With the patient in left lateral decubitus position, a long, flexible, lighted viewing tube (colonoscope) is inserted through the rectum into the colon. The scope is advanced and maneuvered while the lumen and walls of the colon are visualized by projections onto a monitor screen. The colonoscope has channels through which instruments can be passed in order to perform biopsies, remove polyps, or cauterize bleeding. Air, water, and suction can be applied to help provide a clearer visual field for inspection.
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