Colonoscopy & Endoscopy

ENDOSCOPY

Endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure is used to discover the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastroduodenoscopy.

The patient is required to swallow a thin, flexible, lighted tube called an endoscope . Right before the procedure the physician will spray the throat with a numbing agent that may help prevent gagging. The patient may also receive pain medicine and a sedative to help him relax during the exam. The endoscope transmits an image of the inside of the esophagus, stomach, and duodenum, enabling the physician to carefully examine the lining of these organs. The scope also blows air into the stomach; this expands the folds of tissue and makes it easier for the physician to examine the stomach.

The physician can see abnormalities, like inflammation or bleeding, through the endoscope that don't show up well on x-rays. The physician can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests.

Possible complications of upper endoscopy include bleeding and puncture of the stomach lining. However, such complications are rare. Most people will probably have nothing more than a mild sore throat after the procedure.

The procedure takes approximately 20 to 30 minutes. Because of the patient being sedated, he will need to rest in the infirmary for 1 to 2 hours until the medication wears off.

The following services shall include:

  • Board Certified and State Licensed Gastroenterologist/Surgeon
  • Board Certified Anesthesiologist/Licensed Anesthetist
  • Registered Nurse
  • State-of-the-art Mobile equipment
  • Special Trained Gastroenterology Technologist
  • Immediate notification on all positive findings
  • Physician consultations
  • Clinics provided on a scheduled basis
  • QA and QI Assurance Program
  • Biopsy Pathology Reports
  • All supplies and equipment

COLONOSCOPY

Colonoscopy is a procedure that enables the physician to examine the lining of the rectum and colon. A soft, bendable tube about the thickness of the index finger is gently inserted into the anus and advanced into the rectum and the colon.

A colonoscopy is usually done:

  1. as part of a routine screening for cancer,
  2. in patients with known polyps or previous polyp removal,
  3. before or after some surgeries,
  4. to evaluate a change in bowel habits or bleeding, or
  5. to evaluate changes in the lining of the colon known as inflammatory disorders.

The procedure is usually well tolerated, but there is often a feeling of pressure, gassiness, bloating or cramping at various times during the procedure. The anesthesiologist will give the medication through a vein to help the patient relax and better tolerate any discomfort that the inmate may experience. The patient will be lying on his side or back while the colonoscope is advanced through the large intestine. The lining of the colon is examined carefully while inserting and withdrawing the instrument. The procedure usually lasts for 15 to 60 minutes. In rare instances the entire colon cannot be visualized, and the physician could request a barium enema. Because of the patient being sedated, he will need to rest in the infirmary for 1 to 2 hours until the medication wears off.

Colonoscopy and biopsy are safe when performed by GI Physicians or Surgeons who have had special training and are experienced in these endoscopic procedures.