Colonoscopy in China After a Positive FIT or Previous Polyps: What to Prepare
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Sources checked: 28 October 2026
If you are considering colonoscopy in China after a positive FIT, start with the original result and your doctor's advice. For previous polyps, gather the full colonoscopy report, any pathology report and the latest follow-up recommendation. If both apply, bring both sets.
FIT, or faecal immunochemical test, detects blood in stool. A positive result needs further assessment, usually colonoscopy; it does not diagnose cancer. [1] When making your enquiry, list any missing files and ask what appointment the hospital offers and how results can be shared with your doctor.
Keep recommended local care in place while exploring overseas options. [2] Heavy or nonstop rectal bleeding needs emergency assessment where you are. [3]

Colonoscopy in China after a positive FIT: which records should you send ahead?
Send the original FIT report, including the date, test name, laboratory details and any value, units and cut-off shown. If you only have a “positive” notification, ask whether a fuller report is available.
Alongside it, include:
the referral or doctor's advice, including any follow-up already arranged;
a short timeline explaining why FIT was done and what happened next;
relevant existing tests, including any recent colonoscopy and related pathology.
Keep the original positive result with any later stool tests or colonoscopy reports. Repeating FIT cannot replace the recommended colonoscopy assessment after a positive screening FIT. [4]
If you have already had a colonoscopy since the positive result, include its report and subsequent advice.
Prepare an up-to-date list of medicines, supplements and relevant health conditions. Discuss medication changes with the clinicians managing your care. [5]
Had polyps before? Bring more than the last colonoscopy summary
A note saying “polyp removed” may leave important questions unanswered. Follow-up depends on the earlier findings, examination quality and treatment, so gather the records that let the clinician review those details. [6]
Record | What it helps clarify | If information is missing |
Full colonoscopy report and available photographs | Date, how much of the colon was examined, and how well the bowel was cleared, including any recorded score. | Request the full report and available photographs. |
Polyp and treatment details | Number, size, location, treatment and any polyp left for review. | Ask for procedure notes or later report updates. |
Full pathology report | Tissue findings and sample labels linking them to the examination. | Request the report; ask the provider to clarify uncertain links. |
Written follow-up advice | The plan, including any update after pathology. [7] | Ask whether a later recommendation was issued. |
Relevant earlier examinations | Previous findings behind the current advice. | Arrange reports by date and identify missing examinations. |
Keep original reports alongside translations. If a polyp was left in place, removal was incomplete or further treatment was advised, include the original wording in your enquiry. This helps the hospital understand the question behind your request for a repeat examination.
What if your colonoscopy or pathology report is missing?
Start with the records you have. Contact the original endoscopy unit, medical-records department or pathology service, giving the examination date and any reference number. Ask for the full colonoscopy report, procedure notes, the pathology report if tissue was taken, and later updates or follow-up letters.
While those requests are underway:
Ask how to submit available material. List what you have and what is still being requested, then use the receiving team's agreed channel.
Keep track of unresolved gaps. Note whom you contacted, when, and any files the provider says it cannot supply.
Keep translations faithful to the originals. Mark missing details clearly; do not fill them in from photographs or recollections.
The receiving clinician decides whether the available records are sufficient or further assessment is needed. A missing report alone does not tell you whether an examination must be repeated.
What should you clarify with your current care team before planning travel?
Tell the doctor, screening service or gastroenterology team following your care which overseas appointment you are considering. NHS guidance recommends involving your current clinician and discussing how records will reach the overseas team. [2]
Three questions help connect the arrangements:
What timing has the clinician advised for the outstanding assessment or follow-up?
Which local appointments or tests are already booked?
How will new results reach the team continuing your care?
Discuss changes to existing arrangements with that team, and report new or worsening symptoms while plans are being made. Travel dates should fit the clinical advice you receive.
What should the hospital confirm after receiving your records?
Jiahui's Gastrointestinal Endoscopy Clinic lists positive faecal occult blood tests and a history of gastrointestinal polyps among the reasons to seek consultation. Its service description includes clinical assessment and post-procedure report interpretation. [8]
For your own enquiry, explain the reason for follow-up and list both attached and outstanding records. Ask the receiving department to clarify:
The appointment and clinical review. Has a clinician reviewed your files, or will they be reviewed at the consultation? Which appointment is confirmed, where will it take place, and what remains to be arranged before any procedure?
Language and translation. Can the department review reports in their original language, or are Chinese versions needed? Confirm which documents need full translation and any format requirements before arranging it.
Additional documents. Who should receive late-arriving reports or updated advice from your current doctor, and how should you send them?
The hospital's reply should leave you clear about the next appointment and any outstanding steps. Receipt of uploaded files, on its own, does not answer those questions.
To plan the visit, our guide to gastroscopy and colonoscopy in China covers booking, sedation, costs and recovery arrangements. If tissue sampling or polyp removal is being discussed, see what to ask about biopsy and polyp removal, including consent, possible extra costs and pathology follow-up.
How do the new findings fit into your existing follow-up plan?
When you receive the new results, keep the original reason for the visit with them. The clinician continuing your care should be able to follow the sequence from the positive FIT or earlier polyps to the latest examination and written advice.
Ask the treating clinician whether the new findings change the previous plan and whether any recommendation is still awaiting pathology. The European Society of Gastrointestinal Endoscopy (ESGE) recommends written follow-up advice based on the examination, tissue findings and patient-related factors, with the report updated or finalised after histology is available. [7]
Keep earlier advice and later updates, with their dates. If recommendations appear different, ask the clinicians to explain which plan applies and why.
Before sending your completed file home, confirm how your usual doctor or continuing-care team will receive it and whether you need a follow-up appointment. Our guide to sharing results from China with your doctor at home explains how to organise original reports, translations and supporting records for that discussion.
You can contact MedBridgeNZ about a gastroenterology appointment in China while you are still gathering reports. Tell us your reason for follow-up, preferred city, any timing advised by your clinician, and which documents are available or outstanding.
We can help organise available records, track document requests, arrange translation and coordinate questions with the hospital. Further records can follow through an agreed channel.
For help with these arrangements, ask MedBridgeNZ about a gastroenterology appointment.
Based in Auckland, MedBridgeNZ provides international medical concierge and logistics coordination. Medical advice, diagnosis, treatment and individual follow-up decisions remain with your clinicians and the receiving hospital.
Sources
Sources checked on 28 October 2026. The record table is a practical editorial tool, not a universal hospital submission standard. Clinical guidance provides background; individual hospital requirements and appointments need confirmation.
National Cancer Institute. Follow-Up Colonoscopy after Positive FIT Test. 5 May 2022.https://www.cancer.gov/news-events/cancer-currents-blog/2022/positive-fit-stool-test-colonoscopy
NHS. Treatment abroad checklist.https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/
NHS. Bleeding from the bottom (rectal bleeding).https://www.nhs.uk/symptoms/bleeding-from-the-bottom-rectal-bleeding/
American Gastroenterological Association. Fecal immunochemical testing (FIT) to screen for colorectal neoplasia. US Multi-Society Task Force recommendations, 2017.https://gastro.org/clinical-guidance/fecal-immunochemical-testing-fit-to-screen-for-colorectal-neoplasia/
National Institute of Diabetes and Digestive and Kidney Diseases. Colonoscopy.https://www.niddk.nih.gov/health-information/diagnostic-tests/colonoscopy
US Multi-Society Task Force on Colorectal Cancer. Recommendations for Follow-Up After Colonoscopy and Polypectomy. 2020.https://pmc.ncbi.nlm.nih.gov/articles/PMC7393611/
European Society of Gastrointestinal Endoscopy. Post-polypectomy colonoscopy surveillance: Guideline Update 2020.https://www.esge.com/assets/downloads/pdfs/guidelines/2020_a_1185_3109.pdf
Jiahui Health. Gastrointestinal Endoscopy Clinic.https://www.jiahui.com/en/service/94



