A direct screen colonoscopy, also called direct access colonoscopy or open access colonoscopy, allows you to schedule your colorectal cancer screening without needing a prior consultation or referral from your primary care provider. This approach helps save time, reduce costs, and remove barriers to care for people who are at average risk of colorectal cancer and do not have complicated medical conditions.
In contrast, traditional colonoscopy scheduling usually requires a separate appointment with your doctor before you can be referred to a care provider for the procedure. This extra step can delay colon cancer screening and increase out-of-pocket costs.
Colon cancer is the third most common cancer in the U.S., not counting certain skin cancers. Many cases of colorectal cancer may be avoided with routine and early colon cancer screening. The American Cancer Society recommends that adults at average risk begin screening at age 45. One of the most effective tools for this is a colonoscopy, which checks for polyps and cancer in the colon.
Before your colonoscopy, your doctor will give you instructions regarding food and what to drink to clean your colon. On the day of the procedure, you’ll be given medicine to help keep you comfortable. Some people get general anesthesia, which puts you in a deep sleep. Others may receive conscious sedation, which helps you relax and blocks pain but keeps you lightly awake. Your doctor will go over these options with you ahead of time.
The procedure takes about 30 to 45 minutes. After the procedure, you will not be able to drive home. General anesthesia can slow thought processes, reduce reflexes and cause other side effects. Anesthesia usually takes about 24 hours to wear off completely, so make sure you have arranged a ride home ahead of time.