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A colonoscopy (koe-lun-OS-kuh-pee) is a procedure used to examine the inside of the colon, rectum and when indicated the end of the small intestine. It can investigate symptoms such as. What Is a Colonoscopy? A colonoscopy is a medical procedure. A doctor inserts a camera mounted on long, flexible tube called a colonoscope into your rectum and colon. Colonoscopies are. The purpose of a colonoscopy is to provide a visual diagnosis via inspection of the internal lining of the colon wall, which may include identifying issues such as ulceration or precancerous polyps, and to. A colonoscopy is a procedure that enables an examiner (usually a gastroenterologist) to evaluate the inside of the colon (large intestine or large bowel). The colonoscope is a four-foot-long, flexible tube.