Ileoscopy

Patient Education

If you have diabetes, ask your regular doctor for diet and medication restrictions.
If you take a medication to thin your blood (such as Coumadin, Plavix or Lovenox) and have not already discussed this with our office, please call us at 612-871-1145.
If you take aspirin, you may continue to do so.
If you are or may be pregnant, please discuss the risks and benefits of this procedure with your doctor.
If you will be receiving sedation, you must arrange for a ride for the day of your exam. If you fail to arrange transportation with a responsible adult, your procedure will need to be cancelled and rescheduled.
If you must cancel or reschedule your appointment, please call 612-871-1145 as soon as possible.

PREPARATION
To ensure a successful exam, please follow all instructions carefully. Failure to accurately and completely prepare for your exam may result in the need for an additional procedure and both procedures will be billed to your insurance.

Before your exam:
Fill out the Health History form to bring with you on the day of your appointment.

The night before your exam:
Stop eating solid foods at 11:45 pm.
Clear liquids are okay to drink (examples: water, Gatorade, clear broth and apple juice).
Do not drink red liquids or alcoholic beverages.

The day of your exam:
Stop drinking clear liquids 2 hours before your exam
You may take your usual medications with 4 oz. of water at least 2 hours prior to your procedure.

When you leave for the procedure:
 Bring a new ostomy bag and appropriate adhesive because the bag will be removed and disposed of during the procedure.
 Bring a list of all of your current medications, including any allergy or over-the-counter medications.
 Bring a photo ID as well as up-to-date insurance information, such as your insurance card and any referral forms that might be required by your payer.


DESCRIPTION OF ILEOSCOPY

What is an ileoscopy?
Ileoscopy is done through a person's ileostomy. An ileostomy is an artificial opening (called a stoma), created in the abdomen by a surgeon. The ileum is brought out to the surface of the abdominal wall, allowing waste to drain into a sealed pouch on the outside of the body. During an ileoscopy, your doctor examines the lining of your ileum, the last part of your small intestine through a thin, flexible tube called an endoscope. Through the endoscope, your doctor can see abnormalities like inflammation or bleeding and may also remove tiny samples of tissue (biopsy) for further tests, or treat bleeding problems.

What happens during an ileoscopy?
Plan to spend up to 2 hours at the endoscopy center the day of your procedure. The exam itself takes about 15 minutes to complete.

Before the exam:
 You will change into a gown and robe.
 Your medical history will be reviewed with you and you will be given a consent form to sign.
 A nurse will insert an intravenous (IV) line into your hand or arm.

During the exam:
 Medicine may be given through the IV line to help you relax and feel drowsy.
 Your heart rate and oxygen levels will be monitored. If your blood pressure is low, you may be given fluids through the IV line.
 The doctor will insert a flexible tube called an endoscope into your ileostomy (stoma) and will advance it slowly through the ileum.
 You may have a feeling of pressure or fullness.
 The doctor may remove tissue through the endoscope for closer examination, or biopsy. Tissue removal is painless.

What happens after the exam?
 The doctor will talk with you about the initial results of your exam.
 You may feel bloated after the procedure. This is normal.
 Medication given during the exam will prohibit you from driving for the rest of the day.
 Following the exam, you may resume your normal diet. Avoid alcohol until the next day.
 You may resume your regular activities the day after the procedure.
 A nurse will provide you with complete discharge instructions before you leave the endoscopy center. Be sure to ask the nurse for specific instructions if you take blood thinners such as aspirin, Coumadin or Plavix.
 Any tissue samples removed during the exam will be sent to a lab for evaluation. It may take 5-7 working days for you to be notified of the results.

Are there possible complications from an ileoscopy?
Although serious complications are rare, any medical procedure has the potential for risks. A nurse will review all potential warning signs with you before you leave the endoscopy center. Risks include:
 Perforation, or a tear, of the lining of the ileum
 Bleeding from the biopsy site if tissue was removed
 Reaction to medications if used during the procedure

 

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