11/30/2022 0 Comments Colonoscopy findings![]() Should any questions or concerns arise, these can be discussed with your physician prior to beginning the procedure. Prior to the exam, a consent form will be reviewed with the patient by the nursing staff. However, if a complication occurs, it may require hospitalization and surgery. Most complications are not life-threatening. Overall, complications occur in less than 1% of patients. In general, colonoscopy is a very safe procedure. Most patients are able to eat and drink normally after their discharge from the Endoscopy unit however, specific instructions regarding activity, eating, and medications will be given prior to discharge. You will also be instructed not to work, sign important papers, or perform strenuous activities for the rest of the day. You will not be allowed to drive for the rest of the day therefore, you will need to arrange for a ride home. The amount of sedation used during the exam and your individual response to the medication will dictate how quickly you will wake up, though most patients are awake enough for discharge within 45 – 60 minutes. Depending on the findings, the exam takes approximately 15 – 30 minutes.Īfter the exam is complete, you will be taken to the recovery room to be monitored while the sedation starts to wear off. At the end of the procedure, as much of the air and remaining fluid as possible is suctioned out of the colon through the scope. Any fluid remaining in the colon after the preparation can be washed and suctioned out through the scope.ĭepending on the findings of the exam, several things can be done at the time of the procedure, including biopsies, the removal of polyps, and the control of bleeding. A small amount of air is placed through the scope and into the colon to help the physician see. The scope will be carefully advanced throughout the colon to where the small bowel and colon meet. The colonoscope will then be gently inserted into the rectum. Once an adequate level of sedation is achieved, the physician will perform a rectal exam. Small amounts are given to ensure your safety and provide only the amount you need individually. Once in the exam room, you will be asked to lie on your left side on the stretcher. You will be connected to equipment that will allow the doctor and staff to monitor your heart rate, blood pressure, pulse, electrocardiogram, breathing, and oxygen level during and after the exam. An intravenous (IV) catheter will be started in your arm so that sedation can be administered. You will be asked to change into a medical gown. This is to allow time to fill out paperwork and prepare for the exam. You will be asked to arrive at the endoscopy center at your local GI Alliance location 1 – 1.5 hours before your exam. Patients will be instructed not to take anything by mouth after midnight except for medications. However, in certain circumstances, especially in patients on blood thinners (i.e., Coumadin, warfarin, Plavix, aspirin, anti-inflammatories) and in diabetics, special instructions will be given. In most cases, your medications will be continued as usual. There will also be additional instructions regarding your medications. It is very important to follow the instructions given to you by your doctor. There are several different options for laxatives to entirely clean out the colon. Most patients will be on clear liquids the entire day before the exam. The most common indication in our study was per rectal bleeding with hemorrhoids as the most common endoscopic finding on colonoscopy.You will receive instructions from your doctor at GI Alliance regarding the necessary bowel preparation to get you ready for your exam. The most common colonoscopy findings were hemorrhoids (29.6%),and suspected tumor/growth (14.4%), while 22.4% were normal. Rectal bleeding was the most common indication (70.4%) followed by abdominal pain (9.6%), chronic diarrhea (8%), altered bowel habits (6.4%), constipation (2.4%), post-cancer surveillance (1.6%), weight loss, and anemia (0.8%) each. Data regarding demographic characteristics, indications, and endoscopic findings were gathered on a pre-designed proforma.Ī total of 125 participants were recruited with a mean age of 39 ± 20, out of which 60% were males. To be eligible participants had to be 14 years or older, of either gender and giving informed consent. This prospective cross-sectional study of 125 patients who underwent lower gastrointestinal endoscopy was conducted in the Endoscopy Unit of LUMHS Civil Hospital Hyderabad / Jamshoro from April 2020 to September 2020. Therefore, our study aimed to evaluate the indications and endoscopic findings of patients who underwent colonoscopy at a tertiary care hospital in interior Sindh, Pakistan. To date, there is a paucity of data in Pakistan on indications and findings of colonoscopy. Colonoscopy is one of the most important diagnostic tools to assess the structural abnormalities of the large intestine and distal ileum. ![]()
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