Colon or colorectal cancer is often considered a “silent killer” disease because its onset is often difficult to detect. Especially since public knowledge about colon cancer is still minimal. To detect it, patients must undergo a colonoscopy procedure in a hospital at a cost that cannot be considered cheap.
As the name suggests, colon cancer is a type of cancer that grows in the large intestine (colon) or the lower part of the large intestine that connects to the anus (rectum). Symptoms of this cancer are often felt by patients when the disease has progressed further. In its early stages, colon cancer does not even cause any symptoms. If it is more advanced, the initial symptoms are often masked by other diseases such as gastric ulcer.
Common symptoms of colon cancer include blood in the stool, change in bowel habits, constant stomach pain and drastic weight loss. One of the examinations recommended to determine the risk of colon cancer is a colonoscopy.
Colonoscopy is the insertion of a flexible, lighted instrument into the colon through the rectum and sigmoid colon. The colon is examined and a biopsy may be taken. Conditions such as ulcerative colitis, diverticulitis, polyps or carcinoma can be diagnosed. Before the colonoscopy procedure, the colon is emptied by taking a liquid laxative.
The purpose of colonoscopy
- Evaluate for lower gastrointestinal disorders if radiologic examination results are equivocal or no abnormalities are found while disease symptoms are present.
- Researching more about colon disease in anemic clients with unexplained weight loss.
- Confirm the diagnosis of colonic malignancy.
- Treat and biopsy the terminal.
- Follow up after removal of polyps or cancer.
- Before having a colonoscopy, you will usually be asked to undress and change into a special hospital gown.
- You will then be asked to lie on the examination table with your body tilted to one side. Doctors generally ask you to bend your knees until they are close to your chest.
- You will be given an anesthetic which may be in the form of oral pills or injections to reduce the discomfort that may occur during the colonoscopy procedure.
- After the anesthetic is effective, the doctor will insert a colonoscope with a camera at the end into the anus. Doctors may also pump carbon dioxide into the colon to make more room for the colonoscope. This way the visualization of the inside of the large intestine will be better.
- The doctor then takes some necessary pictures during the examination.
- Doctors also sometimes take a small amount of colon tissue (biopsy) for examination under a microscope.
- If a colonoscopy is performed on patients with colon polyps, the doctor can remove the polyps at the same time.
- When the colonoscopy is complete and the doctor removes the tube, you may feel abdominal cramps and an urge to have a bowel movement afterward.
Colonoscopy procedures are generally performed by experienced doctors and take about 30-60 minutes, Sehatq reported. Colonoscopy is practically a safe procedure and rarely causes complications. However, this procedure may cause complications or side effects, such as the following.
Risks/Side Effects of Colonoscopy
- Severe stomach pain.
- Allergic reactions and side effects of anesthetic drugs are still felt even a day after the examination.
- The colon wall is broken.
- Bloating and passing gas for several hours after the colonoscopy procedure.
- Bleeding at the biopsy site or polyp removal. However, the bleeding is usually light and will stop on its own.
- Allergic reaction.
- Difficulty breathing or irregular heartbeat.
- Blurry vision.
- Make a hole in the colon.
Therefore, before having a colonoscopy, you must first inform your doctor if you have heart or lung disease, diabetes, or allergies to certain medications. In addition, inform if you are taking blood thinners. Your doctor may ask you to stop taking these medicines for a while, especially if you plan to have a biopsy. Also inform if you are taking iron supplements.
Before having a colonoscopy, you will also be asked to empty your colon by having a bowel movement. The reason is that any residue left in the colon can obscure the view of the colon and rectum during a colonoscopy examination. You should also not eat solid food the day before the exam or eat or drink anything after midnight the night before the exam.
Your doctor may suggest that you take a laxative before the test, either in pill or liquid form. In some cases, you may be advised to take over-the-counter enemas either the night before the exam or a few hours before the exam to empty your colon.
If the doctor also removes colon polyps through a colonoscopy, you will be advised to follow a special diet for some time. If you want to have a colonoscopy, make sure someone is with you. The reason is that after a colonoscopy you are usually still under anesthesia or sedation, so it is not safe to use it to drive alone without someone accompanying you. The following is the cost range for a colonoscopy in some hospitals.
|The name of the hospital||Cost range|
|AR Bunda Prabumulih Hospital||450,000 Rp|
|Eka Hospital Pekanbaru||1,500,000 Rp|
|RS Biomedica Mataram||2,225,000 Rp|
|Mardi Rahayu Kudus Hospital||Rp2,235,000|
|JIH Yogyakarta Hospital||2,360,000 Rp|
|Ganesha Gianyar Hospital||2,700,000 Rp|
|Siloam Hospitals button||2,844,000 Rp|
|Siloam Yogyakarta Hospitals||2,985,970 Rp|
|Columbia Asia Hospital in Semarang||2,994,347 Rp|
|Mayapada Kuningan Hospital||Rp3,500,000|
|Siloam Bogor Hospitals||Rp3,382,000|
|Kalideres family partner hospital||Rp3,380,000|
|Clinic Oto Medika||Rp3,800,000|
|RSU Banyumanik 2||Rp3,885,000|
|Hospitals Siloam TB Simatupang||Rp3,895,000|
|Siloam Denpasar Hospitals||Rp3,895,000|
|Eka Cibubur Hospital||3,750,000 Rp|
|Eka Bekasi Hospital||Rp3,440,000|
|Immanuel Hospital Bandung||4,000,000 Rp|
|Eka BSD Hospital||4,030,000 Rp|
|Kemayoran Family Partner Hospital||4,035,000 Rp|
|Mayapada Hospital Tangerang||4,400,000 Rp|
|Mayapada Hospital in South Jakarta||4,400,000 Rp|
|Cibubur Family Partner Hospital||4,620,000 Rp|
|Siloam Surabaya Hospitals||5,252,000 Rp|
|Kelapa Gading Family Partner Hospital||5,310,000 Rp|
|Tabanan Mother’s Love Hospital||5,315,000 Rp|
|Mother’s Love Hospital Denpasar||5,315,000 Rp|
|Mandaya Royal Hospital Puri Tangerang||5,400,000 Rp|
|Siloam Kebon Jeruk Hospitals||5,477,000 Rp|
|MRCCC Siloam Semanggi Hospitals||5,895,000 Rp|
|Jatinegara Premier Hospital||6,000,000 Rp|
|RS EMC Sentul||6,138,000 Rp|
|Tebet Hospital||6,497,000 Rp|
|Waru Family Partner Hospital||6,981,000 Rp|
|Surabaya Premier Hospital||8,000,000 Rp|
|Mitra Keluarga Hospital Surabaya||8,365,000 Rp|
|Yarsi General Hospital Jakarta||9,000,000 Rp|
|Brawijaya Saharjo Hospital Jakarta||9,750,000 Rp|
The information about the cost of colonoscopy in a number of hospitals above is summarized from Alodokter. Please note that colonoscopy fees are subject to change at any time without notice. Compared to the previous year, the cost of colonoscopy is still relatively stable. However, for more detailed information, you can come directly to the nearest hospital.
 Matthews, A. 1987. Studying Nursing in the Internal Medicine Ward. Jakarta: EGC Medical Book Publishing
 Priyanto, A., et al. 2009. Gastrointestinal endoscopy (Ed. Septiarso JE). Jakarta: Salemba Medika Publishing House.