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What to Expect

It’s understandable if you feel anxiety about facing a procedure; it may help to know that most people find the experience less uncomfortable than they anticipated. Knowing what to expect helps too. Here is information on some of our common procedures:

What to Expect at Your Colonoscopy

Most people find their colonoscopy to be straightforward and not at all uncomfortable. You’ll be instructed to consume a clear liquid diet the day before the exam, followed by a low-volume laxative preparation to empty the colon. Your exam will be performed using short-acting intravenous (IV) anesthesia, so you are asleep throughout the test. During the exam your doctor will use a colonoscope, a thin, flexible instrument that transmits a high-definition video image of the colon to a television screen.


To prepare for this procedure, you must clean your colon. This takes one or two days, depending on what your doctor recommends.

●      Plan to stay home during your prep time, as you will need to use the bathroom often.

●      Do not eat any solid food 24 hours before the exam.

●      Avoid red liquids.

●      Limit drinks to clear liquids such as water and broth.

●      Take your prescribed laxative in full, as explained by your doctor.

●      Adjust your medications as indicated by your doctor.

Click here to access the Patient Information Brochure

What to Expect at Your Endoscopy

Endoscopies are performed under anesthesia. Your doctor will perform the exam using an endoscope, a thin, flexible, lighted tube that gets passed through your mouth, into the esophagus and beyond. In addition to performing a visual exam, your doctor can obtain tissue samples (biopsies), remove polyps, control bleeding from ulcers or abnormal blood vessels, and dilate (stretch) narrowed areas (also called strictures). Upper endoscopy is an outpatient procedure generally lasting 10-12 minutes.


You will be asked not to eat anything for at least six hours prior to your procedure. You will be allowed to drink clear liquids until four hours before the procedure. You may rinse your mouth until the time of the procedure.

Day of the Procedure:

If the procedure is performed in the morning, you should wait to take medication AFTER the procedure. If the procedure is performed in the afternoon, you may take most medications in the early morning, with a small amount of water.

Prior to your procedure, talk with your doctor about all medication you use. Aspirin products; arthritis medications; anticoagulants (blood thinners) such as Coumadin, Plavix, Persnatine, or Ticlid; insulin; vitamin E; ginkgo; and iron products are examples of medications you should discuss with your doctor before your endoscopy.


After your exam, your physician will explain your results. Most endoscopy patients go home the same day of their procedure. Contact your gastroenterologist if you have a fever, difficulty swallowing, chest or abdominal pain, or difficulty breathing after the procedure.

Click here to access the Patient Information Brochure

What to Expect from Your Wireless Capsule Endoscopy

During its journey through your digestive tract, this innovative technology produces thousands of pictures that are transmitted to a recorder worn on a belt around your waist. Capsule endoscopy helps your gastroenterologist examine your small intestine, an area difficult to reach with conventional endoscopy procedures. Capsule endoscopy is most often used to determine the source of obscure gastrointestinal bleeding, but is also helpful in evaluating patients with inflammatory bowel disease, celiac disease, suspected cancer or hereditary polyp syndromes.

What to Expect:

Following an overnight fast, you will swallow the capsule with water. Though you cannot eat  anything for two hours, you are otherwise free to go about your daily activities. The capsule will pass through your digestive system unnoticed and can safely be flushed down the toilet. You’ll return to your doctor’s office the following day to have the images downloaded for later review.

What to Expect from your LINX Procedure

GERD is caused by a weak lower esophageal sphincter (LES), which allows acid and bile to flow back from your stomach into your esophagus. The new LINX Reflux Management System works by reinforcing the weak LES to prevent acid from regurgitating back into the esophagus.

The LINX System is a small, flexible band of magnets enclosed in titanium beads. Magnetic attraction helps keep the LES closed to prevent reflux. You’ll be able to swallow food and liquids normally with the LINX System in place, because swallowing temporarily breaks the magnetic bond. Food and liquid pass normally into the stomach. The magnets then close the LES after swallowing, reinforcing the barrier to reflux.

What to Expect:

Under general anesthesia and using minimally invasive laparoscopy, the LINX System is placed around the esophagus, just above the stomach. The procedure typically takes one hour. Once implanted, the device begins to work immediately.

You’ll be able to eat normally immediately after the procedure and can resume normal activities in less than a week. Side effects are generally minimal and tend to resolve over time.

Many people with chronic GERD experience dramatic improvements in their symptoms following treatment with the LINX System.

Patient Forms and What to Expect