rektoskopia czyli badanie jelita

Description of the examination and preparation:

The type of examination is decided by the doctor. He or she may refer the patient to fiber-sigmoidoscopy instead of colonoscopy in case of suspicion of diseases in the left half of the colon, e.g. after a rectal infusion, as a control of treatment of polyps removed from the left half of the colon, in case of fresh blood in the stool, with a change of bowel rhythm. It is also a good test as a control after surgery in the left half of the large intestine.

Preparation for the examination is usually very similar to the one in case of colonoscopy. The condition is that the intestine is properly cleaned, so that the walls of the intestine can be seen from the inside. As a rule, there is no need for special blood tests unless your doctor tells you otherwise. Patients who are chronically taking anticoagulants such as acenocumarol (e. g. Sintrom), clopidogrel (e. g. Plavix), warfarin (e. g. Warfarin), rivaroxaban (Xarelto), etc. should replace the existing drugs with low molecular weight heparin (e. g. Clexane) at an appropriate time set by the doctor before the examination. The type, dosage and the appropriate moment of treatment change should be agreed with the physician in charge of the examination at least 8 days before the examination. Diabetic patients should inform the testing laboratory before the examination in order to establish the date of the examination in the morning.

All available medical records and current results of the following tests must be presented prior to the examination:

  • double blood group or Blood Group Identification Card
  • Complete Blood Test
  • coagulogram (INR, APTT, Fibrinogen, thrombin time)
  • ionogram (K, Na) – mandatory under general anesthesia!
  • ECG (ECG examination can be performed on the day of the procedure, please report it on the Reception Desk)

Up to 3 months, the above mentioned tests are considered valid.

Oral iron preparations should be discontinued at least 7 days before the examination.

5 days before the examination, you should limit yourself to a non-residuous diet. The following are permitted: meat and fish, pasta, rice and white bread, pudding, jelly and kissel, water, coffee, tea and clear juices. You should refrain from meals that contain any fresh fruit and vegetables (especially those containing small seeds) which clog the colonoscope’s working canals and may make it completely impossible to perform the test) and bread with added grains, poppy seeds and spices (except finely ground).

The type of preparation is decided by the doctor.

Sometimes it is acceptable to prepare the intestine by means of retention enema or by means of oral preparations as for colonoscopy. Preparation for examination with infusions is usually better tolerated by patients and the possibility of such preparation is one of the advantages of fiberosigmoidoscopy, but it does not always ensure optimal intestinal cleansing.

Preparation by means of retention enema:

The retention enema can be purchased from a pharmacy without a prescription or from the reception of the MediSpace.

Three infusions are needed to prepare the intestine. After starting the preparation you should not eat, but you can drink clear liquids until the examination. Enemata are made on the day before the examination at 6:00 pm and 8:00 pm and on the day of the examination about 4 hours before its start. It is best to insert the enema through the rectum in the position on the left side and stay in this position for at least 45 minutes. After this period, bowel movements usually occur. If, after the morning enema, there is a bowel movement with solid stool, one more enema should be made about 2 hours before the examination. If the Patient commutes to the clinic from a distance in the morning, preparation with an oral preparation will be more advisable because the morning infusion will be impossible at an appropriate interval before the examination.

Price list*:

Fiber-sigmoidoscopy

300 PLN

Biopsy

60 PLN

Polypectomy

190 PLN

Histopathological examination of the first section/polyp

95 PLN

Histopathological examination of the next section/polyp

90 PLN

Endoscopy film recording (1 examination)

150 PLN

* the price of the examination may increase in case of difficult and non-standard endoscopic examinations and the use of additional equipment (endoscopic clips, endoscopic needles, endoscopic grippers)

FIBEROSIGMOIDOSCOPY: Description of the examination and preparation:

The type of examination is decided by the doctor. He or she may refer the patient to fiberosigmoidoscopy instead of colonoscopy in case of suspicion of diseases in the left half of the colon, e.g. after a rectal infusion, as a control of treatment of polyps removed from the left half of the colon, in case of fresh blood in the stool, with a change of bowel rhythm. It is also a good test as a control after surgery in the left half of the large intestine.

Preparation for the examination is usually very similar to colonoscopy. The condition is that the intestine is properly cleaned, so that the walls of the intestine can be seen from the inside. Preparation for the examination is usually very similar to the one in case of colonoscopy. The condition is that the intestine is properly cleaned, so that the walls of the intestine can be seen from the inside. As a rule, there is no need for special blood tests unless your doctor tells you otherwise. Patients who are chronically taking anticoagulants such as acenocumarol (e. g. Sintrom), clopidogrel (e. g. Plavix), warfarin (e. g. Warfarin), rivaroxaban (Xarelto), etc. should replace the existing drugs with low molecular weight heparin (e. g. Clexane) at an appropriate time set by the doctor before the examination. The type, dosage and the appropriate moment of treatment change should be agreed with the physician in charge of the examination at least 8 days before the examination. Diabetic patients should inform the testing laboratory before the examination in order to establish the date of the examination in the morning.

All available medical records and current results of the following tests must be presented prior to the examination:

  • double blood group or Blood Group Identification Card
  • morphology
  • coagulogram (PT/INR, APTT)

In addition to the above tests, for general anaesthesia, please provide:

  • ionogram (K, Na)
  • ECG (ECG examination can be performed on the day of the procedure, please report it on the Reception)

Up to 3 months, the above mentioned tests are considered valid.

Oral iron preparations should be discontinued at least 7 days before the examination.

5 days before the examination, you should limit yourself to a non-residuous diet. The following are permitted: meat and fish, pasta, rice and white bread, pudding, jelly and kissel, water, coffee, tea and clear juices. You should refrain from meals that contain any fresh fruit and vegetables (especially those containing small seeds) which clog the colonoscope’s working canals and may make it completely impossible to perform the test) and bread with added grains, poppy seeds and spices (except finely ground).

Preparation of the patient for the examination:

1 DAY BEFORE THE EXAMINATION: At 8:00 am, you can have a light breakfast (e.g. white roll with boiled egg or white roll with cottage cheese). From now on, drink transparent, light liquids in large quantities: water, weak tea, clear juice, clear, transparent broth and do not eat until the examination.

Proceeding according to points 1 – 3 will allow you to prepare your intestine thoroughly for the examination. The better the preparation, the better the chances of detecting small changes such as polyps, diverticula or early neoplastic changes.

Citrafleet is 2 sachets of the drug. Each sachet is to be dissolved in 150 milliliters of water. The contents of the sachet should be thoroughly mixed with water (mix for 2-3 minutes). If the solution heats up during mixing, wait until the temperature is reduced.
Drink the prepared drug directly after preparation.

Wait 15-30 minutes after each dose and then drink 2 litres of water or other clear liquids.

CAUTION: Drinking 2 litres of liquid after each dose is NECESSARY.

HOW DO I DOSE CITRAFLEET WITHOUT GENERAL ANESTHESIA?

1 DOSE

2 DOSE
taking the dose – stop drinking water

Start drinking       stop drinking

 

TIME OF EXAMINATION

06:00 pm

plus an obligatory 2 liters of water

21:00-23:00

plus an obligatory 2 liters of water

08:00 am

09:00 pm

plus an obligatory 2 liters of water

03:00-05:00

plus an obligatory 2 liters of water

09:00 am

10:00 pm

plus an obligatory 2 liters of water

04:00-6:00

plus an obligatory 2 liters of water

10:00 am

11:00 pm

plus an obligatory 2 liters of water

05:00-07:00

plus an obligatory 2 liters of water

11:00 am

11:00 pm

plus an obligatory 2 liters of water

06:00-08:00

plus an obligatory 2 liters of water

12:00 am

11:00 pm

plus an obligatory 2 liters of water

07:00-09:00

plus an obligatory 2 liters of water

01:00 pm

11:00 pm

plus an obligatory 2 liters of water

8:00-10:00

plus an obligatory 2 liters of water

02:00 pm

05:00 am

plus an obligatory 2 liters of water

9:00-11:00

plus an obligatory 2 liters of water

03:00 pm

06:00 am

plus an obligatory 2 liters of water

10:00-12:00

plus an obligatory 2 liters of water

04:00 pm

07:00 am

plus an obligatory 2 liters of water

11:00-13:00

plus an obligatory 2 liters of water

05:00 pm

CAUTION! Individuals with chronic renal failure (requiring dialysis) or diagnosed heart failure that is being treated should consult their physician for preparation – for whom the fluid dosage may differ from the one described above. If you have any doubts about your health, you should consult a doctor before the planned examination.

Price list*:

Fiber-sigmoidoscopy

300 PLN

Biopsy

60 PLN

Polypectomy

190 PLN

Histopathological examination of the first section/polyp

95 PLN

Histopathological examination of the next section/polyp

90 PLN

Endoscopy film recording (1 examination)

150 PLN

* the price of the examination may increase in case of difficult and non-standard endoscopic examinations and the use of additional equipment (endoscopic clips, endoscopic needles, endoscopic grippers)

FIBEROSIGMOIDOSCOPY: Description of the examination and preparation:

The type of examination is decided by the doctor. He or she may refer the patient to fiberosigmoidoscopy instead of colonoscopy in case of suspicion of diseases in the left half of the colon, e.g. after a rectal infusion, as a control of treatment of polyps removed from the left half of the colon, in case of fresh blood in the stool, with a change of bowel rhythm. It is also a good test as a control after surgery in the left half of the large intestine.

Preparation for the examination is usually very similar to the one in case of colonoscopy. The condition is that the intestine is properly cleaned, so that the walls of the intestine can be seen from the inside. As a rule, there is no need for special blood tests unless your doctor tells you otherwise. Patients who are chronically taking anticoagulants such as acenocumarol (e. g. Sintrom), clopidogrel (e. g. Plavix), warfarin (e. g. Warfarin), rivaroxaban (Xarelto), etc. should replace the existing drugs with low molecular weight heparin (e. g. Clexane) at an appropriate time set by the doctor before the examination. The type, dosage and the appropriate moment of treatment change should be agreed with the physician in charge of the examination at least 8 days before the examination. Diabetic patients should inform the testing laboratory before the examination in order to establish the date of the examination in the morning.

All available medical records and current results of the following tests must be presented prior to the examination:

  • double blood group or Blood Group Identification Card
  • morphology
  • coagulogram (PT/INR, APTT)

In addition to the above tests, for general anaesthesia, please provide:

  • ionogram (K, Na)
  • ECG (ECG examination can be performed on the day of the procedure, please report it on the Reception)

Up to 3 months, the above mentioned tests are considered valid.

Oral iron preparations should be discontinued at least 7 days before the examination.

5 days before the examination, you should limit yourself to a non-residuous diet. The following are permitted: meat and fish, pasta, rice and white bread, pudding, jelly and kissel, water, coffee, tea and clear juices. You should refrain from meals that contain any fresh fruit and vegetables (especially those containing small seeds, e. g. kiwi, strawberries, raspberries, tomatoes, which clog the colonoscope’s working canals and may make it completely impossible to perform the test) and bread with added grains, poppy seeds and spices (except finely ground)

Preparation of the patient for the examination:

JIf the test is scheduled for 4:00 pm or earlier:

About 20 hours before the planned examination you should completely stop taking food and start preparing the intestine with Fortrans prepatate (preparation sold in pharmacies on the basis of a prescription). The packaging of Fortrans contains four sachets, each of which should be dissolved in 1 litre of still water. The entire volume (4 litres of finished solution) should be drunk within approximately 4-6 hours.

If the test is scheduled after 4:00 pm:

On the day before the examination, at about 10:00 pm, completely stop eating. The packaging of Fortrans contains four sachets, each of which should be dissolved in 1 litre of still water. Start taking fortrans at 10:00 pm. Drink half of the solution (2 litres) by 12:00 pm to 1:00 am. Drink the rest of Fortrans (the remaining 2 litres) from 5:00 am to 7:00-8:00 am on the day of the test.

The finished solution of Fortrans can be cooled and seasoned with clear (seedless) lemon juice or other non-staining fruit juice to improve taste. As a result of taking the solution of Fortrans preparation, there are numerous bowel movements, in the final stage of preparation, with a clear liquid. For persons with constipation and bowel movement difficulties or persons with BMI above 30 or total weight above 100 kg, it is recommended to drink an additional litre of still water after drinking Fortrans.

Price list*:

Fiber-sigmoidoscopy

300 PLN

Biopsy

60 PLN

Polypectomy

190 PLN

Histopathological examination of the first section/polyp

95 PLN

Histopathological examination of the next section/polyp

90 PLN

Endoscopy film recording (1 examination)

150 PLN

* the price of the examination may increase in case of difficult and non-standard endoscopic examinations and the use of additional equipment (endoscopic clips, endoscopic needles, endoscopic grippers)