Durham Gastroenterology Scott Brazer, MD

919/806-8322 David Tendler, MD

William V. Singletary, Jr., MD

FLEXIBLE SIGMOIDOSCOPY PREPARATION INSTRUCTIONS

Bowel Preparation with Fleets enema

Date of procedure ______Arrival Time ______.

Triangle Endoscopy Center Durham Regional Hospital

 249 East NC Hwy 54, Suite 200  (formerly Durham Regional Hospital)

Durham, NC 27713 3642 N. Roxboro Road

919-544-4887 Durham, NC 27704

919-470-4000

You are scheduled for a flexible sigmoidoscopy, a procedure used to see inside the sigmoid colon and rectum with a lighted flexible scope. If an abnormality is seen, it can be biopsied. A biopsy involves removing a portion or all of the abnormal area for processing and subsequent examination under a microscope.

Plan to be with us for a total of one to two hours. When you arrive, you will need to complete the facility registration and then change into a patient gown. The nursing staff will perform a brief assessment, and take you into the procedure room where you will undergo the sigmoidoscopy. The sigmoidoscopy itself takes about 10-15 minutes.

A thorough cleansing of the sigmoid colon is essential. The examination is most successful if you follow the directions for preparation completely. Any stool left in the lower intestinal tract can hide important conditions that may be present. An examination as important as this requires careful preparation.

We realize no laxative preparation is fun. However, as outlined on the reverse side of this paper, this solution has been developed to make your preparation as simple and effective as possible. If you have any questions about the test or preparation, please do not hesitate to call our office.

It is important for you to bring a list of all prescription medications and non-prescription products (over-the-counter, anti-inflammatory, herbal, vitamins, etc) you are taking and a list of any medication you are allergic to.

***PLEASE READ ALL INSTRUCTIONS FOUND ON THE BACK OF THIS SHEET**

10/2013

Please expect a call from the medical staff to complete your pre-operative assessment; this will include your medications any over the counter supplements, past medical and surgical history and family cancer history.

TEN DAYS BEFORE EXAM

·  Please notify us if you have a Pacemaker, Internal Defibrillator Device or latex allergy.

·  If you have a history of heart valve problems or valve surgery or need antibiotics before surgery, please notify us.

FIVE DAYS BEFORE EXAM

·  Maintain your regular diet with the following exceptions.

·  Avoid foods processed in Olestra or Olean (a no-fat cooking oil) used in many foods such as

fat-free Pringles and Frito-Lay light products.

PURCHASE FROM THE PHARMACY

·  (2) Two Fleets enemas an over the counter product. Ask your Pharmacist if needed.

DAY OF EXAM

·  Nothing to eat after midnight the night prior to your procedure.

·  You may consume clear liquids up until 2 hours prior to your procedure.

·  Two hours prior to the exam, take one Fleets enema as instructed on the box.

30 minutes later take the second Fleets enema.