Interactive colon exam comparison tool
There are a number of procedures your doctor can use to assess the health and condition of your colon.
It’s good to be informed about these procedures and possible alternatives. Be sure to talk with your doctor if you have questions. You can also ask a healthcare practitioner about PillCam COLON on this website.
The information presented is not intended for medical advice. It is important that you discuss the potential risks, complications, and benefits of PillCam COLON with your doctor. Only your doctor can determine whether you are a suitable candidate for this procedure.
Every colon test available is different; this tool will allow you to determine how each test ranks on the factors you find most important when choosing a colon exam.
You can also see a quick side-by-side comparison of colon exams using our detailed information on exams grid to look at the details of the tests shown here.
Individuals and health care professionals should also understand that screening tests for colorectal cancer (CRC) broadly fall into two categories.
In one category are the fecal tests (i.e., guaiac fecal occult blood test [gFOBT], fecal immunochemical testing [FIT], and stool DNA test [sDNA]), which are tests that primarily are effective at identifying CRC. Some pre-cancerous polyps may be detected, providing an opportunity for polypectomy and the prevention of CRC, but the opportunity for prevention is limited and is not the primary goal of CRC screening with these tests.
In the second category includes test like PillCam COLON that are the partial or full structural exams (i.e., flexible sigmoidoscopy (FSIG), colonoscopy, double-contrast barium enema (DCBE), and computed tomography colonography [CTC]), which are tests that are effective at detecting cancer and pre-cancerous polyps. These tests differ in complexity and accuracy.
*"High accuracy" means more than 50% likely to detect large polyps as defined by Levin B, et al. Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 2008;58:00-00.
Lieberman D. Screening for Colorectal Cancer. New England Journal of Medicine. 2009: 361; 12.
Spada C et al, Second Generation PillCam COLON Capsule Compared with Colonoscopy. Gastrointest Endosc. 2011;74(3):581-589.
Eliakim R et al, Prospective Multicenter Performance evaluation of the Second Generation Capsule Compared with Colonoscopy. Endoscopy 2009; 41:1026-1031.
Berrington de Gonzalez D, Kim K, Yee J. CT colonography: perforation rates and potential radiation risks. Gastrointest Endosc Clin N Am. 2010 April; 20(2): 279–291.