Specialties Provided: Gastroenterology
Procedures Conducted: Screening Colonoscopy + Removal of 11 Polyps
Patient A was referred to the gastroenterologist at Medina Clinic from the Henry J. Austin Health Center (HJAHC) for a screening colonoscopy, simply due to age (being over 50 years old). Patient was instructed to enroll in Charity Care at Robert Wood Johnson University Hospital Hamilton, where the gastroenterologists are affiliated.
Patient was then given an initial visit with Medina Gastroenterologist. Upon evaluation, all notes from the gastroenterologist report a seemingly healthy individual, with no severe complaints. Patient was subsequently scheduled for a screening colonoscopy after a detailed briefing from the physician of bowel preparation and the actual procedure.
According to the procedure report, “the perianal and digital rectal examinations were normal.” After this, as the colonoscopy proceeded, a total of 11 polyps were discovered inside the patient’s colon plus moderate non-bleeding internal hemorrhoids. These polyps ranged in size from 3mm to 10mm, and ranged in nature (protruding, sessile, superficial, elevated). All 11 of the polyps were removed safely and were retrieved to be submitted for biopsy testing. Patient tolerated the entire procedure well and was discharged safely with an emergency contact number and discharge instructions.
The biopsy pathology was completed by RWJ physician, who reported that all 11 of the polyps were “early hyperplastic polyps, in fragments.” An additional note from the pathologist states, “all biopsy fragments show moderate to marked chronic inflammation and reactive glandular atypia.” Patient is to be scheduled for a follow-up with the gastroenterologist, as per routine with polyp discovery.