In Room Procedures

The following procedures are done in the rooms by Dr C Jeske with the help of an Anaesthesiologist and clinical assistant. Anaesthesia is given in the form of sedation; sedation is used in small and minimal invasive procedures whereby the patient is still able to breath on their own with no loss if cardiac function. The patient is unconscious.

Gastroscopy

Procedure

A gastroscopy is best described as a minimal invasive procedure where Dr Jeske inserts a long, thin tube with a small camera through the mouth to reach the stomach via the path of the esophagus. During the procedure Dr Jeske may perform other small procedures such as taking specimens of the esophagus and stomach with a small biopsy forceps which he inserts through the scope.

Indications

Indications for a gastroscopy range from different digestive problems and complaints such as.

• Difficulty or pain when swallowing (dysphagia)
• Heartburn and Chest pain
• Stomach or abdominal pain
• Continues vomiting and nausea
• Family history of esophageal/stomach cancer

Side effects of a gastroscopy

• Slight pain in the throat
• Feeling bloated
• Belching

Preparing for a gastroscopy

• Do not eat/drink after 22h00, the night before the procedure.
• You should be fasting for at least 6 hours before the procedure for solids, but you are allowed to take clear liquids up to two hours before your procedure.

Colonoscopy

Procedure

The procedure colonoscopy provides visualization of the colon from the rectum to the ileocecal valve. During the procedure Dr Jeske will insert a long, flexible tube inside the rectum through the anus to reach the end of the large bowel (colon). During the procedure Dr Jeske may perform other small procedures such as taking specimens of the colon with a small biopsy forceps which he inserts through the scope.

Indications

Indications for which a colonoscopy will be performed are as follow.

• Difficulty or pain when passing stool
• Bleeding when passing stool or blood in stool
• Abdominal pain
• Acute and chronic diarrhoea
• Family history of colon/rectal cancer

Side effects of a colonoscopy

• Slight blood in stool
• Passing a lot of gas
• Minor discomfort in abdomen
• Diarrhoea from residual effects of bowel preparation

Bowel preparation before the procedure

• You will be provided with all the necessary information in the rooms as well as a script for Picoprep.
• Picoprep is a laxative used in preparation for the colonoscopy to ensure the bowel is empty for optimal vision.

Patients using medication

Diabetes patients – please check your sugar levels the evening and morning; omit medication the morning of the procedure.

Warfarin – Stop 4 days prior to the procedure. If unsure whether you are allowed to stop medication, please check with your physician or cardiologist, and have an INR check the morning of your procedure.

Iron tablets – must be stopped one week prior to the procedure

Specimens

Specimens are taken with both the above-mentioned procedures. They are then sent to pathology labs (Lancet) to be tested; this is advantageous in making or confirming a diagnosis. The sizes of these specimens vary between 2 and 3mm, with no obvious side effects afterwards, Dr can take up to 6 specimens in the colon and up to 4 in the gastroscopy.

Duration of gastroscopy and colonoscopy

• Gastroscopy – You will be in the procedure room for about 25-30 minutes. The scope itself will take 10-15 minutes (this is dependent on whether a procedure is done with/-out biopsies). You will need a few minutes to recover from the sedation afterwards in the recovery area.
• Colonoscopy – You will be in the procedure room for about 30-40 minutes. The scope itself will take 15-20 minutes (this is dependent on whether a polypectomy or biopsy is being done). You will need a few minutes to recover from the sedation in the recovery area.

Important information

• Please contact the rooms to schedule an appointment to follow-up scope and biopsy results, at least 7 days after your procedure.
• You can return to work the day after your procedure. A sick note will be provided for the day of the procedure. Please discuss with our rooms if you need a longer sick leave note.
• It is advised to bring a family member or friend who will be able to take you home, as you will not be able to drive due to the anaesthetic drugs administered during the procedure.