Download July 5, 2002

Salem Endoscopy Center
875 Bethesda Rd.
Winston-Salem, NC 27103
Phone: (336) 448-2427
Piedmont Endoscopy Center
1901 S. Hawthorne Rd., Suite 308
Winston-Salem, NC 27103
Phone: (336) 448-2427
ENDOSCOPY OF THE STOMACH AND UPPER INTESTINE
A SUMMARY AND PATIENT INSTRUCTIONS FOR A PROCEDURE
Fiberoptic endoscopy of the stomach and upper intestine (EGD) is used for the diagnosis of esophagitis, ulcer
disease and other problems of the esophagus and upper intestine. This procedure provides a more accurate
examination than x-ray as to the presence or absence of an ulcer or other findings, and allows small tissue samples
(biopsies) to be taken from the lining of the intestine if necessary. Endoscopy requires you to swallow a thin
flexible tube so the physician can examine your esophagus and your stomach. If the pieces of tissue are removed
they will be examined microscopically.
MORNING APPOINTMENTS:
NOTHING TO EAT OR DRINK AFTER MIDNIGHT
THE NIGHT BEFORE THE PROCEDURE.
You should take your blood pressure medications with no more than 4 oz. of water prior to your appointment,
leaving at least 2 hours between medicine administration and your appointment time. Oral inhalers and nebulizers
should be used, as regularly taken prior to arrival. Do not take oral diabetic medications the morning of the
procedure.
AFTERNOON APPOINTMENTS:
Endoscopies to be done after 12 o’clock noon may have a clear
liquid breakfast before 8:00 a.m. DO NOT drink any liquids within 4
hours of your scheduled appointment time.
LIQUID DIET: Liquid diet consists of NO SOLID FOODS. Soups, broth from any meat or vegetable (no gravy
with flour), beef and chicken bouillon cubes, coffee, tea, cokes, fruit juices (all except juices with pulp), Gatorade,
and water. You may have Jello and Popsicles, but please avoid red food coloring. No dairy Products.
TRANSPORTATION: Due to sedation that you will be given, you MUST have someone to drive you to and
from your appointment. All drivers are required to sign in with the patient and must remain until the patient is
discharged. If you do not have a driver, your procedure will not be done. NOTE: you may not drive or operate
machinery for at least 8 hours after your procedure.
(Please leave all jewelry and valuables at home. We do not provide a secure area for these items.)
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APPOINTMENT DATE
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APPOINTMENT TIME
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ARRIVAL TIME
If you have any changes in your medical history between the day of scheduling and the appointment date, please
contact our office. If you have any questions or should you need to reschedule this procedure, please call the
Endoscopy center in which your procedure is scheduled. WE REQUIRE A 48 HOUR (BUSINESS DAYS)
NOTICE IF THERE IS A NEED FOR CHANGE OR CANCELLATION OF YOUR PROCEDURE.
Endoscopy revised 5.22.2014