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Procedures

1. Endoscopy : (UGI Scopy )

Endoscopy is examination of esophagus, stomach and duodenum using a flexible endoscope of about 9 mm diameter (thinner than your index finger), inserted through the mouth.

What preparation is required ?

You should not eat or drink anything atleast for 5 hours prior to the procedure.

What about my current medications ?

Please inform about your current medications as well as any allergies to medications. Especially, discuss regarding aspirin, clopidogrel, anticoagulants (blood thinners) and medicines for diabetes.

What can be expected during the endoscopy ?

  • It is usually well tolerated and rarely causes any pain.
  • It can be done with or without intravenous sedation.
  • Intravenous sedation helps you relax and better tolerate any discomfort during the procedure.
  • The procedure usually takes 5 to 10 minutes.
  • Your blood pressure , heart rhythm and oxygen saturation will be carefully monitored throughout the procedure.

What happens post endoscopy ?

  • After the procedure, the results will be explained to you.
  • If you have been given sedation, someone must accompany you home after the procedure and you should not drive yourself.
  • You can eat one hour after the procedure.

2. COLONOSCOPY

What is colonoscopy?

Colonoscopy is a procedure that enables your physician to examine the colon (large bowel) by inserting a flexible tube that is about the thickness of your finger into the anus and advancing it slowly into the rectum and colon.

What preparation is required ?

The colon must be completely clean for the procedure to be complete and accurate. You will be given detailed instructions regarding the cleaning routine. In general, it consists of drinking of 2 litres of cleaning solution over 2-3 hours , 6-8 hours prior to the procedure and then taking only clear liquids till the allowed time.

What about my current medications?

Please inform about your current medications as well as any allergies to medications. Especially, discuss regarding aspirin, clopidogrel, anticoagunants (blood thinners) and medicines for diabetes.

What can be expected during a colonoscopy ?

Colonoscopy is usually well tolerated and rarely causes pain. You are given intravenous medication to help you relax and better tolerate any kind of discomfort during the procedure. The procedure usually takes 15 to 20 minutes.

What happens post colonoscopy?

  • After Colonoscopy, the results shall be explained to you. Someone must accompany you home after the procedure and you should not drive yourself.
  • You may some cramping or bloating because of the air introduced into the colon during the examination. This will disappear with the passage of flatus (gas) . You can eat after one and a half hours after the procedure.

3. ERCP (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY)

What is ERCP?

ERCP is a specialize technique used to study and perform procedures on the bile ducts or the pancreatic ducts . An endoscope is passed through the mouth , esophagus and stomach into the duodenum. After the common opening to the ducts is visually identified , specialized accessories are passed through the ducts to perform procedures such as sphincterotomy, stone removal and stenting.

What preparation is required ?

  • You should not eat or drink anything atleast 6 hours prior to the procedure.
  • Few investigations (CBC, LFT, PT) may be required prior to the procedure.

What about my current medications?

Please inform about your current medications as well as any allergies to medications. Especially, discuss regarding aspirin, clopidognel, anticoagurants (blood thinners) and medicines for diabetes.

What is expected during an ERCP?

The doctor will discuss why and how ERCP is performed , potential complications from ERCP and alternate therapies that are available. It is performed under anesthesia with complete monitoring. The procedure can take upto an hour.

What happens post ERCP?

  • You will be kept under observation until most of the effects of the medications have worn off.
  • You may experience bloating or pass gas because of the air introduced during the examination.
  • Evidence of any complications of the procedure (such as pancreatitis, perforation of bleeding ) will be looked for and hospitalization may be advised if further observation is necessary .

If you have questions that have not been answered, please discuss them with the endoscopy nurse or the doctor before the examination begins.

4. LIVER BIOPSY

Liver Biopsy is done using a needle inserted between two of the right lower ribs to remove a sample of liver tissue. The tissue sample is send to the laboratory and looked at under a microscope to see if there are any liver problems.

It is done under Ultrasound guidance.

Tests (CBC, PT, USG abdomen) are required prior to liver biopsy.

5. CAPSULE ENDOSCOPY