Concerns About Infection After Colonoscopy: What You Need to Know - Surgery

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After a colonoscopy


I just had a colonoscopy and an upper endoscopy yesterday.
I have a slight hemorrhoid, but there are no polyp issues.
However, I have a concern: do they use the same scope for the colonoscopy? Could this lead to infections? There were many people being examined that day; could the procedures, due to bleeding, cause cross-contamination and lead to infections? I'm quite worried.
Thank you, doctor, for taking the time to answer.

A Feng, 20~29 year old female. Ask Date: 2017/05/26

Dr. Ke Fangxu reply Surgery


Answer: There are many endoscopes, and everyone takes turns using them.
The gastroscope and colonoscope are different instruments; however, each time they are used, they undergo a complete disinfection process to prevent cross-contamination.
Since a colonoscope can cost as much as 700,000 NT dollars, it is not feasible to dispose of them after a single use.

Reply Date: 2017/05/26

More Info


After undergoing a colonoscopy, it's understandable to have concerns about potential infections, especially given the nature of the procedure and the instruments used. Let's address your concerns systematically.

Firstly, it's important to clarify that colonoscopies are performed using specialized instruments that are subject to strict sterilization protocols. Each colonoscope is thoroughly cleaned and disinfected after each use. This process includes high-level disinfection or sterilization, which is crucial to prevent any risk of infection. The cleaning procedures involve multiple steps, including the use of chemical disinfectants and thorough rinsing with sterile water. Therefore, the risk of transmitting infections, including HIV or other pathogens, through the colonoscope is extremely low. In fact, there have been no documented cases of HIV transmission through colonoscopy in the medical literature.

Regarding your concern about the possibility of blood contamination during the procedure, it's important to note that while minor bleeding can occur, especially if there are small hemorrhoids or other benign conditions, the risk of cross-contamination between patients is virtually nonexistent due to the stringent infection control measures in place. Each patient is treated individually, and the instruments are not reused without proper sterilization.

You mentioned that you had both a colonoscopy and an upper endoscopy (gastroscopy) on the same day. While both procedures involve the use of flexible tubes, they are distinct and are cleaned separately. The endoscopes used for these procedures are designed to minimize the risk of infection, and the protocols followed by healthcare facilities are designed to ensure patient safety.

If you experience any unusual symptoms following your procedures, such as persistent abdominal pain, fever, or significant bleeding, it is essential to contact your healthcare provider immediately. These could be signs of complications, which, while rare, can occur. However, mild discomfort or minor bleeding can be common after a colonoscopy, especially if there were any pre-existing conditions like hemorrhoids.

In summary, while it's natural to have concerns about infections after a colonoscopy, the risk is minimal due to rigorous sterilization protocols and infection control practices. If you have any lingering worries or symptoms, don't hesitate to reach out to your healthcare provider for reassurance and guidance. Your health and peace of mind are paramount, and your medical team is there to support you through any concerns you may have.

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