It is the process of examining the mucosa layer covering the inner surface of the large intestine and the last part of the small intestine with the help of endoscopes called colonoscopes. Colonoscopy is used for diagnosis, treatment and palliation purposes. In diagnostic use, mucosal changes are observed by using staining methods, if necessary, tissue samples are taken with the help of forceps and pathological findings are obtained. It is sent for examination.
Polyps and small tumors are removed and treated by colonoscopy. Vascular pathologies are eliminated with the help of energy devices such as cautery and laser. Stenosis is widened with bougie, balloon and stenting and passage is provided. Foreign bodies in the colon can be removed by colonoscopy. Bleeding foci. It can be stopped by sclerotherapy, clipping and cauterization.
Colonoscopy is performed under sedoanalgesia and/or general anesthesia. Before the procedure, bowel cleansing should be done thoroughly with various oral medications and enemas. For those with comorbidities that cannot tolerate bowel cleansing and colonoscopy. Other imaging methods should be used.
Diagnostic and interventional colonoscopy procedures are performed by me under sedoanalgesia and/or general anesthesia.
What are the Disadvantages of Colonoscopy?
Intolerance to medications used for bowel cleansing and anesthesia may occur. Since vision is provided by injecting some air into the bowel during colonoscopy, abdominal bloating and gas pain may occur after the procedure, but this is temporary. Intestinal perforation has been reported at a rate of 0.5-1% during and after colonoscopy. Bleeding is more common. It is observed at low rates.
Who Should Have Colonoscopy?
- Colonoscopy is recommended for screening purposes for those over the age of 50, even if they have no complaints.
- Those with unexplained anemia, weight loss, long-lasting constipation, long-lasting diarrhea, occult or obvious blood in the stool, bloating and gas. -Those with a constant feeling of defecation, increased toilet habit, and a history of bloody mucus in their stools
-Those with a family history of colon and rectum cancer
-Colon polyp removal, inflammatory bowel disease and colorectal cancer treatment Those who see it should be under colonoscopic monitoring at regular intervals.
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