Videocolonoscopy – what is it?
Today, prevention and diagnosis of pathologies of the large intestine greatly facilitated by having a total examination of all its departments with the help of modern endoscopic devices. Videocolonoscopy is the most accurate and informative method of study that allows the doctor to see the full picture and to identify inflammation, ulcers, benign or malignant tumors in the early stages.
In contrast to conventional endoscopy colonoscope, video colonoscope is equipped with a chip with a powerful camera to 1.25 million pixels. It allows you to see magnified the intestinal wall as well as under the microscope, and record photos and videos in HD quality. Pre-diagnosis of colon cancer is performed using I-SCAN – illuminate the walls with rays of certain color spectra. Videocolonoscope also allows the proctologist coloproctologist or to take biological material for analysis and to remove small polyps.
- disease of corn may affect the colon;
- malignancy of polyps located in the colon;
- unknown etiology of bleeding from the intestines.
Coloproctologist, after consultation with the patient of their financial circumstances, may appoint the examination in the following cases:
- detection of occult blood in the stool and other disturbing indicators in the analysis or other instrumental examinations;
- before or after a proctological or gynecological surgery;
- suspected internal hemorrhoids;
- palpable education in the abdomen in the background of anemia, constipation and/or diarrhea.
The study is forbidden to pregnant women and people with a diagnosis; peritonitis, paraproctitis, haemorrhoids of III-IV stage, pathologies of blood coagulation, cardiac and respiratory failure, any acute infectious disease.
Where and how to prepare for the exam?
If videocolonoscopy is performed under General anesthesia, the patient will be offered hospitalized for a day to conduct surveys, to help clean the intestines of stool laxatives special products or production of high cleansing enemas. However, in the case of passing videocolonoscopy without sedation they should themselves take care of purgation were as complete as possible, because the quality of this training depends on the duration of the procedure and its information content.
3-4 days before the test you have to sit on hard uncindery diet. It is based on boiled or steam dishes from low-fat varieties of beef and fish, dairy products, soft cheese, white dried bread and crackers, weak tea. Under the ban, rye bread, whole milk, alcohol, sweets, cereals, legumes, mushrooms, vegetables and fruits.
You can clean the intestines by using conventional high enemas, but doctors recommend taking special laxatives. For example, Fortrans or fleet Phospho-Soda. Before using a tool recommended 2-3 days to prinimat usual or laxative Duphalac and 3 days to drink Panangin (3×1). The day of the survey, early in the morning you can drink some clean water.
Methodology of bowel cleansing preparations flit and Fortrans great. Should work with the physician to calculate the required dose, which depends on the weight of the subject, and also to specify in advance the rules and regimen of the drug.
How to eat after the test?
Videocolonoscopy involves not only proper training but also the observance of the special rules in the diet after the conference. Their violation may cause harm and accelerate the development of the pathology of the walls of the colon. In General, the power after videocolonoscopy is similar to the output of a starvation diet, but compressed in time up to 2-3 days.
It is especially important to follow the instructions on restriction in the diet of patients undergoing polyp removal. Diet you need to follow for 1 month. The basic principle of the diet after the removal of polyps – sparing the walls of the colon and lower consumption of complex carbohydrates and sugar.
Because of the taboo foods that stimulate the liver and pancreas and promotes secretion of gastric juice and bile, the diet prescribed medicines that improve the digestion and absorption of food: Pancreatin, lipokain, abomin. With the same purpose, the meal must be ground in a meat grinder or blindirovannye.
Diet after removal of polyps by colonoscopy
|Wheat crackers, crackers, crackers||Rye bread, butter cakes|
|Natural part of jelly currant, cherry||Sugar, jam, chocolate|
|One-day yogurt, strong tea, jelly||Alcohol, kvass, cold drinks, coffee|
|Soft cheese, cottage cheese, butter||Milk, cream|
|Weak broths||Nourishing soups with a large number of CMV vegetables|
|«Mucous» soups of oats, barley, rice||Milk soups, and cereal with milk|
|Boiled, pureed porridge on the water||Sour and spicy dishes, pickles, marinades|
|Boiled beef, lean fish||Pork, oily fish, smoked|
|Steam omelettes, boiled eggs||Vegetables, fruits|
|2 000 kcal = 250 grams of carbs + 100 grams protein + 70 g of fat|
Food and drink should be consumed warm or cool – 15-60 °C. Food should be five or Chestertown, with a limited amount of salt.
Full reinstatement of the wall, where the invasive was removed a polyp, in most cases, requires 2 weeks.
At this time, forbidden to drive a personal car or work on a vehicle, especially large vehicles. Do not ignore the observance of gentle physical mode and do not refuse the sick list.
A month after the removal of polyps from the colon schedule follow-up colonoscopic examination. According to the results, make a decision on the extension of clinical nutrition or the rejection of it. Further recommended that the following testing:
- 2 years – every six months;
- 2 years – once a year;
- then – once in 5 years.
Currently videocolonoscope is the best method of examination of the colon. However, there are alternative methods is barium enema, capsule endoscopy and virtual 3D colonoscopy using CT scanners. All three studies are less accurate and are only used to clarify the diagnosis. However, the barium enema is an affordable diagnostic alternative in cases where an any variety colonoscopy is impossible because of existing contraindications.