Flexible Sigmoidoscopy

What is a flexible sigmoidoscopy?

It is an examination, which allows the endoscopist to look directly at the lining of the lower part of your bowel. See the diagram. This is done using a sigmoidoscope (a flexible tube about the thickness of an index finger). Sometimes a sample of the lining of the bowel (biopsy) is taken for laboratory examination. If polyps are found, they can be removed during the examination.

Preparation for the test

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For this examination to be successful and allow a clear view of the colon, your bowel must be as empty as possible. If the bowel is not sufficiently empty the whole procedure may have to be cancelled and repeated on another occasion. This is due to the high possibility of the endoscopist missing important signs. (It is believed that those patients who have a bowel cancer diagnosed within two years of a previous colonic examination have probably had it missed at the time of the original examination - this scenario is now labelled Post Colonoscopy Colorectal Cancer Syndrome PCCCS).

As part of your preparation you will be given a laxative. It is important to follow the advice given about bowel preparation.

 

 

  • If you have diabetes or haemophilia, please discuss with your consultant or pre assessment nurse one week before your test.
  • If you are taking warfarin, clopidogrel, or other blood thinning medications, please inform us at least one week before the test.
  • If you have a pacemaker or ICD, please inform us at least one week before the test.
  • You may continue to take other medications as normal, except iron tablets or stool bulking agents (such as Fybogel, Regulan, Proctoibe) which should be stopped one week before your examination.
  • Please bring a list of any medications you are currently taking. If you have any queries about your medication please ring the ward.
  • It is especially important to remember to bring any asthma inhalers or angina sprays with you.
  • Do not bring any valuables to the ward.
  • Please remove your nail polish and all types of false nails before attending for your procedure.
  • Please bring with you your dressing gown, slippers, and something to read during your stay.
  • Patients feel a spare set of underwear is useful.

Click the link for a Flexible Sigmoidoscopy Timetable and Diet Sheet

FAQs

This test is very safe, but there are some risks associated with this procedure.

These include:

  • A reaction to the sedative. The sedative can affect your breathing making it slower and more shallow;
  • When a biopsy is taken or a polyp is removed, there may be a little bleeding but this is rare. (Risk approximately one for every 100 to 200 examinations where a polyp is removed). If this does not stop within 24 hours or is excessive, please contact the Spencer Private Hospital Ward or Accident and Emergency (A&E);
  • Perforation, which is a little tear in the wall of the colon, this is also rare. (Risk approximately one for every 1000 examinations). This would require a short stay in hospital and treatment with antibiotics, or very occasionally may require surgical repair;
  • A feeling of bloating due the air insert to enable the consultant to see clearly.

Please talk to your endoscopist before your examination if you have any worries about these risks.

 

Yes, there is a CT Pneumocolon and a Barium Enema. They both require the same kind of bowel preparation as a colonoscopy, but they do not allow the removal of polyps or the taking of biopsies.

This means that you would probably require a flexible sigmoidoscopy anyway.

Guide Prices and What's Included

Patient Pathway Total
Hospital Fees £1,746.00
Consultant Fees TBC

What's Included?

The prices in the table above (the “Guide Prices”) show what most patients should expect to pay at each appointment and on admission to hospital.

The Guide Prices you pay might be different depending on:

  • Which Consultant or Specialist you choose
  • Your medical history
  • The type of anaesthetic your Consultant advises is best for you
  • The type of implant your Consultant advises is best for you

Your price quotation will be made clear to you before you proceed with any tests, consultations or treatment (see the “Your Quote” section below).

Patient Pathway Total
Hospital Fees £134.00
Consultant Fees TBC

What's Included?

The prices in the table above (the “Guide Prices”) show what most patients should expect to pay at each appointment and on admission to hospital.

The Guide Prices you pay might be different depending on:

  • Which Consultant or Specialist you choose
  • Your medical history
  • The type of anaesthetic your Consultant advises is best for you
  • The type of implant your Consultant advises is best for you

Your price quotation will be made clear to you before you proceed with any tests, consultations or treatment (see the “Your Quote” section below).

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