PREPARATION FOR COLONOSCOPIC EXAMINATION WITH CITRAFLEET

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:

• blood group (oryginal result)
• morphology
• coagulogram (PT/INR, APTT)

In addition to the above tests, for general anaesthesia, please provide:

• ionogram (K, Na)
• EKG (EKG please perform the EKG at least one day before the examination)

Preparation of the patient for colonoscopy:

1. FIVE DAYS BEFORE THE EXAMINATION: Fruit and vegetables rich in pits, seeds and bread with grain are to be excluded from the menu.
2. 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.
3. 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?

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). For patients taking insulin on an insulin pump or using continuous glucose monitoring systems, insulin should be discontinued if blood glucose drops below 100 mg/dL.

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.

AFTER PROCEDURE YOU ARE OBLIGATED TO COME BACK SAFETLY WITH AN ADULT, RESPONSIBLE PERSON

IMPORTANT: If the patient has been referred for the procedure and is 55+ years old, has a BMI above 35 (kg/m²) or suffers from a serious comorbidities, he or she should consult with one of our specialists about the the possibility of surgery and anesthesia.

For inpatient anesthesiology consultation, please prepare:

• medical records of the patient’s chronic diseases and medications taken,
• basic laboratory test results from the last 2 months (CBC, sodium, potassium, creatinine, APTT, PT, INR);
• blood group result;
• ECG result from the last 2 months;
• in case of concomitant thyroid diseases – TSH, FT3, FT4 results from the last 2 months;
• for cardiac conditions such as ischemic heart disease, heart defects, cardiac arrhythmias – the result of ECHO-heart from the last 6 months and a certificate from the attending physician stating that the disease is in a stable state and does not require modification of treatment;
• in the case of neurological diseases – a certificate from the attending physician with information that the disease is in a stable state and does not require modification of treatment;
• in the case of taking anticoagulants (so-called “blood thinners”)
• a certificate from the attending physician with recommendations for the patient regarding the possible discontinuation of these drugs or switching to low-molecular-weight heparins

For teleconsultation, please send scans of the documents according to the above guidelines before the date of the anesthesiology consultation and deliver the originals on the day of anesthesia!

Please be advised that even a positive qualification by the anesthesiologist during the anesthesiology consultation is not a 100% guarantee that anesthesia will be performed on the day of the examination/procedure. The final decision to perform anesthesia is made by the anesthesiologist present on the day of the examination/procedure based on the patient’s current condition and compliance with the recommendations indicated at the consultation and general recommendations, especially regarding food consumption and post-anesthesia care. 

ATTENTION: We kindly inform you that in order to reserve an appointment for an endoscopic examination under general anesthesia or without it, you must make a full prepayment within 48 hours of making the reservation and send the confirmation to the following address:

kontakt@medispace.pl

The fee is not refundable unless the Patient cancels the examination 48 hours before. Account number below to which the payment should be made. In the title, please enter the Patient’s name.

mBank: 59 1140 2062 0000 5673 5500 1001