This information should be read no later than 7 days before the planned examination !!!
The condition for the examination is proper preparation (purification) of the intestine. The preparation recommendations should be followed very carefully, as any deviations may result in the test not being performed or its reliability being narrow. In a small percentage of people preparing for colonoscopy, despite all the recommendations, the intestine is not completely cleansed and the whole procedure has to be repeated. Vaccination against hepatitis B is advisable but not obligatory before the examination. All available medical records and current results of the following tests must be presented prior to the examination
- double blood group or Blood Group Identification Card1
- coagulogram (PT/INR, APTT)
In addition to the above tests, for general anaesthesia, please provide:
- ionogram (K, Na)
- ECG (ECG examination can be performed on the day of the procedure, please report it on the Registration)
Up to 3 months, the above mentioned tests are considered valid.
We would like to kindly inform you that statistically up to 30% of studies conducted WITHOUT GENERAL ANESTHESIA may fail due to discomfort and pain on the part of the patient. Unf ortunately, due to the wear and tear of equipment and staff time, you must pay the same payment as for carrying out a normal examination. Please make an informed consent.
Patients who take anticoagulants such as acenocumarol (e. g. Sintrom), clopidogrel (e. g. Plavix), warfarin (e. g. Warfin), rivaroxaban (Xarelto), etc. should replace the drug with low molecular weight heparin (e. g. Clexane) at an appropriate time determined by the doctor before the examination. At least 8 days before the examination, the type, dosage and the appropriate moment of treatment change should be agreed with the physician in charge of the examination.
Diabetic patients should inform the colonoscopy laboratory before the examination in order to set the date of the examination in the morning.
Oral iron preparations should be discontinued at least 7 days before the examination. 5 days before the examination, you should limit yourself to a non-residuous diet.
- meat and fish
- pasta, rice and white bread
- pudding, kissel and jelly
- water, coffee, tea and clear juices
You should completely refrain from taking any food containing:
- Fresh fruit and vegetables (especially those containing small seeds, e.g. kiwi, strawberries, raspberries, tomatoes, which block the working channels of the colonoscope and may make it completely impossible to perform the test – you should refrain from eating them for 7 days before the test)
- Bread with the addition of grains, poppy seeds and spices (except finely ground) – you should refrain from eating them for 7 days before the test
Preparation with Moviprep:
About 20 hours before the planned examination, you should stop eating completely and start preparing the intestine with Moviprep (a preparation sold in pharmacies on the basis of a prescription – the preparation should be purchased one week before the examination). The pack of Moviprep contains two sets of sachets (each set has two sachets A and B). One set of sachets A and B should be dissolved in 1 liter of water (pour one sachet A and one sachet B into the container, then pour one liter of water and stir until completely dissolved, which may take up to 5 minutes. After preparing the solution, you can cool it down) First liter the solution should be drunk on the day before the test in the evening (preferably around 10 p.m. at the rate of one glass (250 ml) every 15 minutes. After drinking the entire prepared solution, additionally drink 0.5 l of clear liquid (preferably water) in Within 30 minutes You have watery diarrhea immediately after you start taking Moviprep (this is the expected effect) If no bowel movement occurs 6 hours after drinking Moviprep, do not take another dose and contact your doctor urgently.
The remaining 2 sachets (one sachet A and one sachet B) should be prepared in the same way (pour one sachet A and one sachet B into the container, then pour a liter of water and mix until completely dissolved, which may take up to 5 minutes. After preparing the solution you can cool it) in the early morning hours on the day of the test and drink the finished solution (one liter of solution) at the rate of one glass (250 ml) every 15 minutes. After drinking the whole solution, drink an additional 0.5 liters of clear liquid (preferably water) within 30 minutes. The intake of Moviprep solution and an additional 0.5 liter of fluids should be completed 2 hours before starting the test.
The time to travel to the Medispace Medical Center should be taken into account when planning the time to take your morning dose of Moviprep. If the patient comes from a distance for the test, which prevents preparation in the morning, both portions of Moviprep should be taken in the evening one after another (after each liter of the solution, additionally drink 0.5 liters of clear liquids). It should be remembered that preparation with two divided doses (evening and morning) gives a greater chance of proper preparation of the intestine for examination than in the case of taking the whole in the evening.
If the examination is scheduled for the late afternoon hours, the first portion (one liter of the solution) can be drunk in the early morning at the rate of one glass (250 ml) every 15 minutes (remember to add 0.5 liters of water within 30 minutes of the end of the intake of the preparation), and the second portion to finish taking a liter of preparation and an additional 0.5 liter of water 2 hours before the start of the test (also take into account the time needed to reach the Medispace Medical Center.
The consequence of taking the Moviprep solution is numerous bowel movements, in the final stage of preparation, with a clear liquid.
The basic condition for performing a planned colonoscopy is to follow the recommendations related to the preparation of the intestine for the procedure and to remain on an empty stomach, i.e. not taking food, thick liquids, coffee and tea for at least 20 hours. Before the planned colonoscopy, it is allowed to drink water in order not to feel thirsty for up to 2 hours before the procedure. The last liquid (still water) can be taken 2 hours before the procedure in an amount not exceeding a glass (250 ml). Performing a colonoscopy under anesthesia on a person with a full stomach may expose them to life-threatening complications related to aspiration and aspiration of gastric contents into the lungs.
Chronic medications should be taken with a glass of water (250 ml) not later than 2 hours before the procedure. In accordance with previous arrangements with your doctor, you should stop taking medications that affect the coagulation system (such as acetylsalicylic acid, clopidogrel, warfarin, acenocoumarol, dabigatran, rivaroxaban, etc.).
Diabetic patients should stop taking oral hypoglycemic drugs or insulin while fasting (food, thick fluids, coffee and tea).
Patients with renal insufficiency or heart failure should discuss the individual preparation with a physician, as it may differ in the above-mentioned cases.
Additionally, you should refrain from smoking for 6 hours before the test and chewing gum. The patient does not have to take a change of clothes with him.
If you decide to undergo anesthesia for the procedure, you will be asked to arrive 30 minutes earlier in order to fill in the anesthesiology questionnaire regarding the health condition (document available for download in the tab – downloadable materials). A correctly completed questionnaire will allow the anesthesiologist to assess the risks associated with anesthesia and adjust the anesthesia to the current state of health. Anesthesia is designed to ensure comfort and will be adapted to the type of procedure and the individual needs of the patient and the doctor performing the procedure. If symptoms of an upper respiratory tract infection or elevated temperature appear before the procedure, please report this fact by phone to the clinic. This is a contraindication to anesthesia.
We would like to inform you that for safety reasons, after anesthesia, you must not drive a motor vehicle until 24 hours after the examination and you should leave the clinic with an accompanying person.
IMPORTANT! If a patient has been referred for an endoscopic examination and has more than a serious comorbid condition, you should try out an opinion from one of our programs about endoscopy, surgery and anesthesia. If your illness worsens and your disease becomes difficult to control, you should also consult a specialist.
As a medical team, we take care of the patient’s safety during procedures, therefore a meeting and a pre-procedure consultation in the scenario:
- unstable ischemic heart disease,
- symptoms of a heart rhythm disorder that require anticoagulants,
- having a pacemaker,
- status after a recent heart attack (less than 3 months),
- circulatory failure with exertional dyspnea, – valvular heart disease or condition after heart valve implantation,
- unregulated blood pressure,
- aortic aneurysm,
- status after a recent stroke (less than 3 months),severe lung disease with exercise dyspnea,
- unregulated diabetes,
- chronic phase failure in the pre-dialysis period,
- hemoglobin bowel anemia less than 10 mg / dl,
- active infection or condition after treatment of active infection (1 week),
- age over 75 (with no reason for other diseases or their absence).
|First biopsy with histopathological examination||155 zł|
|Next biopsy with histopathological examination||90 zł|
|First polipectomy with histopathological examination||285 zł|
|Next polipectomy with histopathological examination||190 zł|
|Video recording of endoscopy (1 examination)||150 zł|
|Video recording of endoscopy (2 examinations)||200 zł|
|Consultation||0d 160 zł|
* the price of the examination may increase in case of difficult and non-standard endoscopic examinations and the use of additional equipment (endoscopic clips, endoscopic needles, endoscopic grippers)
** the price of anaesthesia in the case of anaesthesia for gastroscopy and colonoscopy (combined examination) shall be PLN 350
We kindly inform you that the condition for reserving the time limit for the examination under general anaesthesia is to pay a deposit of PLN 300 or 350 respectively (if two examinations are performed – colonoscopy and gastroscopy under anaesthesia) 48 hours before the planned examination. The fee is not refundable unless the Patient cancels the examination 24 hours before. Account number to which the deposit should be paid: mBank 15 1140 2004 0000 3602 7568 3111, in the title please enter the Patient’s name. In case of lack of payment, the examination is cancelled 24 hours before.