Colonoscopy
Advanced Diagnostic & Therapeutic Colonoscopy

At M R Hospitals, Thanjavur, our Colonoscopy Unit provides comprehensive diagnostic and therapeutic colonoscopic care for conditions affecting the colon and rectum.
With advanced endoscopic expertise, colonoscopy can be used not only to diagnose disease but also to perform a wide range of therapeutic procedures, often avoiding the need for conventional surgery in appropriately selected patients. 

Diagnostic Colonoscopy

Colonoscopy allows direct visualisation of the rectum, colon and terminal ileum when appropriate.
It may be recommended for:
• Rectal bleeding
• Blood in the stool
• Unexplained anaemia
• Persistent diarrhoea
• Altered bowel habits
• Chronic abdominal symptoms
• Suspected inflammatory bowel disease
• Suspected colorectal tumours
• Colorectal cancer screening and surveillance
• Evaluation of previously identified lesions
Biopsy & Tissue Diagnosis
Abnormal areas identified during colonoscopy can be biopsied for histopathological examination, helping establish an accurate diagnosis. 

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Advanced Therapeutic Colonoscopy
Our unit provides a broad range of therapeutic procedures based on the underlying condition.

Polyp & Lesion Removal

Selected polyps and mucosal lesions can be removed endoscopically using techniques such as:
• Polypectomy
• Snare polypectomy
• Endoscopic mucosal resection in selected lesions
• Other appropriate endoscopic resection techniques
Endoscopic removal can provide both definitive treatment and tissue for pathological assessment in appropriately selected patients. 

Colonoscopic Management of Bleeding

Endoscopic treatment can be used to control bleeding from selected colonic and rectal lesions.
Depending on the source of bleeding, treatment may include:
• Endoscopic clipping
• Argon Plasma Coagulation
• Other appropriate haemostatic techniques
Argon Plasma Coagulation for Vascular Bleeding
Argon Plasma Coagulation (APC) is a non-contact endoscopic technique used to treat selected superficial bleeding lesions.
At M R Hospitals, APC can be used for conditions including:
• Radiation proctitis
• Angioectasia and vascular ectasias
• Selected vascular bleeding lesions
• Other appropriate causes of superficial gastrointestinal bleeding
APC can be particularly useful in patients with chronic or recurrent rectal bleeding due to radiation-related mucosal changes.
  

Colonoscopic Reduction of Intussusception
A Minimally Invasive Approach in Selected Children
Intussusception is an important cause of acute intestinal obstruction in children.

At M R Hospitals, colonoscopic reduction of intussusception is available for appropriately selected paediatric patients.

In suitable cases, colonoscopy can be used to assist reduction of the intussusception, potentially avoiding an abdominal operation.

Patient selection is critical. Children with bowel compromise, perforation or other indications for surgery may require operative management.

Our paediatric surgical, paediatric, anaesthesia and endoscopy teams work together to provide coordinated care.
 

A Minimally Invasive Approach in Selected Children

Colonoscopic Reduction of Intussusception

Intussusception is an important cause of acute intestinal obstruction in children.

At M R Hospitals, colonoscopic reduction of intussusception is available for appropriately selected paediatric patients.

In suitable cases, colonoscopy can be used to assist reduction of the intussusception, potentially avoiding an abdominal operation.

Patient selection is critical. Children with bowel compromise, perforation or other indications for surgery may require operative management.

Our paediatric surgical, paediatric, anaesthesia and endoscopy teams work together to provide coordinated care. 

Foreign Body Removal

Selected foreign bodies lodged within the colon or rectum can be evaluated and removed endoscopically when appropriate.
Early assessment is important when there is a risk of obstruction, bleeding, perforation or tissue injury. 

Stricture Evaluation & Dilatation

Colonoscopy can be used to evaluate selected colonic and colorectal strictures.
Where clinically appropriate, endoscopic dilatation may be performed to improve the narrowed segment and restore bowel passage. 

Endoscopic Management of Selected Postoperative Conditions

In appropriately selected patients, colonoscopy can assist in the evaluation and management of certain postoperative or post-procedural complications.
Depending on the condition, endoscopic treatment may help avoid more invasive intervention. 

About consultant

Colonoscopy for Inflammatory Bowel Disease

Colonoscopy for Colorectal Cancer

  • Colonoscopy is an important tool for the detection and prevention of colorectal cancer.
  • Suspicious lesions can be biopsied, and selected precancerous polyps can be removed during the same procedure.
  • This provides an opportunity to detect disease early and remove selected precancerous lesions before they progress.

Safe & Specialist Colonoscopy

  • Every procedure begins with appropriate patient assessment and preparation.
  • Depending on the patient's age, medical condition and complexity of the procedure, appropriate sedation or anaesthesia, monitoring and specialist support are provided.
  • Patients with complex medical or surgical conditions have access to our Anaesthesia, Critical Care, Gastroenterology, Surgical Gastroenterology, Paediatric Surgery and other specialist teams within the hospital.

From Diagnosis to Treatment

  • A major advantage of therapeutic colonoscopy is the ability to combine diagnosis and treatment in a single procedure when appropriate.
  • Preparation → Colonoscopy → Diagnosis → Biopsy / Intervention → Histopathology → Follow-up
  • When endoscopic treatment is not appropriate or unsuccessful, the patient can be promptly evaluated by the relevant surgical team.

Comprehensive Colonoscopic Services at M R Hospitals

  • Diagnostic
  • Diagnostic colonoscopy | Biopsy | IBD assessment | Colorectal cancer screening & surveillance
  • Therapeutic
  • Polypectomy | Endoscopic mucosal resection in selected lesions | Clipping | Argon Plasma Coagulation | Haemostasis | Stricture dilatation | Foreign body removal
  • Advanced Paediatric Intervention
  • Colonoscopic reduction of intussusception in appropriately selected children
  • Vascular & Radiation-Related Bleeding
  • APC for radiation proctitis | APC for selected vascular ectasias and other causes of superficial gastrointestinal bleeding

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  • Personalized Care for Every Patient
  • Compassionate & Patient-Friendly Approach
  • Continuous Support & Follow-Up Care