{"id":987498324,"date":"2025-09-04T09:00:51","date_gmt":"2025-09-04T06:00:51","guid":{"rendered":"https:\/\/www.palmedromhealth.com\/servicii\/colonoscopie\/"},"modified":"2025-12-19T17:35:10","modified_gmt":"2025-12-19T15:35:10","slug":"colonoscopie","status":"publish","type":"servicii","link":"https:\/\/www.palmedromhealth.com\/ro\/servicii\/colonoscopie\/","title":{"rendered":"Colonoscopie"},"content":{"rendered":"

Colonoscopia<\/span><\/b> este o procedur\u0103 medical\u0103 esen\u021bial\u0103 care \u00ee\u021bi poate salva via\u021ba. Descoperirea timpurie a leziunilor precanceroase sau a altor afec\u021biuni ale intestinului gros (colonului) \u0219i rectului este crucial\u0103 pentru un tratament de succes. Te invit\u0103m s\u0103 afli \u00een detaliu ce presupune aceast\u0103 investiga\u021bie, c\u00e2nd este necesar\u0103 \u0219i cum te po\u021bi preg\u0103ti pentru ea.<\/span>\u00a0<\/span><\/p>\n

Ce este colonoscopia<\/span><\/b>\u00a0<\/span><\/h2>\n

Colonoscopia este o procedur\u0103 endoscopic\u0103 prin care medicul examineaz\u0103 interiorul \u00eentregului t\u0103u intestin gros (colonul) \u0219i, de obicei, \u0219i ultima por\u021biune a intestinului sub\u021bire (ileonul terminal).<\/span>\u00a0<\/span><\/p>\n

Procedura se realizeaz\u0103 cu ajutorul unui instrument flexibil, numit <\/span>colonoscop<\/span><\/b>, care este echipat cu o surs\u0103 de lumin\u0103 \u0219i o camer\u0103 video performant\u0103. Acest instrument este introdus prin rect \u0219i avansat lent de-a lungul colonului. Imaginile de \u00eenalt\u0103 rezolu\u021bie sunt transmise pe un monitor, permi\u021b\u00e2nd medicului s\u0103 identifice orice anomalie: inflama\u021bii, ulcere, s\u00e2nger\u0103ri sau, cel mai important, polipi.<\/span>\u00a0<\/span><\/p>\n

Scopul principal al colonoscopiei este d<\/span><\/b>etectarea \u0219i, adesea, \u00eendep\u0103rtarea polipilor (excrescen\u021be benigne care se pot transforma \u00een cancer colorectal). De\u0219i este o procedur\u0103 intern\u0103, este considerat\u0103 minim-invaziv\u0103 \u0219i se realizeaz\u0103 de obicei sub sedare, pentru a asigura confortul t\u0103u.<\/span>\u00a0<\/span><\/p>\n

\u00cen\u021belegerea procedurii te va ajuta s\u0103 elimini orice temere \u0219i s\u0103 te prezin\u021bi la investiga\u021bie cu \u00eencredere.<\/span>\u00a0<\/span><\/p>\n

C\u00e2nd este recomandat\u0103 colonoscopia<\/span><\/b>\u00a0<\/span><\/h2>\n

Recomandarea de a efectua o colonoscopie vine din partea medicului specialist gastroenterolog \u0219i se bazeaz\u0103 pe ghidurile medicale interna\u021bionale, pe simptomele tale sau pe istoricul medical familial.<\/span>\u00a0<\/span><\/p>\n

    \n
  1. Screening-ul de rutin\u0103 pentru cancerul colorectal:<\/span><\/b><\/li>\n<\/ol>\n

    V\u00e2rsta standard:<\/span><\/b> Dac\u0103 ai un risc mediu (nu ai simptome \u0219i nici istoric familial), prima colonoscopie de screening este recomandat\u0103 \u00eencep\u00e2nd cu v\u00e2rsta de <\/span>45 de ani<\/span><\/b>.<\/span>\u00a0<\/span><\/p>\n

    Frecven\u021ba:<\/span><\/b> \u00cen lipsa oric\u0103ror descoperiri anormale, urm\u0103toarea investiga\u021bie poate fi necesar\u0103 la un interval de 5 sau 10 ani.<\/span>\u00a0<\/span><\/p>\n

      \n
    1. Investigarea simptomelor digestive:<\/span><\/b><\/li>\n<\/ol>\n

      Medicul \u00ee\u021bi poate recomanda o colonoscopie dac\u0103 prezin\u021bi urm\u0103toarele semne sau simptome persistente:<\/span>\u00a0<\/span><\/p>\n

        \n
      • S\u00e2nger\u0103ri rectale sau prezen\u021ba de s\u00e2nge \u00een scaun.<\/span>\u00a0<\/span><\/li>\n
      • Modific\u0103ri inexplicabile ale tranzitului intestinal (diaree sau constipa\u021bie nou ap\u0103rute \u0219i persistente).<\/span>\u00a0<\/span><\/li>\n
      • Durere abdominal\u0103 cronic\u0103.<\/span>\u00a0<\/span><\/li>\n
      • Anemie feripriv\u0103 (prin lips\u0103 de fier), f\u0103r\u0103 o cauz\u0103 evident\u0103.<\/span>\u00a0<\/span><\/li>\n
      • Pierdere \u00een greutate inexplicabil\u0103.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
          \n
        1. Monitorizarea afec\u021biunilor existente:<\/span><\/b><\/li>\n<\/ol>\n

          Dac\u0103 ai fost deja diagnosticat cu anumite boli (precum boala Crohn, colit\u0103 ulcerativ\u0103) sau dac\u0103 ai avut \u00een trecut polipi, colonoscopia este un instrument vital pentru monitorizarea evolu\u021biei bolii \u0219i pentru prevenirea recidivelor.<\/span>\u00a0<\/span><\/p>\n

          Avantajele colonoscopiei<\/span><\/b>\u00a0<\/span><\/h2>\n

          Colonoscopia este considerat\u0103 \u201estandardul de aur\u201d \u00een examinarea colonului datorit\u0103 avantajelor sale unice:<\/span>\u00a0<\/span><\/p>\n

            \n
          • Dublu rol: Diagnostic \u0219i Terapeutic.<\/span><\/b> Nu doar c\u0103 identific\u0103 problemele, dar permite \u0219i tratarea lor imediat\u0103 (de exemplu, \u00eendep\u0103rtarea polipilor \u00een aceea\u0219i \u0219edin\u021b\u0103 \u2013 polipectomie).<\/span>\u00a0<\/span><\/li>\n
          • Prevenirea Cancerului Colorectal.<\/span><\/b> Este cea mai eficient\u0103 metod\u0103 de preven\u021bie, deoarece polipii pot fi \u00eendep\u0103rta\u021bi \u00eenainte ca ace\u0219tia s\u0103 devin\u0103 maligni.<\/span>\u00a0<\/span><\/li>\n
          • Vizualizare direct\u0103 \u0219i complet\u0103.<\/span><\/b> Ofer\u0103 medicului o imagine de \u00eenalt\u0103 rezolu\u021bie asupra \u00eentregii mucoase, detect\u00e2nd leziuni pe care alte teste nu le pot vedea.<\/span>\u00a0<\/span><\/li>\n
          • Biopsie precis\u0103.<\/span><\/b> Permite prelevarea de probe de \u021besut (biopsii) din zonele suspecte, necesare pentru un diagnostic histologic exact.<\/span>\u00a0<\/span><\/li>\n
          • Sedarea (la cerere).<\/span><\/b> Asigur\u0103 o procedur\u0103 confortabil\u0103, f\u0103r\u0103 durere sau disconfort semnificativ, spre deosebire de percep\u021bia general\u0103.<\/span>\n

            <\/span><\/li>\n<\/ul>\n

            Afec\u021biuni ce pot fi diagnosticate cu ajutorul colonoscopiei<\/span><\/b>\u00a0<\/span><\/h2>\n

            Colonoscopia este un instrument diagnostic extrem de versatil, capabil s\u0103 identifice o gam\u0103 larg\u0103 de probleme de s\u0103n\u0103tate la nivelul intestinului gros \u0219i rectului:<\/span>\u00a0<\/span><\/p>\n

              \n
            • Cancerul Colorectal:<\/span><\/b> Tumori maligne \u00een stadii incipiente sau avansate.<\/span>\u00a0<\/span><\/li>\n
            • Polipii Colorectali:<\/span><\/b> Excrescen\u021be benigne (adenomi) care reprezint\u0103 precursorii cancerului.<\/span>\u00a0<\/span><\/li>\n
            • Bolile Inflamatorii Intestinale (BII):<\/span><\/b>\u00a0<\/span><\/li>\n
            • Colita Ulcerativ\u0103:<\/span><\/b> Inflama\u021bie cronic\u0103 ce afecteaz\u0103 rectul \u0219i, de obicei, se extinde la \u00eentregul colon.<\/span>\u00a0<\/span><\/li>\n
            • Boala Crohn:<\/span><\/b> Inflama\u021bie cronic\u0103 care poate afecta orice parte a tractului digestiv, dar adesea include colonul.<\/span>\u00a0<\/span><\/li>\n
            • Diverticuloz\u0103\/Diverticulit\u0103:<\/span><\/b> Pungi mici, numite diverticuli, care se formeaz\u0103 \u00een peretele colonului \u0219i care se pot inflama.<\/span>\u00a0<\/span><\/li>\n
            • Angiodisplazii:<\/span><\/b> Leziuni vasculare care pot provoca s\u00e2nger\u0103ri.<\/span>\u00a0<\/span><\/li>\n
            • Colita Ischemic\u0103:<\/span><\/b> Inflama\u021bia colonului cauzat\u0103 de fluxul sanguin redus.<\/span>\u00a0<\/span><\/li>\n
            • Cauze de S\u00e2ngerare Digestiv\u0103 Inferioar\u0103:<\/span><\/b> Hemoroizi interni (de\u0219i ace\u0219tia sunt de obicei vizibili la anoscopie), fisuri sau ulcere.<\/span>\n

              <\/span><\/li>\n<\/ul>\n

              Tipuri de colonoscopie<\/span><\/b>\u00a0<\/span><\/h2>\n

              Exist\u0103 mai multe abord\u0103ri, \u00eens\u0103 cea mai comun\u0103 \u0219i complet\u0103 r\u0103m\u00e2ne colonoscopia conven\u021bional\u0103.<\/span>\u00a0<\/span><\/p>\n

              Colonoscopia Standard (Conven\u021bional\u0103)<\/span><\/b>\u00a0<\/span><\/h3>\n

              Aceasta este procedura descris\u0103 anterior, utiliz\u00e2nd colonoscopul flexibil, sub supraveghere medical\u0103. Este cel mai complet tip de examinare, oferind posibilitatea interven\u021biei (polipectomie, biopsie) \u00een timpul investiga\u021biei.<\/span>\u00a0<\/span><\/p>\n

              Colonoscopia Virtual\u0103 (Colonografia CT)<\/span><\/b>\u00a0<\/span><\/h3>\n

              Colonoscopia Virtual\u0103 (Colonografia CT)<\/span><\/b> este o metod\u0103 neinvaziv\u0103 care utilizeaz\u0103 un scanner CT de \u00eenalt\u0103 rezolu\u021bie pentru a crea imagini 3D detaliate ale colonului t\u0103u. De\u0219i nu necesit\u0103 introducerea unui endoscop, procedura implic\u0103 aceea\u0219i preg\u0103tire riguroas\u0103 a intestinului ca \u0219i colonoscopia standard, fiind necesar\u0103 doar introducerea unui tub mic \u00een rect pentru a umfla colonul cu aer sau dioxid de carbon (CO2). Totu\u0219i, trebuie s\u0103 \u0219tii c\u0103 aceast\u0103 metod\u0103 este strict diagnostic\u0103, ceea ce \u00eenseamn\u0103 c\u0103, \u00een cazul descoperirii polipilor sau a leziunilor suspecte, va fi necesar\u0103 o colonoscopie conven\u021bional\u0103 ulterioar\u0103 pentru a le \u00eendep\u0103rta sau a preleva biopsii.<\/span>\u00a0<\/span><\/p>\n

              Sigmoidoscopia Flexibil\u0103<\/span><\/b>\u00a0<\/span><\/h3>\n

              Sigmoidoscopia blexibil\u0103 <\/span>este o investiga\u021bie similar\u0103 colonoscopiei standard, dar care examineaz\u0103 doar rectul \u0219i partea inferioar\u0103 a colonului (colonul sigmoid). Aceast\u0103 procedur\u0103 este de obicei mai rapid\u0103 \u0219i necesit\u0103 o preg\u0103tire mai simpl\u0103 din partea ta. Cu toate acestea, trebuie s\u0103 \u021bii cont de limita sa principal\u0103: deoarece nu examineaz\u0103 \u00eentregul colon, exist\u0103 riscul de a rata leziuni situate \u00een por\u021biunea superioar\u0103 (cum ar fi colonul transvers \u0219i ascendent).<\/span>\u00a0<\/span><\/p>\n

              Preg\u0103tirea pentru colonoscopie<\/span><\/b>\u00a0<\/span><\/h2>\n

              Succesul \u0219i acurate\u021bea colonoscopiei depind \u00een mare m\u0103sur\u0103 de modul \u00een care te preg\u0103te\u0219ti. Preg\u0103tirea corect\u0103 asigur\u0103 c\u0103 interiorul colonului t\u0103u este complet curat, permi\u021b\u00e2nd medicului s\u0103 vizualizeze clar mucoasa \u0219i s\u0103 nu rateze nicio leziune mic\u0103.<\/span>\u00a0<\/span><\/p>\n

              Preg\u0103tirea include dou\u0103 etape cheie:<\/span><\/b>\u00a0<\/span><\/p>\n

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              1. \n

                Regimul Alimentar (Cu C\u00e2teva Zile \u00cenainte)<\/span><\/b><\/h3>\n<\/li>\n<\/ol>\n
                  \n
                • 4-5 zile \u00eenainte:<\/span><\/b> \u00cencepe s\u0103 evi\u021bi alimentele bogate \u00een fibre, semin\u021be, nuci \u0219i cereale integrale. Acestea pot persista \u00een intestin \u0219i obstruc\u021biona vederea.<\/span>\u00a0<\/span><\/li>\n
                • Cu o zi \u00eenainte:<\/span><\/b> Treci la o <\/span>diet\u0103 strict lichid\u0103 limpede<\/span><\/b>. Po\u021bi consuma ap\u0103, ceai ne\u00eendulcit, sup\u0103 strecurat\u0103 (f\u0103r\u0103 legume, carne sau t\u0103i\u021bei), sucuri de mere sau struguri albi, \u0219i b\u0103uturi clare pentru sportivi. <\/span>Este interzis laptele \u0219i orice lichid ro\u0219u sau mov.<\/span><\/b>\u00a0<\/span><\/li>\n<\/ul>\n
                    \n
                  1. \n

                    Solu\u021bia de Cur\u0103\u021bare (Laxativul)<\/span><\/b><\/h3>\n<\/li>\n<\/ol>\n
                      \n
                    • Instruc\u021biuni stricte:<\/span><\/b> Medicul \u00ee\u021bi va prescrie o solu\u021bie laxativ\u0103 puternic\u0103 (de obicei, pe baz\u0103 de polietilenglicol) pe care trebuie s\u0103 o consumi conform unui protocol precis, de obicei \u00eemp\u0103r\u021bit \u00een dou\u0103 doze (seara dinaintea procedurii \u0219i diminea\u021ba procedurii).<\/span>\u00a0<\/span><\/li>\n
                    • Hidratarea este esen\u021bial\u0103:<\/span><\/b> Pe tot parcursul preg\u0103tirii, este vital s\u0103 te hidratezi corespunz\u0103tor cu lichide clare, pentru a preveni deshidratarea.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n

                      Not\u0103:<\/span><\/b> Dac\u0103 iei medicamente anticoagulante (pentru sub\u021bierea s\u00e2ngelui) sau suplimente de fier, este crucial s\u0103 discu\u021bi cu medicul t\u0103u cu cel pu\u021bin o s\u0103pt\u0103m\u00e2n\u0103 \u00eenainte, deoarece s-ar putea s\u0103 fie nevoie s\u0103 le \u00eentrerupi temporar.<\/span>\u00a0<\/span><\/p>\n

                      Cum se efectueaz\u0103 colonoscopia<\/span><\/b>\u00a0<\/span><\/h2>\n

                      Procedura \u00een sine dureaz\u0103, \u00een general, \u00eentre <\/span>30 \u0219i 60 de minute<\/span><\/b> \u0219i este realizat\u0103 de un medic gastroenterolog specializat.<\/span>\u00a0<\/span><\/p>\n

                        \n
                      • Sedarea (O alegere pentru confortul t\u0103u):<\/span><\/b> De cele mai multe ori, se administreaz\u0103 o sedare u\u0219oar\u0103 (analgosedare) intravenos, care te va men\u021bine relaxat \u0219i somnoros pe toat\u0103 durata procedurii, elimin\u00e2nd orice disconfort.<\/span>\u00a0<\/span><\/li>\n
                      • Pozi\u021bionarea:<\/span><\/b> Vei fi a\u0219ezat pe patul de examinare, de obicei pe partea st\u00e2ng\u0103, cu genunchii u\u0219or apleca\u021bi.<\/span>\u00a0<\/span><\/li>\n
                      • Introducerea Colonoscopului:<\/span><\/b> Medicul introduce cu grij\u0103 colonoscopul lubrifiat prin rect \u0219i avanseaz\u0103 \u00eencet prin colon.<\/span>\u00a0<\/span><\/li>\n
                      • Examinarea:<\/span><\/b> Pentru a facilita vizualizarea, se introduce aer sau dioxid de carbon (mai pu\u021bin disconfortant) \u00een colon pentru a-i destinde pere\u021bii. Medicul inspecteaz\u0103 mucoasa pe m\u0103sur\u0103 ce avanseaz\u0103.<\/span>\u00a0<\/span><\/li>\n
                      • Polipectomia \u0219i Biopsia:<\/span><\/b> Dac\u0103 sunt detecta\u021bi polipi, ace\u0219tia sunt, de regul\u0103, \u00eendep\u0103rta\u021bi imediat folosind instrumente speciale introduse prin canalul de lucru al colonoscopului (polipectomie). Orice zon\u0103 suspect\u0103 este biopsiat\u0103.<\/span>\u00a0<\/span><\/li>\n
                      • Retragerea:<\/span><\/b> Dup\u0103 ce se ajunge la cap\u0103tul colonului (sau ileonul terminal), colonoscopul este retras lent, iar medicul examineaz\u0103 din nou mucoasa pentru a nu rata nicio leziune.<\/span>\n

                        <\/span><\/li>\n<\/ul>\n

                        Ce se \u00eent\u00e2mpl\u0103 dup\u0103 procedur\u0103<\/span><\/b>\u00a0<\/span><\/h2>\n

                        Deoarece cel mai adesea procedura se efectueaz\u0103 sub sedare, vei petrece un scurt timp \u00een zona de recuperare, sub monitorizare, p\u00e2n\u0103 c\u00e2nd efectul sedativului se diminueaz\u0103.<\/span>\u00a0<\/span><\/p>\n

                          \n
                        • Recuperarea Ini\u021bial\u0103:<\/span><\/b> Este normal s\u0103 te sim\u021bi somnoros sau ame\u021bit.<\/span>\u00a0<\/span><\/li>\n
                        • Efecte U\u0219oare:<\/span><\/b> Po\u021bi sim\u021bi u\u0219oare crampe sau senza\u021bia de balonare din cauza aerului r\u0103mas \u00een colon. Acestea se amelioreaz\u0103 rapid pe m\u0103sur\u0103 ce elimini gazele.<\/span>\u00a0<\/span><\/li>\n
                        • Rehidratarea \u0219i Dieta:<\/span><\/b> \u00ce\u021bi po\u021bi relua dieta obi\u0219nuit\u0103, \u00eencep\u00e2nd cu mese u\u0219oare. Este important s\u0103 te hidratezi bine.<\/span>\u00a0<\/span><\/li>\n
                        • Restric\u021bii de Conducere:<\/span><\/b> Este obligatoriu s\u0103 fii \u00eenso\u021bit \u0219i s\u0103 nu conduci timp de 12-24 de ore<\/span><\/b> dup\u0103 o colonoscopie efectuat\u0103 sub sedare, deoarece reflexele \u0219i judecata \u00ee\u021bi pot fi afectate.<\/span>\n

                          <\/span><\/li>\n<\/ul>\n

                          Rezultatul colonoscopiei<\/span><\/b>\u00a0<\/span><\/h2>\n

                          Medicul \u00ee\u021bi va oferi un rezultat preliminar imediat dup\u0103 \u00eencheierea procedurii.<\/span>\u00a0<\/span><\/p>\n

                          Medicul \u00ee\u021bi va oferi un <\/span>rezultat preliminar imediat<\/span><\/b> dup\u0103 \u00eencheierea procedurii, inform\u00e2ndu-te despre aspectul general al colonului, dac\u0103 au fost g\u0103si\u021bi polipi \u0219i dac\u0103 ace\u0219tia au fost \u00eendep\u0103rta\u021bi (polipectomie). Totu\u0219i, <\/span>rezultatul histopatologic (final)<\/span><\/b> necesit\u0103 mai mult timp: dac\u0103 au fost prelevate biopsii sau polipi, acestea vor fi trimise la laborator, unde un anatomopatolog va examina \u021besutul la microscop pentru a determina dac\u0103 leziunile sunt benigne, precanceroase sau maligne. Acest rezultat final este crucial pentru stabilirea planului de tratament sau a intervalului optim pentru urm\u0103toarea colonoscopie de supraveghere \u0219i este disponibil de obicei \u00een 7-14 zile.<\/span>\u00a0<\/span><\/p>\n

                          Riscuri \u0219i complica\u021bii<\/span><\/b>\u00a0<\/span><\/h2>\n

                          Colonoscopia este o procedur\u0103 sigur\u0103, dar ca orice investiga\u021bie medical\u0103, implic\u0103 riscuri minore. Este important s\u0103 \u0219tii c\u0103 rata complica\u021biilor majore este foarte sc\u0103zut\u0103 (sub 1 la 1000 de proceduri).<\/span>\u00a0<\/span><\/p>\n

                          Cele mai rare, dar serioase, complica\u021bii includ:<\/span>\u00a0<\/span><\/p>\n

                            \n
                          • Perfora\u021bia Colonic\u0103:<\/span><\/b> O ruptur\u0103 a peretelui colonului, o urgen\u021b\u0103 medical\u0103 ce necesit\u0103 interven\u021bie chirurgical\u0103. Riscul cre\u0219te u\u0219or \u00een cazul polipectomiilor complexe.<\/span>\u00a0<\/span><\/li>\n
                          • Hemoragia:<\/span><\/b> S\u00e2ngerare la locul biopsiei sau polipectomiei. De obicei, s\u00e2ngerarea este minor\u0103 \u0219i se opre\u0219te singur\u0103, dar uneori poate necesita tratament suplimentar (cauterizare endoscopic\u0103) sau, rar, transfuzie.<\/span>\u00a0<\/span><\/li>\n
                          • Reac\u021bii Adverse la Sedare:<\/span><\/b> Reac\u021bii alergice sau probleme cardio-respiratorii. Acestea sunt rare datorit\u0103 monitoriz\u0103rii constante de c\u0103tre echipa medical\u0103.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n

                            Important:<\/span><\/b> Dac\u0103 dup\u0103 procedur\u0103 ai dureri abdominale severe, febr\u0103, s\u00e2ngerare rectal\u0103 abundent\u0103 sau ame\u021beli persistente, contacteaz\u0103 imediat medicul.<\/span>\u00a0<\/span><\/p>\n

                            E timpul s\u0103 ai grij\u0103 de s\u0103n\u0103tatea ta digestiv\u0103<\/span><\/b>\u00a0<\/span><\/h2>\n

                            Nu am\u00e2na o investiga\u021bie care \u00ee\u021bi poate salva via\u021ba. Indiferent dac\u0103 ai simptome sau dac\u0103 ai \u00eemplinit v\u00e2rsta recomandat\u0103 pentru screening, o <\/span>colonoscopie<\/span><\/b> realizat\u0103 la timp \u00ee\u021bi ofer\u0103 lini\u0219tea de care ai nevoie.<\/span>\u00a0<\/span><\/p>\n

                            Programeaz\u0103-te ACUM la o colonoscopie!<\/span><\/b>\u00a0<\/span><\/p>\n","protected":false},"author":4,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"specialitati":[44],"class_list":["post-987498324","servicii","type-servicii","status-publish","hentry","specialitati-gastroenterologie"],"acf":[],"yoast_head":"\nColonoscopie PALMED \u2013 proceduri, clinici \u0219i medici \u00eentr-un singur loc. Informeaz\u0103-te u\u0219or \u0219i rapid.<\/title>\n<meta name=\"description\" content=\"Descoper\u0103 proceduri medicale, clinici specializate \u0219i cadre medicale de top pe Colonoscopie . 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