Upper Endoscopy Preparation Instructions

Your procedure is scheduled on ______at ______AM/PM.

Please arrive at the facility for check-in at ______AM/PM

Facility:

Manhattan Surgical Hospital, 1829 College Ave, Manhattan, KS 66502,

785-776-5100 (ARRIVE 1 HOUR PRIOR TO PROCEDURE TIME)

Via Christi Hospital (former Mercy Regional), 1823 College Ave, Manhattan, KS 66502, 785-776-3322 (ARRIVE 1 ½ HOURS PRIOR TO PROCEDURE TIME)

PLEASE READ ALL INSTRUCTIONS ON THE DAY YOU RECEIVE THEM

General Information:

An upper endoscopy is the examination of the lining of the esophagus, stomach, and duodenum (first part of the small intestine) using a flexible, lighted scope

Medical History:

To provide the best care for you, it is important that we have your complete medical history. If you have not been seen in the office prior to your procedure, please fill out the enclosed Patient Information sheet for our office and bring it with you to your procedure appointment. The facility where your procedure is done will also need your medical history and will contact you separately to obtain that.

Day of Procedure:

The day of your procedure, you will be at the facility for approximately 2 to 3 hours. Wear comfortable, easy to remove clothing. Leave jewelry and other valuables at home.

Every effort will be made to perform your procedure at the scheduled time, but unexpected delays or emergencies may occur and your wait time may be prolonged. Be assured that appropriate attention will be given to each patient’s procedure.

After the procedure, Dr. Zachary will discuss the results with you; but, due to the sedation, often times patients do not remember this conversation. It is important to have someone with you whocan hear the results as Dr. Zachary is discussing them with you. If you receive sedation for your procedure you must have someone drive you home.

What to Bring With You the Day of Your Upper Endoscopy

  1. The completed and signed enclosed patient information sheet, informed consent, disclosure of ownership. (Manhattan Surgical Hospital procedures only)
  2. Names and addresses of all doctors you wish to receive a copy of your report.
  3. List of your current medications and any drug allergies.
  4. Copies of any relevant records from your referring physician.
  5. Your insurance card and drivers license.
  6. Someone to drive you home if you are receiving sedation.

Insurance:

Some insurance companies require pre-authorization for procedures. As a courtesy, we will make every effort to obtain authorization. To obtain coverage for these procedures, we recommend that you check with your insurance to see if pre-authorization is required. If your insurance information has changed, please contact us several days before your procedure.

If you have any questions about your procedure or must cancel your procedure please call us at 785-539-8900 or the endoscopy unit at Manhattan Surgical Hospital (785-776-5100) or Via Christi Hospital (785-776-3322), whichever hospital where your procedure will be done.

Diabetic Patients:

If you are diabetic, please check with your primary or treating physician regarding your dose of insulin or other diabetic medication needed the day before and the day of your procedure. Inform your doctor that you will not be able to eat or drink 6 hours before your procedure.

Medications:

If you take blood thinners such as warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), fondaparinox (Arixtra), apixaban (Eliquis), clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient), enoxaparin (Lovenox), or heparin; please call us several days before your procedure. Please also notify us if you have any history of bleeding disorders.

If you take regular narcotic pain medicine or regular benzodiazepine such as those listed below, please notify us as we may need to make arrangements for an alternative sedation for your procedure.

Narcotics include: propoxyphene (Darvocet), oxycodone (Percocet), hydrocodone (Norco, Lortab, Vicodin), codeine (Tylenol #3), hydromorphone (Dilaudid), fentanyl (Duragesic), methadone, morphine (MS Contin, Roxanol)

Benzodiazepines include: alprazolam (Xanax), triazolam (Halcion), lorazepam (Ativan), temazepam (Restoril), chlordiazepoxide (Librium), diazepam (Valium), clonazepam (Klonipin), flurazepam (Dalmane)

Please also notify us if you have had any prior difficulties with sedation or endoscopic procedures.

Cardiac Devices:

If you have an implanted cardiac device such as a defibrillator, please let us know several days before the procedure.

Antibiotic Recommendations:

The American Society for Gastrointestinal Endoscopy (ASGE) and the American Heart Association no longer recommend antibiotics prior to any endoscopic procedure for any heart condition. The ASGE also does not recommend antibiotics prior to any endoscopic procedure for patients who have prosthetic joints (artificial joint replacements).

Upper Endoscopy Preparation Instruction:

5 Days before your Upper Endoscopy:

  1. Read all instructions.
  2. Contact your prescribing physician for instructions on diabetic medication, anti-inflammatory medication, and blood thinners.
  3. Arrange for a driver for your procedure.

The Day before your Upper Endoscopy:

  1. Complete the forms sent to you.
  2. Make a list of all your current medications and medication allergies.
  3. Find insurance cards.
  4. Get names and addresses of all physicians you wish to receive a copy of your report.
  5. Do not consume alcohol.
  6. Confirm that you have a driver for your procedure.

The Day of your Procedure:

  1. Do not eat solid food the day of your procedure
  2. You may have liquids up to6 hours before your procedure.
  3. Do not consume alcohol.

After your Upper Endoscopy:

After your procedure you may eat your usual diet and resume your usual medications unless otherwise instructed. You should not drive the day of your procedure.

If biopsies are taken, you will receive a letter in 1-2 weeks explaining the results. If there are serious findings Dr. Zachary will call you and/or have you come to the office to discuss the results.

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