知。
你喜欢做肠镜请自己多多做，你想鼓吹做请提供事实依据帮助别人make informed decision， 光一味空洞无物的打击异己算什么东西。
你自己上个贴就说了不跟我说话，请说到做到，别跟我的贴，满嘴的污言秽语，怪恶心的。
缺德害人会下地狱
嗯，同意！ 请你小心！
做之前8个小时就不让喝水了，你的医生不是这么嘱咐的？
呸，脸皮比城墙还厚
你真是没脸没皮，自己说话当放屁，你就唾面自干好了。 我一向不拉黑人，不过你这么下贱的还真没办法。
这啥逻辑啊？笑死了，息肉怎么看见的？肉眼看见的？ 你还是别有需要的顺手拿文章来班门弄斧了，误导大家治病。我说的就是身边的例子，按照你的逻辑结论大家都不要去做肠镜检查，因为检查无法及时发现癌症。
怎么能治便秘的？
我自己都不知道为什么便秘好了，但我猜是因为两天轻断食，再加上手术相当于清肠排毒了。
肠镜是，但是胃镜我以前是吸气的那种，面罩一罩上就没知觉了，
可能你的肠子不知道怎么搞的有纽起来的地方，做肠镜帮它纽顺了。 我上个月刚刚看过一个科普肠镜的小动画，展示肠镜的过程，就有纽肠子。
我全麻，是静脉注射的
直接摘除了，后来做了切片是恶性的 然后第二年又做了一次复查
谢谢
我拿到的指南里说最后一天整天都不能吃饭，得吃liquid, 那不得饿死我吗？ 呜呜
还发了一个大桶，要求加水配上泻药几个小时内喝光，这简直是酷刑。
冷知识，有意思
确实饿，只能忍，不止一整天，做的前一天早上开始就不能吃东西了，直到做完结束之后，所以尽量安排上午做，少饿几小时。
吃泻药那晚上估计得一宿无眠了。
肠镜必须做。为什么？我来科普一下。结直肠癌是第三大多大癌症，占近10%的癌症死亡案例。这部分病人死得很冤，因为结直肠癌100%可筛查。每个结直肠癌症的开始都是息肉。只要处理掉息肉，癌症100%可防可控。你不做就好像leave money on the table。
国内建议40岁筛查。美国到45才包保险，其实已经晚了。30%的结肠癌病人不到四十就死了。
有的人也许认为癌症离他们很遥远。但是，人一生得癌症的几率高达40%。不同的source会对这个比例作调整，但大体跑不了。
所以对于癌症，防控一定要做好。Prevention is way better than treatment because a lot of times, there’s no treatment!
----没有人会因为不检查而得癌 但是会有人因为不检查而耽误了病情，痛失治疗的机会
非常对👍
我提供文献是为了给感兴趣的人作个参考，凭你说话的内容和方式以及全无逻辑却不自知的智商，绝对不是值得任何人去弄斧的班门，所以你多虑了。
我相信去做这个检查的人以及推广这个检查的理由就如你所说的逻辑。
我只是提供一些数据，让愿意多了解情况的人知道这两个通常不被提及或者说思考盲点：一是这个检查有事故可能，injury不少见，二是这个检查说clear了不代表就不得癌了，查完之后得肠癌的也不少见。
对于大家查还是不查，既不鼓励也不反对。
什么情况下可以验stool？
你这是在哪里听说的？哪个国家？那么多医生你可以做research 找个评价好的啊。又不是急诊去了轮到哪个没得挑
有不同的protocol吧？ 医生嘱咐我只要禁液4个小时就行了。
哈哈，估计是你醒来的时候麻醉师赶紧给你加剂量又把你放倒了
你自己看看这楼里的人谁同意你啊？一堆人都懒得和你费口舌了，省省吧！动不动还上升到侮辱别人智商，你谁啊？医生？读书读傻的phd？
因为不能保证百分百发现所以建议大家不需要做？ 这逻辑太怪异了。有多一点可能提前查到病症及时治疗总好过发现不了吧。即使得了癌的你不去查也不会知道是癌。 做肠镜的风险可以通过找个review好有经验的医生来降低。怕全麻的国内可以做不麻普通的。
是啊。 不理解这什么心理。很专业无关，是逻辑问题
同感！几年前一次性拔了四颗智齿，也是全麻，术后被护士喊了很久才醒过来，然后被轮椅推到车上的。现在想想还后怕：拔牙的整个过程家属都在外面大厅等，医生和护士做了什么都不知道，而且差点没pass out ，被护士叫醒后被告知脸色很难看，让队友回家密切观察，不知道是否麻药打多了还是我对麻药太敏感，从此对全麻有些后怕！
我都没喝完 只要拉出来都是液体就可以了 我剩了一半没喝