Multiple polyps
Multiple adenomas are a high-risk marker: it is important to remove all findings in one session and accurately map them for future follow-up. The endoscopist sequentially processes polyps from the dome to the rectum, large bases are clipped prophylactically; the fragments are collected separately - the histologist gives an opinion on each. Based on the number, size and morphology, a control interval is constructed (usually 1–3 years) and, if familial syndromes are suspected, examination of relatives is recommended. The post-treatment regimen is the same as for a single polypectomy, more careful observation.
Indications
- heartburn, pain, nausea, anemia, weight loss - endoscopy with biopsy and helix test;
- blood in the stool, changes in stool, anemia, age 45+ - screening colonoscopy;
- heredity for gastrointestinal cancer, observation after polyps;
- polyps of the stomach and colon - immediate removal with histology.
Endoscopy “in a dream”
Sedation makes the examination comfortable: the patient falls asleep for 15–40 minutes and wakes up with the finished result - without vomiting or pain; Meanwhile, the doctor examines the mucous membrane without haste, which increases the detection of early changes. High-resolution devices with a narrow-spectrum mode allow you to see the vascular pattern and the boundaries of the lesions; biopsy and polyp removal are performed immediately. Colonoscopy with bowel cancer screening is recommended for everyone over 45 years of age; quality bowel preparation is half the success.
