About Your Lower Endoscopic Ultrasound
What is a Lower Endoscopic
Ultrasound?
A lower endoscopic ultrasound is an examination
of the wall of the rectum and sigmoid colon
through a flexible tube with an ultrasound device
on its tip. This allows a specially trained
physician to view this area and identify any
abnormalities.
Plan to Do in Advance
1. Medications, Vitamins and Supplements
To properly prepare for your procedure, you may
need to make certain changes to your daily medication
routine.
- If you take insulin, consult with your physician
about making any necessary changes in you daily
regimen.
- If you take medications that contain aspirin
or other anti-inflammatory drugs (such as Motrin,
Advil, Indocin, or Feldene), we recommend that
you stop taking them seven days before your
procedure. They may increase your risk of bleeding
after removal of a polyp or a biopsy during
your upper GI endoscopy by interfering with
the normal clotting of your blood.
- IMPORTANT: IF YOU ARE CURRENTLY TAKING COUMADIN
OR HEPARIN, YOU MUST CHECK WITH YOUR PRESCRIBING
PHYSICIAN BEFORE CHANGING OR INTERRUPTING YOUR
DAILY ROUTINE.
- Stop taking iron supplements seven days before
your procedure.
- Certain medications should be continued
prior to your lower endoscopic ultrasound. If
you take cardiac (heart) or anti-hypertensive
(high blood pressure) pills, take them as you
normally do with small sips of water.
2. In addition to changes to your medication,
you'll also need to:
- Purchase two Fleet's Enemas, a laxative
to cleanse your bowel. They can be bought over-the-counter
at any pharmacy.
- Bring a list of all your medications (prescription
medications, over-the-counter medications and
eye drops) with you on the day of your procedure.
You may bring the medication bottles themselves.
- Be prepared to list and describe your ALLERGIES
and REACTIONS to any medications.
3. Because you may receive a relaxing medication
during your procedure, you must arrange to have
a responsible adult pick you up and/or accompany
you home if you taking public transportation.
University of Pennsylvania Health System policy
requires that you make these arrangements, or
your procedure will not be performed. If you
receive relaxing medication you may not operate
an automobile or other mechanical equipment until
the day following your procedure.
On
the Day Before Your Procedure
To ensure the most accurate results possible,
it is important that you do not eat or drink anything
after midnight on the day before your procedure,
unless you are scheduled for an afternoon procedure
(see "On the Day of Your Procedure").
The exception is medication taken with small sips
of water.
On
the Day of Your Procedure
If you are scheduled for a morning procedure:
Take one Fleet's enema approximately 3 hours before
your scheduled arrival time. One hour later, take
the other Fleet's enema.
If you are scheduled for an afternoon procedure:
You may have CLEAR LIQUIDS only for breakfast.
Take one Fleet's enema approximately 3 hours before
your schedules arrival time. One hour later, take
the other Fleet's enema.
CLEAR LIQUIDS: water, apple juice, ginger ale,
sprite, beef or chicken broth WITHOUT noodles,
coffee or tea WITHOUT cream or milk, most sodas,
sherbet, pop-sicles, and Jell-O that is not
red or orange. DO NOT DRINK ANYTHING RED OR
ORANGE.
- On the day of your lower endoscopic ultrasound,
please come directly to the requested location
at your scheduled arrival time and check in
with the receptionist. Plan to spend several
hours at the unit to allow time for your preparation,
your procedure, and your recovery.
- Before the procedure, a nurse will greet
you and assist you with changing into a hospital
gown. An IV will be placed in your arm. You
will receive relaxing medications through the
IV during the procedure. You will be lying on
your side for your endoscopic ultrasound and
the flexible tube will be passed into your rectum
to view the wall of the rectum and sigmoid colon.
The test takes approximately 15-30 minutes to
complete.
After
Your Procedure
- If you do receive relaxing medications, you
will be taken to the recovery area where you
will be monitored until most of the effects
of the relaxing medication have worn off.
- You may have some cramping or bloating as
a result of the air placed into your colon during
the procedure.
- The Endoscopist will discuss the results
of your procedure with you prior to your discharge.
You will receive discharge instructions on the
day of the test.
- Your endoscopy report and biopsy results
will be sent to your referring physician.
If you would like to speak to a nurse regarding
your procedure or preparation, or if you need
to reschedule your procedure, please call the
appropriate number:
Hospital of the University of Pennsylvania
Procedure questions: 215-662-2122
To reschedule: 215-349-8222
Penn Presbyterian Medical Center
All questions: 215-662-8900
Penn Medicine at Radnor
All questions: 610-920-1500
Please be aware that these instructions apply
to patients scheduled for procedures at the Hospital
of the University of Pennsylvania, Penn Presbyterian
Medical Center and Penn Medicine at Radnor. However,
your doctor may give you different instructions
or procedures. If you have any questions about
your procedure, please contact your physician
at the Digestive & Liver Center.
Digestive System Illustration
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