Rectomanoscopy for a child. Prices, reviews, ratings
Rectomanoscopy or proctosigmoidoscopy is a common method of endoscopic examination of the rectum and distal sigmoid colon, which is widely used in both inpatient and outpatient practice.
Rectomanoscopy or proctosigmoidoscopy is a common method of endoscopic examination of the rectum and distal sigmoid colon, which is widely used both in inpatient treatment and outpatient practice.
General information
A rectoscopy can provide information about the condition of the hemorrhoidal vessels, intestinal mucosa, tone and contents of the intestine. This manipulation is often combined with a digital rectal examination. It is necessary to examine areas that cannot be examined using rectal mirrors. Usually, anesthesia is not required, only in exceptional cases is short-term anesthesia used.
Procedure
Preparation
Before the examination, it is necessary to completely clear the intestines of its contents. To do this, newborns and infants are given two cleansing enemas of boiled water. The first (50 ml) - 1 hour before, the second (150 ml) - half an hour before the start of the process. After the enemas, a tube with holes on the sides is inserted for gas discharge. Older children need to be prepared in advance. In the evening, on the eve of the procedure, the first enema is done (300 ml of boiled water), and 2 hours before the start of the procedure, the second one - 600 ml. Half an hour before the manipulation, as with infants, a tube is inserted for gas discharge.
Do not overdo it with rinsing. Due to the large portions of cleansing enemas, deposits and mucus are removed from the surface of the intestine, which distorts the overall picture of pathological changes and can affect the diagnostician's conclusion.
For some diseases, enemas are strictly not recommended, for example, with ulcerative colitis. But with bleeding caused by polyps, or if there is a suspicion of a tumor, rinsing, on the contrary, should be done especially carefully so as not to miss pathological formations. Before preparation, it is necessary to listen to the detailed instructions of the attending physician.
Rectosigmoidoscopy for a child
Proctosigmoidoscopy is performed in a specialized room equipped with sets of instruments, bottles of Vaseline oil, trays with cotton swabs, gauze, an electric suction pump, a comfortable table, a sterilizer in which tubes are disinfected and stored.
During the examination, the baby should be comfortable enough to be able to lie quietly for a long time. At this moment, the child's psychological calm is very important.
The patient is placed in such a way as to maximally facilitate the insertion of the tube and create excellent visibility of the relief of the area being viewed. For infants, the manipulation is performed immediately before feeding. For this, a rectoscope with a short tube and a fiber optic light guide is used. For children over 36 months, adult instruments can be used. Patients over 10 years old are placed on all fours (in the knee-elbow position). It is more comfortable for babies to lie on their backs.
Proctosigmoidoscopy should be performed very carefully on children under 12 months, since the lining of their large intestine is very loose and easily injured.
The examination begins with the careful insertion of a tube, thickly lubricated with Vaseline, together with an olive guide into the anus. When a 4 cm section is passed, the guide is removed and an eyepiece is put on. The insertion depth is adjusted according to the patient's age and the location of the pelvic segment of the falx colon.
Rehabilitation period
Short-term discomfort in the anal area is possible.
Indications
Indications for rectoscopy are quite varied. Rectomanoscopy is performed on a child:
- for frequent constipation and unstable stool;
- if there is bloody discharge from the anus;
- if there is a suspicion of ulcers, tumors, polyps;
- if there is damage to the mucous membrane;
- for intestinal diseases of unclear etiology;
- to take material for biopsy and other studies;
- if there is a suspicion of portal hypertension;
- to detect varicose veins in the areas of collaterals of the superior hemorrhoidal and inferior mesenteric veins.
Main contraindications
Main contraindications are: inflammatory processes in the anal and perianal areas, acute dysentery, severe narrowing of the anus.
Complications
If the procedure is performed by an experienced doctor, then there are no complications after it. Intestinal perforation is extremely rare and requires urgent surgical intervention.
Prices and clinics
With the help of the medical portal, it is easy to find out where you can do a rectoscopy for a child. Among the full list of treatment and diagnostic centers, you will choose the nearest clinic or specialist you trust. Convenient search on the portal is facilitated by the presence of reviews on the qualifications of the working medical personnel.
Схожі новини:
