Dr. Shravan Gastro

Colonoscopy/Sigmoidoscopy:

Colonoscopy:

A colonoscopy is a medical procedure that allows doctors to examine the entire large intestine (colon) for potential problems like polyps, cancer, or other conditions such as Crohn’s disease or ulcerative colitis. The procedure involves inserting a long, flexible tube (colonoscope) with a tiny camera into the rectum, enabling doctors to view the inside of the colon on a screen. Patients are usually sedated during this procedure to minimize discomfort. For example, if someone has been experiencing unexplained abdominal pain or rectal bleeding, a colonoscopy may be recommended to find the cause.

Sigmoidoscopy :

A sigmoidoscopy is a similar procedure but focuses only on the lower part of the colon, known as the sigmoid colon. It is typically used to diagnose conditions like diverticulosis or hemorrhoids. The procedure is quicker than a colonoscopy and may not require sedation. For instance, a person experiencing frequent diarrhea may undergo a sigmoidoscopy to investigate issues in the lower digestive tract.

Both procedures are essential for early detection of colon cancer, which is more treatable when caught early. They can also help diagnose other gastrointestinal disorders that may affect a patient’s health and quality of life.

What is Enteroscopy?

Enteroscopy

Enteroscopy is a medical procedure used to examine the small intestine, allowing doctors to diagnose and sometimes treat various conditions affecting this part of the digestive tract. Unlike standard endoscopy, which typically views the upper or lower portions of the digestive system, enteroscopy is designed to explore the small intestine—a part of the gastrointestinal tract that is more challenging to reach and examine.

During an enteroscopy, a gastroenterologist uses a long, flexible tube called an enteroscope, which is equipped with a camera and light at its tip. The procedure can be performed in different ways, depending on the area of the small intestine that needs to be examined. For upper enteroscopy, the tube is inserted through the mouth and guided down through the esophagus and stomach into the small intestine. In cases where the lower part of the small intestine needs to be explored, the enteroscope may be inserted through the rectum. Alternatively, a capsule endoscopy might be used, where the patient swallows a small, pill-sized camera that takes pictures as it travels through the digestive tract.

Enteroscopy is particularly useful for diagnosing conditions such as unexplained gastrointestinal bleeding, small intestine tumors, inflammatory bowel disease (IBD), celiac disease, and polyps. It can also help identify the causes of abdominal pain, chronic diarrhea, or malabsorption. In addition to its diagnostic capabilities, enteroscopy can be therapeutic as well. For example, doctors can remove polyps, treat bleeding sites, or dilate narrowed areas of the small intestine during the procedure.

Preparation for enteroscopy usually involves fasting for several hours before the procedure to ensure the stomach and intestines are clear of food. Sedation is typically administered to keep the patient comfortable during the procedure, which can last anywhere from 30 minutes to a few hours, depending on the complexity of the case.

After the procedure, patients are observed until the effects of the sedation wear off and can usually go home the same day. Mild discomfort, such as a sore throat or bloating, might occur, but serious complications are rare.

Enteroscopy is a valuable tool in modern gastroenterology, offering a minimally invasive way to explore and treat issues in the small intestine. By providing detailed images and the ability to perform therapeutic interventions, enteroscopy plays a crucial role in diagnosing and managing complex gastrointestinal conditions.

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