UPPER ENDOSCOPY

Upper GI endoscopy, sometimes called EGD (esophagogastroduodenoscopy), is a visual examination of the upper intestinal tract using a lighted, flexible fiber optic or video endoscope.

Upper GI endoscopy is usually performed on an outpatient basis. Monitored Anesthesia Care* (MAC) is usually given to relax the patient, deaden the gag reflex and cause short-term amnesia. For some individuals who prefer no sedation, can relax on their own and whose gag reflex can be controlled, the exam is done without MAC.

The endoscope is then gently inserted into the upper esophagus. The patient can breathe easily through the exam. Other instruments can be passed through the endoscopy to perform additional procedures if necessary. For example, a biopsy can be done in which a small tissue specimen is obtained for microscopic analysis. A polyp or tumor can be removed using a thin wire snare and electrocautery (electrical heat).

The exam takes approximately 15 to 30 minutes, after which the patient is taken to the recovery area. There is no pain with the procedure and patients do not recall anything about the procedure.

COLONOSCOPY

Colonoscopy is the visual examination of the large intestine (colon) using a lighted, flexible fiber optic or video colonoscope. Colonoscopy is usually performed on an outpatient basis. The patient is sedated using Monitored Anesthesia Care* (MAC).

The colonoscope is inserted through the anus and moved gently around the bends of the colon. If a polyp is encountered, a thin wire snare is used to lasso it. Electrocautery (electrical heat) is applied to painlessly remove it. Other tests can be performed during colonoscopy, including biopsy to obtain a small tissue specimen for microscopic analysis.

The procedure takes approximately 15 to 30 minutes and patients do no recall anything about the procedure. A recovery area is available to monitor vital signs until the patient is fully awake. It is normal to experience mild cramping or abdominal pressure following the exam. This usually subsides in an hour or so.

* During your procedure you will be connected to various monitors to allow us to evaluate your blood pressure, heart rate, and oxygenation level to ensure your safety.