How do I prepare for my endsocopy?
For most endoscopies involving the lower intestinal tract (Colonoscopy, Capsule Endoscopy, Sigmoidoscopy) you will be given a bowel preparation the day before that cleanses the intestinal tract of residual waste. This preparation consists of staying on a clear, liquid diet starting the morning before your exam; ingesting a bowel purgative starting in the late afternoon or early evening; and then staying NPO (meaning, "nothing by mouth") after midnight. Oral medications and occasionally the second dose of the bowel purgative is allowed the morning of the exam as long as the NPO status is maintained for at least 2 hours prior to the exam.
For endoscopies involving the upper intestinal tract (EGD; ERCP, Enteroscopy, PEG tube placement) no bowel preparation or purgative is required. Typically, simply maintaining the NPO (nothing by mouth) status after midnight should suffice. Oral medications are allowed the morning of the exam as long as the NPO status is maintained for at least 2 hours prior to the exam.
Will I be given sedation for my endoscopy?
When an endoscopy is performed, you are typically given a short-acting, IV (intra-venous) sedative usually in combination with an IV pain-reducing medication. The sedation is given to reduce potential discomfort and anxiety during your procedure, and can be titrated for comfort and safety. The sedation is administered either by your physician or a certified anesthesia provider. The two types of IV sedation given are “conscious sedation” with medications such as Demerol, Fentanyl, Versed and “deep sedation” with a medication called Propofol. Currently, Wellbrook Endoscopy offers “deep sedation” with propofol.
What is the recovery time for an endoscopy?
An endoscopy is considered a non-invasive procedure and therefore there is no prolonged required recovery time needed. Most patients will be allowed to re-start a regular diet within 1 hour after the exam and should be able to return to work and regular activity the following day.
Can I drive myself home from my endoscopy?
If you received sedation during your exam, you will NOT be allowed to drive yourself home. Driving is restricted until the next day. Transportation can be arranged from a medical transportation service if finding a driver is difficult. Cab companies are not considered medical transportation and are not recommended.
If I have Diabetes, should I alter the dose of my Diabetes medications for my endoscopy?
Typically, if you take insulin you would take only ½ your regular dose the day before due to the low glycemic index of the bowel preparation. On the morning of your exam you would skip the dose. If you are on oral medications only; you should hold the evening dose the night before the exam and also hold the morning dose.
If I take blood thinners, should I stop taking them prior to my endoscopy?
If you are taking a blood thinner, you would typically stop taking these medications for 5 days prior to your endoscopy unless otherwise directed by your gastroenterologist.