According to the number of "finds" of cancer, the intestine is the champion in the digestive system. Therefore, knowing the condition of the colon and rectum of a particular person is very important.
With the advent of fiber optics into this part of the intestine, now it's as easy to look at it as it is to the microworld with a microscope.
And find out what is happening there, without making incisions and not breaking your head over the stool analysis. Because there was a fibrocolonoscope.
Contents
- Fibrocolonoscope, FKS, or just fibroblock
- Device and capabilities: diagnostic device. ..
- . .. and therapeutic
- Look behind the invisible horizon
- Pure intestine - half of the case
- During the procedure
- Possibility of complications after the
- study They went through this
- Procedure did notfree
- Need to know!
Fibrocolonoscope, FCC, or simply fibroxol
The first two names are synonyms. The latter name came up with wits-consumers procedure by analogy with execution - planting on a stake. The procedure, of course, has nothing to do with execution, but the part of the device that is introduced is not only flexible, but also solid enough.
Therefore, and "count".But in general "column" is a "large intestine" in Latin translation.
Fibrocolonoscope
- The length of the working part of the instrument is divided into several types:
- sigmofibroscopes: from 65 to 85;
- colonoscopes are short: from 105 to 110;
- Colon Fibroscope: 135 to 145;
- colonoscopes are long: from 165 to 175 cm
Device and capabilities: diagnostic device. ..
As the gut is freed from the contents before the procedure, it is in blown condition.
Therefore, to promote the waveguide probe, an air-inflated cuff in the waveguide casing is used, its movement along the intestine by the patient is felt and perceived with alarm.
Why is anesthesia not used? It simply is not necessary: the lumen of the intestine is wide enough, the diameter of the inserted probe is small in comparison with it, the surface is immaculately smooth, the introduction does not cause any difficulties.
The device is based on fiber optics: the fiber conducts light to its far end - the location of the research - and translates back the picture visible there to the system of observation and magnification of the image.
It can be demonstrated on the monitor and not only to conduct research by one specialist, but also arrange a collective exchange of views, including at the international level.
Observable phenomena can be photographed, processed on a computer, creating voluminous images, can be documented and archived.
. .. and therapeutic
The device is able not only to detect pathology - it can be used to perform small surgical procedures( removal) directly during the procedure.
The remote material captured by the manipulator can be subjected to examination( for malignant degeneration) after extraction.
The aspirator inside the probe serves to remove( suction) the lesions present in the lesion of pathological fluids.
Look behind the invisible horizon
Fibrocolonoscopy can be prescribed in the planned order:
- if there is a suspicion of an oncologic process in the large intestine;
- in Crohn's disease;
- for ulcerative colitis;
- if necessary for histological examination;
- for local surgery( polyp removal, stricture dissection).
Microsurgical operations are performed due to the presence of an aspirator and a biopsy channel, through which tools such as tongs and a loop can be brought to the hearth.
The aspirator allows to carry out diagnostics even in case of inadequately prepared intestines.
In an emergency, the study is applied in the case of:
- bleeding;
- of intestinal obstruction;
- presence in the large intestine of a foreign body.
Pure intestine - half of the case
Properly preparing for the intestinal FCC by itself, using enemas and laxatives, is not always possible. 
A not fully completed preparation may require a re-diagnosis.
When using Fortrans, a drug that helps to cleanse the intestines, preparation for the procedure of fibrocolonoscopy is more easy and thorough. It is enough to use the instructions attached to the drug.
In addition to the cleansing measures, the patient needs a 3-day sparing diet, and on the eve of the study, you should stop taking any food.
The procedure of the
allows the apparatus to examine the entire large intestine, since the length of the working part of the fibrocolonoscope can reach 175 cm.
The obstruction for manipulation can only be in the intestines painful or obstructing the passage of the formation. But, since the research is conducted under visual control, there is no danger to damage them.
The liquid residues from preparation to the procedure can be easily removed with an aspirator. Burn the mucous membrane of the device also can not - it uses the method of "cold lighting".
And to cope with the excitement of the patient allows the presence and assistance of a properly trained nurse in the FCC cabinet assisting the doctor.
Patient laid on left side;after the doctor performed a digital finger examination of the rectum, a flexible part of the fibrocolonoscope, lubricated with petroleum jelly, is introduced through the anal opening into the lumen of the rectum and slowly moves further along the lumen of the large intestine to the very beginning - the cecum.
At the beginning of the test, the necessary amount of air is pumped into the cuff to spread the sleeping intestine. Stretching of the intestine is accompanied by a feeling of discomfort, but painful sensations do not arise. Anesthesia is performed in the presence of indications and depending on the state of the intestinal mucosa.
Then, removing the probe by pulling it backwards, once again examine the mucous membrane up to the anal region and if necessary perform therapeutic or diagnostic manipulations: produce a biopsy, remove polyps.
During the movement in either direction, the mucosa of the large intestine is inspected twice, which reduces the risk of losing sight of the pathology.
Manipulation also makes it possible to mark places that can be re-examined the next time( by grading on the probe).The approximate duration of the procedure is 30 to 40 minutes, rarely longer.
The data of the conducted researches are documented.
The possibility of complications after the
study In the case of complications of perforation( bleeding) and bleeding that are extremely rare after manipulation, the patient is hospitalized in a hospital for the period necessary for restoring the state of health.
They went through this
Reviews about the procedure of fibro colonoscopy are grateful and not very, - you can learn more in detail the opinion of patients below.
To do fibrocolonoscopy was so afraid that a little alive entered the office. But now I can tell you about my feelings. I have not experienced anything terrible or shameful. They dressed in funny trousers with a hole, lay down on the couch, bent their legs, as ordered.
The doctor slowly and gently introduced the hose, it was not painful, a bit unpleasant when passing some parts of the intestine. If the sensations became strong, the doctor gave a break and quietly advanced the hose further. The whole procedure took 20 minutes, maybe 40. Do not be afraid! Yes, the eyes of fear, and, indeed, great!
Elena, 23, student of
Has made FKS in the district policlinic. After 3 usual injections in the buttock: Relanium( calms), tramadol( anesthetics) and atropine( for relaxation of the intestine) no pain has experienced!
There are unpleasant sensations when pumped with air. The procedure lasted no more than 3 minutes. After viewing 1 meter and 10 cm, they diagnosed: chronic colitis, dysbacteriosis. Thank you doctor and nurse for your kindness and attentive attitude!
Galina, 34, housewife
I can say that the device probe, very small in size, did not bring any inconvenience any more than the enema tip. At 12 cm of injection, unfortunately, a tumor was discovered, the existence of which was assumed. But now, at least I will know, and prepare for the tests, both moral and physical. ..
Sergei, 62, retired
I made fibrocolonoscopy and there was nothing terrible! The whole procedure is not more than an hour! Tolerant, the fallopian tubes looked much more painful!
Maria, 31, serving
Procedure is not free
Approximate price fibrocolonoscopy( including purchase of 3 bags of Fortrans) is equal to 4 thousand rubles.
Need to know!
On the basis of data on the high information value of the method, the ratio of the price of the service and its quality( based on published reviews), the method should be considered promising in its current version and promising after eliminating some inconveniences for users.
Patient needs to know his state of health!