• What provides the quality of modern colonoscopy?

The quality of modern colonoscopy is ensured by: effective preparation of the patient for the examination procedure, used by the endoscopist. Also the presence of modern endoscopic equipment.

•Why are people so afraid of this procedure and avoid it?

Examination of the colon requires careful preliminary preparation, causes most people to feel constrained, awkward, and fearful, with a widespread misconception that this is a rather painful examination. However, modern endoscopic equipment and the experience of the endoscopist doctor allow the patient to undergo this examination quite comfortably and without pain. Currently, it is possible to immerse the patient in a drug sleep (sedation) during a colonoscopy. This reduces the patient's anxiety, and for many years it is widespread in other countries. Remember how before most people, before the widespread use of anesthesia, were afraid to visit the dentist. Now people are no longer afraid to treat their teeth and without fear come for preventive examinations.

•What does proper preparation for colonoscopy include?

There are two main stages of preparing a patient for colonoscopy:

1.Diet with restriction of plant fiber,

2.Direct remedies for cleansing the intestines.

The patient should understand that the results of the study depend on compliance with the recommendations of the doctor to prepare the intestine for examination: if the intestinal contents remain in the intestinal lumen and cannot be washed and removed during the colonoscopy, it is impossible to fully examine the entire surface of the colon, you can skip polyps and even cancer.

•What do you think about new methods of the bowel of examination-capsule endoscopy?

Video colonoscopy at the moment remains the most informative method for diagnosing diseases of the colon. Video capsular diagnostics was originally developed for the study of segments of the small intestine that are not available for research with gastroscopy and colonoscopy. Diseases of the small intestine are quite rare, so there are some infrequent indications for examination. Then a similar capsule was developed for colon examination. At the moment, video capsular colonoscopy is inferior in its capabilities to the gold standard of endoscopic colonoscopy: the capsule is uncontrollable, cannot remove residual contents, and it is not possible to perform a biopsy and endoscopic surgery (removal of polyps and early colon cancer). Perhaps in the future it will replace the standard colonoscopy.

•It is said that you need to get a video colonoscopy, to compare the results with further studies. Is this true?

In accordance with international standards, photographic results of the colonoscopy should be carried out - to photograph the standard positions of the colon in various segments and the identified changes that we make to each patient. I do not think that there should be a video of the entire examination. An endoscopist would have to spend much more time studying the results of previous studies before colonoscopy. I assure you, studying pictures of a high-quality colonoscopy is quite enough. In addition, none of the clinics has such large servers (electronic information stores) for storing video recordings of all examinations.