Download Information on colonoscopy

Information on colonoscopy
Treatment we propose you demands your written consent.
To allow you this decision, this leaflet and a possible explaining
conversation inform you on the type, healing importance and
possible complications of the planned treatment.
Why do we propose you such treatment?
Based upon so far performed examinations and medical
interview we suspect the existence of illness changes within
large intestine. For correct determination of these changes or
exclusion thereof before possible therapy, diagnostic
examinations shall be made. There are two examination
methods: (1) endoscope assessment of large intestine or (2)
radiologic method with the application of a contrast agent
rectally introduced. The application of endoscope technic mostly
do not result in any pain or there is only a little pain and the
assessment of the intestine is much more precise than in RTG
examination. It eliminates also the possibility of skipping illness
changes to much extent. In major cases, it does not demand
general anesthesia. The possibility of associating the diagnostic
examination (colonoscopy) with possible simultaneous
therapeutic treatment, (i.e. removing polyps) in case of such a
change, is also not without significance; which is impossible in
the RTG examination.
Performing examination
The examination is performed after respective preparation,
providing cleaning the intestine from leftover food mostly by
orally administered laxatives, supported by infusions or rectal
ingots. Preparation starts a day before the intervention, when a
patient is not allow to eat and to drink other liquids than those
devoted for intestine cleaning. In rare cases, due to general
health condition of a patient, cleaning intestine provides some
days long starvation diet connected with several rectal cleaning
ingots. The examination as such is performed with the
application of a flexible colonoscope entered to the large
intestine through anus. The intervention may be periodically
painful: possible pain shall be distinguished from permanently
occurring bulge resulting from administering air to the intestine
light for its full assessment) shall be notified to the doctor and its
permanent persistence may be indication to resign from further
assessment of the intestine.
The instrument for colonoscopy is specially disinfected
before each examination; thus, infection is practically
impossible. If needed, sections for histopathologic assessment
are taken from illness changes with the use of sterile tongs
which also protects against infection.
Possible complications
No physician can warrant the successfulness of the
examination and full safety. Complications occur very rarely
(0,35%).
They
are:
perforation of the wall of the digestive tract (0,14-0,18%),
bleeding (0,008%), that usually demand immediate surgery.
Single cases of reflex cardiac arrest were described, too. The
mortality for these reasons is even rarer. Though complications
occur extremely rare it is very important for patients to pay
attention to alarming symptoms after examination: strong
stomach pain, anus bleeding (small bleeding may occur after
the intervention and it is a normal phenomenon), fever, shivers.
In such a situation you shall contact your doctor or visit the
nearest hospital (Emergency Room or SOR). Complications
may usually occur up to 14 days after intervention. To mitigate
the bleeding danger and intestine perforation and to decrease
risk associated with administration of anesthetics, please
answer following questions;
1. Have you increased ability to bleeding, especially after
small cuts, after teeth removing, or formation of bruises after
small mechanical injuries?
Yes
No
2. Did such symptoms occur among your relatives?
Yes
No
3. Did you have any allergy symptoms to food or
medicaments?
Yes
No
4. 4. Do you take any medicaments affecting the blood
clotting (i.e. aspirin, dicumarol, etc)?
Yes
No
Conducting after examination
In case of the application of anesthesia, you are not allowed
to drink or to eat for 2 hours after treatment. Also occurrence of
other you unclear symptoms shall be immediately notified to a
nurse of physician.
Please ask if you did not understand everything, or if you
want to know more about this examination, or other diagnostic
methods, mentioned complications or other bothering problems
associated with the proposed treatment.
I got acquainted with above mentioned information concerning
the intervention.
………………………………………………………………….
Surname and name of the patient or its guardian:
Date and signature...................................................
Certified to be true and faithful translation of the document presented to me today, 2 nd January
2017 Beata Mossakowska- Panek, sworn translator of the City of Warsaw
Reg. No: 9/2017
Version_V 3 dated 15.11.2016