COLONOSCOPY
You have been scheduled by your Physician to have a colonoscopy, a procedure that permits direct and detailed visualization of the lining of the large intestine. This direct visualization is accomplished by the use of a lighted flexible instrument. Biopsies may be taken during colonoscopy.

POLYPECTOMY
A polyp is a small oval or round growth attached to the lining of the colon. The polyp or polyps can usually be removed by placing a wire loop around the polyp and applying appropriate electrocautery. Discomfort is not present during this time, or when the polyp is retrieved.

COMPLICATIONS
As with any procedure involving tube insertion, growth removal, or biopsy, there is a slight risk of complication. The overall rate is less than 1%. Infrequently, the area where a polyp is removed may bleed significantly. A small tear in the bowel wall is another infrequent complication. Sometimes surgical intervention is necessary for the latter problem, and occasional surgery may be required if bleeding fails to stop spontaneously. It should be emphasized that the frequency rate of complication is small; however, the risks involved must be understood by the person having the exam. These points will be discussed with you by your Physician.

PREPARATION FOR THE PROCEDURE
To insure a clear view of the colon wall, you must carefully follow the preparation ordered by your Physician. An oral gut lavage is used prior to the procedure. The ingredients in the oral gut lavage (which you will be asked to drink) will gently stimulate the colon so your bowels will evacuate. A consent form authorizing your Physician to perform the colonoscopy, biopsy/polypectomy must be signed prior to the procedure.

Report to the Registration Desk of the Outpatient Surgical Services at the time of your scheduled appointment. From here you will be directed to the G.I. Suite. At that time you will change into a patient gown; your clothing and other personal belongings will be placed in a safe area and returned to you upon discharge.

An intravenous will be started. The purpose of this is to give medication which will make you relaxed and drowsy.

Relatives or friends may wait in the Surgical Waiting Room. We will call them to speak with your Physician after the procedure is completed.

DURING THE PROCEDURE
When you are properly relaxed, your Physician will insert the flexible colonoscope into the rectum and slowly advance it through the normal passageway (opening) of the colon. Throughout the procedure, you will be lying on your left side.

Normally, the discomfort you may feel is caused by the air used to distend the colon. You may pass the air around the tube as you desire.

Drowsiness will be maintained throughout the procedures; medication will be used to minimize discomfort.

AFTER THE PROCEDURE
After the procedure you will remain in the G.I. unit under observation by the nursing personnel until you are alert and oriented. For this examination it is mandatory that someone be with you who can drive you home. When you are ready to leave (one or two hours after the procedure), you will be given final instructions.

If you have any questions regarding the procedure, please feel free to discuss them with your Physician or the G.I. nurses. Call Outpatient Surgical Services at (954) 693-8600.