Endoscopy

Endoscopic Procedures

Flexible Sigmoidoscopy

This is a camera test that just looks at the last third of your bowel.  Just like a colonoscopy, it does need to have your bowel cleared out with a preparation that you take by mouth.  This gives you profuse diarrhoea, and you won’t be able to work while you are taking the preparation.  Sometimes, we may decide that you just need an enema to clear the back passage out, and you will be instructed on how this will be administered, before you come in for the test.

To see the bowel clearly, we have to blow air into the bowel.  This can make you feel bloated, and you will need to pass that wind.  Do not be embarrassed, as we expect this from every patient!  You may be asked to change position on the bed, and this allows us to get round the bends in your bowel.  We may also press on your tummy, again, to aid the passage of the scope.

Most patients undergo the test with simple “gas and air”.  This pain relief is very effective and quick acting, and it also leaves your system very quickly, so you are able to carry on normal activity straight after the test.

We are able to tell you any obvious results straight after the test.  Sometimes we take tiny samples of tissue from the inside of your bowel (biopsies), and the results of this take a few weeks to come back.

It is my practice to write a letter to you and your GP, which details all your results, once I have them back, and any further action that needs to be taken.   Sometimes the further steps are too complicated to describe in a letter.  In that situation, I will see you back in my clinic to explain.

Colonoscopy

This is a camera test to look at the lining of you large bowel or colon. It involves taking a preparation by mouth, which causes you to have quite profuse diarrhoea, and you would be unable to work while undergoing the preparation.

When you come in for your test, you usually have an i.v. (intravenous) line inserted, in case you need any medication during the procedure. To see the bowel clearly, we have to blow air into the bowel. This can make you feel bloated, and you will need to pass that wind. Do not be embarrassed, as we expect this from every patient! You may be asked to change position on the bed, and this allows us to get round the bends in your bowel. We may also press on your tummy, again, to aid the passage of the scope.

Most patients undergo the test with simple “gas and air”. This pain relief is very effective and quick acting, and it also leaves your system very quickly, so you are able to carry on normal activity after the test. Some patients find the test harder to tolerate, and you may require pain relief and sedation that is injected into your i.v. line. If this is required, you will not be able to drive for 24 hours after the test, and we ask that you attend the test with arrangements for someone to pick you up and stay with you for the next 24 hours.

We are able to tell you any obvious results straight after the test. Sometimes we take tiny samples of tissue from the inside of your bowel (biopsies), and the results of this take a few weeks to come back.

It is my practice to write a letter to you and your GP, which details all your results, once I have them back, and any further action that needs to be taken. Sometimes the further steps are too complicated to describe in a letter. In that situation, I will see you back in my clinic to explain.

 

 

Flexible Sigmoidoscopy

Flexible Sigmoidoscopy

 

 

 

 

 

 

 

 

Colonoscopy

Colonoscopy