Changes in bowel habit
Persistent bowel-habit changes, rectal bleeding or other lower gastrointestinal symptoms may require colonoscopy when clinically indicated.
Lower Digestive Tract · Malta
Colonoscopy in Malta
Colonoscopy examines the colon and rectum using a flexible camera. It can be used to investigate bowel symptoms, assess selected patients for colorectal disease and identify abnormalities such as polyps or inflammation.
Procedure timeUsually 30–45 min
Consultation€50
Colonoscopy€700
Biopsy test€100
Why might colonoscopy be recommended?
The decision to perform colonoscopy is based on symptoms, age, family history, previous findings and individual risk. It is used both diagnostically and within screening or surveillance pathways.
Direct examination
The procedure allows the inner colon to be inspected for polyps, inflammation and other abnormalities. Selected polyps can be removed and biopsies taken.
Risk-based colon assessment
Colonoscopy can form part of colorectal cancer screening or surveillance. The appropriate age and interval depend on the relevant guideline and individual risk.
What happens
Preparation is as important as the examination.
For colonoscopy to be useful, the colon needs to be adequately cleaned. The current St Mary's page states that the procedure itself usually takes around 30–45 minutes and is performed under sedation at partner facility St Anne's Clinic.
Confirm the indication
Review symptoms, family history, medication, previous tests and whether colonoscopy is appropriate.
Clean the bowel
Follow the dietary and bowel-preparation instructions exactly so the lining of the colon can be examined properly.
Colonoscopy
A flexible colonoscope is passed through the rectum to inspect the colon. Polyps may be removed and tissue samples taken where appropriate.
Sedation & results
Allow time to recover from sedation and follow the discharge advice. Initial findings may be discussed before histology results are available.
Preparing for colonoscopy
Inadequate bowel preparation can make abnormalities harder to see and may occasionally mean the examination needs to be repeated, so preparation instructions are an important part of the procedure.
Before the procedure
The current St Mary's page describes dietary restriction and clear liquids before colonoscopy. Follow the specific timing and food instructions supplied for your appointment.
Laxative preparation
Take the prescribed bowel-cleansing preparation exactly as directed. The timing and split-dose schedule can differ between protocols.
Blood thinners & diabetes
Tell the clinical team about all medicines and allergies. Do not stop anticoagulants, antiplatelets, diabetes medication or other prescribed treatment unless specifically instructed by the appropriate clinician.
After sedation: arrange the transport or escort specified by the clinic and follow restrictions on driving, alcohol, machinery and important decisions. Mild bloating or gas can occur after colonoscopy. Follow the discharge information regarding symptoms that require urgent medical attention.
Colonoscopy prices
Current prices published by St Mary's Clinic. The procedure is currently described by the clinic as being performed under sedation at partner facility St Anne's Clinic.
Consultation
€50Consultation with the resident Internal Medicine Specialist.
Colonoscopy
€700Current published colonoscopy procedure fee.
Biopsy Testing
€100Current published biopsy testing fee where tissue sampling is required.
Our Internal Medicine Specialist
Dr Frank Farrugia
MD, MRCP, M.Sc Health Sciences · Internal Medicine Specialist
Dr Frank Farrugia is the resident Internal Medicine Specialist listed by St Mary's Clinic for colonoscopy. The consultation helps assess symptoms, risk factors and whether lower gastrointestinal endoscopy is the appropriate investigation.
Frequently asked questions
General information about colonoscopy. Your own preparation and discharge instructions should always take priority.
How long does colonoscopy take?
The current St Mary's page states that colonoscopy typically takes around 30–45 minutes. You should allow additional time for admission, sedation and recovery.
Is colonoscopy painful?
Sedation is commonly used to improve comfort, but patients can still experience pressure, cramping or bloating. The experience varies and the clinical team can explain the planned sedation approach.
Can polyps be removed during the procedure?
Yes, selected polyps may be removed during colonoscopy. Whether a polyp can be removed immediately depends on factors including its size, appearance, location and the clinical circumstances.
Do I need to stop blood thinners?
Do not stop prescribed blood thinners or antiplatelet medication yourself. Inform the clinical team in advance and follow the instructions given by the doctor responsible for the medication and procedure.
When can I return to normal activity?
The bowel preparation itself can be tiring and sedation affects recovery. Many people feel substantially recovered by the following day, but your specific discharge instructions determine when you can drive, work or exercise.
How often should colonoscopy be repeated?
There is no single interval for everyone. The timing depends on why the procedure was performed, the findings, polyp pathology, family history and individual risk.
Arrange a colonoscopy consultation
St Mary's Medical Clinic · 9/11 Triq il-Barrieri, Mosta MST 3250, Malta · Mon–Fri 8:00am–6:00pm · Sat 8:00am–1:00pm