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March 11, 2026 14 mins

After beloved actor Jason Van Der Beek died from stage three colorectal cancer, joining others like Chadwick Boseman (Black Panther), funny lady Kirstie Alley (Cheers) and even soccer legend Pele, we dig into the medical issue of colo-rectal with Dr. Cory Barrot, a Mercy Health Surgeon who specializes in treating diseases of the digestive system. 

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Speaker 1 (00:01):
I am Sandy Collins with iHeart SINSIA Tri State Public
Affairs Program. In our second segment. Here, my guest today
is doctor Cody Barat. He's from Mercy Health, a surgeon
specializes in colorectal cancers, which traditionally has been a health
concern after fifty years old. But in the last decade
or more, the number of people under the age of

(00:21):
fifty diagnosed with colon cancer is rising enough so to
have the medical community rethink the screening age and continue
to look for answers, including why doctor Cody Barat. Thanks
for your expertise today. Tell me why you know this
cancer diagnoses cancer from what I've been reading, doctor, and
you can help me here. It's the most prevalent form

(00:44):
of cancer under fifty, Is that right?

Speaker 2 (00:46):
Yeah?

Speaker 3 (00:46):
So, colo rectal cancer is increasing pretty alarmingly for people
under the age of fifty under the age of sixty,
and it is the most common cancer that causes death
in young patients under the age of fifty.

Speaker 2 (00:59):
If it is.

Speaker 3 (01:00):
Caught early, it is a highly curable in a lot
of situations. Now, the problem is if we don't catch
it early, or we wait until patients have severe symptoms,
which can make for much more difficult treatment and higher
risk of dying from it.

Speaker 1 (01:14):
Doctor Barrot, have you guys figured out why there's an
uptick now in colorectal cancer among younger people.

Speaker 2 (01:20):
We don't know for sure. Now.

Speaker 3 (01:21):
There's some theories that it's multifactorial, which basically means we
don't have one particular answer, but there may be several
things that contribute. The obvious is the increasing dietary issues
and diets that are low in fiber, diets that are
high in processed food, diets that are high in meats

(01:42):
and dairy cheeses, things like that. We've known for a
long time. Those things are not healthy for the colon.
There's some other theories about the gut microbiome. So basically,
you know our colon especially, but also while our small
intestine has millions and millions and millions of good bacteria,

(02:03):
a high number of these good bacteria and a high
variety usually is associated with good gut health and good
colon health. Again, with high meat diet, processed foods, deli meats, nitrates, nitrites,
those things can decrease the variety in the number of
the good bacteria, which can change the microbiome that's sort

(02:24):
of the cutting edge for research in the GI world
is looking at the microbiome and how it influences not
only our colon health but other other disease processes. So
it's actually pretty interesting. Of course genetics plays a factor
to but that actually accounts for less than twenty percent
fifteen twenty percent of these young patients that are getting

(02:44):
colon cancer, So we can't always just blame genetics. Other
things that we know of that are harmful to the
body in general that may contribute high alcohol consumption, cigarette nicotine,
tobacco use, sedentary lifestyle, obesity, things like that.

Speaker 1 (03:01):
If you're recommending people get tested around the age of
forty five, what symptoms would you be looking for before that?

Speaker 2 (03:08):
Great question?

Speaker 3 (03:08):
Yeah, so the forty five is a consensus symptoms that
would prompt an earlier investigation. Bleeding is a big one,
or unexplained bleeding, anemia, or low blood counts on routine
lab checks. Some patients they may feel just run down
and tired. Any changes in bowel habits such as narrowing

(03:30):
of stools or a diarrhea, abdominal pain, rectal pain, things
of that sort.

Speaker 1 (03:37):
And this is the kind of stuff that doesn't go away.
Is that right? Because everybody has a little bit of
here and there, but you're saying that it needs to
be a little bit longer than that.

Speaker 3 (03:44):
Yeah, I mean a swinge of abdominal pain after eating
something you maybe you shouldn't have. Well that kind of
makes sense, yeah right, Yeah, but something that's persistent or
something that just hasn't gone away. The problem is a
lot of patients and people in general may see blood
for months before they said.

Speaker 2 (04:04):
Well, I guess I should get this check out. Months
so you know, well, I mean it happens.

Speaker 3 (04:09):
The denial factor is huge, and unfortunately we see that
a lot where patients said, well I didn't think it
was a big deal, or sometimes they're even told by
medical practitioners, hey, you know, this bleeding is probably hemorrhoids.
You're too young, there's probably nothing going on. And then
when they finally either themselves or get another opinion or

(04:30):
finally say hey, I want to get this checked out,
we sometimes discover something worse. So it's not always the
patient's fault necessarily, but a lot of times they should
be advocating for themselves if they if they feel like
something's going on.

Speaker 1 (04:44):
We're talking with doctor Barrott, and he's talking today about
colorectal cancer. He's a surgeon. And when you're talking about
checking out whether or not you might have coll rectal cancer,
is there anything other than the colonoscopy we see these
at home tests. Are there any other rely tests that
people can can be prescribed to do this?

Speaker 3 (05:04):
Well, yeah, let's talk about that. I think that's a
great question. I'm going to stress that the colonoscopy is
still the gold standard test and for a couple of reasons.
Not only can it detect colon cancer that's already there
with very very high accuracy, but it can also detect
pre cancer as polyps, which no other test can not

(05:26):
only detect but also treat removable or pre cancer as polyps.
So essentially, the kolonoscopy is not only finding cancer and
hopefully finding it early, but also finding pre cancer and
eliminating that risk of colon cancer. So the kolonoscobe is
the gold standard for all of those reasons. Now, let
me emphasize some of the points that you brought up.

(05:49):
The kolonoscopy is very very safe, it's very very common. Yes,
there are some risks, There is definitely some inconvenience associated
with the bowel prep and having to clean out the colon,
inconvenience with having to do the procedure and miss a
day of work. And I completely understand all that, and
I've had one myself. I'm not of the age yet,

(06:10):
but I wanted to, you know, when I described it
to my patients, I want to be able to tell them, hey,
I've done it, and here was my experience.

Speaker 2 (06:18):
Of course, you'll hear.

Speaker 3 (06:19):
Lots of opinions from friends and family, and most of
the time it will be a fairly yeah, no big deal,
we did it.

Speaker 1 (06:27):
Everybody has an opinion about politics and colonoscopies.

Speaker 2 (06:30):
That's what I found exactly.

Speaker 3 (06:33):
But to answer your question, there are some other options,
and there's some that are you know, you see on
TV and they're in vogue right now. There are some
stool based tests. There is a blood test, and then
there's some combinations thereof So the stool based test, the
colon guard is the most common one. That is a

(06:53):
where you have a stool sample and you send it
into the company and they look at it and send
your result back and basically say positive or negative.

Speaker 2 (07:01):
Now it's pretty accurate. Not one hundred percent.

Speaker 3 (07:04):
Not as good as kolonoscopy for detecting colon cancer that's
already there. It's also good at detecting blood. It's pretty
easy to do. It doesn't require a prep or anything
like that or missing work. But if it ends up
being positive, then the recommendation is to then get a
colonoscopy to find out why.

Speaker 1 (07:20):
So you're going to go have it done anyway, Yeah, exactly.

Speaker 3 (07:24):
And there is a new blood based test which I
wanted to touch on because you know, it is technically
covered by some insurances. It's also not very accurate at
detecting polyps or pre cancerous cells, and even colon cancer itself.
It's not as accurate as we would hope that it

(07:44):
would be. Some other options, there's the virtual colonoscopy, which
is also known as a CT colonography. That's been around
for probably fifteen years or so. It's a cat scan. Then, unfortunately,
if they are detected on that cat scan, patients would
still need a colonoscopy.

Speaker 1 (08:02):
Doctor. I'm sorry. I was sitting here the whole time
listening to every word you said, and when you said
virtual colonoscopy, the first thing I could imagine was a
zoom call with a zoom call right now, or maybe
you swallow a little you know, a little camera. But no,

(08:22):
it's apparently a little bit more high checked than that,
and that's some good things here.

Speaker 3 (08:26):
A little bit more involved. It does require a prep
a lot of times. It also it still requires a
tube in the bottom and then the radiologist may inject
some air to help to stend the colon. So it
sort of has a lot of the downsides of the
Kolonosky procedure itself, but you don't get the.

Speaker 2 (08:42):
Sedation for it.

Speaker 3 (08:44):
And the other downside is that if there is something
that comes up or suspicious, then patients will need a
colonoscopy anyway.

Speaker 2 (08:50):
But all these are options.

Speaker 3 (08:52):
So you know, if you said, hey, we have a
person or a patient that's refusing to get a kolenoscopy,
maybe they had a bad experience and maybe they have
medical problems and they're not safe for sedation. Maybe they
know someone that had a complication and they said, well,
I'm absolutely not doing it.

Speaker 2 (09:09):
What would rather they do something than nothing?

Speaker 1 (09:12):
My guest today is doctor Cody Barrot from Mercy Health
here in Cincinnati. He's a colorectal surgeon and he's given
us kind of the down low, if you will, on
colorectal cancers, the incidents of these cases increasing under fifty
years old, the recent death of James Vanderbeek and other
notable actors including Christy Ally and Chadwick Boseman, and what

(09:34):
we can do to try to reduce our risk of
colon cancer, So, doctor Barrot, since we've had the death
of James Vanderbeek from Dawson's Creek that many fans were
shocked to hear at such a young age of just
fifty five years old, what can people do to try
to reduce their risk of getting colon cancer.

Speaker 3 (09:55):
Yeah, I do want to stress the diet again because
the smoking was Yes, we know, the excessive alcohol consumption, yeah,
we know that's not good for anything. But but but
I think that the diet is something that you know,
our Western diet which is high in processed food, high salt,
high meat, high dairy, low vegetables, low you know, lagumes

(10:16):
and beans and nuts. You know, it's it's not just
colon cancer, colon health in general, stomach cancer.

Speaker 2 (10:24):
Other GI issues.

Speaker 3 (10:25):
So so I think you know, if patients said, well,
I don't smoke and I don't. I don't drink you
know very often, you know, I'm I'm checking all the boxes. Well,
take take a look at the fiber consumption, take a
look at the labels, take a look at how much
actual fresh you know, fruits and veggies or frozen fruits
and veggies that you're actually eating. How many times a
week are you eating beans and lagomes and nuts and

(10:46):
seeds and all these things that are that are really
good for your for your colon. So I would encourage
people that are watching this to take a look at
at their diet too.

Speaker 2 (10:56):
What about probiotics, great questions.

Speaker 3 (11:00):
So the data on probiotics is a bit mixed, so
you probably won't find any GI specialist or surgeon that
would say, hey, this is this one probiotic, this is
the one in general we know that again, getting it
naturally through our food, food intake, eating a wide variety
of fruits and veggies, beans, lugumes, all those things will

(11:22):
give you a variety of good bacteria that will form
as part of your microbiome in your colon. So probably
better to obtain it that way. And it tastes a
lot better too, Yeah, no doubt.

Speaker 1 (11:36):
Well, listen, doctor, is there anything else. With the death
of vector Eric Dane, and that has really kind of
turned our attention to it again. We've lost too many
people to this disease that can be dealt with. In
case somebody does get a positive result, can we just
briefly kind of go over what they would expect after that.
You might have a surgery, you might have other interventions

(11:59):
to to get you in the healthy realm.

Speaker 2 (12:05):
Yeah, yeah, good, good question.

Speaker 3 (12:07):
And yeah we've had We've had a couple actors and
actresses that have recently died of colon or rectal cancer,
So I'm glad we're talking about this. Colon cancer is
treated with surgery, and sometimes there's additional treatment like chemotherapy.
For rectal cancer because it's a bit more difficult to
treat because of the location, we like to usually shrink

(12:29):
them down with chemotherapy and radiation upfront.

Speaker 2 (12:31):
And this is again not a blanket statement for all.

Speaker 3 (12:35):
All situations are different, but in a lot of situations
we shrink it down with chemotherapy and radiation first, and
then usually we can remove it definitively with surgery. There
are a lot of exciting things happening in the in
the medical oncology space as well with iminotherapy. We have
some amazing medications now where patients can sometimes again if

(12:58):
they're if they're candidates for their genetic testing shows appropriate markers,
they may be a candidate for one of these immunotherapy
drugs instead of traditional chemotherapy. And every a couple of
years we burst completely revamping the way we approach these diseases.
But unfortunately we see that the prevalence or the incidents
or the amount in the population is increasing, so we

(13:21):
still have to catch them early.

Speaker 1 (13:23):
Doctor Cody Barat, thank you so much for being on
the show today and sharing your expertise about coal rectal
cancer and colal rectal cancer awareness a month. We appreciate
your time.

Speaker 2 (13:33):
Thank you so much.

Speaker 1 (13:35):
iHeart Sinsey is iHeartRadio's local public affairs program focused on
the Tri State community's challenges and offering solutions from qualified
professionals and dedicated public servants. If you like to hear
this show again, you can listen on the iHeartRadio app.
It'll be under podcasts. Just search for my name, Sandy Collins.
Till next week. We'll see you then, take care.

Speaker 2 (13:57):
iHeart Cinsey is a production of iHeart art Media. Cincinnati,
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