COLONOSCOPY

After completing a rectal examination, a colonoscope is passed through the entire colon/ large intestine. This can diagnose diseases such as colitis, remove colon polyps, diagnose causes of rectal bleeding, or change bowel habits. A colonoscopy can also be used to screen for colorectal cancer, be diagnostic, or be therapeutic, sometimes all in the same session. Your initial results and procedure note will be sent to your primary care physician. If pathology is taken, it will be processed by a GI Pathologist. Please call or make an appointment to discuss the results within 2-3 weeks.  All colonoscopies require bowel preparation that starts the day before the examination. A laxative solution (prescription or over the counter) is to be taken per instructions for an optimal bowel cleanse. Inadequate cleansing of stool from the colon leads to a less than optimal examination with risk of missing polyps and other pathology. On the day of your colonoscopy, your stool should be as clear and yellow as your urine ideally.

PREPARATION INSTRUCTIONS
General Instructions EnglishEspañol
CLENPIQEnglishEspañol
GOLYTELY/ NULYTELYEnglishEspañol
GOLYTELY/ NULYTELY- 2 DAYEnglishEspañol
MAGNESIUM CITRATEEnglishEspañol
MIRALAXEnglishEspañol
PLENVUEnglishEspañol
PLENVU- 2 DAYEnglishEspañol
SUPREPEnglishEspañol
SUPREP – 2 DAYEnglishEspañol
SUTABEnglishEspañol

All colonoscopies require bowel preparation that starts the day before the examination. A laxative solution (prescription or over the counter) is to be taken per instructions for an optimal bowel cleanse. Inadequate cleansing of stool from the colon leads to a less than optimal examination with risk of missing polyps and other pathology. On the day of your colonoscopy, your stool should be as clear and yellow as your urine ideally

QUALITY PARAMETERS of colonoscopy
Adenoma Detection Rate, or ADRThis is considered to be the most important quality indicator for a colonoscopy and it calculates the percentage of times that at least one adenoma (precancerous polyp) is detected during a colonoscopy. In fact, for every 1% increase in ADR, colorectal cancer rates decrease by 3% and morbidity decreases by 5%. The GI societies have set a national goal of 25% for Adenoma Detection Rate for Screening colonoscopies.
Cecal Intubation RateThe goal of a colonoscopy is to advance the scope all of the way to the cecum and that is measured by Cecal Intubation Rate. The national standard for doing so has been set at 90% by the GI societies.
Average Withdrawal TimeOnce the cecum is reached, the endoscopist should withdraw the scope while searching for adenomas. It has been determined that the withdrawal time should be no less than six minutes to ensure an optimal examination for detection of polyps.