Gastroenterology belongs to internal medicine and deals with diseases and ailments in the lower part of the digestive system. The lower part of the digestive system consists of the esophagus, stomach, duodenum, small and large intestines, liver, gallbladder, bile ducts and pancreas.
The gastroenterology clinic offers a complete specialist treatment of the digestive system, after which the appropriate therapy is carried out. Gastroenterological examinations consist of consultation with the patient, clinical examination and ultrasound of the abdomen. After that, additional tests are performed, such as colonoscopy and gastroscopy. In case it is necessary – radiological examinations are performed.
- Abdominal ultrasound
- Electro polypectomy
- Deep duodenoscopy
- Biopsy of the gastrointestinal tract during endoscopy
Preparation for procedures
Nil by mouth six hours prior to the procedure.
3-4 DAYS BEFORE THE PROCEDURE:
Speak to your GP for the purpose of issuing a prescription for MOVIPREP (bowels cleaning recipe). Equally, you can purchase it in the pharmacy with the private prescription. Decrease the intake of solid and fatty foods and increase the intake of liquid foods and drink daily 1.5-2 l of liquids.
2 DAYS BEFORE THE PROCEDURE:
Eat easily digestive food, preferably soft one. Avoid meat, seeds and corn in your diet. Eat food which does not bloat you up.
1 DAY BEFORE THE PROCEDURE:
Dilute first dosage of MOVIPREP in one liter of water and drink a glass of it every 15 minutes.
13:00 – 18:00:
Drink as much liquid as possible 1.5l – 2l (tea, water, clear juice) and continue with the liquid diet (clear soup with no additives, tea, water, clear juice) and avoid solid foods as well as milk and mushy juices. Walk a lot in order to induce the bowels to work “faster”.
Dilute second dosage of MOVIPREP in one liter of water and drink a glass of it every 15 minutes. Drink as much liquid as possible up to the procedure. In case of the procedure being done under anesthesia, from midnight nil by mouth.
FOR THE COLONOSCOPY UNDER ANESTHESIA YOU SHOULD PREPARE::
- Laboratory findings: Full blood picture, Na, K, GUK, urea, creatinin, PV, APTV, fibrinogen , biochemical urine
- All previous medical documentation
You are to be examined by anesthesiologist/specialist of gastroenterology prior to the actual procedure and you should inform them of illnesses you suffer from and medication or alternative medicine preparations you are taking.
Patients who take anti-coagulation therapy (Warfarin, Marivarin, Martefarin…) should stop taking their medication 3-4 days prior. Patients experiencing problems with heart valves are advised to take antibiotic prophylaxis. Patients taking, iron, acetysalicylic acid ( Andol. Aspirin, Acisal ) Clopidogrel (Zylit, Pigrel) as well as anti-rheumatics (Knavon, Voltaren, Brufen, Ketonal etc) should stop taking their medication 7 days prior to the procedure.
NOTICE FOR DIABETICS:
DO NOT TAKE oral medication for diabetes on the morning of the procedure. Insulin is normally NOT taken that morning, but please consult your doctor. Prescribed therapy (for heart, high blood pressure or reflux) could be taken on the morning of the colonoscopy with a sip of water.