Endoscopy Procedures (Digestive System)
What is the test?
This procedure, which enables a medical specialist called a
gastroenterologist to examine the lining of your large intestine for any
abnormalities, is an important exam for colon cancer screening. A narrow,
flexible tube with a tiny video camera at its tip is gently inserted into your
rectum and passed up through your large intestine. The camera displays video
images of the intestine so that your gastroenterologist can get a detailed look
at the inside of your lower digestive tract. The doctor can also remove
existing polyps during the colonoscopy and obtain tissue samples for biopsy, if
necessary. At Cayuga
we offer both adult and pediatric colonoscopy.
How do I prepare?
There are a variety of bowel preparations. Your doctor will discuss with you
in advance the specific preparation for your procedure.
In general, however, the following guidelines apply.
For three days leading up to your colonoscopy reduce the amount of fiber in
your diet by eliminating salads, bran, fruits and vegetables with skins such as
corn, peas, grapes, onions, and unpeeled apples, nuts, seeds and seed-coated
breads. These foods are dense and may not be adequately flushed out of the
digestive tract before the exam.
In addition, discontinue aspirin, iron, and bulking agents like Metamucil,
Citrucel, Psyllium, and FiberCon.
If you are taking Coumadin (Warfarin) or Plavix, ask your doctor for special instructions.
The day before the colonoscopy:
Drink only clear liquids for breakfast, lunch, and dinner. Solid foods, milk
or milk products are not allowed. Clear liquids include all of the following
that are not colored red or purple: strained fruit juices without pulp,
water, clear broth or bouillon (vegetable, chicken, beef), coffee or tea
(without milk or nondairy creamer), Gatorade, carbonated and noncarbonated soft
drinks, Kool-Aide (or other fruit-flavored drinks),
plain Jello (without added fruit or toppings), and
Your doctor will provide you with detailed instructions about what to do on
the day of your colonoscopy.
Please make arrangements ahead of time for transportation. It is our policy
that you must have a family member
or friend drive you home after the procedure. If you need to use taxi or bus
service for transportation, you must
be accompanied by a family member or friend. We require this because the
sedation you will receive prior to the colonoscopy remains in your system and
can slow your reaction times. You will be mildly sedated for the colonoscopy
and should not drive for 12 hours following the procedure. Sedation can also
make people forgetful so plan the rest of your day accordingly.
What can I expect during the procedure?
Give yourself an extra 30 minutes to check in at Outpatient Registration.
Your friend or family member will be on hand to review the test results and
discharge instructions and drive you home after the exam. Once you arrive in
the Endoscopy Department a nurse will take your health history and blood pressure.
You will also have a chance to ask your doctor any questions about the exam.
After changing into a hospital gown you will be asked to lie down, and you will
be positioned on your left side. You may be given an intravenous sedative to
help you relax.
The doctor will insert a narrow flexible tube into your rectum and carefully
advance it through your colon, monitoring the progress by means of the
instrument's camera and a video screen. The exam generally takes about 20 to 30
minutes. Your entire stay at the hospital should last 1 1/2 to 2 hours.
How and when will I get my test results?
After your exam, you will be moved to the recovery area of the Endoscopy
Department until you are fully awake and meet certain discharge criteria. Your
physician will discuss the results with you, and will send a report to your
primary care provider. Your companion should drive you home, as it is unsafe
for you to operate a car or perform tasks that require alertness and
coordination for the remainder of the day. You may resume your regular diet.
is the test performed?
Colonoscopies are performed at Cayuga
at 101 Dates Drive, off NYS Route 96 in Ithaca,
and at Surgicare, which is located at Convenient Care at Ithaca,
off Warren Road