Endoscopy Services

• Hydrogen Breath Test
• Colonoscopy
• ERCP
• Esophageal Manometry / 24-Hour PH Monitoring
• EGD
• Gastrostomy Feeding Tube Placement (PEG/PEJ)
• Flexible Sigmoidoscopy
• Endoscopy Services

 

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Services

Endoscopy Services

Colonoscopy

The colonoscopy is a very valuable procedure for the diagnosis and treatment of diseases of the colon. Colonoscopy allows the physician to examine the lining of the colon using a flexible tube. The decision to perform this procedure was based upon the assessment of your medical condition. Biopsies (tissue samples) may be taken. Polyps (abnormal growths of tissue) may be found. These polyps may be cancerous or become cancerous in the future and should be removed and sent for pathologic examination. You would be notified of any pathology report in approximately two weeks.

MoviPrep Instructions

Preparation(MoviPrep)
    One Week Prior to Your Examination:

1. You should be off Iron tablets for one week before the procedure.
2. If taking any blood thinners like Coumadin, Plavix or Aspirin: check with your family physician 1 week prior to the exam to see if Coumadin can be discontinued 4 days before the procedure and Aspirin/Plavix for 5 days before the test. Do NOT discontinue these medications on your own. If these medications are continued, please call and notify the scheduling office at 641.422.67262 or 1.800.433.3883, extension 7262 between 8 a.m. and 5 p.m., Monday through Friday.
3. If you are diabetic, please call your doctor for instruction on what diabetic medication you should take on the day before and the day of your procedure. If taking insulin, we advise checking your glucose every 6 hours while taking the preparation.

    Two Days Prior to Your Examination:

1. Avoid seeded and pulpy fruits and vegetables, beans, tomatoes, corn and nuts, as these
   foods are difficult to digest.
2. Fill your prescription for the MoviPrep preparation.

    One Day Prior to Your Examination:

1. Drink ONLY clear liquids. Clear liquids include any liquid that you can see through.
   Suggestions include: beef or chicken broth, apple juice, white grape juice, tea, coffee, pop or lemon or lime JELL-O (NO red, orange or purple). Do NOT eat any solid food or dairy products all day.
2. At 2 PM you will Begin the Preparation:

   Step 1: Empty 1 Pouch A and 1 Pouch B into the disposable container. Add lukewarm drinking water to the top line of the container. Mix to dissolve.
   

   Step 2: The MoviPrep container is divided by 4 marks. Every 15 minutes, drink the solution down to the next mark (approximately 8 oz.) until the full liter is complete. This should take approximately 1 hour. Drink AT LEAST two additional 8 oz. glasses of clear liquid of your choice to ensure hydration.

   Step 3: At 5 PM, repeat STEP 1 AND STEP 2. Feeling bloated or nauseated while drinking this solution is not uncommon. These symptoms will resolve once you start having bowel movements. If you begin to vomit, stop drinking the laxative solution for 30 to 45 minutes, then resume drinking the solution, but lengthen the time between each glass until completely finished.

3. Tucks Pads or baby wipes may be used to reduce irritation to your skin as you pass stool.
4. You may continue to drink clear liquids until midnight.
5. For an accurate, good quality examination it is important to complete the ENTIRE prep.
6. Do NOT Eat Or Drink Anything After Midnight although you may take your pills with a sip of water the day of the exam.
7. Please walk as much as possible during the preparation, as this enhances the preparation results.
8. Be sure to Bring a Driver (responsible adult) as you will not be able to drive for 24 hours after the procedure. Have your driver plan to remain at the hospital during your examination and recovery period. A Sedated Procedure Will NOT be Done if You Do Not have a Driver.

Nulytely Prep
Fill your prescription in advance so that you can complete the preparation the day prior to the procedure.

1. Drink a clear liquid meal at noon. Clear liquids include any liquid that you can see through. Suggestions: beef or chicken broth, lemon or lime Jell-O (No red, orange or purple Jell-O), apple juice, tea, coffee, or pop. Do not eat any solid food after this liquid meal. You may have clear liquids until midnight. If your procedure is scheduled at 1 p.m. or after, you may have clear liquids until 7 a.m.
   
2. Take one 10 mg tablet of REGLAN (Metoclopramide) at 3 p.m.
   
3. Take one DULCOLAX (Bisacodyl) tablet at 3:30 p.m.
   
4. Drink one gallon of cool NULYTELY solution within three hours, 3:30 to 6:30 p.m. you can complete drinking this preparation by drinking six eight-ounce glasses per hour. Finish drinking all of the solution, even if it takes longer than three hours. One packet of Lemon Lime Crystal Light or two packets of sugar free lemon or lime flavored Kool-Aid may be added to change the flavor. Flavored NULYTELY can be purchased. Your stool returns should become clear to light yellow in color.
   
5. Continue drinking clear liquids until midnight.

Do Not Eat or Drink Anything After Midnight, although you may take your usual pills with a sip of water up to two hours prior to the exam.