KMC Endoscopy Center offers outpatient endoscopic facilities specializing in the prevention, diagnosis, and treatment of gastrointestinal diseases and disorders.
For the Endoscopy Center patients, below is the endo prep packet. For any questions regarding our Endoscopy Center, please contact us at (785) 354-8518.
Learn more about the procedures we offer at the KMC Endoscopy Center.
Upper Endoscopy (EGD)
Thank you for your interest in learning more about your upcoming colonoscopy. The following sections provide information about the procedure, how it is performed and why it is important.
Colonoscopy allows a gastroenterologist to examine the entire length of the large intestine. The procedure is used as a method of routine or diagnostic screening for colon cancer. It is also used to explore causes of abdominal pain, rectal bleeding, chronic constipation, chronic diarrhea and other intestinal issues.
During the procedure, the gastroenterologist uses a lighted, flexible tube called a colonoscope that has a small video camera attached to the tip. Using the instrument, the doctor can view the interior of the colon and can remove colon polyps of suspicious tissue for further laboratory evaluation.
How to Prepare for a Colonoscopy
Thorough cleansing of the bowel is essential to have an effective procedure and to avoid retesting. Your gastroenterologist will provide specific instructions for bowel preparation which typically include a pill or liquid laxative and restriction from solid foods a day or two before the test. The following recommendations are general guidelines. Please confirm the details of your preparation instructions with your gastroenterologist. View the Endoscopy Center prep packet here.
You will not be permitted to eat or drink the day of the procedure. To avoid dehydration on the day prior to the colonoscopy, drink clear, fat-free bouillon or broth, gelatin, strained fruit juice (no grape juice or any liquid with red color) and water.
Your gastroenterologist will need to know if you have heart disease, lung disease or any other medical condition. Unless otherwise instructed, continue taking your regularly-prescribed medication. You may be asked to stop taking blood thinners or iron supplements in the days before the procedure, but check with the doctor for precise instructions.
Finally, arrange for someone to drive you home afterward because the lingering effects of sedation will make it unsafe for you to drive until the next day.
What Happens During a Colonoscopy?
When it is time to begin the examination, you will lie on your side, and the anesthesiology provider will begin intravenous (IV) sedation. Once sedation has taken effect, the colonoscope will be carefully inserted through the rectum and moved gently around the bends of the colon. As the scope is guided through the colon, the gastroenterologist will view the interior lining on a monitor, remove colon polyps and sample abnormal tissue. The scoping process typically takes 30 minutes.
After the procedure, the nurse will move you to a recovery area, where the sedation will wear off. The gastroenterologist will then visit you to discuss your procedure and immediate findings.
What to Expect After a Colonoscopy?
Depending on the type of sedation (moderate or deep) used for your colonoscopy, it can take anywhere from 30 minutes to an hour to recover from the sedation. You will need someone to drive you home because it can take up to a day for the full effects of the sedative to wear off. You should be able to resume normal activity the next day. Be sure to ask your gastroenterologist when you can resume medications you stopped before the colonoscopy.
If a biopsy was taken during the procedure, the doctor will follow-up with the results. If colon polyps were removed, your doctor may recommend a follow-up colonoscopy in as few as three months depending on the size and number found. If no polyps were found, you will not need a colonoscopy for another 10 years if you are at average risk for colon cancer.
Examples of findings during colonoscopy include diverticulosis and colon polyps. If adenomatous polyps (growths of tissue) are found, they will be removed during the colonoscopy and sent to a pathologist.
Polyps are small growths in the lining of the colon. They are common, and they may be benign or cancerous. While the overwhelming majority of colon polyps are benign, if a polyp is found, the gastroenterologist’s office will contact you when your lab results are ready to schedule a time to discuss the results with you.
Upper Endoscopy (EGD)
An upper endoscopy, also known as esophagogastroduodenoscopy (EGD), is a procedure used to determine the cause of gastrointestinal disorders and symptoms including heartburn, Barrett’s esophagus, the presence of hiatal hernias, the cause of abdominal pain, unexplained anemia, and the cause of swallowing difficulties, upper GI bleeding, and the presence of tumors or ulcers. An upper endoscopy lets your doctor examine the lining of the upper part of your gastrointestinal tract, which includes the esophagus, stomach and duodenum (first portion of the small intestine).
This procedure is the best option for a physician to determine the cause of bleeding in the upper gastrointestinal tract, and it is also more accurate than an x-ray for detecting inflammation, ulcers and tumors of the esophagus, stomach and duodenum. Your doctor might use upper endoscopy to obtain a biopsy (small tissue samples) to distinguish between benign and malignant (cancerous) tissues.
Preparing for an Upper Endoscopy
Follow the instructions from your physician’s office or pre-procedure instructions.
What Happens During an Upper Endoscopy?
You will lie on your left side, and an intravenous (IV) sedation is used during an upper endoscopy. A plastic mouth guard is placed in your mouth and used to protect the endoscope from your teeth. Once the sedation takes effect your doctor will pass a lighted, flexible endoscope into your mouth. A plastic mouth guard is usually used to protect the endoscope from your teeth. A tiny camera at the tip of the endoscope will transmit images to a monitor for your physician to view. Your physician may need to obtain a biopsy during the procedure for further testing or perform a dilation if needed.
At the end of the exam, the endoscope is slowly withdrawn. The procedure takes about 10 to 20 minutes, depending on why the test is being performed and what your physician finds.
What Happens After an Upper Endoscopy?
Immediately following an upper endoscopy, you will spend some time resting in recovery while the sedation medication, if used, wears off. Upper endoscopy is performed as an outpatient procedure, so you can have your procedure in an ambulatory surgery center, which can provide better accessibility and ease compared to a hospital.
Once home, some patients report symptoms of bloating, cramping or a sore throat, but these symptoms should be mild and improve with time. Contact your doctor if your symptoms do not improve.
What are the Outcomes with Upper Endoscopy?
The timeframe it will take for you to receive results from your upper endoscopy will be determined by your situation. If a tissue sample was collected, it may take a few days for the testing laboratory to return your results to your physician. Ask your doctor when you can expect to hear your results.