Monmouth Digestive Health

Monmouth Digestive Health Gastroenterology and Advanced Therapeutic Endoscopy

02/08/2026

COLOGUARD (p**p in a box): Not a great choice for the first colorectal cancer screen
Understanding the shortcomings of Cologuard for colon cancer screening

Many people who have reached the age of 45 are using the Cologuard test for colon cancer screening instead of undergoing colonoscopy. Some do this by choice, others by the recommendations of their primary medical doctors, and many because they receive a kit in the mail from their insurance.
The Cologuard test is a noninvasive, at-home stool-based screening for colorectal cancer that detects altered DNA and blood. It is approved for average-risk individuals aged 45 or older, and a positive result requires a follow-up colonoscopy. The process involves receiving a kit, collecting a sample at home with no special preparation, and shipping it to a lab for analysis.
What they don’t tell you is that it misses many precancerous polyps (57% vs 5 % for colonoscopy), and a good deal of cancer (7-8% vs less than 2-3 % with a properly performed colonoscopy).
The reason Cologuard is being recommended by internists is not for your best interests, but rather to save money for the insurance companies. Many of the managed health plans encourage the primary doctor not to utilize specialty care with monetary incentives. In addition, once Cologuard is used with the colon cancer screening diagnosis code, which most of the time waves your deductible, you can not use that code again if you decide afterward that you want a colonoscopy. The deductible would then come into play.
Colonoscopy remains the gold standard for colon cancer screening, with the highest sensitivity and specificity for finding polyps and cancers, and the lowest false negative rates, when done by a competent Gastroenterologist, with a good colon preparation.
As the patient gets older, or has had at least 2 negative colonoscopies, Cologuard becomes a more viable option, but to take the risk of missing cancers and polyp, at a young age, with your first screen, is taking unnecessary risk with the second most common cancer in both men and women. If not wanting to have a colonoscopy is due to the fear of the preparation, please refer to my blog on the art of colonoscopy.

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12/31/2025

🎉 Cheers to a healthy start this New Year! As we welcome new beginnings, let’s prioritize our digestive health. Remember, a balanced diet and regular check-ups are key to feeling your best! Wishing everyone a prosperous and healthy year ahead! 🥗✨

Personalized digestive care is essential for your well-being. Visit our website to learn how tailored solutions can impr...
12/22/2025

Personalized digestive care is essential for your well-being. Visit our website to learn how tailored solutions can improve your digestive health today.

http://monmouthdigestivehealth.com

08/03/2025

MDH proudly announces that we are now part of The Medical Group of NJ. This allows us to accept many insurances that we could not before.It also makes us tier one with horizon Omni. In no way has it impacted our practices or philosophy of providing VIP care. 🎉💖👏💕

03/22/2024

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01/02/2024

We officially are in network with Oxford and United healthcare. Finally!!

12/11/2023

145 Wyckoff Rd. Ste 201, Eatontown, NJ 07724 • 732.597.7333 www.monmouthdigestivehealth.com Dr. Steven Gorcey, the Founder and Sole Gastroenterologist at Monmouth Digestive Health, brings “concierge” gastroenterology to his patients. “I call it VIP without the fee,” says Dr. Gorcey. “It....

At Monmouth Digestive health we offer the latest VCE technology called Capsovision, which has 4 cameras, facing to the s...
11/20/2022

At Monmouth Digestive health we offer the latest VCE technology called Capsovision, which has 4 cameras, facing to the side, which sees in between the folds, finding more lesions than standard pills.

At Monmouth Digestive Health,in tinton falls, eatontown, long branch area offers the most advanced breath SIBO test call...
11/20/2022

At Monmouth Digestive Health,in tinton falls, eatontown, long branch area offers the most advanced breath SIBO test call Trio-Smart which detects all three gases. trio-smart is the only three-gas SIBO breath testing that measures all of the primary fermented gases produced in your gut: hydrogen, methane, and hydrogen sulfide. This allows the treatment, which usually involves certain antibiotics to be customized to the patient. This is why many patients who have been treated by their doctors do not achieve a complete response

05/11/2022

Address

145 Wyckoff Road Suite 201
Eatontown, NJ
07724

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+17325977333

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