During your visit, you may be offered an endoscopy as a diagnostic test (and in some occasions, as a therapeutic approach as well). There are a two types of endoscopies: an Upper Endoscopy (also called an Esophagogastroduodenoscopy, or EGD), and a Colonoscopy. In both cases, a small video camera is introduced to the gastrointestinal tract (EGD) and is advanced to reach as far as the duodenum, or the colon. After a visual examination of the surface, a few samples of an inner (superficial) lining of the mucosa are obtained for a pathological exam under a microscope. Photos are also taken, and then the video camera is pulled out. The average time for the procedure is 3-5 min. for an EGD, and 15- 20 min. for a colonoscopy, though a length of the procedures may vary on some occasions. Before the procedure, you will also meet with a pediatric anesthesiologist and he/she will discuss the nature of the anesthesia necessary for the procedure. Endoscopy is considered to be a very safe test, and a complication rate of both the procesdure, and an anesthesia is a small fraction of a %.
Preparation for the procedures:
Only the colonoscopy does require a bowel preparation
Bowel prep is done to clear the bowel of all
solid matter. Its purpose is to
bowel for surgery or a procedure. Please
Begin the bowel prep one day before your scheduled procedure.
To prepare you will need these items from a pharmacy:
Miralax powder and Dulcolax tablets, 5 milligram or Senokot liquid (if your child can't swallow tablets).
Total dose of an each of those laxatives will be specified for your child's age (see below).
There may be
store brands of these products that cost less (ask your pharmacist.)
One day before your test
only clear liquids (as below). Avoid all red or purple colored liquids.
Do not eat any
solid food or milk products until your test is done.
• Water, strained
fruit juices (no pulp)
drinks, Gatorade, clear broth or
• Jello, Kool Aid
• Coffee or
tea (no milk or cream)
The bowels are "clean" when there is only pale
yellow fluid coming out.
start your preparation in earlier hours as well, but the schedule below is chosen for
the children who choose to attend a half day of their school on the day before the procedure.
1:00 PM Take
Dulcolax tablets or Senokot with a drink of clear liquids.
If your childs weight under 44 lb (20kg) no Dulcolax or Senokot.
46 - 66 lb (21-30 kg) ...10 mg of Dulcolax or 3 teaspoons of Senokot.
over 68 lb......................15 mg of Dulcolax or 6 teaspoons Senokot.
2:00 PM Mix
the Miralax in a clear liquid of choice to dissolve the powder. Most people prefer to drink the liquid chilled
so you may want to place it in the refrigerator. Start to drink the Miralax. It is better to drink one glass every 15-30 minutes, and finish within 2-4 hours. Some children can’t drink it so fast. Do not force your child to drink! Do it slowly.
It is OK too. Be sure to drink all of the liquid.
22lb(10kg) -26lb(12kg)......... 45 grams (3 table spoons) mix to 24 oz of water
28lb(13kg) - 48lb(22kg).........60 grams (4 table spoons) mix to 32 oz of water
50lb(23kg) - 70lb(32kg).........90 grams (6 table spoons) mix to 48 oz of water
72lb(33kg) - 92lb(42kg).........120 grams (8 table spoons) mix to 64 oz of water
94lb(43kg) - up...................... 150 grams (10 table spoons) mix to 64 oz water
For BOTH Colonoscopy
and/or EGD (Upper Endoscopy): Do not eat anything after 12 midnight. You may take only sips of clear water 2-3 hours before the procedure.
gargle but do not swallow any liquid.
Morning of the procedure
For Colonoscopy only: If there is no clear liquid
stool by 8-10 PM, you should give a Fleet enema (adult size) after 10PM or
If you are to take your morning medicines,
take with small sips of water
• Bring all
medicines you usually take (in the original containers) to the
You may be told to arrive 1 hour before your
test is scheduled so that
get you ready. Expect to be here for 2 to 4 hours for your test
Talk to your
doctor or nurse if you have any questions or concerns.
Important!!!! If you cancel your procedure, please let us know ASAP, and as
long in advance as possible.
New Jersey office:
assistant, responsible for scheduling, 908-273-7745 if absolutely necessary, Dr. Tyshkov’s cell phone
Barnabas Health Ambulatory Surgical Center
200 South Orange ave.
2-d Floor, East wing-Suite 200,
Livingston, NJ, 07039
You must call a day in advance
(Tuesday) after 4PM
718-226-9260 to confirm and to get a time of the
arrival and the procedure.
University Hospital NORTH
Island, NY 10305