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Medical Forum / Diseases and Disorders / Hepatitis / October 2008

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ENDOSCOPY QUESTION

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LAwoman - 23 Oct 2008 07:26 GMT
Hello folks..LA here again..it`s been awhile since my last posting.
I would like some advice on something I heard..
would a certain diet and for a certain time frame help an upper
endoscopic procedure go complication free?..if so, may I ask for your
recommendations..as what to eat only..yogurt?
Also, would the areas show clearer results by fasting a certain way and,
for a certain length of time out side of the normal six hour realm
before this procedure takes place.Thank you all..special hello to grey;)
I hope every feels great today.
LA
greyhackles - 23 Oct 2008 16:47 GMT
>Hello folks..LA here again..it`s been awhile since my last posting.
>I would like some advice on something I heard..
[quoted text clipped - 6 lines]
>I hope every feels great today.
>LA

Hi LA. Welcome back :-)

I really don't think there is any special diet that would have a significant
effect on an upper endoscopy ("panendoscopy") procedure. Unlike the often
arduous preparation for colonoscopy (ugh) the usual patient preparation is to
simply not eat or drink anything after midnite before the procedure. fwiw, for
patients that have accumulated significant fibrosis, the usual area of most
interest is the esophagus, looking for varices, so pre-procedure diet is going
to have little effect anyway.

I went through one of these and it was a breeze. In fact - thanks to the
miracle of Versed - I don't remember *any* of the actual procedure, other than
being asked to roll over on my side :-) Modern endoscopes are very thin and a
good clinician will be in and out in around a half-hour or less: if there's
nothing of interest to be found, you could be done in 15 minutes.

As for the best time to schedule the procedure: like pretty much *any*
procedure, as early in the morning as possible. Best case is to be first in
line. That way, the doctor is fresh, you're unlikely to be delayed because
patients in front of you took longer than expected, and you'll be able to get
something to eat/drink sooner (I do remember I felt *famished* once the Versed
wore off).

Cheers

/greyhackles
LAwoman - 23 Oct 2008 20:35 GMT
Hi grey!.. and thank-you. So,I was under the impression that the doctor
would also take a look at my pancreas as well, as the stomach during
this particular test..or is it just the esophagus alone? I wish that he
had given me more info.. such as in writing..I think this dr.has
displayed very little in way of his patience, or empathy.. he just
informed me to get it done with out delay.
I hope that you are well this day.
Thank you for answering what seem`s like a very silly question to me
now, all of a sudden! ~ Ha,oh boy!
LA
greyhackles - 23 Oct 2008 22:31 GMT
>Hi grey!.. and thank-you. So,I was under the impression that the doctor
>would also take a look at my pancreas as well, as the stomach during
[quoted text clipped - 6 lines]
>now, all of a sudden! ~ Ha,oh boy!
>LA

The typical *upper endoscopy* covers the esophagus, stomach, and duodenum
(uppermost part of the small intestine). Of those, the esophagus is usually
the most impacted if liver disease is in the latter stages of fibrosis and
causing portal hypertension.

There are indeed special (thinner/more flexible) endoscopes for looking into
the pancreas, but I don't think that is conventionally part of an upper
endoscopy. But it's certainly possible that your doctor wants to take a peek
in there as well, particularly if you've been having any digestive issues,
though he should have told you if that is his intention. There's no extra
pre-procedure prep for the patient - just follow the guidelines that the
doctor or lab should provide in advance. Oh - and you'll likely be advised to
stop taking aspirin, ibuprophen and/or any blood thinners (eg: coumadin) if
you're taking any of those a few days to a week in advance.

Sorry to read of your doctor issues. It really pisses me off that medical
practitioners are so commonly bad at relating to their patients. It makes me
wonder what the heck they were thinking when they decided to become doctors in
the first place. Sigh...

Anyway...Thanks for the well wishes, and the same to you. Hopefully you'll
sail right through the procedure with nothing out of sorts to be found!

Cheers

/greyhackles
 
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