Colonoscopy
Expert Diagnostic & Therapeutic Endoscopy

Gold Standard

For large bowel examination

30–45 mins

Procedure duration

Same Day

Polyps removed at the time

Sedation

Available for comfort

— What is a Colonoscopy?

Understanding Colonoscopy

A colonoscopy is a procedure that allows a specialist to examine the entire length of the large intestine, the colon and rectum, using a thin, flexible tube with a camera at the end. It provides a clear, direct view of the bowel lining and can identify inflammation, bleeding, polyps, or other abnormalities. Importantly, it also allows treatment at the time of the examination, including biopsy and polyp removal.

Colonoscopy is considered the gold standard investigation for the large bowel. It is both diagnostic and therapeutic, meaning problems can often be identified and treated in a single procedure, without the need for separate surgery.

— Why it is Performed

Indications for Colonoscopy

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Change in Bowel Habit

Persistent change in the frequency, consistency or pattern of bowel motions lasting more than three weeks, particularly in adults over 40.

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Rectal Bleeding

Blood in or on the stool, or fresh rectal bleeding, always warrants colonoscopic assessment to exclude a significant cause.

Unexplained Weight Loss

Unintentional weight loss in association with bowel symptoms is a red flag requiring urgent investigation.

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Polyp Surveillance

Patients with a history of colorectal polyps require regular colonoscopic surveillance to detect and remove any new polyps before they become cancerous.

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Family History of Bowel Cancer

Those with a first-degree relative diagnosed with colorectal cancer under the age of 60 are recommended surveillance colonoscopy.

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Anaemia

Iron deficiency anaemia without an obvious cause may indicate occult blood loss from the large bowel, requiring colonoscopic assessment.

⚕ Clinical Note

The NHS Bowel Cancer Screening Programme invites adults aged 50 to 74 every two years. Colonoscopy is the follow-up investigation for a positive screening test. Private colonoscopy offers faster access without waiting for the screening pathway.

— The Procedure

What to Expect

1

Bowel Preparation

In the days before the procedure, you will follow a low-residue diet and take a bowel preparation solution to clear the colon completely. Clear bowel preparation is essential for a high-quality examination.

2

Sedation

Most patients opt for intravenous sedation, which produces a relaxed, drowsy state. You will be comfortable throughout and have little or no memory of the procedure. Unsedated colonoscopy with Entonox (gas and air) is also available.

3

The Examination

Lying on your left side, the colonoscope is carefully advanced through the entire colon. Carbon dioxide is used to gently inflate the bowel. The procedure typically takes 30 to 45 minutes.

4

Polyp Removal and Biopsy

Any polyps found can be removed immediately using snare polypectomy or biopsy forceps. Tissue samples are sent for histological analysis. In most cases, this is done at the same time with no additional procedure required.

— After the Procedure

Recovery and Results

After colonoscopy, you will be monitored in the recovery area until the effects of sedation have worn off. Most patients feel well enough to go home within one to two hours. Mild bloating or wind is common and settles quickly.

 
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Immediate Results

Mr Kumar will discuss the findings with you before you leave, including any biopsies taken or polyps removed.

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Histology

Biopsy and polyp results are usually available within one to two weeks. You will be contacted with these results and a clear plan.

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Follow-Up

If polyps are removed or abnormalities found, appropriate surveillance or further management will be arranged.

— Why Choose a Specialist?

Expert Endoscopic Care

Colonoscopy quality varies significantly between operators. Key quality indicators include caecal intubation rate (reaching the far end of the colon) and adenoma detection rate. Mr Kumar performs colonoscopy to the highest standard with excellent quality metrics.

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Complete Examination

High caecal intubation rate ensures the entire colon is examined, the standard of a high-quality colonoscopy.

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Adenoma Detection

Meticulous technique and careful inspection on withdrawal ensures polyps are not missed.

Prompt Access

Private colonoscopy available within days, avoiding lengthy NHS waiting times for symptomatic patients.

Book a Colonoscopy

Expert diagnostic and therapeutic colonoscopy with prompt access and clear results. Book a consultation with Mr Kumar today.

Colonoscopy Illustration

Quick Facts

Procedure duration

30–45 mins

Caecal intubation

>95%

Polyp removal

Same procedure

Results

1–2 weeks

Book a Consultation

Specialist opinion when it matters

Appointments typically within 3–5 working days.