A colonoscopy is a type of diagnostic test that can be used to assess the condition of a child's large intestine. What are the indications for this procedure, and how effective is it? Let's discuss this in more detail.
Not only adults, but children can also experience digestive system disorders, including those affecting the colon. After undergoing a series of tests, including a medical interview, physical examination, and initial supporting examinations, a pediatrician may recommend a colonoscopy if necessary.
Colonoscopy
A colonoscopy is an endoscopic procedure performed to examine the inside of the large intestine. The instrument used is a small tube with a camera at the end and a light source. This instrument can also be connected to a monitor so the doctor performing the procedure can see the position of the instrument and the results of the examination.
Unlike the procedure performed on adults, a colonoscopy in children typically uses smaller instruments. The aim is to perform a more in-depth examination of the interior of the large intestine. A colonoscopy is typically performed by inserting the instrument from the anus down into the colon, specifically allowing for a more detailed examination of the required areas.
Colonoscopy preparation in children
Before performing a colonoscopy, the doctor will usually explain the procedure not only to the parents, family members, or caregivers, but also to the patient. Even if the child doesn't fully understand, the doctor will explain in simple language the procedure and why it is necessary. By educating the child, they will feel involved in their health. Pre-procedure food intake should also be considered.
Doctors will usually advise against consuming solid foods for several days before the procedure. They will usually recommend consuming clear liquids such as water, clear broth, unleavened tea, or pulpless juice. However, this should also be discussed with your doctor. Furthermore, children are advised not to consume beverages that are red, purple, or orange in color, as they can stain the surface of the intestine.
This can affect the colonoscopy images and lead to false-positive results. Prior to the procedure, children are often given a laxative to facilitate the colonoscopy and obtain clearer results. The attending physician will explain the type of medication and dosage. Children undergoing a colonoscopy are typically sedated or given a mild anesthetic to keep them calm during the procedure. On the day of the procedure, children are usually asked to fast to avoid side effects or post-procedure risks.
Purpose of colonoscopy
A colonoscopy is a procedure performed after a history taking, physical examination, and initial supporting tests. However, the treating physician may require further examination to confirm a diagnosis. A colonoscopy is typically performed for complaints related to the digestive system, specifically the large intestine or colon. Some cases requiring a colonoscopy include chronic intestinal inflammation such as Crohn's disease or ulcerative colitis, polyps, and colon tumors.
A colonoscopy can also be performed for follow-up or therapy evaluation. It can also be performed on children with long-term diarrhea or constipation without any other underlying cause, who have received therapy but whose condition has not improved. Similar to endoscopy in other parts of the body, a colonoscopy can also be performed to obtain tissue samples or biopsies. The tissue will then be further examined in the laboratory by a specialist in anatomical pathology.
This procedure can be performed in cases of colon tumors to determine the type, rule out malignancy, and determine further therapy. After the colonoscopy, the attending physician will also schedule a follow-up for further evaluation and discussion regarding the child's condition and the test results. Written by Dr. Valda Garcia. Reviewed by Dr. Ernest Eugene.
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