Colonoscopia
A colonoscopy is a procedure to examine the inside of the large intestine (colon and rectum) to evaluate abnormalities or changes in bowel movements. This procedure can also be done to screen for colon cancer. The examination involves using a flexible instrument, called a colonoscope, that includes a camera to help the surgeons view the inside of the entire colon.
También conocido como
Colon Screening
Anestesia
MAC
Estancia en el hospital
Paciente externo
Tiempo de recuperación típico
24 Hours
Acerca de la Cirugía
What kind of outcome is typical for a colonoscopy?
A colonoscopy should allow your doctor to determine if you have any abnormal tissue in the colon that puts you at risk for cancer or other gastrointestinal conditions.
What are the risks of not having a colonoscopy?
A colonoscopy is used to check for colorectal polyps or cancer. Delaying or avoiding a colonoscopy may put you at risk for undiagnosed cancer or other gastrointestinal conditions.
What are the alternatives to a colonoscopy?
There are other ways to screen for colon cancer. These include stool tests, such as the fecal immunochemical test (FIT), fecal occult blood test (FOBT), and stool DNA tests. These tests allow you to collect your stool samples at home and then return them to your doctor or mail them to a lab.
¿Cuáles son los posibles efectos secundarios de la anestesia general?
Algunos de los posibles efectos secundarios incluyen náuseas y vómitos, sequedad de boca, dolor de garganta, dolores musculares, dolor de cabeza, hematomas (por la vía intravenosa), picazón, escalofríos y sensación de frío, dificultad para orinar y somnolencia. En pacientes mayores, es posible que se produzca pérdida de memoria y confusión temporal.
What are possible side effects and complications of a colonoscopy?
While rare, some of the possible complications of this procedure may include bleeding from the site where a tissue sample (biopsy) was taken or a polyp or other abnormal tissue was removed; a tear in the colon or rectum wall; or an adverse reaction to the sedative used during the exam.
How safe is a colonoscopy?
In general, severe complications from colonoscopy are rare. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by El grupo Leapfrog, una organización nacional de vigilancia de la atención médica sin fines de lucro; y fue nombrado el hospital más seguro de Indiana en el Índice de hospitales del Lown Institute.
How do I know a colonoscopy is right for me?
If you are a person of average risk for colorectal cancer, the recommendation is to get your first screening test at age 45. Follow-up colonoscopies will depend on the results of your first one.
Do I have options for anesthesia for a colonoscopy?
A colonoscopy is performed under moderate anesthesia or MAC, which stands for Monitored Anesthesia Care.
What issue does a colonoscopy solve?
A colonoscopy is used to assess many different types of conditions, including polyps, ulcerative colitis, Crohn’s disease, cancer, and diverticulosis.
How is a colonoscopy done?
During a colonoscopy, you will lie on your side with your knees drawn up towards your chest. A small amount of air is used to expand the colon, so the doctor can see the colon walls. You may feel mild cramping during the procedure. This can be reduced with deep breathing. The colonoscope is slowly withdrawn while the lining of your bowel is examined.
Elegir un cirujano
What happens if my symptoms get worse while I wait for my colonoscopy?
Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your surgery is rescheduled.
Why might I have to wait to schedule a colonoscopy?
In some cases, it takes time for a patient’s body to be ready for a colonoscopy. For example, if you have another medical issue, such as another surgical procedure or an illness, we might wait to perform your colonoscopy. Your health and safety are our top priorities, so we schedule surgeries when they’re best for our patients.
¿El equipo quirúrgico conocerá mi historial médico?
Su historial médico se compilará y estará disponible para el equipo antes, durante y después de la cirugía. Si es paciente de Hancock Health, podremos acceder a sus registros dentro de nuestro sistema. Si no es así, trabajaremos con sus médicos para obtener la información necesaria.
¿Cómo debo decidir qué consejo del cirujano seguir?
Debe trabajar con el cirujano con el que se sienta cómodo, ya sea uno de nuestros cirujanos o no.
Do I have to get a second or third opinion for a colonoscopy?
Siempre puede obtener una segunda o tercera opinión, pero no es obligatoria.
What should I bring to my first appointment with a surgeon to talk about a colonoscopy?
You should bring insurance information, medical records, including your medical history from your primary care physician, as well as a complete list of all medications you take on a regular basis, including any over-the-counter medication.
Do I need a referral to see a surgeon about a colonoscopy?
Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon or gastroenterologist about a colonoscopy.
Antes de la cirugía
¿Cuánto tiempo tarda en desaparecer el efecto de la anestesia?
It may take several hours for the effects of sedation with MAC to wear off. For your safety, do not drive or operate any machinery that could be dangerous until the medicine wears off.
What do I need to bring to the hospital the day of my colonoscopy?
Consider bringing anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications. You probably will not be there overnight, but it’s a good idea to be prepared.
¿Por qué me preguntan mi nombre y fecha de nacimiento cada vez que recibo medicamentos?
Es una medida de seguridad asegurarse de que está recibiendo el medicamento que le recetaron.
¿Por qué hay tanta gente en mi equipo quirúrgico?
Además del cirujano, cuenta con un anestesiólogo, enfermeras (algunas de ellas se especializan en trabajar con pacientes y otras ayudan al cirujano) y personal de apoyo, que lo controlan al entrar y salir, compilar sus registros y más. Todos trabajan juntos, realizando sus trabajos individuales, para que el procedimiento sea lo más exitoso posible.
Will I need someone to take me home after a colonoscopy?
Por su seguridad y la de otros conductores, necesitará que alguien lo lleve a casa. Si no tiene transporte, lo ayudaremos a organizar uno.
What should I expect right before a colonoscopy?
- Llegará varias horas antes de la cirugía y lo acompañarán a la sala de espera preoperatoria.
- You’ll remove all of your clothing and jewelry and put on a hospital gown. (Your valuables will be placed in a secure area or may be given to a family member.)
- Firmará todos los documentos necesarios y una enfermera preoperatoria tomará sus signos vitales, revisará sus medicamentos y responderá cualquier pregunta.
- You’ll meet your anesthesiologist and the members of your surgery team.
- An I.V. (intravenous line) will be placed in your hand or arm, so medications—including sedatives—can be administered. If you’re using a different kind of anesthesia or sedation, you’ll receive an injection.
- Cuando llegue el momento de la cirugía, lo trasladarán al quirófano en una camilla.
¿Por qué no puedo comer antes de la cirugía?
For your colonoscopy, it’s important that your colon is completely clear. There’s also a risk of aspiration, which means breathing foreign objects, like food or saliva, into your lungs. This can occur because the anesthetic for surgery can impair your body’s ability to stop the contents of your stomach from entering your lungs. Depending on the surgeon and the type of colonoscopy prep, the patient may take their last dose of medication anywhere from 4-8 hours before arrival to facility for the procedure. These details are specific to the patient’s need and ordering physician.
How should I prepare for a colonoscopy?
As a patient, you play a critical role ahead of your colonoscopy through a process called bowel preparation. There are a few different kinds, almost all of which involve consuming a liquid. Your doctor will determine what kind is best for you based on your medical history and their particular preference. Some of these products require a prescription, while others are available over the counter. They all have the same goal: to remove everything in your colon prior to the procedure. You may experience some skin irritation around the anus due to the passage of liquid stools. You can prevent and treat this skin irritation by applying ointment to the skin around the anus before drinking the bowel preparation medication.
Durante la cirugía
How long will I be in the hospital after a colonoscopy?
While the length of a hospital stay depends on each patient’s individual needs, patients are typically discharged within a few hours following the procedure.
How long will a colonoscopy take?
A colonoscopy typically lasts around 30 minutes.
¿Cuándo se informará a mi familia sobre cómo estoy?
Nuestros asociados obtendrán información del equipo quirúrgico en el quirófano durante su cirugía y la mantendrán actualizada.
What will happen during a colonoscopy?
You’ll lie on your side with your knees drawn up towards your chest. You will feel relaxed and somewhat drowsy due to the sedation.
Después de cirugía
Will I need to fill any prescriptions or take medication after a colonoscopy?
Your doctor may prescribe medications to ease cramping, gas pains, or other discomfort associated with the procedure.
How soon after a colonoscopy can I eat or drink?
Unless otherwise instructed, you may immediately return to your normal diet.
Will I receive pain medication right after a colonoscopy?
In most cases, pain medications are never ordered after a colonoscopy.
How soon after a colonoscopy will I be up and moving around?
You will be up and moving around almost immediately after the procedure, but patients are encouraged to avoid alcohol, driving, and operating machinery for 24 hours after a colonoscopy.
¿Cuándo podré hablar con mi cirujano después de la cirugía?
Podrá hablar con su cirujano inmediatamente después del procedimiento, mientras esté en la sala de recuperación.
How will I know if the colonoscopy worked?
Su cirujano discutirá su procedimiento con usted.
What can I expect right after my colonoscopy?
After the procedure, you will be moved to a recovery room where you will stay until you’re ready for discharge. The amount of time you are in recovery depends on whether or not you were sedated and what type of pain medication you receive.
Costos de seguro
What are payment options like for colonoscopy at Hancock Health?
Hancock Health se compromete a ayudar a que una atención excelente sea asequible para todos los pacientes. Para obtener más información sobre las opciones de pago, visite la página de preguntas frecuentes sobre facturación y seguros en HancockRegionalHospital.org.
Will Medicare cover my colonoscopy?
Medicare parts A and B will cover the cost of a colonoscopy, but it’s important for your doctor to indicate that the surgery is medically necessary.
Will insurance cover my colonoscopy?
In most cases, insurance will cover most of the costs associated with a colonoscopy. To obtain an estimate of your possible out-of-pocket expenses, use our Herramienta de estimación de precios.
How much does a colonoscopy cost?
Consulta el Herramienta de transparencia de precios at HancockRegionalHospital.org for an idea of how much a colonoscopy might cost.
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