Microsoft word - gis egd with bravo 052312.doc
Stella G. Quiason, MD
Anita Kish, PA-C
Gastroenterology & Liver Diseases
EGD with Bravo
Welcome to GI Specialists. You are scheduled for an EGD with Dr. Stel a Quiason. To put your mind at rest, Dr. Quiason is board certified in Gastroenterology and was an assistant professor of Gastroenterology at University of Missouri Kansas City for over 10 years. After a long academic career, she began a private practice 8 years ago.
Why have I been scheduled for an EGD with Bravo clip?
An EGD is a procedure where a long
tube with a camera on the end is inserted into your mouth and guided into your esophagus, stomach
and duodenum to check for any abnormalities. You wil have an IV for the procedure so that you can
have sedation to make you comfortable during the procedure. The Bravo clip is placed inside your
esophagus and left there to transmit readings to a unit that you wil wear for 48 hours. The unit wil
need to be returned the hospital at the end of 48 hours. When am I scheduled?
Procedure: Date:_________Time:________am/pm Check in :______am/pm
Follow up visit for results: Date:________Time:________am/pm
This is important information that may result in your procedure being rescheduled if not
1. You may
take aspirin and non steroidal medication(Ibuprofen, Aleve, Naproxen)
2. Iron supplements- please stop taking these 5 days prior to test.
3. Plavix, Coumadin, Heparin, Lovenox, Pradaxa (blood thinners only).
**You have to notify your cardiologist or primary care doctor that you are having a GI
procedure and need to be directed on what to do with your blood thinners. If your doctor
wants you to remain on the blood thinners please notify the office before the procedure.
4. Diabetic Patients: Please speak with your physician that treats your diabetes
regarding any possible change in the dosage of your insulin or oral hypoglycemic agents on prep day and procedure day.
5. Stop taking any reflux or PPI (proton pump inhibitor) medications 4 days prior to the
procedure-Nexium, Prevacid, Protonix, Prilosec, Zantac, Aciphex. Please cal if you have any questions regarding these medications.
*Patients requiring Pre-procedure antibiotics:
If you have a condition that requires pre-procedure antibiotics please cal the office/or notify the GI
lab nurses when you arrive that you need pre-procedure antibiotics and they wil administer the antibiotics in your IV that day.
Make sure you have a legal adult available to drive you to the procedure and they must be
available to stay at the hospital with you. The procedure will not be done if you do not have
a driver with you. You also need to have an adult with you the remainder of the day.
Cal the customer service number on your insurance card to check with your insurance company
to see what your coverage is going to be. Our office wil attempt to pre-certify your procedure but it is your responsibility to contact your insurance company and acquire authorizations. This wil minimize financial surprises as each insurance company and plan pays for this procedure differently. *If you do not have insurance you wil need to contact the office to arrange for payment prior to the procedure. Please cal Bil ing at 913-393-5267 to make payment.
THE DAY BEFORE:
NOTHING TO EAT OR DRINK AFTER MIDNIGHT
THE DAY OF THE PROCEDURE:
Patients on heart, lung, blood pressure, or seizure medicine need to take their daily
medication with a sip of water per their regular routine. NOTIFY THE NURSE IN THE GI
LAB WHAT MEDICATIONS YOU HAVE TAKEN TODAY.
Check in to Olathe Medical Center Patient Registration by the Emergency room on the backside
of the hospital one and a half (1 ½) hour prior to your procedure time. Please do not come to the doctor’s office. You wil have a long walk to get to registration and wil be late checking in.
Contact: John Hathcock , (202) 204-7662 FACT SHEET VP, Scientific & International Affairs Are vitamins and minerals safe for persons with G6PD deficiency? Background Persons with genetically inadequate activity of the enzyme G6PD are very susceptible to adverse effects after ingestion of specific oxidizing substances present in some food and drugs. In these individuals, the most
LONG CASE 65 year old lady with a hemiparesis from a cerebral haemorrhage 6 months ago. Cerebral angiography reveals 2 cerebral aneurysms, not amenable to coiling. She presents for an elective craniotomy. She has a permanent pacemaker fitted 3 years ago for complete heart block, has treated hypertension and was a heavy smoker but now smokes only 10 cigarettes a day. She is short of bre