Procedures
The most important point to remember is that everyone with a bowel problem can be helped and many can be completely cured.
Whenever possible, we offer procedures using minimally invasive techniques.
Flexible Sigmoidoscopy
Flexible sigmoidoscopy is a procedure wherein a sigmoidoscope is inserted through the anus, the distal colonic mucosa (up to 60 cm from the anal verge) is examined, and any diagnostic or therapeutic maneuvers performed, as needed.
Indications
The following are the usual indications for flexible sigmoidoscopy:
Preparation
Typically, a flexible sigmoidoscopy does not require a full colon preparation. A clear liquid diet on the day before the examination, along with overnight fasting, is usually sufficient; one or two enemas may also be given on the morning of the examination.
In most cases, no sedation is required for flexible sigmoidoscopy. If sedation is needed a pain killer (Fentanyl) and/or a short-acting benzodiazepine (Midazolam) may be given intravenously.
Procedure details
The procedure lasts 10-15 minutes, during which the rectum and left colon (the left side of the large bowel) are examined. It is generally more comfortable than colonoscopy and the post-procedure recovery somewhat quicker.
If sedation is administered the same precautions apply on discharge.
Complications
Flexible sigmoidoscopy has similar but significantly lower rates of complications as those associated with colonoscopy.