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Diagnostic Colonoscopy

  • Bassem Y. Safadi
  • Jeffrey M. Marks

Abstract

Generally accepted indications for diagnostic colonoscopy are summarized in Table 54.1. Colonoscopy is usually not indicated in patients with bright red rectal bleeding when a convincing anorectal source has been found on anoscopy or sigmoidoscopy and when there are no other symptoms suggesting a more proximal source of bleeding. It is also not necessary in upper gastrointestinal bleeding when a source proximal to the colon has been clearly identified. Colonoscopy is generally not indicated in the workup of metastatic carcinoma in the absence of symptoms related to the colon. Colonoscopy is indicated for evaluation of unexplained abdominal pain or change in bowel habits only in select cases. It is generally not indicated in patients with chronic stable abdominal pain or symptoms of irritable bowel in the absence of other indications for colonoscopy.

Keywords

Rectal Cancer Sigmoid Colon Splenic Flexure Biopsy Forceps Diagnostic Colonoscopy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Bassem Y. Safadi
  • Jeffrey M. Marks

There are no affiliations available

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