Frequently Asked Questions about Endoscopy
Please forward this error frequently Asked Questions about Endoscopy to 108. Please forward this error screen to 216. Which endoscopic weight loss procedure is right for me? Are there any side effects I should know about?
How effective are weight loss balloons? Am I a candidate for weight loss balloons? What happens during an endoscopic sleeve procedure? Who is a good candidate for an endoscopic sleeve procedure? What kind of results can I expect with an endoscopic sleeve procedure? What risks are associated with the endoscopic sleeve? What is aspiration therapy and how does it work?
How long does aspiration therapy take? How well does aspiration therapy work? What causes weight regain after surgery? How can endoscopy therapy help with post-bariatric weight gain? The decision to pursue non-surgical weight loss therapy, and which procedure is ideal for each patient, is multifaceted, factoring in a balance of patient comfort with the relative invasiveness of each procedure, any co-morbid medical conditions and the patient’s desired weight goals. For instance, weight loss balloons are ideal for patients looking for a way to jump-start their weight loss with the least invasive, most reversible procedure. This procedure would not be recommended for those with a prior history of stomach surgery, but they might still qualify for endoscopic suturing as an alternative option.
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Additionally, weight loss goals are a large factor in deciding the best solution for each patient. While overall weight loss is dependent on several factors, generally the endoscopic sleeve gastroplasty and aspiration procedures appear to result in more weight loss, with emerging data also suggesting that the weight loss may be more long-term. We recommend that any patient interested in an endoscopic weight loss procedure should come to one of our clinics to discuss the risks and benefits of all the options and personalize their treatment plan. Weight Loss Balloons How do the intragastric balloons work?
These balloons are placed into the stomach in a simple, non-surgical, outpatient procedure. During the procedure, a deflated gastric balloon is inserted through your mouth, down the esophagus and into your stomach. A syringe is then used to fill the balloon with a sterile saline solution to about the size of a grapefruit. Are there any side effects I know should about? 1 to 2 weeks, however this can often be controlled with medications and typically improves after the first week. Although the balloons have only been approved in the United States for a little over a year, gastric balloons have been used for more than 20 years with over 220,000 gastric balloon procedures successfully performed in more than 80 countries. Serious complications are extremely rare and balloons can be removed at anytime.
Weight loss balloons, and all endoscopic therapies, should be considered a tool to help assist with weight loss, and each patient must learn to use the tools effectively to ensure maximum results. Similarly to any weight loss endeavor, the number of pounds lost varies from patient to patient, depending on their individual body and lifestyle changes. 30, who are not ideal candidates for, or do not desire, bariatric surgery. Endoscopic Sleeve Procedure What happens during an endoscopic sleeve procedure? While you are asleep, the physician places an endoscope into your mouth, advanced down the esophagus and into your stomach.
This series of sutures is then tightened, constricting the overall usable volume of the stomach. Patients generally go home the same day or the following day after an overnight admission. They are instructed to follow a specific diet for a brief amount of time afterward. In conjunction with diet and exercise, the endoscopic sleeve can result in weight loss ranging from 40 to 60 pounds.
On average, patients on average lose 40 to 60 pounds, or nearly 20 percent of their body weight. Recent research has demonstrated that the weight loss achieved with the ESG procedure can last for greater than 2 years. The endoscopic sleeve procedure should be considered internal, endoscopic surgery. Aspiration Therapy What is aspiration therapy and how does it work?
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After anesthesia puts the patient to sleep, your physician uses an endoscope to place a thin tube in your stomach that connects the inside of your stomach to a small, discrete button on the outside of your abdomen. After each meal, you connect a small handheld device to the button, which allows you to empty up to 30 percent of your meal into the toilet through this tube. After eating, patients must wait 20 to 30 minutes before beginning aspiration. Patients can expect aspiration to take between 5 to 10 minutes before the process is complete. The food being emptied from the stomach can be drained directly into the toilet, so patients can perform aspirations in private.
By the end of six months of aspiration therapy, patients lose on average about 40 percent of their excess weight. Therapies for Weight Regain What causes weight regain after surgery? Some bariatric surgeries reduce the size of the stomach. This helps patients feel full more quickly, and eat smaller meals. Over time, the stomach can begin to stretch, enabling the patient to eat more before feeling full and can lead to weight gain. Endoscopic therapies, such as endoscopic suturing, are non-surgical procedures for reducing the size of the stomach pouch or sleeve for patients who have gradually stretched their stomach after weight loss surgery. These incisionless procedures place a scope through the mouth and into the stomach once a patient is under anesthesia.
Patients who undergo endoscopic revision of bariatric surgery procedures lose 30 to 40 pounds on average. For maximum results, patients should consider therapy before a significant amount of weight is re-gained. When patients feel loss of restriction, notice an increased tolerance of larger meals, or start regaining weight, that is the time to contemplate scheduling a consultation. 2018 The University of Chicago Medical Center. The Glen Endoscopy Center is a specialty surgery center serving the North Shore Chicago suburbs and surrounding communities. We are located within the Prairie Glen Professional Buildings, across from the Glen Shopping Center in Glenview, Illinois.
We strive to give our patients the highest quality outpatient care in a modern state-of-the-art medical facility with fully integrated computerized reporting. We also help physicians and medical professionals provide their patients with the best care possible. If you are healthy, and over 50, you may be qualified to schedule your screening colonoscopy online. Accreditation Association for Ambulatory Health Care, Inc. Copyright 2017 The Glen Endoscopy Center, LLC.
Can I take my routine medications on the morning of my test? My orthopedic surgeon said I need? What happens if I start vomiting after drinking the laxative? Why do I have to stop drinking 4 hours before my colonoscopy?
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What if my hemorrhoids bleed during the prep? Ooops, I just read my instructions. Can I still have my colonoscopy? Do I have to drink all of my colon prep?
How can I tell if my colon is clean enough? Why does my driver need to stay in the lobby during my entire test? What if the prep doesn’t work? When will I get the results from my colonoscopy? What happens if bowel movements do not start after drinking the laxative? What do I do about my diabetic medications? I am a diabectic and I’m worried about my blood sugar dropping too low.
Why is it so important to have a clean colon? Why do I have to wake up so early to do another dose of laxative? How will my primary care physician know the results? What if I forgot to stop my blood thinners?
I am a diabetic, what can I do if my blood sugar is too high? I am very sensitive to laxatives. How long will it take for the preparation to start working? I have a heart problem, and I need antibiotics before tests. Can I take over-the-counter medications with my colon prep? Will I miss work the day before my procedure?
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How do I prepare for a colonoscopy? What is a laxative and which one will I take to prepare for my test? A laxative is a medication which pulls water into your colon and causes your colon to squeeze and clean itself out. This combination will allow your colon to make a large amount of liquidy diarrhea. If you are scheduled for a morning procedure, do not take any medication EXCEPT for blood pressure, heart and seizure unless you are otherwise instructed by our physician or your primary care physician. If you are scheduled for an afternoon exam you may take your routine medicaiton EXCEPT the medications that you were instructed to hold. Pain medicaiton should not be taken within six hours of any procedure.
The American Society for Gastrointestinal Endoscopy, has concluded that antibiotic use for patients with artificial joints is not recommended. Wait 1 to 2 hours to allow your stomach to settle. Start drinking the solution at a slower pace. Instead of drinking a glass every 10 to 15 minutes, drink a glass every 20 to 30 minutes. This will take longer, but hopefully should keep you from vomiting the rest of the solution. If you continue to vomit, call our office to receive further instructions from your physician.
We ask that you stop clear liquids four hours prior to your colonoscopy to allow your stomach to empty before you receive sedation. Liquids in your stomach can be inhaled into your lungs when you are sedated, causing serious complications. If you use hemorrhoid cream, it would be a good idea to use that before starting the laxative prep. If you have a very small amount of bleeding, try to finish the prep so your procedure can still be performed. If you are having a large amount of bleeding, stop your prep and call our office or call the emergency room.
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Usually, you can really push a lot of fluids and your bowel preparation will work. This may not be the case if you are a person who usually has constipation. You may require a little extra laxative to completely clean out. This will not interfere with your procedure at all, nor will wearing a pad or using a tampon.
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Yes, we want your colon as clean as possible so that your physician can see all of the colon. If your diarrhea is near-clear or only a light color, then you can be confident that your colon is clean enough for an excellent examination. If your diarrhea is dark colored with solid material mixed in, then you probably need to take more preparation. If you are a diabetic we will give you special instructions when your procedure is scheduled.
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You will need to let us know about ALL of your diabetic medications. You should check your blood sugar frequently during the day before and the day of the procedure. Since you will be on clear liquids, your blood sugar will tend to drop faster than normal. To avoid this be sure to include some liquids with regular sugar in your diet. Your driver must stay in the lobby for your safety.