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You can expect the highest quality of endoscopic service at our Center. The Kalamazoo Endo Center is a single-speciality ambulatory center. Endoscopy procedures are what we do. All of our physicians are Board Certified Gastroenterologists. All of our physicians and registered nurses are ACLS (advanced cardiac life support) certified. The Center has achieved accreditation from AAAHC, a national accreditation agency. Our goal is to provide safe, prompt, clinical care, utilizing the latest technology in endoscopic equipment and accessories.
You can expect to be at the Center for approximately 1 ½ to 2 hours. This will include registration, pre-procedure assessment, the actual procedure, and recovery. Your physician will see you in the recovery room prior to your discharge to review any findings with you. Keep in mind that some procedures may take longer than expected, causing the schedule to run a little behind. Be assured that each patient will receive the necessary time and attention that is required to provide safe, quality, clinical care. You MUST have someone accompanying you who will be responsible for driving you home after the procedure. You cannot drive yourself from the Center after receiving sedation, nor can we allow you to take a cab or ride a bus if you are alone.
Your colon is approximately 5 ft long. It takes an average of about 25 minutes to complete the actual exam. Keep in mind, that everyone’s colon is different, so it could take less or more time. Positioned on your left side, a colonoscope (narrow flexible rubber tube) is inserted through the anus, and gently guided through the colon, moving from the left side to the right. During the exam, as the colon is evaluated, a small amount of air is placed in the colon to facilitate visualization of the entire lumen.
An EGD, or upper endoscopy takes an average of 8 – 10 minutes. Again, this is an average. Positioned on your left side with a small bite block placed in the mouth, the endoscope (a thin, flexible rubber tube) is passed through the mouth, down the esophagus, into and through the stomach, to the first part of the small intestine, also known as the duodenum.
Patients receive IV sedation for their procedures. A nurse will start an IV in the pre-procedure area. The sedation medications will be administered through the IV in the procedure room, just prior to the start of the procedure. The vast majority of patients sleep through the entire procedure. A few, however may not, as this is NOT general anesthesia. The intent of IV sedation (sometimes referred to as “conscious sedation”) is for the patient to be as comfortable as possible during the procedure.
Generally, you may resume your usual diet when you are discharged from the Center. Occasionally, some patients may experience slight nausea from the sedation medications and may want to eat very lightly initially until the nausea subsides. We will provide some light snacks at the Center prior to your discharge. We ask that patients do not return to work until the next day. We also ask that you do not participate in any strenuous activities following your procedure, drink any alcoholic beverages, or smoke unattended. We prefer that you rest and take it easy. Please make arrangements for someone to remain with you when you return home. You may still be a little groggy, and may need to sleep. You may resume all of your normal activities on the following day.
In general, your normal bowel pattern should resume in approximately 3 days. Keep in mind that your bowel has been completely cleansed from the prep.