This is an automatically translated article.
The article was written by MSc Vu Tan Phuc - Gastroenterologist - Department of Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital.The colon is a hollow organ located in the abdominal cavity, connecting the ileum and rectum. The colon is about 150cm long, the first part is the cecum and the last part is the sigmoid colon, shaped like the letter sigmoid. The main function of the colon is to absorb water and minerals that remain after some have been absorbed by the small intestine and store stool until it is expelled. However, this part often suffers from diseases such as inflammation, ulcers, polyps, cancer, ...
1. What is a flexible colonoscopy without biopsy?
Non-biopsy flexible flexible colonoscopy is a procedure that inserts a flexible endoscope through the anus up to the cecum to view the entire colonic mucosa in order to diagnose and treat diseases of this area. If necessary, biopsy of the lesion in the colon and some procedures such as polyp removal, removal of foreign bodies, injection of hemostasis can be performed.
Therefore, the indications of flexible colonoscopy without biopsy usually include the following indications:
The patient has a family history of colon cancer with unexplained red blood in the stool. other than melena (gastroscopy normal) Unexplained anemia
Test for red blood cells in stool is positive (gastroscope normal) Unexplained persistent diarrhea Acute diarrhea Unexplained abdominal pain Defecation disorders: anal pain, bowel incontinence, difficulty defecation Disorders of stool properties Periodic screening of patients with polyps, colorectal cancer Cancer screening in the elderly Diverticular disease Inflammatory bowel diseases Colonoscopy treatment: polyp removal, foreign exchange objects, hemostasis, dilatation of narrow places. . . Follow-up colonoscopy: after polyp removal, severe dysplasia
2. Endoscopic process
The endoscopy process is very quick, does not take much time. However, to be able to do this you will need to do a colon cleanse and some more information.
Patients are explained about the benefits and complications of flexible colonoscopy without biopsies. Diet before colonoscopy: patients need to stop taking iron-containing drugs 3-4g days before the colonoscopy and eat a healthy diet. no fiber 1 day before colonoscopy endoscope, prepare for endoscopy The first step: visit the rectum and then insert the lamp after lubricating the device with lidocaine grease or KY Insert the scope into the rectum, endoscopic and finding the way Then turn the instrument in turn to sigmoid colon, descending colon, splenic flexure, transverse colon, hepatic flexure, ascending colon, cecum and via the Bauhin valve
When to biopsy: when there is a lesion suspected of ulceration, dysplasia, polyp, the doctor presses with biopsy pliers, then sends the pathology to know clearly the nature of the biopsy piece is healthy. Malignant or malignant Total colonoscopy time is usually about 15 minutes In fact, most of the time during colonoscopy, patients will experience abdominal pain when the machine passes through the bowel corners or when the torsion is untwisted. However, pain threshold is different for each person.
Hence some people have a lower tolerance to pain. The doctor was halfway through the endoscopy when the patient could not bear to withdraw the machine to stop the procedure. In these people, in order to not feel pain during colonoscopy, the doctor will pre-anaesthetize the patient before the colonoscopy. During endoscopy, the patient will sleep well and will not feel pain.
This is an easy-to-implement, low-cost technique that offers accurate diagnosis, high intervention capacity and less discomfort for the patient. So you can rest assured to perform a flexible colonoscopy if your doctor prescribes it.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.