Are there any complications from colonoscopy and polypectomy Why

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Are there any complications from colonoscopy and polypectomy Why Powered By Docstoc
					Are there any complications
from colonoscopy and                                Why is colonoscopy                                       SOME ANSWERS TO
polypectomy?                                        necessary?                                               QUESTIONS ABOUT
Colonoscopy and polypectomy are safe and
                                                                                                             COLONOSCOPY AND
associated with very low risk when performed by
                                                    Colonoscopy is a valuable tool for the diagnosis
physicians who have been specially trained and
                                                    and treatment of many diseases of the large
are experienced in such procedures.                                                                      Your Doctor has decided that a
                                                    bowel. Abnormalities suspected by X-ray can be
                                                    confirmed and studied in detail. The cause of        colonoscopy is necessary for further
One possible complication is perforation in
which a tear through the wall of the bowel may
                                                    symptoms such as rectal bleeding or change of        evaluation and treatment of your
                                                    bowel habits may be found by colonoscopy. It is      condition. This brochure has been
allow leakage of intestinal fluids. This
                                                    also useful for diagnosis and follow-up of           prepared to help you understand the
complication usually requires surgery but in
                                                    patients with inflammatory bowel disease.            procedure.
some cases may be managed with antibiotics
and intravenous fluids.
                                                    Colonoscopy’s greatest impact is probably in its
                                                    contribution to the control of colon cancer by
Bleeding may occur from the site of a biopsy or
                                                    polyp removal. Before colonoscopy became
polyp removal. It is usually minor and will stop
                                                    available, major abdominal surgery was the only
on its own. It can be controlled by cauterization
                                                    way to remove colonic polyps to see if they were
(application of electrical current) through the
                                                    cancerous. Most polyps can now be removed
colonoscope. In very rare cases, transfusions or                                                       Please report to the registration desk in the
                                                    easily and safely without surgery.
surgery may be required.                                                                               Endoscopy Unit, located on the Ground
                                                    Periodic colonoscopy is a valuable test for        Floor of St. Joseph’s Hospital
Localized irritation of the vein may occur at the
                                                    follow-up of patients with previous polyps or
site of medication injection. A tender lump may
develop and remain for several weeks to several
                                                    colon cancer, and as a screening tool for people   on:                   ____at:        ___
                                                    at risk of colon cancer.
months but will eventually go away.
                                                    Colonoscopy is a safe and extremely worthwhile     DOCTOR_________________________
Other potential risks include drug reactions and
                                                    procedure which is very well-tolerated. The
complications from unrelated diseases such as
                                                    decision to perform this procedure was based
heart attack or stroke. Death is extremely rare                                                        Sedation will likely be used so please
                                                    upon assessment of your particular problem. If
but remains a remote possibility.                                                                      arrange for a friend or family member to
                                                    you have any questions about your need for
                                                    colonoscopy, do not hesitate to speak to your      take you home. If you do not have
If you experience problems please contact the                                                          someone to accompany you, your test
office of your physician through the hospital
                                                                                                       may need to be rescheduled.
switchboard at 646-6000.
                                                                                                       If your driver will not be remaining at the
                                                                                                       hospital to wait for you, you can leave a
                                                                                                       telephone number with the nurse and your
                                                                                                       ride will be called when you are ready to be
                                                                                                       picked up.
* Please leave all jewelry at home.*                 • Discontinue the use of aspirin products, ticlid         much clear fluids as you can up to the time of
                                                       (ticlopidine), plavix (clopidogrel) and iron pills      the procedure.
    **This is a fragrance-free                         for 7 days prior to the procedure.
         environment.**                              • Discontinue all medication for arthritis for         The bowel cleansing effect is improved by the
                                                                                                            amount of clear fluids that you drink.
What is colonoscopy?                                   24 hours prior to the procedure.
                                                                                                            Cramps and diarrhea are expected so stay close
                                                     • If you are taking anticoagulants (blood
                                                       thinning medication eg.Coumadin) contact             to a toilet. Drink large quantities of clear fluid to
A colonoscopy is the insertion of a long flexible                                                           avoid dehydration.
                                                       your doctor who is doing your procedure at
tube, about the thickness of a finger. It is                                                                If you have problems tolerating the bowel prep,
                                                       least one week before your appointment to
inserted into the rectum and into the large bowel                                                           notify the doctor’s office for further instructions.
                                                       discuss the dosages and arrangements to
(colon) and allows the doctor to carefully
                                                       come in early for a blood test the day of the
examine the lining of the colon. Abnormalities
                                                       procedure                                            If you have a history of kidney
suspected by x-ray can be confirmed and
studied in detail. Abnormalities which are too       • If you are taking Insulin or other medication        disease or congestive heart failure
small to be seen on x-ray may be identified.           for diabetes, discuss with your family doctor
                                                       the dosages to be taken the day of your              DO NOT take the phosphasoda. Contact
                                                       procedure.                                           your Doctor for further instructions.
If the doctor feels that it is necessary, he can
pass an instrument through the colonoscope           • All medications other than those mentioned
and take a small piece of tissue (a biopsy) for        above can be taken as usual.
examination in the laboratory. Biopsies are          • Prior to the day of your appointment, notify         What should you expect
taken for many reasons and do not necessarily          the doctor who will be doing your procedure if
                                                       you have a Pacemaker , an Implanted
                                                                                                            during the procedure?
mean that cancer is suspected.
                                                       Cardiac Defibrillator, a Heart murmur or an
                                                       Artificial Heart Valve. Also notify him if you       Your doctor will give you medication through a
What is polypectomy?                                   have had recent joint replacement and been           vein to make you relaxed and sleepy. While you
                                                       advised to take antibiotics prior to                 are lying in a comfortable position, the
                                                       procedures.                                          colonoscope will be inserted into the rectum and
During the colonoscopy, a polyp may be found.
                                                                                                            gradually advanced through the colon. The
Polyps are abnormal growths of tissue which
                                                                                                            lining of the colon will be examined . The
vary in size from a tiny dot to several inches. If   • For the best examination, the colon must
                                                                                                            colonoscope will then slowly be withdrawn while
your doctor feels that removal of the polyp is         be completely free of waste material:
                                                                                                            the colon is again carefully examined. There
necessary, he will pass a wire loop (snare)          • Please purchase one bottle of Fleet’s
                                                                                                            may be some mild discomfort during
through the scope and remove the polyp from            Phosphasoda (44 ml) and one bottle of
                                                                                                            colonoscopy, however, the procedure is usually
the bowel wall by means of an electric current.        Citromag (300 ml) from your pharmacy or
                                                                                                            well-tolerated and rarely causes pain. Many
You should feel no pain during removal of the          from St. Joseph’s Hospital Prescription Shop.
                                                                                                            patients even fall asleep during the examination.
polyp. Polyps are usually removed because they       • At 3:00 pm the day before the procedure,
can cause rectal bleeding or may contain               drink the Phosphasoda (44 ml) over ice or
cancer. Although the majority of polyps are            dilute one tablespoon at a time with 8 ounces        What happens after the
benign (noncancerous), a small percentage may          of gingerale, lemonlime soft drink or apple
contain an area of cancer in them or may               juice.                                               colonoscopy?
develop into cancer. Removal of colonic polyps,      • DRINK AS MUCH CLEAR FLUID AS YOU                     You will be kept in the endoscopy unit until most
therefore, is an important means of prevention         CAN including clear fluids only for supper ie:       of the effects of the medication have worn off.
and cure of colon cancer.                              juices, black tea/coffee, consomme, jello,           You may feel bloated as a result of the
                                                       Popsicles, koolaid, soft drinks and water.           introduction of air into the colon during the
What preparation is                                    Gatorade is recommended. NO MILK or
                                                                                                            You will be able to resume your usual diet after
                                                       ORANGE JUICE or RED coloured liquids.
required?                                            • At 6:00 am on the day of the procedure, drink
                                                                                                            the colonoscopy unless instructed otherwise. If
                                                                                                            a polyp has been removed, your doctor may
                                                       the Citromag (300 ml) . Continue to drink as
wish your diet to be limited for a while before
returning to your regular diet.

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