Details on proctoscopy

1. PROCTOSCOPY ??......

2. INTRODUCTION… DEFINITION…
• ENDOSCOPIC EXAMINATION OF THE ANUS, RECTUM AND
SIGMOID COLON USING A INSTRUMENT CALLED PROCTOSCOPE.
• SAFE AND WELL TOLERATED.
• PERFORMED BY PHYSICIAN.
• ALSO CALLED ANOSCOPY OR SIGMOIDOSCOPY.

3. WHAT IS A PROCTOSCOPE?...

4. PROCEDURE
…
• A proctoscopy can be done at a hospital or outpatient clinic.
• Lie on your side with your knees bent.
• Firstly doctor will insert a gloved, lubricated finger into your rectum. This is
called a digital exam. It’s done to check for any blockages or sore areas.
• Then the doctor will insert the proctoscope into your anus. Air will be
pushed into your colon to help your doctor view the area.
• The doctor might remove a sample of tissue during the procedure. This is
called a biopsy. It’s done using very small tools passed up through the
proctoscope.
• You may feel some cramping and fullness during this test, along with an
urge to empty your bowels. But the procedure shouldn’t be painful.
• The whole test takes about 10 minutes. Afterward, the doctor will remove
the proctoscope.

5. INDICATIONS…
• RECTAL BLEEDING – HEMORRHOIDS, ANAL FISSURE, INFLAMMATORY
BOWEL DISEASE, CANCER
• ABNORMAL BOWEL MOVEMENTS- DIARRHEA, CONSTIPATION,
OBSTRUCTION
• SUSPECTED RECTAL OR ANAL CARCINOMA
• ULCERS, ABSCESSES, TUMOR, POLYPS, DISCHARGES
• ISCHEMIC COLITIS
• PERIANAL FISTULA
• CHRONS DISEASE
• BIOPSY

6. THERAPEUTIC
USES…
• HEMORRHOID TREATMENT
• POLYP AND TUMOR REMOVAL
• FOREIGN BODY REMOVAL
• STRICTURE DILATION
• STENT REPLACEMENT

7. CONTRAINDICATION
S…
• PAIN
• SEVERE BLEED
• INFLAMMATION
• RECENT SURGERY
• FECAL IMPACTION
• PERFORATION OF COLON
• ANAL STENOSIS

8. NURSES RESPONSIBILITY…
PRE PROCEDURE:
• CLIENT EDUCATION
• OBTAIN INFORMED CONSENT
• BOWEL PREPARATION
• MEDICATIONS
• PHYSICAL ASSESSMENT
• DIETARY MODIFICATION

9. INTRA PROCEDURE:
• POSITIONING
• MONITOR VITALS
• MAINTAIN STERILE FIELD
POST PROCEDURE:
• REST
• HYDRATION
• PAIN MANAGEMENT
• MONITOR FOR COMPLICATION
• DIETARY MODIFICATION