Endoscopic examination for rapid and accurate diagnosis of the lower colon and rectum. Diagnosis of bleeding, polyps, and inflammation
Not every digestive problem requires a long and full examination. Sigmoidoscopy (sometimes called "short colonoscopy") is an endoscopic examination that inspects only the lower part of the large intestine - the Rectum and the Sigmoid colon.Its great advantage is speed and simplicity: it requires easier preparation (usually without drinking laxatives) and can sometimes be performed without any sedation, allowing an immediate return to routine.
Dr. Vosko uses this test as a precise diagnostic tool to investigate focused symptoms, utilizing the same advanced optical technology used in full colonoscopy, so as not to miss inflammation or findings in this sensitive area.
Need a focused and rapid investigation? Schedule a Sigmoidoscopy today
Who is this exam for?
The test does not replace colonoscopy as a cancer screening test (as it sees only part of the bowel), but it is excellent for specific situations:
- Fresh Bleeding: Investigation of bright red blood on toilet paper or in the bowl (suspicion of hemorrhoids, fissure, or proctitis).
- Pain: Pain or pressure in the anal area and the lower left abdomen.
- IBD Monitoring: Ulcerative Colitis patients requiring assessment of inflammation status ("Flare-up") without the need for full preparation.
- Investigating Findings: Repeat examination after a finding was discovered in another test in this area.
The main difference is in the duration of the exam and the depth of the scan.
Even in a short test, experience matters. The Rectum and Sigmoid area is twisted and sometimes difficult to navigate.
- Gentle Hand: Dr. Vosko's skill in advanced endoscopy ensures the test is performed with minimal discomfort, even if you choose to do it without sedation.
- Differential Diagnosis: Dr. Vosko knows how to accurately distinguish between internal hemorrhoids, inflammation (Proctitis), or tumorous findings, and adapt the correct treatment instead of "just applying ointment."
- Availability: Ability to perform the test on short notice in cases of active bleeding.
Rapid investigation, accurate diagnosis, and back to routine.
Dr. Vosko awaits you for a focused and efficient inquiry.
How is the treatment carried out?
How is the consultation conducted?
A very short test, usually about 5 to 10 minutes:
- Position: The patient lies on their left side.
- Insertion: A sigmoidoscope (a thin flexible tube, like in a colonoscopy) is gently inserted through the anus. The device is well lubricated (anesthetic gel) to prevent pain.
- Scanning: The doctor advances about 30-60 cm up the intestine, inflates a little air to view the walls, and scans the mucosa upon withdrawal.
- Actions: Biopsies can be taken (e.g., to diagnose inflammation) or local bleeding can be treated. These actions are not felt.
How should I prepare for treatment?
How should I prepare for the consultation?
Simple and Rapid Preparation Unlike colonoscopy, the preparation for this test is light and fast and does not involve prolonged preparation:
- Diet: There is no strict limitation, but it is recommended to eat light meals on the day of the test.
- Emptying: The accepted preparation is performing a home cleansing enema (Fleet Enema) about two hours before the test, and sometimes another enema one hour before. The enema cleans only the lower part and allows for good visibility.
- Fasting: Usually, no long full fast is needed, unless it was decided to perform the test under sedation (in which case a 6-hour fast is required).
What to expect the day after? (Recovery and recuperation)
- Without Sedation: If you chose to perform the test without a sedative injection, you are discharged immediately home, allowed to drive, and return to full work immediately.
- With Sedation: Observation of about 30 minutes is required, along with an escort for driving purposes.
- Sensations: Slight pressure or an urge to evacuate may be felt (due to the introduced air), which passes within minutes.
Are there risks or side effects?
The test is very safe, even more so than a full colonoscopy. The chance of perforation or bleeding is minimal and extremely rare, as the test is done in the more stable part of the intestine and usually without complex procedures.
Information for patients from abroad (medical tourism)
The unit is equipped to receive international patients and collaborates with agents for a full logistical envelope.
Direct inquiries are also welcomed for rapid and efficient coordination.
For tourists suffering from bleeding or an aggravation of Inflammatory Bowel Disease (IBD) during their visit to Israel, Sigmoidoscopy is the ideal solution: rapid diagnosis, reduced cost compared to full colonoscopy, and no need for complex preparation days that would ruin the trip.
For your convenience, Dr. Vosko is fluent in Hebrew, English, and Russian.
Is there radiation involved in the test?
No. Sigmoidoscopy is an optical examination (camera) and does not use X-ray radiation like a CT scan. It is completely safe, including for pregnant women if necessary.
Is the procedure more painful than a colonoscopy?
Not necessarily. However, since the procedure is sometimes performed without sedation, you may feel pressure or abdominal discomfort (similar to gas) during the insertion of air. The sensation passes immediately upon completion.
Can I return to work immediately after the procedure?
In most cases, yes, provided the procedure was performed without sedation (or with very mild sedation). If you received sedation, you will need a day of rest and will not be able to drive.
Is an enema required?
Yes, in order for the doctor to see the intestinal wall, the area must be free of stool. An enema is the fastest and easiest way to achieve this, without having to drink large amounts of laxative as required for colonoscopy.
Does this test replace the need for a full colonoscopy?
No. Sigmoidoscopy visualizes only the lower third of the colon. If the purpose of the test is routine cancer screening (over age 45), the unequivocal recommendation is for a full colonoscopy. This test is intended to investigate localized problems in the rectal area.
We are with you - from the very first call, we understand that on the other end of the line is a person who may be concerned or in pain, waiting for answers. Therefore, we have built a service system that truly sees you:
- High Availability: A live service center is active Sunday-Thursday from 09:00 AM to 07:00 PM and on Fridays from 09:00 AM to 02:00 PM. In urgent cases, we are available beyond these hours.
- Direct WhatsApp Line: Do you have a question about fasting? Did you forget to ask something about your medications? Our customer service is available via WhatsApp for a quick response.
- Peace of Mind from Bureaucracy: Our team is highly experienced in working with insurance companies and supplemental health plans. We will assist you in preparing the necessary paperwork and authorizations so that you can focus entirely on your health.
Sigmoidoscopy
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