COLONOSCOPY
AN ENDOSCOPIC EXAMINATION OF THE LARGE INTESTINE (COLON & RECTUM).

Indications:

Gastro-intestinal symptoms such as rectal and intestinal bleeding, anaemia or changes in bowel habit. This procedure is also done in patients without symptoms to screen for colo-rectal polyps or cancer. This is advised for individuals who are 45 years and older, as well as individuals with a family history of colon cancer or polyps.

Procedure:

You will be sedated for the procedure, which involves the anaesthetist inserting a plastic cannula into a vein on your arm (like a drip) and administering the sedative medication intravenously (via your vein). This means you will be asleep for the entire duration of the procedure. A flexible scope with a camera is inserted through the anus into the rectum and the colon is examined. Polyps may be removed, any tissue samples taken will be sent to the pathologist for further analysis.

  • Minor complications or side effects may include nausea, vomiting or allergic reactions to the sedative medications that are used. You may have loose bowel actions for a day or two after the examination but you are likely to return to normal within 24 hours of the procedure.
  • The most severe complications from a colonoscopy are perforation, heavy bleeding and death (the last occurring in 1 out of 100 000 patients).
  • During colonoscopies where a polyp is removed (a polypectomy), the overall risk for perforation is 1 in 1000 patients.
  • A serious complication that may arise after a colonoscopy with a polypectomy is the “post-polypectomy syndrome”- this occurs due to a burn to the bowel wall when the polyp is removed. It is however a very rare complication and as a result, patients may experience fever and abdominal pain. The condition is treated with intravenous fluids and antibiotics while the bedrest is maintained.
  • Severe dehydration caused by the laxatives that are taken during bowel preparation for the colonoscopy may occur. It is therefore advised that patients keep fluid intake up during the preparation stage before the procedure.

After your consultation:

  • Obtain authorization from your medical aid (whether the scope is done in consultation rooms/theatre)
  • Carefully read through pre-procedure information provided.

Day before procedure:

  • Prepare colon with prescribed colon preparation and diet as provided by our reception.
  • Do not eat/drink after 22h00, the night before your surgery, unless otherwise specified by your surgeon or anaesthetist  (you should be fasting for at least 6 hours before the procedure for solids but you are allowed to take clear liquids up to two hours before your procedure).

Day of procedure:

  • Arrive for admission at indicated time on ‘Code & Consent’ sheet.
  • If your procedure will be done in theatre, change into theatre attire and remove all valuable belongings.
  • If your procedure is taking place in the consultation rooms, you will be asked to change into a gown.

You will be in the procedure room for about 20-40 minutes. The scope itself will take 10-15 minutes (this is dependent on whether a polypectomy or biopsy is being done). You will need a few minutes to recover from the sedation in the recovery area.

The surgeon will usually see you after the procedure to explain the findings to you.

Post-sedation:

  • A responsible adult should drive you home. Avoid driving, operating heavy machinery or taking any important decisions for 12 hours after the procedure.

Diet:

  • It is best to avoid alcohol consumption for 12 hours.
  • Unless otherwise directed you may resume your normal diet after the colonoscopy.

Activities:

  • Wait until the day after the procedure before resuming your normal exercise routine. Common sense applies.

Back to work:

  • You can return to work the day after your procedure. A sick note will be provided for the day of the procedure, unless agreed upon otherwise by the surgeon.

Medication use:

  • If polyps were removed or biopsies taken, avoid using Aspirin or anti-inflammatory drugs for 2 weeks.

After the procedure you may have some abdominal discomfort or cramps, and a feeling of being slightly bloated. This is as a result of the air which is inserted into your colon during the procedure to improve visualisation.

  • As close to one week after discharge as possible. Please contact the rooms to schedule an appointment.
If you experience any worrisome problems, please contact the rooms during working hours or the emergency number (012) 333 6000 after hours.

Other procedures performed by Dr Jeske

ABSCESS DRAINAGE
ABSCESS DRAINAGE

A SKIN INCISION IS MADE AND THE CONTENTS OF THE ABSCESS IS DRAINED.

ADRENALECTOMY (OPEN/LAPAROSCOPIC)
ADRENALECTOMY (OPEN/LAPAROSCOPIC)

AN OPERATION TO REMOVE ONE (OR BOTH) ADRENAL GLANDS.

ANAL FISTULECTOMY
ANAL FISTULECTOMY

THE FISTULA TRACT IS IDENTIFIED AND IS OPENED ALONG ITS LENGTH, AND THE EXPOSED INSIDE OF THE TRACT IS THEN CLEANED OUT.

APPENDISECTOMY (LAPAROSCOPIC/OPEN)
APPENDISECTOMY (LAPAROSCOPIC/OPEN)

AN OPERATION TO REMOVE AN APPENDIX THAT IS INFLAMED/SWOLLEN/HAS RUPTURED/HAS FORMED AN ABSCESS.

BILE DUCT EXPLORATION
BILE DUCT EXPLORATION

THE COMMON BILE DUCT (CBD – THE MAIN TUBE CARRYING BILE FROM THE LIVER TO THE INTESTINE) IS OPENED UP. ANY GALLSTONES WITHIN THE DUCT CAUSING A BLOCKAGE CAN BE REMOVED.

COLECTOMY
COLECTOMY

AN OPERATION TO REMOVE PART OF/THE ENTIRE COLON.

COLONOSCOPY
COLONOSCOPY

AN ENDOSCOPIC EXAMINATION OF THE LARGE INTESTINE (COLON & RECTUM).

DISTAL PANCREATECTOMY
DISTAL PANCREATECTOMY

THE PANCREAS IS EXPOSED AND FREED FROM THE ADJACENT ORGANS. THE TAIL (DISTAL) HALF OF THE PANCREAS IS REMOVED. THE BLOOD VESSELS THAT GO TO THE SPLEEN PASS THROUGH THE PANCREAS. AS A RESULT THE SPLEEN ALSO SOMETIMES NEEDS TO BE REMOVED.

DRAINAGE PERI-ANAL ABSCESS
DRAINAGE PERI-ANAL ABSCESS

AN INCISION IN THE SKIN NEXT TO THE ANUS TO DRAIN PUS.

ERCP
ERCP

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY, INVOLVES PASSING A FLEXIBLE ENDOSCOPE (DUODENOSCOPE) THROUGH THE MOUTH AND STOMACH TO THE FIRST PART OF THE BOWEL CALLED THE DUODENUM.

FEMORAL HERNIA REPAIR (OPEN)
FEMORAL HERNIA REPAIR (OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN THE MUSCLES WHICH FORM THE LOWER FRONT OF THE STOMACH (IN THE GROIN REGION).

GASTROSCOPY
GASTROSCOPY

AN ENDOSCOPIC EXAMINATION OF THE STOMACH.

HAEMORRHOIDECTOMY
HAEMORRHOIDECTOMY

AN OPERATION TO REMOVE COMPLICATED HAEMORRHOIDS (PILES).

INCISIONAL HERNIA REPAIR (LAPAROSCOPIC/OPEN)
INCISIONAL HERNIA REPAIR (LAPAROSCOPIC/OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN AN AREA WHERE PREVIOUS MUSCLE CLOSURE HAS BEEN PERFORMED (AFTER AN ABDOMINAL OPERATION).

INGUINAL HERNIA REPAIR (OPEN/LAPAROSCOPIC)
INGUINAL HERNIA REPAIR (OPEN/LAPAROSCOPIC)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN THE MUSCLES WHICH FORM THE LOWER FRONT OF THE STOMACH (IN THE GROIN REGION).

LAPAROSCOPIC CHOLECYSTECTOMY (GALL STONES)
LAPAROSCOPIC CHOLECYSTECTOMY (GALL STONES)

REMOVAL OF GALLBLADDER BY MEANS OF MINIMALLY INVASIVE “KEY-HOLE SURGERY”.

LIVER BIOPSY
LIVER BIOPSY

THE DOCTOR WILL TAKE A VERY SMALL PIECE OF YOUR LIVER (ABOUT 1/50,000TH OF YOUR LIVER) TO SEND FOR FURTHER TESTS.

LIVER RESECTION
LIVER RESECTION

THE SURGICAL REMOVAL OF PART OF THE LIVER.

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

A PEG IS A WAY OF INTRODUCING FOOD, FLUIDS AND MEDICINES DIRECTLY INTO THE STOMACH BY PASSING A THIN TUBE THROUGH THE SKIN AND INTO THE STOMACH.

PILONIDAL ABSCESS/SINUS EXCISION
PILONIDAL ABSCESS/SINUS EXCISION

AN ELLIPTICAL INCISION IS MADE REMOVING THE AFFECTED SKIN AND INVOLVED TISSUE OVER THE BUTTOCK CLEFT.

SMALL BOWEL RESECTION
SMALL BOWEL RESECTION

SURGERY TO REMOVE A PART OF YOUR SMALL BOWEL.

SPLENECTOMY (LAPAROSCOPIC/OPEN)
SPLENECTOMY (LAPAROSCOPIC/OPEN)

AN OPERATION TO REMOVE THE SPLEEN.

STOMA CREATION/CLOSURE
STOMA CREATION/CLOSURE

A STOMA IS AN OPENING ANYWHERE ALONG THE LENGTH OF THE BOWEL TO THE EXTERIOR SKIN SURFACE TO CREATE AN ARTIFICIAL ANUS.

TOTAL PANCREATECTOMY
TOTAL PANCREATECTOMY

REMOVING YOUR WHOLE PANCREAS, YOUR DUODENUM, A SMALL PORTION OF YOUR STOMACH, THE GALLBLADDER AND PART OF YOUR BILE DUCT, YOUR SPLEEN AND MANY OF THE SURROUNDING LYMPH NODES.

UMBILICAL HERNIA REPAIR (OPEN)
UMBILICAL HERNIA REPAIR (OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS/SWELLING OF THE NAVEL (BELLY BUTTON).

WHIPPLE’S (PANCREATICODUODENECTOMY)
WHIPPLE’S (PANCREATICODUODENECTOMY)

THIS IS A MAJOR OPERATION TO REMOVE THE HEAD OF THE PANCREAS.