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GI / ENDOSCOPY SERVICES |
Colonoscopy | Upper GI Endoscopy | GERD | Post Procedure Instructions |
The Tucson Surgery Center Endoscopy Department is a four-suite lab that provides full service
gastrointestinal procedures. The procedures that are provided are for both screening purposes
and for treatment of existing conditions. The two most common procedures performed are
Colonoscopy and an Upper GI Endoscopy commonly referred to as EGD (Esophogastroduodenoscopy).
Your Primary Care Physician will help you decide if you should have either of these
procedures. |
Colonoscopy
Colonoscopy is the visual examination of the large intestine (colon) to identify and/or
correct a problem using a lighted, flexible video endoscope. The video endoscopes use a tiny,
optically sensitive computer chip at the end. Electronic signals are then transmitted up the
scope to a computer, which displays the image on a large video screen. There is an open
channel in the scope that allows other instruments to be passed in order to perform certain
procedures, such as polyp removal and biopsy to obtain small tissue samples for microscopic
analysis. Directly viewing the inside of the colon by colonoscopy is usually the best exam.
The test enables a diagnosis to be made and specific treatment can be given.
The flexible colonoscope is a remarkable piece of equipment that can be directed and moved
around the many bends in the colon. Colonoscopy can be performed on an outpatient basis using
mild sedation. All patients will require a ride to and from the surgery center on the
day of the exam. Driving is prohibited for 24 hours after the administration of the
sedatives. After the exam, the physician will explain the results to the patient and the
family. The procedure
takes 15 to 30 minutes and is seldom remembered by the sedated patient. The patient will
remain in a recovery area to monitor vital signs until awake. It is normal to experience
mild cramping or abdominal pressure following the exam.
The preparation for the exam varies based on physician preference. To obtain the full benefits
of the exam, the colon must be clean. The patient will receive instructions on how to do this.
It involves drinking a solution, which flushes the colon clean or taking laxatives and enemas.
Usually the patient drinks only clear liquids and eats no food for the day before the exam.
The physician advises the patient regarding the use of regular medications during that time.
It is VERY important that the preparation be completed as prescribed. This will allow for
clear visualization of the large intestine. |
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Upper GI Endoscopy
Upper GI Endoscopy sometimes called EGD is a visual exam of the upper intestinal tract using a
lighted flexible video endoscope. It allows the physician to visualize the esophagus, the
stomach and the entrance into the small intestine known as the duodenum. The flexible
endoscope can be directed and moved around the many bends in the gastrointestinal tract. The
endoscope has a tiny, optically sensitive computer chip at the end. Electronic signals are
then transmitted up the scope to the computer, which then displays the image on a large video
screen. An open channel in these scopes allows other instruments to be passed through in order
to take tissue samples, remove polyps and perform other exams.
An upper GI Endoscopy is performed primarily to identify and/or correct a problem in the upper
gastrointestinal tract. It is usually performed on an outpatient basis. A spray often
anesthetizes the throat. Intravenous sedation is given to relax the patient. The patients can
breath easily throughout the exam. The exam takes from 15 to 30 minutes after which the
patient is taken to the recovery area. There is no pain with the procedure and patients seldom
remember much about it. All patients will require a ride to and from the surgery center on the
day of the exam. Driving is prohibited for 24 hours after the administration of the
sedatives. After the exam, the physician will explain the results to the patient and the
family.
It is important not to eat or drink anything for at least eight hours before the exam. The
physician instructs the patient about the use of regular medications, including blood
thinners, before the exam. |
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GERD
GERD is a common problem that requires medical attention when symptoms and tissue damage
become troublesome. Fortunately, there is a great deal that can be done about GERD. Lifestyle
changes can help and there are many medications that can be used to treat GERD.
Gastroesophageal Reflux disease or GERD as it is commonly referred to is serious heartburn
brought on by the esophagus being constantly exposed to stomach acid, which irritates the
lining. The esophagus is the muscular tube that connects the throat to the stomach. Heartburn
is that burning sensation felt behind the breastbone and sometimes in the neck and throat.
Occasional heartburn is nothing to be concerned about. However, anyone who has heartburn on a
regular basis should consult a physician. Endoscopy is the most important test for patients
with GERD.
Working together with the physician, a good medical program can almost always be developed to
successfully treat the patient with GERD. |
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Post Procedure Instructions
After the Colonoscopy you may eat and drink normally unless otherwise instructed.
Mild abdominal pain and bloating or excessive gas is expected. Rest, eat lightly and the use
of a heating pad may help relieve the discomfort.
You should contact your physician immediately if you develop severe abdominal pain or
bloating, fever within 24 hours post procedure or rectal bleeding.
After the EGD it is not uncommon for the throat to feel sore. Gargling with warm salt water or
using a throat lozenge may help to relieve this minor discomfort. Mild abdominal discomfort
and bloating is normal. Take a light diet and rest.
You should contact your physician if you develop chills or fever, chest pain, severe abdominal
pain or nausea and vomiting. |
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1398 North Wilmot Road Tucson, Arizona 85712 520-731-5500
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