GI Endoscopy for High-Risk Surveillance

Proactive Care for Patients at Increased Risk of GI Conditions

What is High-Risk Surveillance with GI Endoscopy?

GI endoscopy for high-risk surveillance involves regular monitoring of the gastrointestinal (GI) tract to detect early signs of abnormalities, such as precancerous changes, polyps, or inflammation, in patients with a higher risk of developing gastrointestinal diseases. By identifying issues early, surveillance endoscopy allows for timely intervention and prevention of serious complications.

At Central Gastro, we specialize in advanced endoscopic techniques to provide personalized surveillance plans for patients at increased risk of gastrointestinal conditions, offering peace of mind and proactive care.

Who Needs High-Risk Surveillance?

High-risk surveillance is recommended for individuals with:

Family or Personal History:

• A family history of colorectal cancer, esophageal cancer, or other GI cancers.
• A personal history of colorectal polyps, Barrett’s esophagus, or cancer.

Chronic Conditions:

• Inflammatory Bowel Disease (IBD): Including Crohn’s disease and ulcerative colitis.
• Chronic GERD (Gastroesophageal Reflux Disease): Increases the risk of Barrett’s esophagus and esophageal cancer.

Genetic Syndromes:

• Lynch Syndrome (hereditary non-polyposis colorectal cancer).
• Familial Adenomatous Polyposis (FAP): A genetic condition associated with numerous colorectal polyps.
• Peutz-Jeghers Syndrome or other hereditary syndromes linked to GI cancers.

Other Risk Factors:

• A history of radiation therapy to the abdomen or pelvis.
• Lifestyle risks, such as smoking, alcohol use, or obesity.

Why is GI Endoscopy Important for High-Risk Surveillance?

High-risk surveillance with GI endoscopy is essential for:

• Early Detection: Identifies precancerous or cancerous changes before symptoms develop.
• Timely Intervention: Enables the removal of polyps or treatment of abnormalities to prevent progression.
• Personalized Care: Tailors monitoring and treatment to your specific risk factors.
• Peace of Mind: Provides reassurance through regular evaluation and proactive management.

Types of GI Endoscopy for High-Risk Surveillance

1. Upper Endoscopy (Esophagogastroduodenoscopy, OGD): 

• Evaluates the esophagus, stomach, and duodenum.
• Recommended for patients with Barrett’s esophagus, chronic GERD, or upper GI cancer risk.

2. Colonoscopy: 

• Examines the entire colon and rectum.
• Ideal for detecting and removing polyps in patients with a family history of colorectal cancer or genetic syndromes.

3. Endoscopic Ultrasound (EUS): 

• Combines endoscopy with ultrasound imaging to evaluate deeper layers of the GI tract.
• Recommended for patients with pancreatic or GI tract tumors or lesions.

4. Capsule Endoscopy: 

• Non-invasive evaluation of the small intestine using a swallowable capsule with a camera.
• Useful for monitoring hereditary syndromes affecting the small bowel.

What to Expect During a GI Endoscopy

1. Preparation:
   • Fasting is required for upper endoscopy or capsule endoscopy.
   • Bowel preparation is necessary for colonoscopy.
   • Detailed instructions will be provided based on your procedure.
2. Procedure:
   • Sedation is administered to ensure comfort during the procedure.
   • The endoscope, a thin, flexible tube with a camera, is inserted to visualize and assess the GI tract.
   • Tissue samples (biopsies) may be taken for further analysis, and polyps or abnormalities may be removed.
3. Recovery:
   • Most procedures are completed within 30–60 minutes.
   • Patients are monitored briefly and can usually return home the same day.

Benefits of High-Risk Surveillance with GI Endoscopy

• Minimally Invasive: Quick procedures with minimal discomfort and downtime.
• Comprehensive Monitoring: Provides a clear view of the GI tract for detailed assessment.
• Prevents Cancer: Removes precancerous lesions or polyps before they develop into cancer.
• Tailored Intervals: Personalized screening schedules based on your risk factors.

When Should You Start High-Risk Surveillance?

• Colorectal Cancer Risk: Begin colonoscopy screening earlier than the standard age of 45 if you have a family history or genetic predisposition.
• Barrett’s Esophagus: Routine upper endoscopy every 3–5 years (or more frequently for dysplasia).
• IBD: Surveillance colonoscopy starting 8–10 years after the initial diagnosis of ulcerative colitis or Crohn’s disease.
• Genetic Syndromes: Individualized plans based on the specific condition and family history.

Our specialists at Central Gastro will create a personalized surveillance plan to monitor and manage your risk.