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Procedures

Our physicians listen to your symptoms and concerns to develop a plan for examination and treatment that best fits your health needs. ProMedica Toledo Hospital is our preferred hospital and most outpatient procedures are done at our neighboring facility, the Toledo Hospital Endoscopy Center.

Your procedure will require sedation, so you will not be allowed to drive for 24 hours after the procedure. Therefore, you will need to make arrangements to have a responsible party accompany you on the day of your procedure. This person must remain at the Toledo Hospital Endoscopy Center during your entire exam until you are discharged. Please plan on being at the center approximately two hours for your procedure.

Below is some basic information about our most common procedures. Virtual education through videos is also available for patients. For more information on these, or additional, procedures, please call our office at 419-843-7996 or 1-800-334-5376. If you are scheduled for a procedure, please download your Endoscopy Packet.

Procedure Information

Colonoscopy

A colonoscopy is a visual exam of the colon using a lighted, flexible fiberoptic or video endoscope. During the outpatient procedure, you are mildly sedated through intravenous sedation and an endoscope is inserted through your anus and moved gently around the bends of your colon. Viewing the colon in this way helps your doctor check for conditions like colon cancer, noncancerous tumors (which can be painlessly removed during the colonoscopy), inflammation, infection, and bleeding.

The procedure itself takes 15-30 minutes and is rarely remembered by the patient. Side effects, such as mild cramping or abdominal pressure, usually subside in an hour. Serious risks, such as excessive bleeding or tearing of the colon, are very rare.

Upper GI Endoscopy

An upper GI endoscopy is a visual exam of the upper intestinal tract using a lighted, flexible fiberoptic or video endoscope. During the outpatient procedure, a spray or liquid is used to anesthetize the throat. Intravenous sedation is also usually given to relax the patient, deaden the gag reflex and cause short-term amnesia. The endoscope is then gently inserted into the upper esophagus and you can breathe easily throughout the procedure.

An upper GI endoscopy is used to diagnose and treat ulcers, tumors, difficulty in swallowing, upper abdominal pain or indigestion, chronic inflammation, and intestinal bleeding. The exam itself takes 15 -30 minutes and patients seldom remember much about it. A temporary, mild throat irritation sometimes occurs after the exam. Serious risks such as excessive bleeding or tears in the esophagus or stomach wall are very rare.

Flexible Sigmoidoscopy

During a sigmoidoscopy, an endoscope is used to perform a visual exam of the inside of the rectum and sigmoid colon (the last one to two feet of the colon). Sedation is not normally required for this outpatient procedure.

During the exam, you will lay on your left side with your legs drawn up and a sheet placed over your lower body. A finger exam of the anus and rectum is performed, then an endoscope is gently inserted into the rectum. Air is inflated into the bowel to expand it and allow for careful examination. You may feel slight discomfort similar to strong gas cramps. The endoscope is then moved around the various bends in the lower bowel.

The itself exam usually takes 5 – 15 minutes and is used to diagnose and treat rectal bleeding, persistent diarrhea, pain, colon cancer, and abnormalities that may appear on X-rays. Bloating and bowel distension are common due to the air inflated into the bowel, and usually last only 30 minutes to an hour after the procedure.

Endoscopic Retrograde Cholangiopancreatography

Also known as ERCP, this procedure is used to diagnose disorders of the pancreas, bile duct, liver, and gallbladder. During the exam, a local anesthetic will be sprayed to numb your throat and you will be given medication by injection to make you relaxed and sleepy.

An endoscope is gently inserted through your mouth and down your throat so that the doctor can inspect your stomach and duodenum (first section of the small intestine). This will not interfere with your breathing and will not cause pain. A dye is injected into your duodenum and detailed X-rays are taken of the bile ducts and pancreas.

The exam itself takes 30-90 minutes and complications such as a tear of the intestine, bleeding, or allergic reaction to the dye are rare. ERCP may help treat gallstones or other blockages, where stenting or sphincterotomy to open the bile duct is necessary. This procedure is done at Toledo Hospital.

Liver Biopsy

A liver biopsy is a procedure that allows the physician to obtain a small sample of liver tissue so that they can view it under a microscope to diagnose a condition. This procedure is done at The Toledo Hospital and the procedure itself takes only 15-20 minutes.

During the procedure, you will lie on your back or slightly to the left side and will be given mild sedation. A local anesthetic is used to number the skin and tissue and a thin needle is inserted through the skin, usually through the lower-right chest between the ribs. The needle is quickly advanced into and out of the liver to obtain a piece of tissue. This takes 1-2 seconds.

Afterward, you are kept at rest for several hours to recover. There may be slight discomfort in the chest or shoulder, which is usually temporary and may be addressed with medication if needed.

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