Colonoscopy

Colonoscopy Featured Photo

Dr Kieron Lim

Senior Consultant Gastroenterologist

MBBS (University of London), MRCP (UK), FRCP (Edinburgh), FAMS (Gastroenterology)

What Is a Colonoscopy?

A colonoscopy is a medical procedure that allows for the direct, real-time visualisation of the colon and rectum. This procedure uses a device known as a colonoscope, a flexible long tube with a small light and camera on one end. The primary purpose of a colonoscopy screening is to help detect abnormalities, such as colorectal cancer or polyps.

What are the Benefits of Colonoscopy Screening?

A colonoscopy test has several advantages:

Early Detection of Colon Cancer

A colonoscopy can detect cancerous and precancerous growths (polyps) before symptoms appear. This greatly improves treatment outcomes and survival rates.

Decreased Risk for Colon Cancer

Any precancerous polyps found can be immediately removed using specialised instruments passed through the scope, effectively reducing the risk of developing colon cancer.

Improved Diagnosis

A diagnostic colonoscopy provides a clear visualisation of the colon, helping to identify gastrointestinal diseases such as diverticula and inflammatory bowel disease (IBD).

Detection of Other Illnesses

A colonoscopy can also detect other issues, such as diverticula (pouches along the colon) and signs of inflammatory bowel disease.

Treatment and Preventio

A unique advantage of a colonoscopy is its ability to treat certain abnormalities on the spot, such as removing polyps.

High Accuracy

A colonoscopy is known for its high accuracy in detecting small polyps or subtle signs of disease that might be missed by other screening methods.

Quick and Pain-Free Process

A colonoscopy is usually performed under sedation to ensure patient comfort; the entire procedure often takes 40 minutes or less.

Colonoscopy screening is the ideal method of evaluating colon health, identifying precancerous polyps and preventing colon cancer.
Schedule your colonoscopy with a trusted clinic in Singapore for early and accurate screening.

What Conditions Can a Colonoscopy Diagnose?

A colonoscopy is a valuable diagnostic tool that can identify various conditions affecting the colon and rectum, including:

Colorectal Cancer and Polyps

A colonoscopy is one of the most effective ways to detect early stages of colorectal cancer. It can identify small polyps (abnormal growths), which could, over time, develop into cancer.

Inflammatory Bowel Disease (IBD)

A colonoscopy can detect inflammatory bowel diseases such as:

  • Crohn’s Disease: Can affect any part of the gastrointestinal tract, from the mouth to the anus, but most commonly targets the small intestine and colon.

  • Ulcerative Colitis: Causes inflammation and ulcers only in the large intestine and rectum.

Diverticulosis and Diverticulitis

These conditions occur when small pouches (diverticula) form in the colon's walls and become inflamed or infected. A colonoscopy test can reveal these pouches and assess their condition.

Gastrointestinal Bleeding

Unexplained bleeding in the digestive tract is often linked to issues in the colon or rectum. A colonoscopy screening in Singapore is one of the most effective ways to identify the exact source.

Irritable Bowel Syndrome (IBS)

Although a colonoscopy cannot directly diagnose IBS, it can rule out other conditions like IBD or cancer that might mimic IBS symptoms, such as Crohn’s disease, ulcerative colitis, and colorectal cancer.

Polyps and Tumours

Colonoscopies can help identify precancerous polyps and tumours in the colon and rectum, which can be removed during the procedure.

Who Needs to Get a Colonoscopy?

A colonoscopy is generally recommended for people with the following risk factors:

Age

Colonoscopy procedures in Singapore are recommended for individuals aged 50 and above. Earlier screening is recommended for higher-risk individuals.

Family History

If you have a family history of colorectal cancer or polyps, you may need to start screening earlier. The usual recommendation is to have your first colonoscopy at age 40 or 10 years before the age at which your family member was diagnosed.

Symptoms

If you are experiencing rectal bleeding, persistent abdominal pain, unexplained weight loss, or changes in bowel habits, a colonoscopy test can help diagnose the cause.

Previous Polyps or Colorectal Cancer

Individuals who have had polyps or colorectal cancer in the past are more likely to develop these conditions again.

Certain Genetic Syndromes

People with certain genetic syndromes, such as familial adenomatous polyposis (FAP) or Lynch syndrome, may need to start colonoscopy screenings at a younger age and have them more often.

Unsure if You Require a Colonoscopy Screening?
If you’re at increased risk of colorectal cancer, or have abnormal digestive symptoms, a colonoscopy may be recommended.

How to Prepare for a Colonoscopy

Colon cleansing is an important part of the preparation for colonoscopy. An improperly prepared colon can prevent the gastroenterologist from clearly seeing the inside of the colon and could result in the need to repeat the procedure. Proper preparation includes:

Medication Adjustment

You may be advised to temporarily stop taking certain medications which may pose risks to the procedure.

Dietary Restrictions

You may be asked to limit or avoid solid foods for a few days before the test.

Colon Cleansing

You will need to take a strong laxative so that your doctor can view and access the entirety of your colon during the procedure.

Drinking Clear Liquids

You will be advised to drink only clear liquids the day of your colonoscopy.

What Happens During a Colonoscopy Procedure?

A colonoscopy is an outpatient procedure that may take around 20-40 minutes to complete. Here is what to expect:

Sedation

Before the procedure starts, you will be given a sedative. This will help you relax and not feel any discomfort during the procedure.

Insertion of the Colonoscope

The doctor will insert the colonoscope into your rectum. The scope has a light and a camera on one end that displays images on a monitor.

Inspection

The doctor carefully inserts the colonoscope to inspect the lining of your colon. Air or carbon dioxide will be introduced through the scope to inflate the colon for better visibility.

Polyp Removal or Biopsy

Any polyps found can be removed during the procedure. Likewise, a biopsy can be taken if other abnormal tissues are found.

What Are Possible Risks of Colonoscopy Screening?

While colonoscopy screening is a very safe and established procedure, there are still a few potential risks and complications to be aware of. These include:

Bleeding

Minor bleeding may occur, especially if a polyp is removed or a biopsy is taken.

Perforation

One of the most serious but rare complications where the colon wall is accidentally perforated.

Abdominal Pain and Discomfort

Temporary bloating, cramping, or gas is normal after a colonoscopy and should subside within 24 hours.

Adverse Reactions to Anaesthesia

While rare, some patients may experience breathing difficulties or allergic reactions to the anaesthesia.

What is the Recovery Process After a Colonoscopy?

After a colonoscopy, patients are moved to a recovery room where they will stay until the effects of the sedation begin to wear off. This usually takes about an hour. Colonoscopy clinics generally recommend having someone accompany you and take you home after the procedure.

Rest is recommended for the remainder of the day, and normal activities can generally be resumed the next day. If biopsies or polyps were removed, your doctor might suggest a special diet for a day or two to aid intestinal healing. Additionally, ample fluid intake is recommended to replenish lost fluids from the preparation process.

Follow-up and Interpretation of Results

After your colonoscopy, your doctor will discuss the initial results with you. However, if biopsies or polyps were taken, they need to be analysed in a lab, which may take longer.

Depending on the findings, your doctor will advise you on follow-up steps. If no issues are detected and you have no other risk factors, your doctor might suggest a colonoscopy again in ten years. However, if polyps were removed or if you have other risk factors, a follow-up colonoscopy may be recommended sooner.

Why Choose Us for a Colonoscopy Test in Singapore

Led by Dr Kieron Lim, an experienced gastroenterologist in Singapore with over 20 years of expertise, our clinic offers safe, quick and effective colonoscopy screenings. Dr Lim’s comprehensive approach allows for the prompt detection of issues like polyps, colorectal cancer and inflammatory bowel disease (IBD), ensuring timely treatment and greater peace of mind.

Frequently Asked Questions (FAQs)

Is a colonoscopy painful?

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Meet Our Specialist

Dr Kieron Lim

MBBS, University of LondonMember, Royal College of Physicians (UK)Fellow, Academy of Medicine (Gastroenterology) SingaporeFellow, Royal College of Physicians (Edinburgh)

Dr Kieron Lim is a senior consultant specialising in Gastroenterology and Hepatology, providing comprehensive care for patients with gastrointestinal conditions in Singapore. His expertise extends to disorders affecting the oesophagus, stomach, colon, liver, pancreas, and gallbladder. Through his experience, Dr Lim enhances patient outcomes by facilitating early detection and timely medical interventions.