How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Daniel Sheibley, MD Your Own Question

Daniel Sheibley, MD
Daniel Sheibley, MD, Doctor
Category: Medical
Satisfied Customers: 1696
Experience:  MD Grad Jefferson Medical College 2009. Internal Med intern 2010 & Radiology residency 2011. Husband & father of two.
62460980
Type Your Medical Question Here...
Daniel Sheibley, MD is online now
A new question is answered every 9 seconds

What is a single broad based polyp found in the ascending colon

Customer Question

What is a single broad based polyp found in the ascending colon and why would it not be removed at the time of a colonoscopy?
Submitted: 2 years ago.
Category: Medical
Expert:  Daniel Sheibley, MD replied 2 years ago.

Daniel Sheibley, MD :

Hello, let me read your question so I can give you the attention you deserve.

Daniel Sheibley, MD :

How large was the polyp?

Customer:

APPARENTLY VERY SMALL

Daniel Sheibley, MD :

The gastroenterologist that is doing the colonoscopy can often times tell if a polyp appears beign or is concerning. Additionally, a broad-based polyp is much more likely to bleed

Daniel Sheibley, MD :

Most likely the gastroenterologist with their years of experience deemed that from past experience the polyp appeared benign and would follow up on it at the time of your next colonoscopy.

Daniel Sheibley, MD :

sometimes they even place a little tattoo at the site of polyps and also where they've removed polyps.

Customer:

The olnly thing that concerns me is that I was recommended to come back in 5 years . Does that sound reasonable?

Daniel Sheibley, MD :

Yep, so he can follow up that polyp

Daniel Sheibley, MD :

They space the colonoscopy times out close enough that if you follow recommendations you can catch a cancer as it shows up..

Customer:

tHE ONLY THING THAT CONCERNS ME IS THAT THEY TOLD ME TO COME BACK IN 5 YEARS. iS THAT REASONABLE?

Daniel Sheibley, MD :

Any sooner of a followup most likely would not be any more beneficial than 5years

Daniel Sheibley, MD :

Any further question? I see you are typing?

Customer:

i'M NOT SURE YOU GOT THE NEXT PART OF MY QUESTION WHICH CONCERNS THE AMOUNT OF TIME OF THE NEXT COLONOSCOPY WHICH APPARENTLY IS 5 YEARS.

Daniel Sheibley, MD :

Yes that is perfectly fine. Those recommendations are based on studies and the natural history of colon malignancies

Daniel Sheibley, MD, Doctor
Category: Medical
Satisfied Customers: 1696
Experience: MD Grad Jefferson Medical College 2009. Internal Med intern 2010 & Radiology residency 2011. Husband & father of two.
Daniel Sheibley, MD and 3 other Medical Specialists are ready to help you
Expert:  Family Physician replied 2 years ago.
I would have to disagree with the answer provided by the radiology resident who answered your question.

I do NOT believe that most gastroenterologist would give a 5 year recommendation in the setting of a "flat polyp". Some of these lesions can develop into colon cancer, and there is some controversy regarding their management.

Personally, if this were my family member, I would suggest a more aggressive approach including possibly biopsy of the lesion and/or a repeat colonoscopy sooner than 5 years.

Here are some articles that look at the risk/issues with flat polyps:
http://www.ncbi.nlm.nih.gov/pubmed/20649732
http://www.ncbi.nlm.nih.gov/pubmed/21309669
http://www.lacolon.com/patient-education/colon-polyps-the-flat-colon-polyp

You may want to discuss your concerns with your primary care physician and ask about getting a second opinion from another gastroenterologist.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.