Download EGD Prep Instructions

Upper Endoscopy Preparation Instructions
Your procedure is scheduled on _______________________ at ___________ AM/PM.
(Please arrive 1 hour early for registration)
Facility:
 Manhattan Surgical Center, 1829 College Ave, Manhattan, KS 66502,
785-776-5100
 Via Christi Health Center (former Mercy Regional), 1823 College Ave,
Manhattan, KS 66502, 785-776-3322
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 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. If your procedure is at Manhattan
Surgical Center, included is an instruction sheet for One Medical Passport. The
Surgical Center has requested we provide this information to you to provide your
medical history on a secure website. Participating in One Medical Passport is not
required, but is recommended. Doing so will shorten your registration phone call you
will receive from the Surgical Center prior to you procedure. If you have any questions
about One Medical Passport, please call Sandy Horton-Smith at 785-776-2574.
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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 who can 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 (785-7765100) or Via Christi Hospital (785-776-3322), whichever hospital where your procedure
will be done.
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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).
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Upper Endoscopy Preparation Instruction:
5 Days before your Upper Endoscopy:
1. Read all instructions.
2. Contact your prescribing physician for instructions on diabetic medication, antiinflammatory medication, and blood thinners.
3. Arrange for a driver for your procedure.
The Day before your Upper Endoscopy:
1.
2.
3.
4.
Complete the forms sent to you.
Make a list of all your current medications and medication allergies.
Find insurance cards.
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 or drink 6 hours before your procedure.
2. 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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