Upper West Side Endoscopy

Have Questions?

Preparing for Your Procedure

It is important for you to follow these guidelines before your procedure to prevent delay or cancellations.

What You Need The Day Of The Procedure:

  • Information To Bring: Insurance cards, photo ID, Medicare or Medical Assistance information, numbers and addresses.
  • Escort: A friend, relative or dedicated caregiver MUST stay with you for 24 hours.
  • Care For Children: If you have young children at home for whom you normally care for, plan for someone else to care for them for at least the first 24 hours following your procedure.
  • Interpreter: If the patient cannot read, speak English or use sign language, an interpreter is required. If you need assistance arranging for an interpreter, please contact the Scheduling department 914-677-0200 as soon as possible.

Smoking:

  • No smoking/tobacco after midnight the night before your procedure.

What to Wear:

  • Please wear loose and comfortable clothing.

What Not to Wear:

  • Remove all jewelry including rings, earrings and body piercings.
  • Please do not wear contact lenses.
  • Please do not wear makeup.
  • Please do not wear dark fingernail polish. Fingernail polish may interfere with our ability to monitor the amount of oxygen in your bloodstream.

What You Should Leave at Home:

  • Your wallet (except for your insurance card, credit card and photo ID)
  • Jewelry and other valuables should be left at home for safekeeping.
  • UWS Endoscopy cannot assume responsibility for lost items.
  • Please leave children who are not patients in the care of a responsible adult at home.

Arrival Time:

  • Please allow enough travel time to arrive at the Center at the designated arrival time—which is usually one hour before the scheduled start time of your procedure.

Not Feeling Well?

  • If you are not feeling well on the day before or the day of your procedure, please contact your surgeon’s office as soon as possible.

Preparation Instructions

Toggle the panel for your specific procedure instructions

 WHAT IS A COLONOSCOPY? 

• Your physician has recommended that you have a colonoscopy. This test is a visual examination of the lining of the large intestine. During the test, a colonoscope, which is a long, flexible instrument that has a light and a camera at the tip, will be passed through the rectum and around the colon. Your doctor will view the colonoscopy on a television screen and look for any abnormalities that may be present. 

• Colonoscopy usually is performed to evaluate and treat colon cancer, polyps, gastrointestinal bleeding and diarrhea. If necessary, biopsies (tiny tissue samples) may be taken painlessly during the examination and sent for laboratory analysis. Polyps (abnormal growths of tissue) also may be removed and bleeding areas may be identified and treated. 

PREPARING FOR A COLONOSCOPY 

Food and Drink 

• In order for your doctor to perform an adequate and safe examination, the colon must be clear. You will be given a laxative solution to drink prior to the examination. Follow the instructions carefully. 

• You should be on a modified diet the entire day before your colonoscopy. You may continue to have clear fluids the day of your procedure, up to three (3) hours prior to your examination. A clear fluid diet includes jello, coffee (please do not add milk or cream), tea (please do not add milk or cream), soft drinks, ices, clear soups, sports drinks such as Gatorade or Powerade and apple or white grape juice. Please avoid red or purple drinks, jello or popsicles for the 24 hours prior to the examination. 

• No alcohol 

Medications 

• Continue to take your medications as usual, even on the day of your examination, unless instructed otherwise by your doctor. Medicines taken the day of the examination should be taken with a small sip of water. If you are a diabetic, please consult with your physician prior to the examination about your medication schedule. You may continue to take aspirin prior to your procedure unless instructed otherwise. 

• If you take medications to thin your blood or antiplatelet medications such as Coumadin (warfarin), Lovenox (heparin), Plavix (clopidogrel), Pradaxa (dabigatran), Eliquis (apixaban), Effient (prasugrel), Xarelto (rivaroxaban) or Savaysa (edoxaban), please contact your physician or health care provider for further instructions. Please bring a list of your current medications with you on the day of the procedure. 

You should inform your doctor if you: 

• Have allergies or reactions to medications 

• Usually take antibiotics for dental procedures 

• Are taking aspirin, arthritis medicines, or blood thinners 

• Have a blood disorder where you bleed easily 

• Think you may be pregnant 

Clothing 

• Dress comfortably in clothing that can be folded. Please do not bring jewelry or other valuables with you. 

Companion 

• By New York State regulations, a companion (adult 18 years or older) must be available to accompany you home after the procedure, since the sedation you receive may impair your reflexes and judgment. Your procedure will be canceled if a companion is not available. 

THE PROCEDURE 

• At the beginning of your appointment, you will be brought to an assessment area, where the doctor and/or nurse will explain the procedure and answer your questions. At that time, you’ll be asked to sign a consent form, giving your permission to have the procedure performed. You will also meet with an anesthesiologist who will be responsible for sedating you during your procedure and watching your breathing and heart rate. You will be asked to change into a hospital gown and remove your eyeglasses and contact lenses. 

• You will then be taken into a procedure room, where you will lie on your left side in a comfortable position, and will be given medication to make you sleepy and relaxed through an injection into a vein. The doctor will then pass the colonoscope through the anus and into the rectum, and advance it through the colon. This examination generally takes fifteen to sixty minutes. Depending on what your doctor sees, he or she may also obtain a biopsy or remove polyps found at this time. Removed tissue and polyps are sent to the laboratory for analysis. These additional steps do not usually cause discomfort. 

• During the procedure, you may experience some abdominal cramping and pressure from the air that is introduced into your colon. This is normal, and will pass quickly. You may be asked to change your position during the examination, and will be assisted by a nurse. 

POST-PROCEDURE 

• After the colonoscopy, you will remain in the recovery area for about 30 minutes until the effects of the sedating medication wear off. Before you are discharged, your physician will discuss the exam results and follow-up plans, and you will be given a discharge instruction sheet. 

• A companion must be available to accompany you home from the procedure, since the sedation will impair your reflexes and judgment. For the remainder of the day you should not drive a car, operate machinery, or make important decisions. 

RISKS OF COLONOSCOPY 

• Colonoscopy is a rather common examination that is usually performed on an outpatient basis. Complications are rare (less than one in 1,000 examinations). However, complications such as reactions to medication, perforation (tearing) of the intestine and bleeding may occur, which sometimes requires urgent treatment or surgery. 

• The risks are slightly higher when colonoscopy is used to apply treatment, such as removal of polyps. 

• Inform us immediately if you have any severe pain, black tarry stools or persistent bleeding, or fever/chills in the hours 

 WHAT IS AN UPPER GI ENDOSCOPY (EGD)? 

• Upper GI endoscopy, or esophagogastroduodenoscopy (EGD), is a visual examination of the lining of your esophagus, stomach and the first portion of the small intestine. During the test, an endoscope, which is a long, flexible instrument that has a light and a camera at the tip, will be passed through the mouth. The doctor will view the endoscopy on a television screen and look for any abnormalities that may be present. 

• Upper GI endoscopy usually is performed to evaluate and treat ulcers in the stomach and intestine, tumors of the esophagus and stomach, difficulty swallowing, upper abdominal pain or indigestion, and intestinal bleeding. If necessary, biopsies (tiny tissue samples) may be taken painlessly during the examination and sent for laboratory analysis. Polyps (abnormal growths of tissue) also may be removed and bleeding areas may be identified and treated. 

PREPARING FOR AN UPPER GI ENDOSCOPY (EGD) 

Food and Drink 

• In order for your doctor to perform an adequate and safe examination, the upper gastrointestinal tract must be clear. Therefore, please do not eat anything for eight (8) hours prior to your examination on the day of your procedure. You may continue to drink clear fluids until three (3) hours prior to your procedure. 

Medications 

• Continue to take your medications as usual, even on the day of your examination, unless instructed otherwise by your doctor. Medicines taken the day of the examination should be taken with a small sip of water. If you are a diabetic, please consult with your physician prior to the examination about your medication schedule. You may continue to take aspirin prior to your procedure unless instructed otherwise. 

• If you take medications to thin your blood or antiplatelet medications such as Coumadin (warfarin), Lovenox (heparin), Plavix (clopidogrel), Pradaxa (dabigatran), Eliquis (apixaban), Effient (prasugrel), Xarelto (rivaroxaban) or Savaysa (edoxaban), please contact your physician or health care provider for further instructions. Please bring a list of your current medications with you on the day of the procedure. 

• You should inform your doctor if you 

• Have allergies or reactions to medications 

• Usually take antibiotics for dental procedures 

• Are taking aspirin, arthritis medicines, or blood thinners 

• Have a blood disorder where you bleed easily 

• Think you may be pregnant 

Clothing 

• Dress comfortably in clothing that can be folded. Please do not bring jewelry or other valuables with you. 

Companion 

• By New York State regulations, a companion (adult 18 years or older) must be available to accompany you home after the procedure, since the sedation you receive may impair your reflexes and judgment. Your procedure will be canceled if a companion is not available. 

THE PROCEDURE 

• At the beginning of your appointment, you will be brought into an assessment area, where the doctor and/or nurse will explain the procedure and answer your questions. At that time, you’ll be asked to sign a consent form giving your permission to have the procedure performed. You will also meet with an anesthesiologist who will be responsible for sedating you during your procedure and watching your breathing and heart rate. You will be asked to change into a hospital gown and remove your eyeglasses and contact lenses. 

• You will then be taken to a procedure room, where you will be asked lie on your left side in a comfortable position and will be given medication through an injection into a vein to make you sleepy and relaxed. You also may receive a topical anesthetic to numb your throat. 

• The doctor will then pass the endoscope through the mouth and into the esophagus, stomach and intestine. The endoscope will not interfere with your breathing. 

• The examination generally takes 15 to 30 minutes. Depending on what your doctor sees, he or she also may obtain a biopsy or remove polyps. Removed tissue and polyps are sent to the laboratory for analysis. These additional steps do not usually cause discomfort. 

POST-PROCEDURE 

• After the upper GI endoscopy, you will remain in the recovery area for about 30 minutes until the effects of the sedating medication wear off. You may experience some bloating due to air that was added through the endoscope during the examination; this air will quickly pass. 

• If you received a topical anesthetic for your throat, you may not eat or drink anything for one hour after the test, until your swallowing mechanism has returned to normal. 

• Before you are discharged, your physician will discuss the examination results and follow-up plans, and you will be given discharge instruction information. 

• A companion must be available to accompany you home from the procedure, since the sedation may impair your reflexes and judgment. For the remainder of the day you should not drive a car, operate machinery, or make important decisions. 

RISKS OF UPPER GI ENDOSCOPY 

•Upper GI endoscopy is a rather common examination that is usually performed on anoutpatient basis. Complications are rare (less than one in 1,000 examinations).

•However, complications such as reactions to medication, perforation (tearing) of theesophagus, stomach and intestine, as well as bleeding, may occur; these may necessitateurgent treatment or surgery.

•Inform your doctor immediately if you have any severe pain, black tarry stools, persistentvomiting, or fever/chills in the hours or days following upper GI endoscopy.

UPPER GI ENDOSCOPY VIDEO 

https://www.asge.org/videos/default-source/patient/upper_endoscopy.mp4 

WHERE TO GO 

•Procedures are scheduled at:

Upper West Side Endoscopy

230 West 74th Street

New York, New York 10023

•Make sure you know where your procedure will occur

•Please arrive 1 hour in advance of your scheduled procedure time to allow for completion of the necessary paperwork.

•Please bring a photo ID

•Please bring a current insurance card, if applicable.

•If for any reason you need to cancel your procedure, please call 212-659-8770. You must call at least 48 hours in advance to allow other patients to be scheduled for procedures.