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What to expect

We understand if you feel anxiety about having a procedure. We also believe that knowing what to expect will help you feel more at ease. That’s why we’ve prepared this information on some of our common procedures.

Colonoscopy is an important and routine screening exam for people over 50, and the “prep” is one of the most important parts of the exam. You’ll be instructed to consume a clear liquid diet the day before, followed by a laxative preparation the night before to empty out and cleanse your colon.

Because your exam is performed using short-acting intravenous (IV) anesthesia, you’re asleep throughout the test—so you’ll feel no discomfort. During the exam your doctor will use a colonoscope, a thin, flexible instrument that transmits a high-definition video image of your colon to a television screen.


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

  • Plan to stay home during your prep time since you’ll need to use the bathroom often
  • Don’t eat any solid food 24 hours before the exam
  • Limit drinks to clear liquids such as water and broth
  • Avoid red liquids
  • Take your prescribed laxative in full, as explained by your doctor
  • Adjust your medications as indicated by your doctor

For more details, please read our Patient Information Brochure

Upper endoscopy is an outpatient procedure that usually lasts 10-12 minutes, and it’s performed under short-acting 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).


You’ll be asked to not eat anything for at least six hours prior to your procedure, but 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 your procedure is performed in the morning, you should wait to take medication until 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, Persantine or Ticlid; insulin; vitamin E; ginkgo; and iron products are examples of medications you should discuss with your doctor before your endoscopy.

After your procedure:

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.

For more details, please read our Patient Information Brochure

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

What to expect:

After fasting overnight, you will swallow the capsule with water in the morning. You cannot eatanything for the first two hours afterwards, but you are otherwise free to eat after that and 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 review.

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 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 eat and drink normally with the LINX System in place, because swallowing temporarily breaks the magnetic bond, allowing whatever you swallow to pass into the stomach. The magnets then close the LES after swallowing, reinforcing the barrier to reflux.

What to expect:

Placement of the LINX System is performed under general anesthesia, using a minimally invasive surgical technique called laparoscopy (a few small incisions are made in the abdomen to access the esophagus). The LINX System is placed around the esophagus, just above the stomach. The procedure typically takes one hour, and you will stay in the hospital overnight.

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 resolve over time.

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