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This procedure uses a proctoscope, sigmoidoscope, or colonoscope and digital examination to evaluate the lining of the distal sigmoid colon, rectum, and anal canal. It's indicated in patients with recent changes in bowel habits, lower abdominal and perineal pain, prolapse on defecation, pruritus, and passage of mucus, blood, or pus in the stool. Specimens may be obtained from suspicious areas of the mucosa by biopsy, lavage or cytology brush, or culture swab.
This is a more clinical answer than I was hoping to give you. The above is obtained from
Medical-clinic.org
This is a more professional site but a great place to start with questions regarding preps, expectations and other facts that could prove to be helpful to you.
Hope this helps.
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∙ 16y ago
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Who invented proctosigmoidoscopy test?
Who discovered the proctosigmoidoscopy test?
What is the cpt code for proctosigmoidoscopy with biopsy of four separate lesions?
what is the cpt code for proctosigmoidoscopy with biopsy of four lesions
Is a proctosigmoidoscopy a sterile procedure?
no
What is cpt code for biopsy of anorectal wall via proctosigmoidoscopy?
45305
What is proctosigmoidoscopy?
A colonoscopy (koh-luh-NAH-skuh-pee) allows a doctor to look inside the entire large intestine. The procedure enables the physician to see things such as inflamed tissue, abnormal growths, and ulcers. It is most often used to look for early signs of cancer in the colon and rectum. It is also used to look for causes of unexplained changes in bowel habits and to evaluate symptoms like abdominal pain, rectal bleeding, and weight loss.
Sigmoidoscopy?
DefinitionSigmoidoscopy is an internal examination of the lower large bowel (colon) and rectum, using an instrument called a sigmoidoscope.Alternative NamesProctoscopy; Proctosigmoidoscopy; Rigid sigmoidoscopyHow the test is performedDuring the test, you are positioned on your left side with your knees drawn up toward your chest. A gastroenterologist or surgeon will perform the test. First, the doctor does a digital rectal exam by gently inserting a gloved and lubricated finger into the rectum to check for blockage and to dilate (gently enlarge) the anus.Next, the sigmoidoscope -- a hollow tube through which the doctor can see-- is inserted into the rectum. Air is introduced into the colon to expand the area and help the doctor see better. The air may cause the urge to have a bowel movement.The sigmoidoscope is advanced, usually as far up as the sigmoid colon or descending colon. Then, as the scope is slowly removed, the lining of the bowel is carefully examined. The hollow channel in the center of the scope allows for the passage of forceps for taking biopsies or for other instruments for therapy.Sigmoidoscopy may be done using a rigid or flexible scope. Ask your doctor which procedure you are having.How to prepare for the testYou must sign an informed consent form. You will wear a hospital gown.On the morning of the procedure, eat a light breakfast and then use a cleansing enema about 1 hour before the sigmoidoscopy.Infants and children:The preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics:Infant test or procedure preparation (birth to 1 year)Toddler test or procedure preparation (1 to 3 years)Preschooler test or procedure preparation (3 to 6 years)Schoolage test or procedure preparation (6 to 12 years)Adolescent test or procedure preparation (12 to 18 years)How the test will feelThere will be pressure when the scope or fingers are introduced into your rectum. There may be a feeling of the need to have a bowel movement during the procedure. There may be some bloating or cramping caused by the air or by stretching of the bowel by the sigmoidoscope. Biopsies cause no discomfort.After the test, you will expel the air that was introduced.Why the test is performedThis test can help diagnose:Bowel obstructionCauses of diarrheaColon polypsDiverticulosis (the presence of abnormal pouches on the lining of the intestines)Inflammatory bowel diseaseThis test can also be used to:Determine the cause of blood, mucus, or pus in the stoolConfirm findings of another test or x-raysTake a biopsy of a growthTo screen for colorectal cancerNormal ValuesNormal findings show that the lining of the sigmoid colon, rectal mucosa, rectum, and anus appear normal in color, texture, and size.What abnormal results meanAbnormal results can indicate:Anal fissuresAnorectal abscessBowel obstructionCancerColorectal polypsDiverticulosisHemorrhoidsInflammatory bowel diseaseInflammation or infection (proctitis)What the risks areThere is a slight risk of bowel perforation (tearing a hole) and bleeding at the biopsy sites (the overall risk is approximately 1 in 1,000).ReferencesU.S. Preventive Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008 Nov 4;149(9):627-37.Weinberg DS. In the clinic. Colorectal cancer screening. Ann Intern Med. 2008 Feb 5;148(3):ITC2-1-ITC2-16.
