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 Card
● 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.
Preparation of the patient for colonoscopy:
- FIVE DAYS BEFORE THE EXAMINATION: Fruit and vegetables rich in pits, seeds and bread with grain are to be excluded from the menu.
- TWO DAYS BEFORE THE EXAMINATION: Switch to a diet without food residues. Vegetables (e.g. tomatoes), especially seeds-rich fruits (e.g. grapes, kiwi, strawberries, raspberries, pomegranate), spices (e. g. poppy seeds), milk, fatty foods, groats, puree juices, vegetable soups, dark bread and grain. Meats and fish (especially cooked, stewed, grilled), pasta, white bread, rice, weak coffee, weak tea, clear juices, clear juices, clear jellies and kissel (without fruit), clear broths are allowed.
- 1 DAY BEFORE THE EXAMINATION: At 8:00 am, you can have a light breakfast (e.g. white roll with boiled egg or white roll with cottage cheese). From now on, drink transparent, light liquids in large quantities: water, weak tea, clear juice, clear, transparent broth and do not eat until the examination.
Proceeding according to points 1 – 3 will allow you to prepare your intestine thoroughly for the examination. The better the preparation, the better the chances of detecting small changes such as polyps, diverticula or early neoplastic changes.
Citrafleet is 2 sachets of the drug. Each sachet is to be dissolved in 150 milliliters of water. The contents of the sachet should be thoroughly mixed with water (mix for 2-3 minutes). If the solution heats up during mixing, wait until the temperature is reduced.
Drink the prepared drug directly after preparation.
Wait 15-30 minutes after each dose and then drink 2 litres of water or other clear liquids.
CAUTION: Drinking 2 litres of liquid after each dose is NECESSARY.
HOW DO I DOSE CITRAFLEET?
|1 DOSE||2 DOSE
taking the dose – stop drinking waterStart drinking stop drinking
|TIME OF EXAMINATION|
|06:00 pm||plus an obligatory 2 liters of water||09:00 pm -11:00 pm||plus an obligatory 2 liters of water||08:00 am|
|09:00 pm||plus an obligatory 2 liters of water||03:00 am – 05:00 am||plus an obligatory 2 liters of water||09:00 am|
|10:00 pm||plus an obligatory 2 liters of water||04:00 am – 6:00 am||plus an obligatory 2 liters of water||10:00 am|
|11:00 pm||plus an obligatory 2 liters of water||05:00 am – 07:00 am||plus an obligatory 2 liters of water||11:00 am|
|11:00 pm||plus an obligatory 2 liters of water||06:00 am -08:00am||plus an obligatory 2 liters of watery||12:00 am|
|11:00 pm||plus an obligatory 2 liters of water||07:00 am-09:00 am||plus an obligatory 2 liters of water||01:00 pm|
|11:00 pm||plus an obligatory 2 liters of water||8:00 am-10:00 am||plus an obligatory 2 liters of water||02:00 pm|
|05:00 am||plus an obligatory 2 liters of water||9:00 am -11:00 am||plus an obligatory 2 liters of water||03:00 pm|
|06:00 am||plus an obligatory 2 liters of water||10:00 am -12:00 pm||plus an obligatory 2 liters of water||04:00 pm|
|07:00 am||plus an obligatory 2 liters of water||11:00 pm -13:00 pm||plus an obligatory 2 liters of water||05:00 pm|
The basic condition for the planned colonoscopy is to follow the recommendations related to the preparation of the intestine for the examination and remain fasting, i.e. not to take food and dense liquids, coffee and tea for at least 20 hours. Before the planned colonoscopy procedure it is allowed to drink water in order not to feel thirsty up to 2 hours before the procedure. The last liquid (still water) can be taken 2 hours before the treatment in the amount not greater than a glass (250 ml). Performing a colonoscopy under anaesthesia in a person with a full stomach may expose him/her to life-threatening complications associated with absorption and aspiration of gastric contents into the lungs.
Medication taken chronically should be taken with a glass of water (250 ml) no later than 2 hours before the procedure. As previously agreed with your doctor, you should stop taking any medications affecting the clotting system (such as acetylsalicylic acid, clopidogrel, warfarin, acenocumarol, dabigatran, rivaroxaban, etc.) beforehand. No medications or iron-containing nutrients may be taken 7 days prior to the study.
Diabetic patients should stop taking oral hypoglycemic drugs or insulin while on fasting (during the period without food, dense liquids, coffee and tea).
Patients with kidney failure or heart failure should discuss their individual preparation with their doctor, as this may vary from case to case.
In addition, you should refrain from smoking and chewing gum for 6 hours before the examination. The patient doesn’t have to take a change of clothes.
If it’s decided for you to have anaesthesia for the procedure, you will be asked to come 30 minutes in advance to fill in an anaesthetic questionnaire about your health (available for download in the tab – downloadable materials). A correctly completed questionnaire will allow the anaesthesiologist to assess the risks associated with anaesthesia and to adjust anaesthesia to the current state of health. Anaesthesia is designed to provide comfort and will be adjusted to the type of procedure and individual needs of the patient and the doctor performing the procedure. If you experience symptoms of upper respiratory tract infection or an increased body temperature before the procedure, you should report this fact by phone to the clinic. This is a contraindication to anesthesia.
Please be advised that for safety reasons, after anaesthesia you must not drive a motor vehicle until 24 hours after the examination and you must leave the clinic with a companion.
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.