Prep for upper gi endoscopy

Only preparation for upper GI endoscopy is nothing to eat or drink after midnight.

Prep for Colonoscopy

Several days before the procedure, give your child plenty of fluids along with regular meals.

For 2 days before the procedure, your child may have a normal breakfast and lunch. After lunch, your child may consume only clear, non-red liquids (broth, Jell-O, juice, and Popsicles).

Starting 2 days before the procedure, give your child two 5 mg Dulcolax tablets Saturday afternoon. The child must swallow the pill, not chew it. Solid foods and milk products are not allowed after lunch, or until the procedure is completed. Only clear, non-red liquids (broth, Jell-O, juice, and popsicles). Solid foods and milk products are NOT allowed 1.5 days before the procedure.

At 5:00 p.m. the day before the procedure, dissolve 255 grams of MiraLAX into 64 oz of liquid. Give the child 8 oz of the liquid containing the MiraLAX every 30 minutes. Finish the 64 oz within four-hour period. Nothing to eat or drink after midnight.

If stool is not clear in the morning give fleet enema at 5 am on the day of procedure.

on procedure day

The procedure will require the patient to be sedated. Right before the procedure, the anesthesiologist will examine the child and will discuss the different kinds of anesthesia he/she will be using. This depends on the child's age, their past medical history and physical examination at the time.

The procedure takes 20 to 30 minutes for an upper GI endoscopy and about an hour for a colonoscopy. Because child will be sedated, he or she will need to rest at the endoscopy facility for 1 to 2 hours until the medication wears off. Dr. Khurana will discuss findings and preliminary impressions with the family. If a biopsy is done, a follow-up appointment to discuss biopsy results will be made.

An upper GI endoscopy is a procedure where Dr. Khurana uses an endoscope (a flexible tube with a camera) to view the entire esophagus and upper GI tract. He can see abnormalities, like inflammation, ulcers, and bleeding, through the endoscope that don't show up well on x-rays. He can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests. The scope blows air into the stomach to expand the folds of tissue and make it easier to examine the stomach lining.

Possible complications of upper endoscopy include bleeding and puncture of the stomach lining. However, such complications are rare. Most children will probably have nothing more than a mild sore throat after the procedure.

A colonoscopy is a procedure where Dr. Khurana uses an colonoscope (a flexible tube with a camera) to view the lower GI tract, primarily the colon. He can see abnormalities, like inflammation, ulcers, and bleeding, through the colonoscope that don't show up well on x-rays. He can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests. The scope blows air into the colon to expand the folds of tissue and make it easier to examine the stomach lining.

Possible complications of colonoscopy include bleeding and puncture of the intestinal lining. However, such complications are rare.