Flexible-Sigmoidoscopy
Flexible-Sigmoidoscopy
- This is limited examination of colon, only performed to examine any pathology confined to left side of the bowel. This procedure can sometime be undertaken without sedation.
- The instrument used here is also colonoscope.
- Bowel preparation, where patients need to drink their bowel preparation is perhaps not required for this test. Mostly this test is performed after having enema, which is given after coming to the hospital for the test.
- If Flexible-Sigmoidoscopy is abnormal, like polyps or inflammation noted, patient do require complete colonoscopy to examine the entire colon arranged later.
- Medications particularly like blood-thinning medications such as aspirin products, clopidogrel (Plavix®), ticagrelor (Brilinta®), warfarin, rivaroxaban (Xarelto®), apixaban (Eliquis®) and dabigatran (Pradaxa®), as well as any diabetes medications or insulin may require to be temporarily ceased before the test. Most of the time, the diabetic medication dose may be adjusted prior to the test. If there are any allergies, it is important that you mention at the time of the test.
- We encourage that you mention all your medical problems prior to the test and if you are having CPAP machine at home, please bring this with you for the test, you might need this in recovery.
- This procedure is very safe and minimal complications, like nausea and vomiting, faintness, or dizziness, especially when you start to move around and uncommon complications About 1 person in every 1,000 will accidentally get a hole (perforation) to the bowel causing leakage of bowel contents into the abdomen or bleeding from this procedure. Surgery may be needed to repair the hole. Rarely, surgery is needed to stop bleeding. Rest of the procedure and anaesthetic related questions will be discussed at the time of the procedure.
- Total procedure time would be 10-20 minutes.
- All these procedures are mostly performed in day care units, where patient’s will be discharged the same day.
- Post discharge instructions will be given at the end of the procedure.
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