How to Prepare for Your Appointment for Colonoscopy Under General Anesthesia

About the procedure

A colonoscopy is a procedure which examines the mucous membrane of the colon (large intestine) with a colonofiberoscope, which is particularly important in the prophylaxis and early diagnosis of colorectal cancer.

Please make sure someone accompanies you for your examination.
Patients are not allowed to drive or operate machinery for 12 hours after the procedure.
This examination must be paid for by the patient.
Patients who register for an examination which they will pay for are asked to go to the Reception Desk of the Specialist Outpatient Care Department (Elevator 3, 1st floor).
How to prepare for your appointment:
Please bring your ID card, a short-sleeved T-shirt, and slippers.
Patients must prepare for a colonoscopy under general anesthesia; they must clean food residues from the bowel.
The referring physician will prescribe a special medication that the patient must buy at a pharmacy. Note that the medication is available by prescription only.
The most commonly prescribed bowel-cleansing agents, in alphabetical order, are Citra Fleet, Clensia, Eziclen, Fortrans, Moviprep, and Olopeg.
The choice of the bowel-cleansing agent depends on the physician’s and the patient’s preferences and the patient’s health and co-morbidities.

  • Do not eat whole-grain bread, stone fruit, or seeded fruit or and vegetables (such as cucumbers, tomatoes, grapes, poppy seeds, kiwis, or strawberries) for 4 days before the scheduled colonoscopy;
  • On the day before the examination
    – eat a light breakfast and soup for lunch (broth or creamy soup), and do not eat again before the examination;
  • – drink the prescribed bowel-cleansing agent between 3:00 and 11:00 p.m. according to the leaflet.
  • On the day of the scheduled examination, do not eat or drink anything.

If the bowel has not been properly prepared and the examination cannot be performed, the physician may refuse to perform the examination or may examine only a shorter section of the intestine instead (e.g., sigmoidoscopy). The cost of using the equipment is paid out of pocket, unless the examination is covered by NFZ insurance.
Diabetic patients should also consult the attending physician for recommendations on preparing for the examination.
The procedure will be performed under general anesthesia, so it is recommended to have an ECG, complete blood count, and electrolyte panel performed in advance.
Otherwise, you should arrive at the Diagnosis and Treatment Department an hour earlier to have these tests performed before the examination; the tests are billed according to the current pricelist.
Medications
Patients on blood-thinning medications must consult the attending physician in order to discontinue or modify the therapy (an INR test report must be brought to the examination, which is valid for 7 days).
Other regular medications should be taken as usual with a small amount of water.
Results
The colonoscopy report will be available immediately after the procedure; the histopathology report, if applicable, will be ready within 14 working days.
Call 516 17 11 66 to find out whether your histopathology report is ready to be collected.
Note!
The histopathology report can be collected in person or with written authorization at the Main Reception Desk (behind the doorman’s room) from Monday to Friday between 8:00 a.m. and 4:00 p.m. (until 6:00 p.m. on Thursdays).

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