Tuesday, September 24, 2019

Patient Instructions before UGI & Colonoscopy procedures at YMCH

Colonoscopy preparation at Yenepoya Hospital Mangalore :
1. Liquid diet for 3 days before the procedure
2. Tab.Dulcolax bedtime daily for 2 days. 
3. Start PEGLAC Bowel preparation.
Dissolve PEGLAC powder  in 2 litres of water, add  some Limca   
Start the preparation  @ 2pm one day before Procedure.
4. Keep patient fasting post Midnight
5. Start IV fluids if there is no Contraindication.
6. Be careful about Ischemic heart disease, DM and chronic liver disease patients
 7. Book an appointment with anaesthesia on call and schedule on Backbone


Patient instructions before the UGI Endoscopy procedure  

  • Food and medications
  • The patient will need to stop drinking and eating up to eight hours before the endoscopy to ensure the stomach is empty for the procedure.
  • If your patient is heart patient, please inform us if the patient is taking blood-thinning medications, Tab. Warfarin
  • Start IV fluids if not contraindicated. Be careful about diabetes and chronic liver disease patients 
Indications for colonoscopy:

1.Lower GI bleeding
2.Screening and surveillance of colorectal polyps and cancers:
a. Colon cancer
b. Surveillance after polypectomy
c. Colorectal cancer post-resection surveillance
d. Inflammatory bowel diseases
3.Acute and chronic diarrhea
4.Therapeutic indications for colonoscopy:
a. Excision and ablation of lesions
b. Treatment of lower GI bleeding
c. Colonic decompression
d. Dilation of colonic stenosis
e. Foreign body removal
5.Miscellaneous indications:
a. Abnormal radiological examinations
b. Isolated unexplained abdominal pain
c. Chronic constipation
d. Preoperative and intraoperative localization of colonic lesions