What is Ileo-Colonoscopy?

An Ileo-Colonoscopy is a medical procedure that allows a doctor to examine the entire colon (large intestine) and the end of the small intestine (ileum). It is a specialized form of colonoscopy that not only looks at the colon but also allows inspection of the ileocecal region, where the small intestine meets the large intestine.

This procedure helps doctors identify inflammation, ulcers, polyps, tumors, or other abnormalities in the digestive tract. It is one of the most important tools for diagnosing and treating bowel diseases.

Unlike regular imaging tests such as X-rays or CT scans, an ileo-colonoscopy provides direct visualization of the intestinal lining, which makes it highly accurate.

Why is Ileo-Colonoscopy Done?

Doctors recommend an ileo-colonoscopy for several reasons:

1. Persistent Diarrhea or Constipation – Helps find the cause of chronic changes in bowel habits.
2. Blood in Stool – Detects bleeding sources from the colon or small intestine.
3. Abdominal Pain – Identifies inflammatory or structural problems in the intestines.
4. Inflammatory Bowel Disease (IBD) Diagnosis – Conditions like Crohn’s disease or ulcerative colitis can be detected early.
5. Polyp or Tumor Detection – Early identification of polyps or cancerous growths in the colon or terminal ileum.
6. Monitoring Known Conditions – Patients with IBD, polyps, or previous colon surgery may need regular follow-ups.

How is Ileo-Colonoscopy Performed?

The procedure is performed using a flexible tube called a colonoscope, which has a tiny camera and light at its tip. This allows the doctor to:

• Visualize the inner lining of the colon and ileum
• Take tissue samples (biopsies) if needed
• Remove polyps or abnormal growths during the same procedure

Step-by-Step Procedure

1. Preparation – Patients are given instructions to clean the bowel using a special diet and laxatives. A clean bowel ensures a clear view for the doctor.
2. Sedation – Light sedation is given so that the patient is comfortable and relaxed during the procedure.
3. Examination – The colonoscope is gently inserted through the rectum and guided through the colon to the ileum.
4. Treatment – If necessary, polyps can be removed, or biopsies taken for lab testing.
5. Recovery – Patients are monitored until the sedation wears off. Most people can resume normal activities the next day.

The procedure usually takes 30–60 minutes, and patients often experience minimal discomfort thanks to modern sedation techniques.

Preparation for Ileo-Colonoscopy

Proper preparation is key to a successful procedure. Patients are typically advised to:

• Follow a clear liquid diet for 24 hours before the test
• Avoid solid foods and dairy products
• Take prescribed laxatives or bowel-cleansing medications
• Arrange for someone to drive them home after sedation

Following these instructions ensures the doctor gets a clear and accurate view of the colon and ileum.

Benefits of Ileo-Colonoscopy

• Early Detection of Diseases – Polyps, cancers, or inflammatory conditions can be treated before they become serious.
• Accurate Diagnosis – Direct visualization allows precise identification of abnormalities.
• Treatment During Procedure – Many issues like polyp removal or bleeding control can be done immediately.
• Monitoring Chronic Conditions – Helps track disease progression and guide treatment in IBD or other conditions.

Risks and Safety

Ileo-colonoscopy is generally safe and well-tolerated, especially when performed by an experienced gastroenterologist or hepatologist. Risks are low but may include:

• Mild abdominal discomfort or bloating
• Rare bleeding during biopsy or polyp removal
• Very rarely, perforation of the colon

Modern techniques, sterile instruments, and sedation make the procedure highly safe.

Expert Ileo-Colonoscopy Care at Ruby Hall Clinic, Pune

At Ruby Hall Clinic, Pune, ileo-colonoscopy is performed by Dr. Tushar Madhav Madke, Consultant – Transplant Hepatology Department. Dr. Madke brings 5+ years of experience in hepatology and gastrointestinal care, including advanced diagnostic and therapeutic endoscopic procedures.

Dr. Madke has completed:

• DM Hepatology from ILBS, New Delhi under Padma Bhushan Prof. Shiv Kumar Sarin
• Observership in Transplant Hepatology at Dr. Rela Institute, Chennai

He has performed over 2000 upper GI endoscopies and 500 colonoscopies, making him highly skilled in both diagnostic and therapeutic procedures. Patients at Ruby Hall Clinic benefit from:

• Expert guidance throughout the procedure
• Comfort-focused sedation techniques
• Comprehensive follow-up care for long-term digestive health

Tips for Patients

• Follow all preparation instructions carefully
• Inform your doctor about existing health conditions or medications
• Arrange for someone to accompany you home after sedation
• Discuss any concerns or questions with your hepatologist before the procedure

Take the Next Step

If you are experiencing chronic abdominal pain, blood in stool, persistent diarrhea, or other bowel-related issues, an ileo-colonoscopy could be the key to early diagnosis and effective treatment.

Consult Dr. Tushar Madke at Ruby Hall Clinic, Pune to schedule your procedure and get expert care from one of India’s leading hepatologists and endoscopists.

📞 Book your consultation today and take a step towards a healthier digestive system.