Gastro Center of the Rockies
Learn about endoscopy and colonoscopy, how to prepare, and what to expect the procedure, your judgment and reflexes could be slow for the rest of the day.and online for
Performance of same-day upper and lower endoscopy has many potential advantages, as it may reduce costs, shorten hospital stay, and expedite patient care, but its feasibility, efficacy, and potential have not been carefully defined. We report here our experience with a group of 87 patients who underwent same-day upper and lower endoscopy procedures over a 2-yr period at a tertiary care VA Hospital, compared with an alternate-day upper and lower endoscopy group of 50 patients procedures over the same time period. Most patients were elderly males. Common indications for endoscopy were occult or overt gastrointestinal bleeding, previous or concomitant history of pertinent pathology i. Both groups required similar amounts of intravenous sedation. There were no complications in either group.
Performance of same-day upper and lower endoscopy has many potential advantages, as it may reduce costs, shorten hospital stay, and expedite patient care.
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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Upper endoscopies Esophagogastroduodenoscopies-EGDs as well as a lower endoscopies Colonoscopies are routinely performed by gastroenterologists to assess the lining of patients' upper and lower gastrointestinal tracts using a video endoscope a long tube with a video camera on the end. An EGD is performed to examine the upper digestive tract to look for areas of inflammation, ulcerations, or other abnormalities in the swallowing tube, stomach, or duodenal lining. Similarly, a colonoscopy is performed to directly visualize the large bowel for polyps, inflammation, or other abnormalities in the lower bowel lining. Additionally, when both procedures are performed in the same day, it is currently unknown as to which sequence of procedures is better overall -whether to perform the EGD before colonoscopy or vice versa. The overall aim of our research is to compare patients' comfort, total amount of sedation used, and overall satisfaction with the procedures between four randomly allocated groups, to see which method of insufflation and which procedural sequence is better when both procedures need to be performed in the same day. Same day bi-directional endoscopies EGD-esophagogastro-duodenoscopies and colonoscopies are routinely performed in endoscopy units.
Hashem B. El-Serag, MD, chief of gastroenterology and hepatology at Baylor College of Medicine, led a research effort to analyze nearly 13, Medicare beneficiaries who underwent both a colonoscopy and EGD within days of one another. Among these unbundled procedures, 20 percent were performed within 30 days of each other. Even more notable, nearly 30 percent of the unbundled procedures were performed within four days of one another. There were no significant differences with regard to gender or age between the three groups of patients i.
A colonoscopy is a procedure your doctor will perform to examine the lining of your colon large intestine. The doctor will insert a flexible tube into the rectum and through the colon, looking for abnormalities. The doctor will insert a flexible tube into your mouth, down your esophagus, into the stomach and small bowel looking for abnormalities.
Endoscopy is a procedure in which the gastro-intestinal tract GI tract is viewed through a lighted, flexible tube with a camera at the end endoscope. Small samples of tissues cells biopsy can also be collected and sent for testing. Your doctor will spray your throat with a local anesthetic or give you a sedative to help you relax. Most patients consider the test only slightly uncomfortable, and many patients fall asleep during the procedure. You will be observed closely until most of the effects of the medication have worn off. Your throat might be a little sore, and you might feel temporarily bloated due to the air introduced into your stomach during the test.