Colonoscopy Wrocław

Colonoscopy involves the insertion of an endoscopic camera into the intestine through the anus. The physician inspects the mucous membrane of the entire large intestine. If necessary, the doctor can take biopsies from the mucosa, remove intestinal polyps and remove other lesions. The whole examination is recorded.

The test is completely painless - it is performed under short-term intravenous anesthesia.

At the Melita Medical Center, we perform colonoscopic examinations both for diagnostic purposes (in patients with suspected colon diseases) and prophylactic purposes (in healthy people over 50 years of age or earlier, if there are family problems)
Colonoscopy - key information

Colonoscopy - key information

A colonoscopy is an endoscopic examination of the colon (large intestine). To perform it, a device called a colonoscope is required - it has the shape of a thin and flexible wire the thickness of a finger. During the examination, the colonoscope is carefully inserted through the anus, then through the rectum into the descending colon, transverse colon, and ascending colon.

There are several ways to investigate the aforementioned sections of the digestive tract, but only colonoscopy allows you to look closely and directly at their anatomy and mucosa. During the study, in the case of finding changed sites, it is possible to painlessly collect small mucosa (biopsy) samples for histopathological and microbiological examination.

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What is colonoscopy?

What is colonoscopy?

For the examination, the patient is laid on their left side, covered with a blanket, and asked to pull his pants down to the knees, then he turns on his side and pulls his knees up to his stomach. The examination is performed after an intravenous anesthetic and a hypnotic agent is administered, the patient sleeps throughout the examination and shortly afterward.

The examination itself is performed using a flexible colonoscope, which is inserted through the anus into the large intestine. Air is blown during the examination to make the walls of the colon more visible, which may cause some slight discomfort and gas evacuation after the examination.

If a site within the part of the digestive tract that is being examined raises suspicions, a microscopic piece (biopsy) of that area will be taken for laboratory testing.

If polyps are found within the section of the intestine being inspected, they can be removed using a special loop inserted through the colonoscope (polypectomy). However, it should be remembered that there are not always direct indications for this (e.g. when polyps do not arouse the doctor's suspicions), and removal of polyps may not be possible during an outpatient examination - then you will be referred to a hospital for surgery with the possibility of observation after its procedure.

The examination lasts from 10 to 30 minutes, depending on its complexity, the number of biopsies taken, and possible polypectomy.

The examiner will inform you about the results of the colonoscopy and will issue a description immediately after the examination. If samples have been taken for histopathological examination, the results will be available for up to 6 weeks.

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How to get prepared for a colonoscopy?

Colonoscopy is performed after appropriate preparation, consisting in cleansing the intestine of food residues, most often with the use of orally administered laxatives, sometimes supported by rectal enemas. The preparation begins the day before the procedure when the patient must refrain from eating and drinking liquids other than those used to cleanse the intestine.

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How to get prepared for a colonoscopy?
Is colonoscopy painful?

Is colonoscopy painful?

At the Melita Medical Center, we perform colonoscopies under short-term intravenous anesthesia, which in practice means that during the examination the patient is asleep and does not feel any pain or discomfort. Abdominal distension is common after the examination, and there may be some mild pain associated with it, but this is temporary.

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FAQ

When a colonoscopy should be performed?

A colonoscopy may be indicated for such reasons as:

  • Suspicion of pathological changes in the large intestine
  • Diarrhea and bleeding when defecating
  • Family history of colorectal cancer
  • Anemia with unexplained basis
  • As part of the prevention of colorectal cancer in people over 50 years of age

A colonoscopy is a commonly performed test. It is part of and at the same time an introduction to choosing the right therapy (pharmacological and/or operative) for numerous diseases of the lower part of the gastrointestinal tract.

What diet should you observe prior to a colonoscopy?

Before the colonoscopy, you should refrain from eating seeds and nuts for 3 days and switch to an easily digestible diet, limiting vegetables and fruits, and products that stain the mucosa (beetroot, blackcurrant juice). During the preparation (drinking of the cleansing preparation), only clear liquids may be consumed (e.g. sweetened tea, clear apple juice, clear broth without additives).

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FAQ
Colorectal cancer - prevention

Colorectal cancer - prevention

The best way of preventing colorectal cancer is to perform a colonoscopy or a test that involves inserting a camera into the large intestine, with which the doctor can examine the appearance of the mucosa. Since most intestinal cancers grow from polyps, we always remove them during this examination.

Who and when should begin performing prophylactic colonoscopic examinations?

In healthy people whose family members (parents, grandparents, siblings) have not suffered from colorectal cancer - after the age of 50; In people who are at increased risk of developing colorectal cancer.

A FACTOR INCREASING THE RISK OF DEVELOPING COLORECTAL CANCER WHEN SHOULD YOU BEGIN PERFORMING COLONOSCOPIC EXAMINATIONS? HOW FREQUENTLY?

One of your close family members (parents, siblings, children) suffers or has suffered from colon cancer or adenocarcinoma (intestinal polyp)

- Two or more extended family members (grandparents, cousins, grandchildren) have or have had colorectal cancer or adenocarcinoma (intestinal polyp)

after the age of 40 or 10 years before the youngest member of the family contracted the disease every 5 years
Hereditary Nonpolyposis Colorectal Cancer (HNPCC) in the family after the age of 10-12 every year
Hereditary Nonpolyposis Colorectal Cancer (HNPCC) in the family after the age of 25 or 10 years before the youngest member of the family contracted the disease every 1-2 years
Chronic inflammation of the large intestine (ulcerative colitis and Crohn's disease) after 8 years of intestinal disease, the entire large intestine is affected, or after 12 years, if the disease affects the left half of the intestine every 1-2 years

 

 

 

Price list

Colonoscopy in intravenous analgosedation with gastroenterological consultation after the examination
PLN 1400
Colonoscopy and gastroscopy in intravenous analgosedation with gastroenterological consultation after the examination (the price includes urease test towards Helicobacter pylori)
PLN 2000
Biopsy (1 sample)
PLN 100
Polypectomy (first polyp)
PLN 450
Polypectomy (every further polyp)
PLN 150
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Anaesthesiology questionnaire
Anaesthesiology questionnaire
An anesthesia questionnaire is a document necessary when determining the method of anesthesia and the qualification for its implementation. Correct and comprehensive completion of the questionnaire allows for a reliable assessment of the safety of the planned method of anesthesia and significantly reduces the chance of complications associated with it. If you have any doubts during the completion of the document, individual points can be discussed during the anesthesia interview.
Colonoscopy consent
Colonoscopy consent
Colonoscopy is an examination during which the doctor assesses the appearance of the inside of the large intestine and sometimes the last section of the small intestine with the help of an endoscope inserted through the anus. The image of the inside of the intestine is visible on the screen during the examination and can be recorded. If any suspicious changes are found, the doctor may take a biopsy.
Preparation for colonoscopy/sigmoidoscopy
Preparation for colonoscopy/sigmoidoscopy
Proper preparation for a colonoscopy is a 3-day process comprising several stages. The first stage is to follow the rules of an easily digestible, low-residue diet for 3 days preceding the examination. On the day before the examination and (in some cases) in the morning on the day of the examination, you should take an appropriate amount of the intestinal cleansing agent, additionally drinking the right amount of water. Without proper preparation, the test will have no diagnostic value. Optimal preparation for a sigmoidoscopy is usually identical to a colonoscopy unless your doctor tells you otherwise.
Consent to short-term intravenous anesthesia
Consent to short-term intravenous anesthesia
Short-term intravenous anesthesia is a method of anesthesia used mainly during examinations and outpatient (one-day) procedures. It consists in putting the patient into a short-term sleep and eliminating the pain sensation with the help of drugs administered intravenously. After this type of anesthesia, the patient quickly regains consciousness and may leave the medical facility under the care of an adult within a few hours. A motor vehicle must not be driven for 24 hours after anesthesia.