The colon is one of the largest and most important organs in the body. It can also create a number of complications for individuals. Yet, because of its location and size, doctors can have trouble understanding what is happening within it. Procedures such as the flexible sigmoidoscopy can help to provide more detail into it. This procedure is generally an outpatient one that is minimally invasive yet can provide doctors at our Ocean Parkway or Cobble Hill locations in Brooklyn, NY with a great deal of information.
All you need to know about flexible sigmoidoscopy at Atlantic Gastroenterology
What Is a Flexible Sigmoidoscopy?
Flexible sigmoidoscopy is a shortened version of a colonoscopy. There are certain conditions especially in younger people such as rectal bleeds, that allow the endoscopists to quickly identify the problem in the part of the lower digestive tract, or the lower colon.
What Happens During a Flexible Sigmoidoscopy?
Flexible sigmoidoscopy is direct visualization of a special DD camera that allows the evaluation of the left side of the colon. This allows us an on-site evaluation.
The majority of bleeds, in the older population, are diabetical bleeds and in the younger population its hemorrhoids or rectal ulcers or early presentation of ulcer colitis.
Is Flexible Sigmoidoscopy painful?
This procedure is perfectly painless, can be done without sedation, and there is no advance preparation necessary.
Typically lasting about 2-3 minutes, it is fairly comfortable and allows very quick identification of lower digestive problems.
What Is a Flexible Sigmoidoscopy?
During a flexible sigmoidoscopy, your GI doctor in Brooklyn will use a thin, flexible tube called a sigmoidoscope that’s inserted into the rectum to view the interior of the colon. This tube has a very small video camera on its tip. Your doctor then can view the interior of the rectum as well as most of the sigmoid colon, which is about 2 feet of colon. This tool also allows the doctor to gather tissue samples, called a biopsy. The tissue is then removed from the body, and doctors can use it to get a better understanding of the condition and health of the colon.
Why Do You Need a Flexible Sigmoidoscopy?
Though this procedure does not provide a complete view of the interior of the colon, it does provide a lot of information to your Brooklyn gastroenterologist. Your doctor may recommend that you have this procedure if you have any signs or symptoms of intestinal disease. These may include:
- Abdominal pain that’s not otherwise understood
- Changes in bowel habits
- Chronic diarrhea
- Other types of intestinal complications
In addition, this procedure, along with a colonoscopy, can be very important steps in the prevention and treatment of colon cancer. Those who are over the age of 50 are often recommended for this type of procedure even if you have no colon cancer risk in your family. You’ll also need to repeat this procedure every five years or so.
What Happens During a Flexible Sigmoidoscopy?
During the procedure, you will lie on your side on an exam table. You may be sedated for the procedure. The doctor will insert the scope into the rectum and colon. The sigmoidoscope has a small light on it that allows the doctor to navigate it through the colon that allows the doctor to see the lining of the colon more thoroughly. Air is also added to the colon to create a better visual. Visual images are taken at this time as well.
If necessary, your GI doctor in Brooklyn can also remove small tissue samples from the area. This includes removing a polyp. This tissue can then be examined more closely to determine if any abnormal cells exist. The entire procedure takes about 15 minutes to complete. If a polyp is found, your doctor may recommend that you have a full colonoscopy to ensure all polyps are removed. This can help in the prevention of cancer development. This procedure is not painful, but it can be uncomfortable. Your doctor will meet with you afterwards to discuss the results and offer any follow-up treatment necessary.
Frequently Asked Questions About Flexible Sigmoidoscopy
How is flexible sigmoidoscopy different from colonoscopy?
Both flexible sigmoidoscopy (Flex Sig) and colonoscopy examine the large intestine (colon), but they are not the same. A flexible sigmoidoscopy can only see the lower part of the colon, including the rectum and sigmoid colon. A colonoscopy examines the entire colon. Both procedures are crucial for detecting and preventing colorectal issues.
How do I prepare for a flexible sigmoidoscopy?
The preparation is similar to that of a colonoscopy. To ensure an obstructed view and thorough inspection, the sigmoid colon and rectum must be clean/empty. To ensure this, your doctor will recommend only drinking clear liquids for 24 hours before the procedure. Enemas and laxatives may also be used as part of the preparation. It’s also important to inform your doctor about current medications, especially blood thinners. Our gastroenterology team will provide clear instructions tailored to your specific needs.
Is the procedure painful?
Not at all! Most people experience little discomfort during a flexible sigmoidoscopy. You may feel mild pressure, cramping, or a sensation of fullness as air is introduced into the colon, but no pain. The procedure takes 10-15 minutes, and sedation may not be needed.
What can a sigmoidoscopy diagnose?
Your GI doctor can use a flexible sigmoidoscopy to investigate GI issues, such as constipation, left-sided abdominal pain, diarrhea, and rectal bleeding. Potential issues we can diagnose with a sigmoidoscopy include polyps, diverticulosis, inflammation, hemorrhoids, and colorectal cancer. The procedure also allows your doctor to take small samples (biopsies) for further investigation.
Is there any downtime?
There is little to no downtime after a flexible sigmoidoscopy. Most patients can eat and return to normal activities after the procedure unless sedation was used. You may feel bloated and gassy after treatment, but this shouldn’t last long.
Are there potential risks of flexible sigmoidoscopy?
As with any medical procedure, there are a few risks with flexible sigmoidoscopy, but complications are rare. In uncommon cases, rectal bleeding may occur, especially if a biopsy is performed, and this bleeding can last for a few days. Your Brooklyn gastroenterologist will discuss any risks with you beforehand to ensure you are well-informed.
How much does flexible sigmoidoscopy cost in Brooklyn, NY?
The cost of flexible sigmoidoscopy can vary depending on factors such as insurance coverage and whether biopsies are taken. At our Brooklyn office, the all-inclusive cost for a flexible sigmoidoscopy is $1,200. Our team will provide cost information upfront to ensure you move forward with clarity. We’ll also explore various payment options, including insurance, financing, and self-pay programs.
Does insurance cover the cost of a flexible sigmoidoscopy?
Many insurance plans cover flexible sigmoidoscopy when it is deemed medically necessary. However, coverage varies by plan, so it’s essential to verify benefits before your procedure. The team at Atlantic Gastroenterology can assist with insurance verification and billing questions.
Are there alternatives to the flexible sigmoidoscopy?
Yes. Depending on your symptoms and risk factors, alternatives may include colonoscopy, stool-based tests, a CT colography, or a barium enema X-ray. Your GI doctor will recommend the most appropriate option for your situation.
Does my local gastroenterologist in Brooklyn offer flexible sigmoidoscopy?
There's no reason to avoid a flexible sigmoidoscopy. It's a comfortable, minimally invasive procedure that provides invaluable insights about your colorectal system. Do you have GI issues that may require a flexible sigmoidoscopy? Atlantic Gastroenterology is here to help. Call 718 521-2840 and schedule your consultation with our offices in Brooklyn, New York, and Coral Springs, Florida.