Endoscopy Centre
Do I need a Gastroscopy/Colonoscopy?
HSC Medical Center provides Upper Endoscopy (Gastroscopy) and Colonoscopy services to detect and diagnose abnormalities in the gastrointestinal tract. The procedures are safe, simple and quick.
An endoscope is a small flexible tube with a light and a lens and is used to look into the esophagus, stomach, duodenum, colon or rectum. It is also used to take tissue (biopsy) and color photographs of the esophagus, stomach, duodenum, colon or rectum.
Upper Endoscopy (Gastroscopy)
Examines the esophagus, stomach and duodenum. An endoscope is guided into the mouth and throat, then into the esophagus, stomach and duodenum. The endoscope allows the physician to view the inside of this area of the body, as well as to insert instruments through a scope for the removal of a sample of tissue for biopsy (if necessary). The physician can see abnormalities through the endoscope that isn’t show well on X-rays, like inflammation or bleeding.
The indications for Upper endoscopy are:
- Epigastric pain or discomfort in the upper abdomen.
- Heartburn or gastroesophageal reflux disease (GERD).
- Helicobacter pylori detected on blood test.
- Family history of gastric precursor (cancer).
- Recent weight loss.
- Japanese, above 40, annual gastroscopy recommended.
- To check healing or progress on previously found polyps (growths), tumors, or ulcers.
Preparation for upper endoscopy:
Fasting (not to eat or drink) for up to 6 hours before the test. A sedative is given to help you relax and a spray medication is used to numb the throat. The procedure will take a few minutes to complete. The physician will explain the results with you when you have fully recovered from the procedure.
If a biopsy was taken during the procedure, the biopsy report should be ready within 2 weeks. The biopsy report with the physician’s explanation will be sent to you by registered mail to the respective address of your country.
Colonoscopy
Colonoscopy allows the physician to view the entire length of the large intestine. It involves inserting a colonoscope in through the rectum up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination and possibly treat some problems that are discovered. The typical indications for colonoscopy include:
- Rectal bleeding (especially when blood is mixed with the stool).
- Significant abdominal pain or change in bowel habit.
- Screening for colorectal cancer either because of a family history or increasing age (>age 50).
- Investigation of chronic diarrhea.
- Assessment of colitis, either Crohn's Disease or Ulcerative colitis.
- Prior history of polyps.
Preparation For Colonoscopy and MSCT 64-Slice Virtual Colonoscopy
Indication
To help clean out the bowel before the medical procedures.
Stop Using and Inform Doctor if the Patient
- Have any rectal bleeding.
- Do not have a bowel movement within 6 hours of taking this product.
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Dehydration: Body losing more fluids than you are drinking. Early symptoms of dehydration include:
- Feeling thirsty.
- Dizziness.
- Urinating less often than normal.
- Vomiting.
Bowel Preparation
Day before Examination
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Before 12:00 Noon
- Can have usual breakfast
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From 12:00 Noon to 12:00 Midnight
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CAN - Drink water, juices, black coffee, tea without milk, carbonated or non-carbonated soft drinks, plain jelly without added fruit or toppings, clear soup.
CANNOT - Eat any solid food and drink milk or milk product like yogurt drink.
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CAN - Drink water, juices, black coffee, tea without milk, carbonated or non-carbonated soft drinks, plain jelly without added fruit or toppings, clear soup.
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From 12:00 midnight until The Examination Time (Morning)
- Cannot eat or drink anything.
Phospho-Soda (Fleet) Dosage
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First Dosage
- 12.00 noon the day before examination.
- Add 45ml of FLEET to half glass of water.
- Follow immediately with 3 glasses of water.
- This prep often works within 30 minutes but may take as long 6 hours depends of individual response to lavatives.
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Second Dosage
- 4.00 pm the day before examination.
- Take FLEET exactly the same procedure as the first dose.