What is a Colonoscopy?
Colonoscopy is the partial or complete examination of the large intestine with a special instrument with a light and camera at the end. In the meantime, a number of drugs are given through a vascular access opened before the procedure, which helps the patient to relax, relaxes the intestinal muscles and prevents pain. There are state hospitals in Ankara that perform colonoscopy by putting them to sleep, but they give an appointment for a very future date. For this reason, patients who want to feel comfortable during colonoscopy prefer to have the procedure performed in centers that perform colonoscopy with anesthesia in Ankara. Ankara colonoscopy prices vary between centers. Differences in Ankara colonoscopy fees vary according to who does it and where it is done. There are general surgeons who perform colonoscopy in Ankara, but there are many gastroenterology specialists who perform colonoscopy in Ankara, and these doctors are trained to perform procedures such as a 4-year comprehensive endoscopy colonoscopy on internal medicine residency training. Doctor Meral Sözen is among the doctors who perform an anesthetic (sleeping) colonoscopy in Ankara. There are also hospitals in Ankara that perform colonoscopy with SSI agreement. The Turkish Medical Association updates the colonoscopy prices by putting Ankara to sleep every year. When the comments of patients who have had colonoscopy in Ankara are read, it is seen that patients who are afraid of colonoscopy give up this procedure. However, the comments of patients who undergo colonoscopy by putting the patients to sleep are generally that this procedure should not be feared.
Are There Any Tests That Replace Colonoscopy? Can I Have a Virtual Colonoscopy Instead of Colonoscopy? Can Intestinal Film Be Done Instead of Colonoscopy?
Colonoscopy in the community is often feared and shy. Therefore, tests that can replace colonoscopy are being investigated. In the capsule endoscopy procedure, the large intestine can be evaluated if intestinal transit is rapid. However, it does not replace the detailed examination in classical colonoscopy. Virtual colonoscopy is a procedure performed with computed tomography and there is exposure to radiation. Sometimes, stool in the intestine can be evaluated as an intestinal disease. In this case, repeat colonoscopy comes to the fore. In addition, the number of centers performing virtual colonoscopy is low. There are not many centers that perform virtual colonoscopy in Ankara. Virtual colonoscopy in Ankara is recommended only in patients with risky colonoscopy.
Intestinal film is not a substitute for colonoscopy. Colonoscopy, which was of great importance in the period when colonoscopy was not performed, can be performed today to diagnose certain diseases.
What Has Changed in Colonoscopy Over the Years?
With the development of technology, HD imaging systems are used in new model devices for endoscopy, so even very small details can be seen more clearly, and lesions can be distinguished from normal tissue very quickly thanks to high-tech imaging such as FICE, NBI and I-scan. Endoscopic procedures performed by experienced physicians in centers that keep up with technological innovations enable early diagnosis, increase the quality of life and often save lives.
What should the diet be like before colonoscopy?
Before colonoscopy, you need to follow a diet according to the state of your bowel habits. In this case, you should stay away from pulpy foods. While individuals with constipation may need to diet for a longer time, the duration of the diet can be shortened in individuals with regular defecation. Supportive treatment with medication can be started earlier in patients with constipation.
Contrary to popular belief, patients who will undergo colonoscopy do not fast for three days. The food taken in humans is digested within 3-5 days according to the eating habits and the pulp is thrown out. The reason why we recommend consuming pulp-free food for 3 days before colonoscopy is to ensure that less pulp accumulates in the intestine and the laxative group drug to be drunk on the last day will clean the entire intestine properly. The better the bowel cleansing is, the better the patient's procedure comfort and bowel evaluation will be. If the intestine remains dirty, the procedure must be repeated. This is something neither the patient nor the doctor wants. Although pulpy foods are restricted in these 3 days, there is no harm in taking protein foods. Red meat, milk and dairy products, white meat and eggs are nutritious because they contain plenty of protein. It is almost completely absorbed and does not leave any pulp, so it can be consumed freely. In addition, it will not be appropriate to consume vegetables, fruits, nuts, legumes and bread that leave plenty of pulp. On the day before the procedure, it is more appropriate to eat plenty of juicy and smooth foods. On the day before the procedure, clear drinks such as boiled meat or chicken broth, tea, instant coffee, grain-free compote juice, pulp-free fruit juices, and linden can be consumed. Around 18:00 in the evening
After taking foods, it is necessary to consume various laxative group drugs. This is determined by the decision of the doctor and the patient, according to the patient's age, nutritional characteristics, daily water consumption.
Drugs Used Before Colonoscopy
1-GOLYTELY
A 4 liter canister is filled with water. The solution is added into it and mixed by shaking until it becomes clear. It can be tolerated more easily if it is drunk cold. It is necessary to drink 1 glass every 10 minutes, starting at 18:00 before the procedure. 1-2 hours after starting to drink, the patient's bowel movements will accelerate and he will need to go to the toilet frequently. Around 22:00, the drug will be consumed.
On the day of the appointment, approximately 1 hour before the procedure, your bowel cleansing will be completed after cleaning the stool remaining in the lower part of the intestine by performing an evacuative enema at the dose recommended by your doctor.
2- ENDOFALK
There are 8 bags of medicine in the package. To prepare the solution, a 5-liter plastic bottle is taken and 5 glasses of water are poured. All these drugs are poured into four liters of water. A clear solution is obtained by shaking well. If the prepared solution is stored in the refrigerator, it will be easier to drink. Every 10 minutes between 19-23 o'clock, one glass of endofalk solution is drunk at a time. Taking a short walk around the house after drinking each glass of endofalk solution will speed up bowel movements and facilitate bowel emptying.
On the day of the appointment, approximately 1 hour before the procedure, your bowel cleansing will be completed after cleaning the stool remaining in the lower part of the intestine by performing an evacuative enema at the dose recommended by your doctor.
3-PEGDIN
Two days before the appointment, 2 cups of 1.5 liters of water are taken and a tea glass is emptied. Pour half of the PEGDIN drug into the 1st bottle and the other half into the 2nd bottle and mix thoroughly by shaking. This solution should be consumed within 48 hours. One day before the procedure, at 17:00 in the evening, sip the entire 1.5-liter bottle of PEGDIN, one glass every 10 minutes, then drink plenty of water and drink the second bottle in the same way at 19.00 in the evening. You will have bowel cleansing after you need to go to the toilet 3-4 hours after you start taking the medicine. On the day of the appointment, approximately 1 hour before the procedure, your bowel cleansing will be completed after cleaning the stool remaining in the lower part of the intestine by performing an evacuative enema at the dose recommended by your doctor.
4-PICOPREP
The first pack will be placed in 1 glass of water the day before the procedure, mixed for at least 3 minutes, and drunk between 16.00-18.00, then 5 glasses of water will be drunk. After the second package is opened and completely dissolved by mixing well in a glass of water, it is drunk between 22:00 and 24:00, and then after drinking at least 3 glasses of water, the drug is consumed.
On the day of the appointment, approximately 1 hour before the procedure, your bowel cleansing will be completed after cleaning the stool remaining in the lower part of the intestine by performing an evacuative enema at the dose recommended by your doctor.
5-X-M DIET SOLUTION
Drink 2 tablets of X-M TABLET 3 days before the procedure in the morning after breakfast and 2 tablets after dinner with plenty of water on a full stomach.
2 boxes of X-M DIET 250 ml SOLUTION will be mixed with 2 liters of water at 18.00 in the evening before the examination and 1 glass will be drunk every 10 minutes. Drink at least 1 liter of water until 24.00 at night.
On the day of the appointment, approximately 1 hour before the procedure, your bowel cleansing will be completed after cleaning the stool remaining in the lower part of the intestine by performing an evacuative enema at the dose recommended by your doctor.
What Should Be Done Before Colonoscopy?
In patients who switch to pulpless food consumption, drugs are given to ensure that the intestines are completely emptied in the evening of the day before the procedure. The choice of these drugs varies according to the doctor and the patient. Attention should be paid to consuming plenty of fluids the day before the procedure. An hour before the procedure, the entire intestine is emptied with a drug used as an anus enema. The more carefully the preparation is done before the procedure, the more comfortable the procedure will be. If the intestine is insufficiently cleaned, the procedure may be delayed or requested to be repeated. For this reason, it is very important to diet before colonoscopy, that is, bowel cleansing before colonoscopy.
How Is A Sleeping Colonoscopy Performed? Is There Any Harm in Sleeping Colonoscopy? What Should the Patient Do After Colonoscopy with Anesthesia?
Since it is more comfortable for the patient worldwide, the procedure is performed with short-term sedation. During the procedure, the patient is given the appropriate dose of medication by the anesthesiologist and the procedure is performed. Since the duration of action of these drugs is very short, the patient wakes up very soon after the drug is stopped. Due to the residual effects of the drug used, it is recommended that the patient does not perform tasks that require attention, such as driving, after the procedure, so that he or she should come with someone who can accompany him.
How Long Does the Colonoscopy Procedure Take?
The procedure, performed by gastroenterologists who perform colonoscopy in Ankara, takes 15-20 minutes. However, colonoscopy
urea may vary from patient to patient. Many factors change the duration of the colonoscopy procedure. Colonoscopy with anesthesia may take a little longer. Here, the patient's pre-preparation and awakening process prolongs the time. However, sometimes the endoscopy period with sleep can be performed at the same time as the colonoscopy without sleeping, since the patient is asleep and there is no pain and sudden movements. Sleeping endoscopy is recommended for people who are afraid of colonoscopy.
What Should Be Done After Colonoscopy?
Since air is given during the intestinal examination, there may be mild pain and spraining sensation in the abdomen after the procedure. Therefore, it is recommended to consume light foods after the procedure, avoid carbonated drinks and foods that can cause gas.
Is There a Risk of Intestinal Perforation in Colonoscopy? What Is Done If Intestinal Perforation Occurs During Colonoscopy?
Just as the patient has to do before colonoscopy, there are some rules that the doctor must follow during the procedure. Having sufficient knowledge and experience in terms of colonoscopy of the colonoscopy specialist reduces the risk of intestinal perforation. In addition, some factors related to the patient increase the risk of intestinal perforation. If such a situation is encountered, if the puncture size is small, it can be closed with intervention during colonoscopy. If it is larger, it should be intervened with surgery.
Who Should Have Colonoscopy?
Colonoscopic procedures are sometimes used for diagnosis and sometimes for treatment.
Situations Used for Diagnostic Purposes;
- Active or occult bleeding through the rectum
- Inflammatory bowel diseases
- Polyp or suspected cancer
- unexplained abdominal pain
- Changes in defecation habit
- Family history of gastrointestinal cancer
- To examine intestinal involvement of rheumatological and endocrinological diseases
Conditions Used For Therapeutic Purposes;
- polyp removal
- Treatment of superficial cancers
- intervene in strictures
- Treatment of bleeding
Is Colonoscopy Necessary for Colon Cancer Screening?
The incidence of bowel cancer varies from country to country. However, colon cancer is one of the top 5 cancers. In order to prevent colon cancer or to diagnose it early, a preliminary examination is carried out with stool occult blood test in cancer research centers. Here, if the occult blood test in the stool is positive, the patient is referred to centers where colonoscopy is performed for colonoscopy. In bowel cancer screening, the intestines are examined for colon polyps or colon cancer. If a colon polyp is detected in the large intestine, it is removed with special methods. In this case, it is prevented from turning into cancer.
What are the conditions that must be known before the colonoscopy procedure?
Patients should definitely share information about chronic diseases such as diabetes, hypertension, chronic liver and kidney disease or bleeding disorders with their doctor, and when necessary, a preliminary evaluation should be requested from the doctor they are following about these diseases.
The drugs used before the procedure must be evaluated. Blood thinners may need to be discontinued before the procedure.
Antibiotic treatment may be required before the procedure in patients with heart valve disease. (Infective endocarditis prophylaxis)
What Are the Risks of Colonoscopy?
If colonoscopy procedures are performed by a specialist team, the complication rate is very low. Complications are usually associated with anesthesia in procedures performed under anesthesia. Although very rare, conditions such as bleeding and organ perforation may be encountered.
