Now welcoming new patients! Dr. Meghan Grassel, MD, is now seeing family medicine patients. Call 712-737-2000 to schedule an appointment.

A surgery operating room with a doctor sitting  at a computer desk.

Diagnostic Procedures


Diagnostic Procedures

Imaging techniques such as X-rays, MRIs, and CT scans can provide valuable information about a patient’s health. In some cases, however, a physician may recommend an endoscopic procedure to examine the digestive tract more closely.

During an upper endoscopy, a thin, flexible tube with a small camera is guided through the mouth to examine the esophagus, stomach, and upper portion of the small intestine. During a colonoscopy, the scope is inserted through the rectum to examine the colon. These procedures provide real-time images and may allow the physician to collect tissue samples, remove polyps, or perform other diagnostic or preventive services.

Endoscopy

An upper endoscopy, also called an EGD or upper GI endoscopy, examines the oropharynx, esophagus, stomach, and proximal (nearer to center of body) duodenum. An EGD can help identify ulcers, inflammation, tumors, narrowing of the esophagus, and causes of pain or bleeding. During the procedure, your surgeon may also collect tissue samples, remove polyps or foreign material, stop bleeding, or widen narrowed areas of the esophagus.

Your provider may recommend an EGD to evaluate conditions such as heartburn, difficulty or pain with swallowing, bleeding, upper abdominal pain, and other upper digestive symptoms.

Colonoscopy

A Colonoscopy is a procedure that involves insertion of a flexible instrument through the anus to examine your colon for screening or diagnostic purposes. During this exam, your surgeon is able to view the inside walls of your colon and identify abnormal areas.

Screening Colonoscopy Self-Scheduling Tool

Please complete this form to request scheduling for a screening colonoscopy. Based on your responses, our team will review your information and contact you within 2-3 business days to finalize scheduling.

Screening Colonoscopy Self-Scheduling Tool

Have questions about colonoscopies?

We’re here to help. Below are answers to some of the most common questions about colon cancer screening, polyps, insurance coverage, and when to schedule a colonoscopy.

The American Cancer Society now recommends screening for colon cancer to begin at age 45.

According to the American College of Gastroenterology, colorectal cancer is the third most common type of cancer in both men and women, yet remains one of the most preventable types of cancers.

  • Family history of polyps or colorectal cancer
  • You have a history of colorectal polyps or colorectal cancer
  • You have been diagnosed with inflammatory bowel disease
  • You have been diagnosed with a genetic syndrome such as FAP (Familial Adenomatous Polyposis) or another hereditary nonpolyposis colorectal cancer.

Talk with your primary care provider to share your personal or familial history that places you at an increased risk. Patients with a high risk for colorectal cancer may need earlier or more frequent testing than others.

Colon cancer begins in your body as an abnormal growth of tissue/clump of cells in the lining of your colon called a polyp.

About Colon Polyps

No, not all polyps turn into cancer, but all cancers start as polyps.

No, not necessarily. Colon polyps do not usually cause symptoms. This makes it very important to have regular colorectal screening such as a colonoscopy.

Having a colonoscopy allows for early detection and removal of polyps and is the best way to prevent colon cancer. When polyps are not found and removed it increases your risk for developing colon cancer.

Having a colonoscopy effectively detects suspicious polyps at a rate of >50% compared to other options. Colonoscopies have been identified as the “Gold Standard” by both the American Cancer Society as well as the

· Bloody stools

· Change in bowel habits

· Rectal or abdominal pain

· Unexpected weight loss

· Unexplained or new anemia

Reach out to your primary care provider to be seen/evaluated. Your primary care provider will work directly with our OCAHS Surgical Team/ office to coordinate your diagnostic colonoscopy.

Many insurance plans and Medicare help pay for colorectal cancer screening tests. Please check with your individual plan to find out if this is covered. To find out about Medicare coverage, call 1-800-MEDICARE (1-800-633-4227), or visit www.medicare.gov.