FibroScan Test: FibroScan is a FDA approved specialized ultrasound machine. FibroScan is a painless imaging technique that measures fibrosis (scarring) and steatosis (fatty change) in your liver caused by many liver diseases. A safer, non-surgical alternative to liver biopsy. Helps to monitor the following diseases:

  • hepatitis B
  • hepatitis C
  • alcoholic liver disease
  • non-alcoholic steatohepatitis (NASH)
  • autoimmune hepatitis
  • genetic diseases such as hemochromatosis and Wilson’s disease
  • cirrhosis

Instructions for FibroScan: Food and excess fluid in the digestive tract could hamper the procedure, simply avoid eating and drinking for 3 hours before your appointment.

Colon Cancer Screening-Colonoscopy: Colon Cancer is the second-leading cause of cancer deaths in the United States. Regular testing and removal of colon polyps can prevent colon cancer. Colonoscopy is done to view the rectum and colon, using a colon scope, which is a long, flexible tube with a camera on the end.Colonoscopy is done to check for colon cancer and other problems in the intestines, as well as to treat and remove polyps.A biopsy can be done during a colonoscopy to look for microscopic evidence of disease.

Instructions for Colonoscopy with Suprep

1. Eat a Low-Residue diet 2 days prior to the procedure.

2. Two days before procedure day, Eliminate foods high in fiber such as raw fruits and vegetables, salads, nuts, corn, grains and cereals, nuts, seeds, beans, peas, coconut and fried foods.

3. You will begin a clear liquid diet, the day before the procedure.

4. Take Suprep (one bottle) as instructed at 6 p.m. the night before the procedure.

5. Take a second bottle of Suprep three (3) hours prior to the procedure and complete it.

6. Do not eat any food or drink any liquids 3 hours prior to your procedure after you complete prep.

7. It is OK to take necessary medications with small sips of water the day of the procedure.

Note:

Check in at facility where your procedure will take place an hour before procedure time.

Need to have a designated driver to drive back home after the procedure

Patients who are on blood thinners: Stop taking blood thinners medications 5-7 days before the procedure.

If you are diabetic, contact your primary care physician for instructions on how to take your medications on the day of the preparation and the procedure day.

Please go to this link below to view a video of how to prepare for your colonoscopy procedure.

Suprep Instructional Video

Colonoscopy Instructions PDF

Clear Liquid Diet

High Fiber Foods

Esophagogastroduodenoscopy (EGD): An upper GI endoscopy uses an endoscope to look at, diagnose and treat issues in the esophagus, stomach and start of the small intestine. A biopsy can be done during this procedure to look for microscopic evidence of disease.

EGD Instructions PDF

1. The evening before the test, you may have a light supper before 6:30 p.m. (No fried or fatty foods; no salads)

2. After 6:30 p.m., you may have water or clear liquids only and stop 4 hours before procedure.

3. Nothing to eat or drink after midnight

4. Remember to take your heart or blood pressure medications as you usually do. Take them with only enough water to get them down. If you have any questions about other medications, please call the office.

5. Bring someone with you to drive you home after the test. You will be given medication to make you sleepy and will not be allowed to drive yourself home.

Hemorrhoid Banding Procedure: Hemorrhoid banding is a procedure that removes painful, swollen hemorrhoids. Banding cuts off the blood circulation to the hemorrhoids which cause them to shrink and degenerate. Multiple hemorrhoids can be banded at the same time. Hemorrhoid banding is a non-invasive procedure that can be done in office at the clinic.

Hemorrhoid Banding Video: http://www.crhsystem.com/patients/

Capsule Endoscopy: Capsule endoscopy examines the esophagus and lining of the small intestine using a small camera inside a capsule. The capsule travels through the digestive system and the camera sends images to a recording device worn by the patient. The images transmitted can be used to diagnose and evaluate a variety of GI conditions. Capsule endoscopy provides images of the digestive system that cannot be captured with conventional X-rays.

Endoscopic Retrograde Cholangio Pancreatography (ERCP): Endoscopic retrograde cholangiopancreatography (ERCP) is a critical, life-saving and highly technical endoscopic procedure. The procedure helps to diagnose and treat problems in the bile duct and pancreatic ducts, such as stones, narrowing (called strictures) and blockages. ERCP uses an endoscopy to look at, and inject dye into, the duodenum, pancreas, bile ducts and gallbladder.

Esophageal Manometry: Esophageal manometry is a test to assess motor function of the upper esophageal sphincter (UES), esophageal body and lower esophageal sphincter (LES).

Flexible Sigmoidoscopy: Flexible sigmoidoscopy enables to look at the inside of the large intestine from the rectum through the last part of the colon, called the sigmoid. This procedure helps to find the cause of diarrhea, abdominal pain, or constipation and also used to look for benign and malignant polyps, as well as early signs of cancer in the descending colon and rectum.

Feeding Tube (PEG): A feeding tube, or Percutaneous Enteral Gastronomy (PEG) tube, is a small tube that is placed between the outside of the patient's abdomen and the inside of the stomach. PEG feeding tube allows for a patient to receive liquid nutrition, fluids and medicine directly into the stomach bypassing the mouth and esophagus.

interpretation_guide_lsm-cap_eng-selection.pdf
interpretation_guide_lsm.pdf