Welcome to the Rosemont Endoscopy Centre - a new concept in investigative management. The Rosemont Endoscopy Centre has been fully licensed by the NSW Department of Health as a result of meeting the ACHS Accredited Department's high standards for delivery of quality patient care.
All patients undergoing procedures must confirm their appointment the day before, after 2pm, by phoning the Centre on 4226 5499. You will then be advised of your admission time. For patients undergoing procedures on a Monday, please phone on the previous Friday. If your procedure is not confirmed, it is possible that it could be given to an emergency case.
There are no special clothing requirements for your procedure. Patients undergoing Colonoscopy or Flexible Sigmoidoscopy will be given a gown to change into. The general rule is to wear something comfortable and loose. You may leave on: bras, singlets and socks. No nail polish or make-up is to be worn. Jewellery is worn at your own risk.
Valuables. There is no facility for the safe storage of your valuables. The Rosemont Endoscopy Centre takes no responsibility for the loss of personal valuables.
Please arrange for a relative or friend to pick you up after your procedure. Under the Motor Traffic Act it is illegal to drive a vehicle after your procedure. It is important for the remainder of the day following your procedure you should not:
Upper GI endoscopy - or oesophagogastroduodenoscopy (OGD) - is a visual examination of the lining of your oesophagus, stomach and the first part of your intestine. This is performed by passing a small, long flexible telescope through your mouth, under sedation. The doctor will be able to look for any abnormalities which may be present. If necessary, small tissue samples (biopsies) can be taken during the examination (painlessly) for detailed laboratory analysis. Some treatments can also be done through the endoscope. These include stretching (dilating) narrowed areas of the oesophagus, stomach or duodenum, removing polyps and swallowed objects, and treatment of bleeding vessels, and ulcers by internal injection or application of heat (using electrical diathermy).
Your stomach must be empty. Do not eat or drink anything for 6 - 8 hours prior to your examination (preferable to fast from midnight). If you must take prescription medication, use only small sips of water. Do not take antacids.
A local anaesthetic will be sprayed into your throat to make it numb. You will be given medication by injection through a vein to make you sleepy and relaxed. While you are in a comfortable position on your left side, the doctor will pass the endoscope through your mouth and down your throat. A guard will be placed to protect your teeth. The instrument will not interfere with your breathing, nor cause any pain. The examination takes 10 - 30 minutes.
You will remain in the recovery area for up to 2 - 3 hours until the effects of any medication wear off. Your throat may feel numb and slightly sore, but this will settle. Afterwards you may return to your regular diet unless otherwise instructed. You may feel slightly bloated due to the air which has been injected through the endoscope; this will quickly pass.
A companion should be available to drive or accompany you home or you should take a taxi as the sedation impairs your reflexes and judgement. For the remainder of the day you should not drive a car, operate machinery or make important decisions. We suggest that you rest quietly.
Endoscopy can result in complications, such as reactions to medication, perforation of the intestine, and bleeding. These complications are very rare (less that one in 1000 examinations) but may require urgent treatment and even an operation. The possibility of complication is greater when the endoscope is used to apply treatment. Be sure to inform us if you have any severe pain, black tarry stools or troublesome vomiting in the hours or days after the endoscopy. If you wish to have all possible and rare complications discussed about the procedure, please ask the Doctor.
Colonoscopy is a visual examination of the lining of your colon (large intestine). A long flexible tube (colonoscope) is passed through the rectum and around the colon. Through this telescope the doctor will be able to look for any abnormalities that may be present. If necessary, small tissue samples (biopsies) can be taken during the examination (painlessly) for laboratory analysis. Polyps (abnormal growths of tissue) can also be removed, using an electric snare wire.
To allow a clear view the colon must be completely free of waste material. A set of instructions for bowel preparation follows below. If the bowel is not clear, your procedure may be postponed to a later date.
You will be placed in a comfortable position on your left side, and may be given medication by injection through a vein to make you sleepy and relaxed. The doctor will pass the colonoscope through the anus and into the rectum and advance it through the colon. You may experience some abnormal cramping and pressure form the air which 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. The examination takes 15 - 60 minutes.
You will remain in the recovery area for up to 2 - 3 hours, until the effects of any medication wear off. A companion should be available to drive or accompany you home as the sedation impairs your reflexes and judgement. For the remainder of the day you should not drive a car, operate machinery or make important decisions. We suggest that you rest quietly.
Colonoscopy can result in complications, such as reactions to medication, perforation of the intestine, and bleeding. These complications are very rare (less that one in 1000 examinations) but may require urgent treatment, blood transfusion or even an operation. The risks are slightly higher when the colonoscope is used to apply treatment, such as removal of polyps. Be sure to inform us if you have any severe pain, fever, black tarry stools or persistent bleeding in the hours or days after the colonoscopy. If you wish to have all possible and rare complications discussed about the procedure, please ask the Doctor.
Day 1 and Day 2 - Low Residue Diet
(If you normally take laxatives, continue these ONLY on day 1 and day 2.)
AVOID:
RECOMMEND:
Day Three - Continue your low residue diet for both breakfast and lunch unless otherwise indicated when your booking is made. Mix the preparation according to instructions in the packet and place in the refrigerator. Start taking the preparation anytime between 1:00pm and 5:00pm.
It is best to drink the preparation over a 3 - 4 hour period but rather than not complete the drink it may be necessary to take a longer time to finish. Due to the volume involved you may experience some nausea or cramps. If this happens we suggest you stop drinking for 30 - 40 minutes and the symptoms should settle as the preparation passes through the bowel. The preparation should cause profuse water diarrhoea. Apple juice, jellies or clear broth soup can be continued toll 10:00pm but you should have nothing to eat or drink within 6 - 8 hours of your procedure.
Please ring the Centre between 2:00pm and 4:00pm to confirm your booking and to get your admission time.
Day Four - Arrive at the Centre at your admission time. After your procedure you will be allowed to return to normal diet unless otherwise indicated, and light refreshments will be served to you in recovery.
Have you organised a responsible person to collect you after your procedure?
Please note the following:
Do not hesitate to call the staff at Rosemont Endoscopy Centre if you have any questions or problems.
After Gastroscopy / Colonoscopy / Oesophageal Dilation / Flexible Sigmoidoscopy / Haemorrhoidal Banding: