The examination we propose to you requires your consent. To make this decision easier, we provide information on how to prepare for the examination, its course and possible consequences, as well as its role in the diagnosis of gastrointestinal diseases. If you have any doubts, please direct your questions to the doctor performing the examination.

Before the examination begins, your throat will be numb with an aerosol. This will reduce the discomfort associated with inserting the endoscope. The examination will be performed with the patient lying on their left side. At the beginning, you will be asked to bend your head and gently press your teeth against the mouthpiece through which the endoscope will be inserted. The endoscope (gastroscope) itself is a thin, flexible and smooth instrument with a diameter of approximately 1.0 cm. Thanks to a powerful bulb, a special optical system and a miniature camera installed in the endoscope, it is possible to precisely visualize the internal surface of the upper digestive tract (esophagus, stomach, duodenum). Because a small amount of air is introduced into the stomach during the examination, you may experience a feeling of bloating and belching. These are normal phenomena during the examination and disappear immediately after its completion. During gastroscopy, it may be necessary to collect samples from the digestive tract for microscopic evaluation if a stomach ulcer, polyp, or other changes are detected, which is crucial for selecting subsequent treatment methods or for checking for infection with a common digestive tract pathogen – the bacterium Helicobacter pylori. Taking such samples is painless. The duration of the examination varies individually and is on average approximately 15 minutes.

At the time of registration, you will receive instructions on how to prepare for the examination. We kindly ask you to carefully follow the instructions contained in the manual, this is one of the conditions for the success of the examination.

During gastroscopy, despite observing the rules of medical art, the following complications may rarely occur:

• perforation (hole) of the esophagus, pneumothorax and mediastinitis;
• perforation of the stomach or duodenum, peritonitis;
• gastrointestinal hemorrhage;
• fainting during the procedure due to a reflex mechanism, other complications of the cardiovascular and respiratory systems (e.g. circulatory and respiratory failure);
• possibility of vomiting and aspiration of stomach contents, which may result in aspiration pneumonia;
• although all procedures are performed with disposable equipment or equipment that is disinfected and/or sterilized each time, the possibility of infection with hepatitis viruses (including hepatitis B) cannot be completely ruled out. HBV and HCV) or other microorganisms;
• part of the above complications may require surgical opening of the abdominal or chest cavity, transfusion of blood and plasma and intensive cardiopulmonary resuscitation;
• sometimes unpredictable complications may occur, e.g. allergic reaction to anesthetics or disinfectants (from skin rash, itching, to anaphylactic shock);
• Some of these complications are serious and may, exceptionally rarely, result in death.

If you experience any symptoms that are unclear to you, please report them to your nurse or doctor immediately. We ask you not to eat or drink anything for at least 60 minutes after the examination, and to avoid hot meals and liquids for two hours. If the examination was performed under general anesthesia, the recommendation to avoid food and fluids may be longer, as recommended by the anesthesiologist.

*The presence of a third person (accompanying person) is required.

Gastroscopy: PLN 220.00

• preparation for gastroscopy

The examination we propose to you requires your consent. To make this decision easier, we provide information on how to prepare for the examination, its course and possible consequences, as well as its role in the diagnosis of gastrointestinal diseases. If you have any doubts, please direct your questions to the doctor performing the examination.

The examination involves inserting a flexible and smooth probe through the anal canal into the large intestine. Colonoscopy allows us to examine the interior of the large intestine, assess the appearance of the mucosa, the shape of its folds, and verify the presence of pathological changes such as inflammatory changes, benign polyps, cancerous tumors, or vascular malformations. Inserting the brace itself is not painful. During the further stages of the examination, a small percentage of patients may experience pain caused by the traction of the mesentery - the flaccid membrane on which the large intestine is suspended - or pain related to the need to inject air into the intestinal lumen, which expands the intestine and allows for the examination. The occurrence of pain and its intensity are individually variable and depend on such features as: the anatomical arrangement of the intestine (i.e. more or less twisted sigmoid colon) or the presence of adhesions after previous surgeries, e.g. gynecological. Local anesthesia is used as standard and involves covering the tip of the device with an anesthetic gel; this is sufficient for most examinations. An alternative to local anesthesia is general anesthesia, which provides full analgesia. Qualification for general anesthesia is performed by an anesthesiologist, taking into account health aspects. During the examination, it may be necessary to take samples from the wall of the large intestine for microscopic evaluation (endoscopic biopsy) or to remove polyps (endoscopic polypectomy). Such treatment is a prerequisite for diagnosing a number of important diseases of this section of the digestive tract. Taking samples is painless. The duration of the examination varies individually and is on average approximately 30 minutes.

During colonoscopy, despite observing the rules of medical practice, the following complications may rarely occur:

• intestinal perforation;
• peritonitis;
• gastrointestinal hemorrhage or peritoneal hemorrhage (e.g. after removal of polyps);
• fainting during the procedure due to a reflex mechanism, other complications from the cardiovascular system
• vascular and respiratory;
• although all procedures are performed with disposable or reusable equipment
• disinfection and/or sterilization each time, the possibility of viral infection cannot be completely ruled out
• hepatitis (including HBV and HCV) or other microorganisms;
• Some of the above-mentioned complications may require surgical opening of the abdominal or chest cavity, transfusion
• blood and plasma and intensive cardiopulmonary resuscitation;
• sometimes unpredictable complications may occur, e.g. allergic reaction to the drug
• anesthetic or disinfectants (from skin rash, itching, to anaphylactic shock);
• Some of these complications are serious and may, exceptionally rarely, result in death.

If you experience any symptoms that are unclear to you, please report them to your nurse or doctor immediately. If general anesthesia is used, you must not eat or drink for 2 hours after the procedure and you must not drive a motor vehicle on that day. The care of another person is necessary. After endoscopic surgery without general anesthesia, it is recommended not to drive immediately after the procedure.

*The presence of a third person (accompanying person) is required.

Colonoscopy: PLN 400.00

• Instructions for preparing for a colonoscopy under general anesthesia

Downloads:

• preparation for colonoscopy with Citrafleet
• preparation for colonoscopy with Eziclen
• preparation for colonoscopy with Fortrans
• preparation for colonoscopy with Clensia

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Above content has been machine translated.