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Colonoscopy

Dr Sujit Singh Gill

Dr Sujit Singh Gill

Consultant Vascular & General Surgeon

MBBS (Singapore), MMed (Singapore), FRCS (Edinburgh)

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Colonoscopy in Singapore

A colonoscopy is a procedure used to examine the colon and rectum for abnormalities such as polyps, inflammation, bleeding, and signs of colorectal cancer. It may be recommended as a screening test for colorectal cancer or to investigate symptoms such as rectal bleeding, changes in bowel habits, abdominal discomfort, or unexplained weight loss.

At The Vascular & General Surgery Centre, Dr Sujit Singh Gill provides colonoscopy assessment and screening, helping patients understand when a colonoscopy may be appropriate based on their symptoms, risk factors, and screening needs.

What Is a Colonoscopy?

A colonoscopy is a procedure that allows a doctor to examine the lining of the colon and rectum using a long, flexible tube fitted with a small camera. The camera transmits images to a monitor, allowing the doctor to identify abnormalities within the large intestine.

In addition to detecting abnormalities such as polyps, inflammation, bleeding, and signs of colorectal cancer, a colonoscopy may also allow certain conditions to be investigated or treated during the same procedure. For example, polyps may be removed and tissue samples (biopsies) may be collected for further laboratory analysis when appropriate.

Who Should Go for a Colonoscopy?

A colonoscopy may be recommended for routine colorectal cancer screening or to investigate symptoms affecting the digestive tract. The timing and frequency of colonoscopy depend on factors such as age, personal medical history, family history, and individual risk factors.

Group Why Colonoscopy May Be Recommended
Adults aged 50 and above Routine colorectal cancer screening is commonly recommended, even in the absence of symptoms.
Individuals with a family history of colorectal cancer Screening may be recommended at an earlier age or at more frequent intervals.
Patients with previous polyps Follow-up colonoscopy may be required to monitor for new polyps and reduce the risk of colorectal cancer.
Patients with previous colorectal cancer Surveillance colonoscopy may be recommended to monitor for recurrence or new abnormalities.
Patients with inflammatory bowel disease (IBD) Conditions such as Crohn's disease and ulcerative colitis may increase the risk of colorectal changes that require monitoring.
Individuals experiencing bowel symptoms Symptoms such as rectal bleeding, blood in the stool, persistent changes in bowel habits, abdominal discomfort, or unexplained weight loss may require further evaluation.

What Bowel Symptoms Should Be Assessed?

While bowel symptoms do not always indicate a serious condition, persistent or unexplained changes should be assessed by a doctor. Depending on your symptoms and risk factors, further investigation may be recommended to determine the underlying cause.

Speak to a doctor if you experience:

  • Blood in the stool or bleeding from the rectum
  • Persistent diarrhoea or constipation
  • Ongoing changes in bowel habits
  • Persistent abdominal pain, cramps, bloating, or excessive gas
  • Unexplained weight loss
  • Unexplained fatigue or tiredness

These symptoms may be caused by a range of conditions, including haemorrhoids, inflammatory bowel disease, polyps, or colorectal cancer. Your doctor may recommend a colonoscopy or other investigations depending on your symptoms, medical history, and examination findings.

How Can a Colonoscopy Help Detect Polyps and Cancer Early?

Many colorectal cancers develop gradually from polyps, which are abnormal growths that form on the lining of the colon or rectum. While not all polyps become cancerous, some may develop into cancer over time if left untreated.

A colonoscopy can help by:

  • Examining the colon and rectum for abnormalities
  • Detecting polyps before they cause symptoms
  • Identifying early signs of colorectal cancer
  • Allowing tissue samples (biopsies) to be collected when necessary
  • Removing certain polyps during the procedure

Because it can both detect and remove precancerous polyps, colonoscopy plays an important role in colorectal cancer screening and prevention.

Whether you are due for routine colorectal cancer screening or would like to investigate ongoing bowel symptoms, a consultation can help determine whether a colonoscopy is appropriate for your needs.

Call +65 6736 2302 to schedule an appointment with Dr Sujit Singh Gill.

How to Prepare for Your Colonoscopy Procedure

Proper bowel preparation is important for a successful colonoscopy, as it allows the doctor to examine the colon clearly and accurately. Your doctor will provide specific instructions based on your medical history and the timing of your procedure.

Before your colonoscopy, you may be advised to:

  • Follow dietary instructions in the days leading up to the procedure
  • Switch to clear liquids before the examination, if instructed
  • Take bowel preparation medication (laxatives) as prescribed
  • Inform your doctor about any medications, supplements, or existing medical conditions
  • Follow any instructions regarding medications that may need to be adjusted temporarily
  • Arrange for someone to accompany you home after the procedure, as sedation may affect your ability to drive or travel independently

Following the preparation instructions carefully helps ensure that the colon can be examined thoroughly during the procedure.

What to Expect During and After Your Colonoscopy Screening

Most colonoscopies are completed as day procedures with minimal recovery time. Here's what you can expect during and after your examination.

  • Before the Procedure

    You will receive instructions on bowel preparation and fasting before your colonoscopy. As the procedure is typically performed under sedation, you should arrange for someone to accompany you home afterwards.

  • During the Procedure

    A colonoscopy is typically performed under sedation to help ensure comfort throughout the procedure. A thin, flexible tube with a small camera (colonoscope) is used to examine the lining of the colon and rectum for abnormalities such as polyps, inflammation, or bleeding.

    If necessary, tissue samples (biopsies) may be taken and certain polyps may be removed during the procedure. A colonoscopy usually takes between 30 and 60 minutes to complete.

  • After the Procedure

    You will be monitored until the effects of the sedation begin to wear off. Mild bloating, gas, or abdominal discomfort may occur temporarily after the procedure.

    Most patients are able to return home on the same day and resume normal activities shortly afterwards, although your doctor may provide additional instructions if biopsies or polyp removal were performed.

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Whether you are considering routine colorectal cancer screening or would like to investigate ongoing bowel symptoms, a personalised assessment can help determine the most appropriate next steps.

Call +65 6736 2302 to schedule an appointment with Dr Sujit Singh Gill.

When to Seek Medical Advice After Colonoscopy

Colonoscopy is a commonly performed procedure and is generally considered safe. However, as with any medical procedure, there are potential risks and side effects.

Common Side Effects After Colonoscopy:

  • Mild bloating or gas
  • Mild abdominal discomfort or cramping
  • Small amounts of bleeding, particularly if a biopsy was taken or a polyp was removed

When to Seek Medical Attention:

  • Severe or worsening abdominal pain
  • Fever or chills
  • Persistent vomiting
  • Dizziness or fainting
  • Feeling increasingly unwell after the procedure

Although uncommon, these symptoms may indicate a complication that requires medical assessment.

Colonoscopy Results & Follow-Up

Some findings may be discussed shortly after the procedure. However, if tissue samples (biopsies) are taken or polyps are removed, laboratory analysis may be required before the final results are available.

A normal colonoscopy means that no visible abnormalities were identified in the colon and rectum during the examination. Depending on your symptoms, personal risk factors, and screening history, your doctor may still recommend future screening or follow-up assessments.

Result What It May Mean
Normal result No visible abnormalities were identified in the colon or rectum.
Polyps detected Certain polyps may be removed during the procedure and sent for laboratory analysis.
Biopsy taken A tissue sample has been sent for laboratory testing.
Inflammation or abnormal tissue Further evaluation, treatment, or monitoring may be recommended.
Abnormal or suspicious finding Additional investigations, treatment, or specialist follow-up may be required.

Your doctor will explain the findings, discuss whether any treatment or follow-up is required, and advise when future screening or repeat colonoscopy may be appropriate.

Cost of Colonoscopy in Singapore

The cost of a colonoscopy in Singapore varies depending on several factors, including whether the procedure is performed for routine screening or diagnostic purposes, as well as any additional investigations or treatment that may be required.

Factors that may affect the cost include:

Cost Factor Impact on Cost
Purpose of the procedure Screening and diagnostic colonoscopies may differ in complexity and billing.
Biopsy or polyp removal Additional procedures may increase the overall cost.
Anaesthesia and medications Costs may vary depending on the type of sedation and medications used.
Hospital or day surgery facility fees Facility charges differ between healthcare providers.
Insurance and MediSave coverage Out-of-pocket costs may vary depending on your policy and eligibility.

For reference, MOH fee benchmarks list the routine private surgeon fee for screening colonoscopy with or without biopsy (SF703C) at S$1,308–S$1,962 (inclusive of GST), with separate anaesthetist fees applicable.

A personalised cost estimate can be provided after consultation, based on your condition, procedure requirements, and insurance coverage.

Getting a Colonoscopy with Dr Sujit Singh Gill

Colonoscopy plays an important role in the screening, detection, and evaluation of colorectal conditions. Whether you are due for routine screening, have a family history of colorectal cancer, or are experiencing persistent bowel symptoms, timely assessment can help identify potential concerns and guide appropriate management.

At The Vascular & General Surgery Centre, patients receive personalised assessment and colonoscopy services based on their symptoms, medical history, and individual risk factors.

Dr Sujit Singh Gill is a Consultant Vascular & General Surgeon who provides colonoscopy assessment and screening, helping patients understand when a colonoscopy may be appropriate and what to expect before, during, and after the procedure.

If you would like to discuss your symptoms, screening needs, or suitability for a colonoscopy, contact us to arrange a consultation.

Frequently Asked Questions About Colonoscopy

What do my colonoscopy results mean?

A colonoscopy may identify abnormalities such as polyps, inflammation, bleeding, or other changes within the colon and rectum. If tissue samples (biopsies) are taken or polyps are removed, they are typically sent to a laboratory for analysis. Your doctor will explain the findings and advise whether further treatment, monitoring, or follow-up colonoscopy is required.

Is colonoscopy painful?

A colonoscopy is typically performed under sedation to help ensure comfort during the procedure. While most patients do not experience significant pain, some may notice temporary bloating, cramping, or abdominal discomfort afterwards. Individual experiences can vary.

FIT or colonoscopy: which should I choose?

FIT is a stool test for hidden blood; colonoscopy directly examines the colon and may allow biopsy or polyp removal. Choice depends on age, symptoms, risk and doctor advice.

What happens if polyps are found during a colonoscopy?

Not all polyps are cancerous. If suitable, certain polyps may be removed during the colonoscopy and sent for laboratory analysis. The results help determine whether further treatment, surveillance, or follow-up colonoscopy is required.

Can polyps be removed during colonoscopy?

Yes. Certain polyps can be removed during the procedure using specialised instruments passed through the colonoscope. Removed tissue is typically sent for laboratory testing to determine whether any additional follow-up is needed.

Is there any downtime after a colonoscopy?

Most of the time, patients will only experience some temporary bloating afterwards. If the procedure involves removal of polyps, full recovery may take a week and patients should avoid strenuous activities during that period of time.

How often should I repeat colonoscopy?

The recommended interval depends on factors such as your age, family history, previous colonoscopy findings, bowel preparation quality, and overall risk profile. Your doctor will advise when a repeat colonoscopy may be appropriate.

Is colonoscopy in Singapore covered by insurance?

Yes, a colonoscopy is generally covered by private insurance, the amount depending on the policy purchased. Additionally, the procedure is also covered by Medisave for Singaporean citizens and PRs.

Hernia surgeon in Singapore Dr Sujit Singh Gill
Hernia surgeon Dr Sujit Singh Gill

MEET OUR COLONOSCOPY SPECIALIST IN SINGAPORE

Dr Sujit Singh Gill
Consultant Vascular & General Surgeon

MBBS (Singapore), MMed (Singapore), FRCS (Edinburgh)

Dr Sujit Singh Gill is a Consultant Vascular & General Surgeon with over 25 years of specialist experience in the assessment and management of colorectal and gastrointestinal conditions. He provides colonoscopy screening and diagnostic colonoscopy services for patients requiring colorectal cancer screening, investigation of bowel symptoms, and ongoing surveillance of colorectal conditions.

Dr Gill obtained his medical degree and Master of Medicine (Surgery) from the National University of Singapore, completed further surgical training at Sir Charles Gairdner Hospital in Perth, Australia, and is a Fellow of the Royal College of Surgeons of Edinburgh. With a patient-centred approach to care, he focuses on thorough assessment, patient education, and evidence-based screening and diagnostic evaluation tailored to each patient's symptoms, risk factors, and healthcare needs

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