Total colonoscopy with flexible tube

The article was written by Specialist Doctor I Dong Xuan Ha - Digestive Endoscopy Doctor, Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital.

Colonoscopy is a way in which the doctor inserts a flexible tube into the rectum through the anus to examine the entire colon and part of the small intestine close to the colon.

This is a great advancement of medical technology. The doctor will insert a flexible endoscope, with a camera on the end, into the colon. Thereby the doctor will observe in detail the lesions in the intestinal lumen.
This bronchoscope also has its own channels to be able to put more specialized instruments into the colon to perform procedures such as biopsy of lesions, emergency intervention to stop bleeding, pick up foreign bodies, or intervene in the treatment of patients. treatment such as polypectomy, mucosectomy for early cancer treatment ...

With the exception of contraindications to total colonoscopy such as acute myocardial infarction, perforation or suspected perforation of a hollow viscera, recent abdominal or pelvic surgery.. all patients with symptoms of diarrhea Gastrointestinal disorders such as abdominal pain, bloating, slow digestion, disorders of stool excretion (apple, liquid, raw stool, flat stool..), mucus, blood, etc., are indicated for a complete colonoscopy.
Some other cases are also indicated even though there are no or very few gastrointestinal symptoms, even non-gastrointestinal symptoms are also indicated for total colonoscopy such as:
Weight loss, anemia of unknown cause: Find colon cancer, tuberculosis... Unexplained hot flushes: Find neuroendocrine tumors. Gallbladder polyps: Find colon polyps and intervene to prevent cancer.

Diseases of diverticulum can be detected by other methods.. Preparation before surgery: removal of gallbladder polyps, surgery with preparation of the pelvic region.. Early cancer screening for high-risk subjects such as: History of polyps, familial polyps, or a family history of colorectal cancer. Assessment of invasion and metastasis with abdominal and pelvic cancers... Periodic check-up after polyp removal, after colorectal surgery...

The patient must be thoroughly explained about the colonoscopy procedure, the benefits, risks, and risks of the Total Colonoscopy procedure with or without anaesthesia.
3.1 For planned colonoscopy Excluding contraindications, patients with total colonoscopy should have a light meal the night before, no vegetables, no fruit with seeds. In constipated patients, constipation should be treated with enemas or laxatives first. Depending on each case, the patient will be prescribed a way to clean the colon such as enemas, enemas or oral pills. With endoscopy under anaesthesia, patients need to rule out diseases that cause obstruction, narrowing of the upper gastrointestinal tract, fast for at least 06 hours before, and fast for at least 03 hours before. For cases with dangerous underlying medical conditions such as cardiovascular and respiratory problems, treatment must be stabilized first. Endoscopic therapeutic intervention must have all the basic tests ahead of time such as hemostasis test, blood group, abdominal ultrasound, X-ray, electrocardiogram.. Prevention of risk of complications, plan for treatment case of an accident.

3.2 For emergency colonoscopy The patient only needs to clean the colon with enemas or enemas. The physician will weigh the risks and benefits of a total colonoscopy with the patient at that time, explain it to the patient and family, and jointly decide whether to perform the colonoscopy procedure.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of doctors, modern equipment and technology, but also stands out for its examination, consulting and service services. comprehensive and professional medical 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.