Colonoscopy is a diagnostic and therapeutic method that allows accurate watching of colon mucosa, evaluating visual changes, taking a specimens for histopathological examination and removing of small pathological structures (e.g. polyps). To perform the colonoscopy is used a special type of endoscope called ‘colonoscope’ (this is a thin, flexible instrument with a camera that sends images to a monitor). The patient should be gear up for colonoscopy: 1-2 days before the planned procedure the patient starts a liquid diet with taking laxatives (e.g. phosphates). Purifying enema should be performed shortly before colonoscopy. The examination is unpleasant and painful - it is recommended to perform it with anesthesia (general or sedation). Time of the procedure is varied - the more difficult cases may exceed half an hour.


We can distinguish a few types of the colonoscopy based on a range of procedure: anoscopy (examination of the anal and final rectum) , rectoscopy (rectal examination), rectoromanoscopy (examination of the distal part of the sigmoid colon), sigmoidoscopy (distal part of colon and sigmoid), rectosigmoidoscopy (end of the rectum and sigmoid colon) and colonoscopy (examination of complete colon).


The indication to perform a colonoscopy can be classified into two groups:

1. Therapeutic (small endoscopic procedures): polypectomy, preventing bleeding from abnormal structures (tumors, ulcers, vascular malformations), pulling foreign bodies out, stenoses dilatation, decompression of the worsening ulcerative colitis (megacolon toxicum).

2. Diagnostic (medical indication or screening): suspected of: colorectal cancer, ulcerative colitis, Crohn's disease, inflammatory bowel disease, absorption disorders; diarrhea of unknown origin, gastrointestinal bleeding suspicion (anemia), weight loss and screening of the population (early-stage colorectal cancer).


Peritonitis (abdominal tension and painful abdominal palpation), pregnancy (second and third trimester), coagulation disorders, severe heart disease (heart failure in advanced stage, unstable coronary artery disease), severe pulmonary disease, acute respiratory failure, worsening inflammatory bowel disease.


(less than 1%): perforation of the gastrointestinal tract and severe bleeding.

Adenocarcinoma adenoma anatomy bleeding cancer colon colonoscopy duodenum echocardiography emr endoscopy ent images esophagus for dental students for dentists gastroscopy GIST hernia Histopathology hysterectomy laparoscopy polyp polypectomy rectum robotic surgery stomach surgical video case TUMOR ulcer varices
Number of results
Sort by

Laterally Spreading Tumor EMR in the Right Colon

views: 929 comments: 5

Clinical video case: LST removed in the right colon. NBI imaging revealed no worrisome endoscopic features. The polyp was removed successfully using Endoscopic Mucosal Resection technique. HIstopathology...

Screening Colonoscopy

views: 907 comments: 0

Video demonstrating (*brand hidden*) durability in screening colonoscopy in visualizing and resecting colon polyps.

Pedunculated Rectal Polyp

views: 1085 comments: 2

Video case: endoscopic removal of pedunculate polyp.

Melanosis Coli

views: 1310 comments: 0

Melanosis coli is a medical condition caused by the release of a pigment molecule — called lipofuscin — into the mucus membranes of the large intestine (colon). Melanosis coli isn’t...

New Staging Before Resection New Endoscopic Staging...

views: 2781 comments: 0

73 years old female who presented with diarrhea for 2 months in June 2019. Colonoscopy: Villous polyp of 4 cm in the rectum. Partnership with 

SAGES Flexible Endoscopy Livestream - Endoscopy...

views: 2619 comments: 0

The webinar contains basic information about gastrointestinal endoscopy.

Colonoscopy: Transverse Colon Subtle Flat Lesion...

views: 5616 comments: 3

The video shows transverse colon subtle flat lesion EMR.

Fertility Enhancing Surgery

views: 2516 comments: 0

This is a case of recurrent implantation failed case. She had frozen abdomen and bilateral hydrosalpinx do to tuberculosis lead to 6 time IVF failed and 2 time failed attempt of laparoscopy. We did complete...

Colonoscopy: Transverse Colon Subtle Flat Lesion...

views: 4831 comments: 0

The video shows transverse colon subtle flat lesion EMR (endoscopic mucosal resection).

Colonoscopy: Ascending Colon SSA EMR

views: 3204 comments: 0

This patient was recommended to undergo a right hemicolectomy; EMR avoided surgery.

Number of results
Sort by