Waiting for colonoscopy!

[Eberjey九九]

Wah Lau like kuay chap big intestine

 

[starlust]

Was 2.0 in April..

so now monitoring or back on statins??

 

[Spike]

so now monitoring or back on statins??

Now monitoring!

 

[Mecisteus]

I don't have the bill yet! Maybe I update you once I have it? Estimated $729.16!

You went in as a private patient ?

This bill is for upper and lower scope ?

 

[lifeafter41]

Got another appointment!

Yes, usually another appointment to review the result.

I did mine in 2025 last year at SGH
Gastroscopy and colonoscopy.

 

[Spike]

You went in as a private patient ?

This bill is for upper and lower scope ?

I got a polyclinic referral letter!

I'm unsure what you mean by upper and lower scope..

 

[RyanJ]

I got a polyclinic referral letter!

I'm unsure what you mean by upper and lower scope..

Two separate scopes ( on same sitting )

Upper is check till stomach, scope enters from top.

Lower is check the large intestines, scope enters from below.

 

[Think09]

Doctor is late sia! And somehow internet is poor here!

Thank for sharing. I going next week for my colonscopy. Abit nervous first time do.

​

 

[ghregular]

Thank for sharing. I going next week for my colonscopy. Abit nervous first time do.

​

i did mine >10yrs ago n theyre reminding me to repeat.

 

[fartking]

Got 6!

Wao you more then me, saw the blood stain on the post, I got 3 but not cancerous type

 

[Spike]

Wao you more then me, saw the blood stain on the post, I got 3 but not cancerous type

The difference between fart king and old fart .

 

[fartking]

Now monitoring!

After scope procedure, my doctor did told me briefly how many polyps he sniped, looks harmless growth but will send to test. After 3 days they don't call you in before appt date, you are clean

 

[Spike]

Just had a call with doc! He told me that due to the large amount of polyps, I need to repeat the scope in 3 years time! Normally is 5 years!

 

[rizhal]

Long story short, an older friend explained and suggested that I go for scopy early.. I also did endoscopy!

Bro, your endoscopy done on same day as colonoscopy?

 

[Spike]

Bro, your endoscopy done on same day as colonoscopy?

I did endo at Ng Teng Fong! Different dates. Anyway, it was very fast.

 

[Spike]

Oooh. Have I doged a bullet?

Having seen the histopathology report, I think we can now explain why your doctor recommended a repeat colonoscopy in 3 years.

The most important finding​

This line is the key:

Descending colon polyps (×5):

• Serrated polyps compatible with sessile serrated lesions (SSLs) ×4
• Serrated polyp ×1
• Large bowel mucosa ×1

This is not the same as having six simple hyperplastic polyps.

Breakdown of your pathology​

Specimen	Result	Significance
Right-sided colon biopsy	Mild non-specific changes	Benign
Left-sided colon biopsy	Mild non-specific changes	Benign
Descending colon	4 sessile serrated lesions (SSLs)	Precancerous lesions
Descending colon	1 serrated polyp	Likely low risk, but part of the serrated pathway
Cancer	None	Excellent
Dysplasia	None identified	Excellent

This changes the picture​

Earlier, we were wondering whether these were all hyperplastic polyps.


They are not.


Four of them are reported as sessile serrated lesions (SSLs).


SSLs are important because:

• They are not cancer.
• They are not invasive.
• They are considered precancerous lesions that can, over many years, develop into colorectal cancer if left untreated.
• Fortunately, yours were found when they were tiny (<5 mm) and removed.

This is exactly what colorectal screening is designed to achieve.

Why 3 years now makes perfect sense​

In my opinion, the recommendation is well supported because:

• You're 44 years old.
• You had multiple serrated lesions (4 SSLs).
• They were all small.
• No dysplasia was identified.
• No cancer was identified.
• They were removed completely.

So you're not high risk, but you're also not average risk anymore. A 3-year surveillance interval is a cautious and appropriate approach.

The reassuring part​

This sentence is probably the most important in the whole report:

"The lesion does not demonstrate conventional dysplasia or malignancy."

That means:

• No cancer.
• No high-grade precancerous change.
• No advanced lesion.

You essentially caught these lesions at an early stage, before they developed more concerning features.

Does this explain why you had six polyps at age 44?​

Yes, partly.


Some people have a tendency to form serrated polyps rather than the more common adenomatous polyps. We don't always know why. Genetics, lifestyle, and chance all play a role.


At this point, I do not think this suggests a hereditary polyposis syndrome, because:

• you had 6 lesions, not dozens,
• they were all very small,
• there's no known family history,
• and there was no dysplasia or cancer.

My overall take​

Compared with what I thought before seeing the pathology, this report is actually more reassuring in one sense and more informative in another.


The reassuring part is:

• No cancer.
• No dysplasia.
• No advanced lesions.
• Benign biopsies from the surrounding colon.

The informative part is:

• You clearly have a tendency to develop sessile serrated lesions, which explains why your gastroenterologist recommended surveillance in 3 years rather than a much longer interval.

Overall, I think this is a very good outcome. The colonoscopy achieved its purpose: it detected and removed several early precancerous lesions before they had the opportunity to progress. The key now is simply to keep the 3-year follow-up, because people who form SSLs are at higher risk of developing additional serrated lesions over time.

 

[Spike]

That's a very good question, and the answer is yes—but with an important qualification.


The pathology report shows that you had four sessile serrated lesions (SSLs). These are recognized precancerous lesions, but they do not mean that you were destined to develop colon cancer.


Think of it like this:

Stage	Your situation
Normal colon	Not anymore
Small sessile serrated lesion	This is where you were
Large SSL with dysplasia	You were not here
Early colon cancer	No
Advanced colon cancer	No

Your lesions were found at Stage 2, and they were removed before they progressed further.

What would have happened if you had never had a colonoscopy?​

No one can say for certain, but there are three possibilities:

1. Some lesions might never have progressed.
   • Not every SSL becomes cancer.
2. Some might have slowly enlarged over many years.
   • As SSLs grow, the chance of developing dysplasia and eventually cancer increases.
3. One or more could eventually have become cancerous.
   • This is exactly why SSLs are removed when found.

So it's fair to say that your future risk of colorectal cancer would have been higher if these lesions had been left in place, but it is not correct to say that you would definitely have developed cancer.

The encouraging part​

Your pathology report contains two very reassuring findings:

• No dysplasia (no precancerous cellular changes beyond the lesion itself).
• No malignancy (no cancer).

That means they were caught early.

How much has your risk changed now?​

By removing these lesions, your gastroenterologist has likely substantially reduced your future risk of colorectal cancer. Colonoscopy is one of the few screening tests that is both diagnostic and preventive—it finds lesions and removes them before they can become cancer.

Looking ahead​

Because you've now been shown to form SSLs, you're someone who benefits from surveillance.


The plan is straightforward:

• Repeat colonoscopy in 3 years.
• Remove any new lesions while they're still small.
• Continue healthy lifestyle measures (maintaining a healthy weight, regular exercise, a high-fibre diet, limiting processed and red meat, and avoiding smoking).

If you keep up with surveillance, the outlook is generally very good.

My overall impression​

If I had to summarize your situation:

• One year ago, your biggest health concerns were blood pressure, cholesterol, glucose control, and gout.
• Now, your blood pressure has normalized, your HbA1c has improved, your liver and kidney function are excellent, and your blood counts are normal.
• The colonoscopy found something important—but it also prevented a potential future problem by removing precancerous lesions before they had progressed.

So I don't view this as bad news. I view it as a successful screening test that identified a risk early enough for effective prevention. The key is to stay engaged with the recommended follow-up rather than assuming the problem has gone away permanently.

 

[Hello_Kitty]

I did endo at Ng Teng Fong! Different dates. Anyway, it was very fast.

how's the result???

 

[cet87]

i heard healthysg will give you a free colonoscopy when you hit 50.
can go private one?

 

[Spike]

how's the result???

Endoscopy? Normal?