Recto-manoscopy and colonoscopy - what's the difference? Which survey is more informative?
Proctology helps to see the state of the intestinal tract from within. It happens with the help of certain paarats and manipulations. What is a sigmoidoscopy and a colonoscopy, what is the difference between these procedures, their main purpose and contraindications to them, as well as a number of other questions and problems will be covered by this article. Below you will get acquainted with all the information you need to possess before you pass an endoscopic survey of this kind.
What is a colonoscopy?
Recto-manoscopy and colonoscopy - what is the difference between these procedures? The second provides the medical worker with an opportunity to study the structure of the large intestine of the human body. All studies take place in a specialized office with endoscopic equipment. All manipulations are carried out by inserting a probe that does not exceed the thickness of the index finger in size. It is necessary to achieve penetration of this into the anus of the human body, and then push it into the lumen of the large intestine.
People who believe that sigmoidoscopy and colonoscopy are one and the same, are deeply mistaken, since the first of the above implies a technique for studying the condition of the rectum and sigmoid colon using a sigmoidoscope. Already at this stage, there are differences in methods. They consist of different endoscopic devices. The difference between colonoscopy and sigmoidoscopy is also the manifestation of symptoms of diagnosed diseases and indications for research.
What is a sigmoidoscopy?
This diagnostic method has been used for a long time in medicine. Recto-manoscopy is an examination of the rectum, and with its help, the inner surface of the distal sigmoid colon is examined. This type of diagnosis is carried out using a special device, which is inserted into the anus.
In proctology, it is almost impossible to do without this method, as there is a visual assessment of the internal surface of the examined parts of the gastrointestinal tract. In this field of medicine, such methods are important, since most of the tissues the doctor does not see without certain apparatus and methods of investigation. Recto-manoscope helps to assess the condition of organs to a level of 35 cm from the anus.
The main indications for performing the sigmoidoscopy
The basic prerequisites for this procedure are regular pain sensations in the anus, rubbing and aching pains throughout the lower abdomen, blood and mucous discharge from the anus, frequent changes in constipation and diarrhea,chronicle of this department of the human body. Often, sigmoidoscopy is done in order to prevent, in order to prevent the development of serious diseases. Numerous inflammations and the most insignificant tumors are diagnosed with the help of such research methods.
Are there any contraindications to this procedure?
There are no significant contraindications to the procedure of sigmoidoscopy. It does not cause any harm to the body, so it can be carried out even without proper advice if the patient wishes. Inadvertently, among the contraindications can be identified acute inflammation in the anus and diseases caused by them. With such pathologies as an acute attack of paraproctitis or thrombosis of hemorrhoids, it is easier to undergo examination after relaxation of symptoms and suppression of inflammation. Also, contraindications are all possible tumors of the anus and chemical, mechanical and thermal damage to the hindgut. However, all of the above diseases and symptoms in the case of an acute need for examination still can not prevent endoscopic manipulation.
General conditions for the preparation for the procedure
The basis for this procedure is the colon cleansing. This is due to compliance with the low-slack diet. It consists in the fact that a person needs to exclude from the diet legumes, coarse bread, fruits and fresh vegetables that can cause fermentation. Contraindicated the use on the eve of the study of cabbage, apples, plums, herbs, bananas, carrots, oranges and other products. But a person can not go hungry for a day, so dietary food is allowed: rice porridge, you can use manna, low-fat meat broth, fish, cottage cheese.
All manipulations are performed on an empty stomach. The main condition before the procedure is also the cleansing of the intestines with the use of enemas or laxatives. Immediately before inserting the probe, inspect the hole.
How is the procedure of sigmoidoscopy performed?
Recto-manoscopy is performed when the patient is in the knee-thoracic position. If the patient undergoes severe pain, the examination procedure is performed under anesthesia. The severity and degree of anesthesia is chosen in accordance with the patient's pain. Anascope - a special device for manipulating the method - in a circular motion is injected into the anus of a person's body, and after doing a survey, it is just as easy to remove. Thus the anal opening of the person is widened, after which the rectoscope is introduced there and the walls and the entire inner part of the intestine are examined in detail. During the examination, you can take a variety of histological material.
Recto-manoscopy and colonoscopy have differences in instruments, due to which manipulation is carried out.
What is being studied in the colon at a colonoscopy?
Colonoscopy as a method of gut examination is performed directly in the determination of a disease that has already manifested itself in the form of diarrhea, bleeding, or constipation. Colonoscopy examines the mucosa of the large intestine and its possible inflammation, as well as changes in the structure. As a prophylaxis, colonoscopy should be performed for persons who have reached the age of 50 and have a hereditary predisposition to diseases of the large intestine.
Asking about the question of sigmoidoscopy and colonoscopy - which is better, you must first determine the purpose and reasons for the study.
Human experience with colonoscopy
Usually, when a colonoscopy is performed, the patient does not experience pain and discomfort. However, a feeling of bursting and excessive pressure may be present in the area above the peritoneum. This procedure is performed in the position of the patient lying on the left side or back and easier to pass while the patient relaxes.
Answering the question "Recto-manoscopy and colonoscopy - what's the difference?", It should be noted that now their difference is also in the patient's condition during the procedure.
Possible complications with this procedure
The complications in this procedure are very rare. In the case of proper preparation of all necessary devices for the procedure, smooth sigmoidoscopy and a colonoscopy pass smoothly. Still, there is a difference between these methods even in possible complications. Recto-manoscopy is almost ideal, if it is carried out by an experienced specialist. It is important not to put too much force in it.
Colonoscopy is slightly different from the previous method, as more complications are noted. For 400-500 studies, one perforation or bleeding was seen. Such situations do not arise from scratch. Usually complications occur in people who have inflammation of the intestinal wall in diseases such as nonspecific colitis, diverticula, fusion of intestinal loops. There are such cases in studies when the doctor pushes the tip of the device slightly, trying to overcome the place of narrowing of the intestine. Then inflamed tissues can break( perforation).In such situations, anesthesia is urgently needed, since a person can not calmly react to the pain that has arisen. It is so intense that there may be signs of pain shock.
How to prepare for the survey?
Preparation for such procedures as sigmoidoscopy and colonoscopy( the differences between which will be determined) occurs in the same way. Purification of the intestine occurs with the help of an enema or the reception of light laxatives. Also in this case, a large amount of liquid is taken.
Recto-manoscopy and colonoscopy of the intestine are very painless and safe procedures for examining the walls of the colon with the purpose of revealing diseases of its mucosa, pathological inflammations and neoplasms on the surface. It is necessary to strictly adhere to all the recommendations of your treating specialist, carefully prepare for these procedures, and after identifying possible causes of disability to undergo treatment and further monitor your health.
Recto-manoscopy and colonoscopy - which is more painful, and what is more informative?
Often, patients ask what difference there is between these two methods of research, which of them is the less painful one can choose. The answer to this question can not be unambiguous, since the objectives of these procedures differ. It can be said that sigmoidoscopy helps to study a smaller area of human tissue, and colonoscopy gives a great opportunity to review the state of the gut from the inside.
So, sigmoidoscopy and colonoscopy - what's the difference? The first procedure gives less information about the state of the intestinal wall. She and less discomfort brings a person, that is, anesthesia is not required when it is carried out. The second manipulation is most often done with pain medication, because the tube is inserted deeper. It is also more informative. Its advantages over sigmoidoscopy are as follows:
- miniature video camera, which allows to clearly see the mucosa of the large intestine;
- the possibility of diagnosing complex diseases in the early stages;
- the doctor can remove a piece of mucosal tissue for biopsy;
- if bleeding coagulation is necessary, this manipulation can be carried out without any problems.