Dr. Marco Franceschin has always been in charge of diagnostics. In fact, he personally performs investigations of digestive tract and pelvic floor with Endoscopy (Colonoscopy and Esofagogastroduodenoscopy) 3D transanal ultrasound and Ano-rectal manometry.
Upper GI Endoscopy
Esophagogastroduodenoscopy is a procedure that allows to visualize directly the esophagus, stomach and duodenum, detecting any pathologies. The endoscopic probe is gently introduced through the mouth, until reaching the duodenum. The exam does not cause pain but only a minor annoyance in the introduction of the instrument. For this reason, you may be given a small amount of local anesthetic for local throat anesthesia or alternatively a complete sedation may be induced. Before starting the examination, tell your doctor about possible allergies to medicines or pharmacological treatments in progress.
Colonoscopy lets to examine the colon surface by inserting, through the anus, a thin, flexible tube that is advanced while introducing air to stretch the intestine walls. To make the procedure more comfortable, the patient is given an intravenous sedative. Colonoscopy is generally well tolerated. In the suspect malignant lesion, a biopsy (taking a colon muscle sample) will be performed for the analysis or directly to a polypectomy if its size permits. In the case of large polyps, an operating session will be reprogrammed. Generally these procedures are not painful. Colonoscopy and polypectomy are generally safe procedures. A possible complication is due to the perforation or laceration of the intestine wall, which would in turn require surgery. This complication is very rare (1/1000). At the point of biopsy or polypectomy there may be bleeding, but this is often a non-significant phenomenon, which only in very rare cases may require surgery or blood transfusion. Some patients may have a reaction to sedation, or complications due to heart or lung disease. Death is an extremely rare event in endoscopic procedures.
It is a test wich evaluates the pressure and functioning of the anal sphincter and the sensitivity of the rectal ampule. It is useful to investigate certain conditions such as constipation, obstructed defecation, fecal incontinence, anal fissure, rectal prolapse, hemorrhoids or rectal pain and spasms; Moreover, it is performed before surgery on the rectum and the anus and rehabilitation therapies. The exam consists of the introduction of a small tube (5 mm in diameter), with a balloon at the end, in the rectum, for about 10 cm, while the patient is lying on the bed. The probe measures the pressure and movements of the anal sphincter both at rest or during voluntary contraction. Subsequently, the sensitivity of the rectal ampule is studied, inflating with small amounts of air, the balloon placed on the end of the probe. The exam takes about 20-30 minutes. The exam is not painful.
3D transanal US
3D transanal ultrasound is a diagnostic test that allows the acquisition of three-dimensional images of the anal canal. The main indications for this examination are the study of the integrity of muscle structures in cases of fecal incontinence, the study of perianal infectious processes (abscesses and fistulas), and the study of malignant lesions of the anal canal. On average, the full examination lasts 10-15 minutes and is performed at the outpatient level. It is not painful.