Westchester County, NY
What Our Physicians Want You to Know About Prevention, Screening, and Care.
Colorectal cancer is on the rise, particularly among younger adults, making prevention and early detection increasingly important. At St. John’s Medical Group, our GI team brings a collaborative approach to helping patients navigate screening and treatment.
The following insights reflect the guidance our GI physicians share with patients to support informed decisions at every stage of care.
Prevention Begins Before Symptoms Appear
One of the most important takeaways from our GI team is that colorectal cancer often develops quietly. As Dr. Maria Lufrano explains, “In the early stage, there are no clear symptoms in the majority of patients,” making proactive care essential.
This is why prevention and early screening go hand in hand. Physicians across the team emphasize the role of lifestyle factors (i.e., diet, exercise, and routine medical care) in reducing long-term risk. At the same time, prevention is not just about habits; it is about timing.
Dr. Mohamad Erfani notes that screening guidelines have evolved in response to rising cases in younger populations, reinforcing the importance of starting earlier and staying engaged with care.
Screening Is One of the Most Effective Tools We Have
For average-risk patients, screening is now recommended starting at age 45. As Dr. Virendra Tewari, an advanced endoscopist, emphasizes, “first screening is very important.” He encourages patients to connect with their primary care provider or gastroenterologist to discuss options.
Just as critical is what happens after that initial test. Dr. Tewari advises patients to “know your recommendations about next screening any time you undertake a screening test,” underscoring that screening is not a one-time event, but part of an ongoing care plan.
Recognizing Symptoms and Acting Early
Although colorectal cancer may not present symptoms early on, there are important warning signs that should prompt evaluation. Dr. Orest Kozicky advises patients that “any change in bowel habits… unexplained weight loss… anemia… please come and see us,” highlighting how even subtle changes can signal the need for further assessment.
He also notes that many patients expect to see obvious signs like bleeding, but “most colon cancers… you don’t see the blood,” which can delay care if patients rely on visible symptoms alone.
Dr. Lufrano adds important nuance to how symptoms may present, particularly in women, who are more likely to experience anemia or less obvious symptoms rather than visible bleeding. Together, these insights reinforce a key message: if something feels off, it is always worth getting checked.
Colonoscopy: Detection and Prevention in One Step
Among screening options, colonoscopy remains the most comprehensive tool available. As Dr. Kozicky explains, “colonoscopy… allows lesion removal at the time of your procedure,” meaning it can both detect and prevent cancer in a single visit. He states, “If you get in there soon enough and remove them, we could probably eradicate colon cancer.”
Advancements in GI care have also made these procedures more accessible for patients. Dr. Tewari notes that procedures today are “less invasive, much quicker and safer,” helping to address common concerns that may prevent patients from scheduling screening.
This combination of effectiveness and improved patient experience makes colonoscopy a critical part of preventive care.
Advances in Treatment Are Improving Outcomes
When colorectal cancer is detected early, outcomes can be highly favorable. As Dr. Kozicky explains, “if it’s contained to the colon, you’re cured,” reinforcing the life-saving impact of early detection.
For more advanced cases, treatment continues to evolve. Dr. Kozicky points to the progress made in recent years, noting that “we’ve made tremendous strides with chemotherapy, radiation therapy, and immunotherapy,” allowing for more targeted and effective care.
These advancements are further strengthened by coordinated care across specialties, ensuring that patients receive the right treatment at the right time.
A Team-Based Approach to GI Care
At St. John’s Medical Group, colorectal cancer care is not delivered in isolation. It is supported by a team of physicians who collaborate closely, share insights, and remain accessible to both patients and referring providers.
Dr. Tewari describes this approach simply: the team is “always available to assist, advise promptly, and keep track of all referrals,” helping ensure continuity and responsiveness throughout the patient journey.
This collaborative model at St. John’s Medical Group gives patients access to a broad range of expertise, from routine screening to more advanced care.
Taking the Next Step
Across every conversation, one message remains consistent: early action matters. Whether it is scheduling your first screening, following up on results, or addressing new symptoms, staying engaged in your care can make a meaningful difference.
If you are due for screening or have concerns, the St. John’s Medical Group GI team is here to help guide you through your next steps.
Watch More from Our GI Team
Throughout Colorectal Cancer Awareness Month, our physicians have shared additional insights on the St. John’s Riverside Hospital YouTube channel.
Watch full interviews, including discussions with Dr. Orest Kozicky, Dr. Maria Lufrano, and Dr. Mohamad Erfani, to learn more about prevention, screening, and treatment.
