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At St. Charles Gastroenterology, we understand that maintaining your digestive health is a vital part of overall well-being. Our specialized colonoscopy services are designed to provide you with the highest standard of care, ensuring comfort and accuracy in every procedure.

Why Choose Us?

Expert Care: Our team of experienced gastroenterologists and medical professionals are dedicated to delivering precise and compassionate care. We use the latest technology and techniques to ensure thorough and effective examinations.

Comfort First: We prioritize your comfort throughout the process. Our state-of-the-art facilities are designed to make your experience as smooth and stress-free as possible. From pre-procedure consultations to post-procedure follow-ups, we are here to support you every step of the way.

Comprehensive Services: Whether you’re undergoing routine screening or need diagnostic investigation, our services cover all aspects of colon health. We offer detailed assessments, personalized recommendations, and clear communication to help you understand your results and next steps.

Patient-Centered Approach: At St. Charles Gastroenterology, you’re not just a patient; you’re a valued partner in your health journey. We take the time to listen to your concerns, answer your questions, and provide tailored care that fits your needs.

Your Health, Our Priority

A colonoscopy is a critical tool for early detection and prevention of colon-related issues, including cancer. Regular screenings can save lives by identifying potential problems before they become serious. Let us help you take this important step toward a healthier future.

Contact Us Today

Ready to schedule your colonoscopy or have questions about the procedure? Our friendly staff is here to assist you and ensure you receive the best care possible. Call us today at 541-706-4220.

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Grand Rounds - September 6, 2024  
"LGBTQ+ Considerations in Healthcare"

Speaker: Emery Chang, MD. Associate Professor, UCLA Health; LGBTQ Medical Director, David Geffen School of Medicine at UCLA.

 

 

Objectives

  1. Identify and evaluate some health disparities in the LGBTQ community and their impact on public health overall.
  2. Analytically evaluate the legal and ethical risks that healthcare institutions face related to LGBTQ healthcare issues.
  3. Develop plans that work towards reducing health disparities in the LGBTQ community and improve the overall quality of care.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

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Have you ever wondered if you are at high risk for developing breast cancer? A new free event Sept. 12 at St. Charles Cancer Center in Bend aims to help women answer that question. St. Charles’ High-Risk Breast Clinic will host a free screening aimed at helping up to 150 women identify whether they may have an elevated lifetime risk of developing breast cancer. 

This drop-in event is open to women aged 25-55 who believe they may be at high risk of developing breast cancer or would like to learn their risk. Each screening will take approximately 5-10 minutes. Patients should be prepared to provide personal and family medical history, although individuals with unknown family history can still be screened. 

“Our hope with this clinic is to bring awareness and understanding to women about their breast cancer risk," said Jessica Keegan, cancer screening coordinator for the High-Risk Breast Clinic. “It’s important for women to know their risk and the resources available to increase surveillance and reduce that risk. Knowing your risk empowers women to make the right health care choices for themselves.” 

As part of the screening, caregivers will use National Comprehensive Cancer Network guidelines to calculate each patient's lifetime risk of developing breast cancer (no physical exams will take place). Individuals with a determined risk level greater than 20% may qualify for earlier and more frequent screenings and may benefit from further evaluation by the High-Risk Breast Clinic. Patients will also be assessed to determine if they met criteria for hereditary cancer risk testing. 

The clinic will take place from 4:30 to 6:30 p.m. and is a drop-in event; tickets or registration are not required to attend. Those unable to attend the event can contact the High-Risk Breast Clinic at 541-706-6729 to schedule an appointment or contact their primary physician for a referral.  

Screening is recommended for individuals with one or more of the following risk factors: 

  • Having a mother, sister or daughter diagnosed with breast cancer, particularly before menopause. 
  • Two or more close relatives - such as aunts, grandmothers or cousins - diagnosed with breast cancer, especially at a young age. 
  • Diagnosis of ovarian cancer in multiple family members. 
  • A combination of breast and ovarian cancer occurring on the same side of the family. 
  • Breast cancer diagnosed in a male relative.
  • A personal history of ovarian cancer. 
  • History of breast biopsy showing atypical hyperplasia or lobular carcinoma in-situ (LCIS). 
  • Carrying a gene mutation such as BRCA1 and BRCA2. 

More information can be found by calling 541-706-6729 or visiting our event webpage.  

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On a sunny Wednesday morning in late June, dozens of local elected officials, St. Charles board members, community leaders, health care professionals, cancer survivors and interested citizens gathered on a vacant parcel south of our Redmond hospital to ceremonially break ground on a new St. Charles Cancer Center.

It was a really neat event. Attendees could walk the footprint of the new building and read about the different services that will be provided. Of course, some of us lined up and symbolically stuck a bunch of shovels into dirt. Most importantly, we had a chance to mingle and talk, face to face, with key stakeholders not only in this project, but in the future of cancer care in Central Oregon.

Groundbreaking in Redmond for the new Cancer Center

Also, all in attendance were invited to write meaningful words — “hope” or “healing,” for example, or the name of a loved one affected by cancer – on a smooth stone about the size of a golf ball. Those stones were collected at the end of the event and will be incorporated into a permanent art installation inside the cancer center.

I was holding my stone in my hand and speaking to the crowd when I got choked up. It has been 40 years since my mother died of cancer. Grief is a fickle friend. On that sunny Wednesday morning, I just happened to be standing on a stage and holding a microphone when the feeling hit me. I know I am not alone — that almost all of us know someone whose life has been affected by cancer. I was touched by how many guests approached me afterwards and shared their uplifting and inspiring stories.

Healing and recovery take time, for survivors and for families. Creating healing places and supporting excellence in cancer care is a critical role St. Charles plays in our growing region. The new facility will be a major component of that effort, serving up to 300 cancer patients every day. I’m excited to see the project complete and to open our new facility. Yes, mom would be proud.

Which reminds me: St. Charles Foundation’s annual Heaven Can Wait 5K run/walk is happening in Redmond again this year, on Sunday, Oct. 6. This is the 25th year of the event, which raises money for Sara’s Project, a fund of the foundation that provides education, early detection and support services to ease the challenges of breast cancer for people in Central and Eastern Oregon.

It’s a fun time for a great cause. And this year, in honor of Heaven Can Wait’s 25th year, organizers are hoping to raise an additional $25,000. So please visit HeavenCanWait.org today to learn more about the event and sign up to participate.

Thanks, as always, for reading.

Sincerely,
Steve

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Suprep Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

SUPREP INSTRUCTIONS

For your procedure, you will take one half of the prep the evening before the procedure, and the other half the morning of the procedure.

  • Dose one: 5 p.m. the day prior to your procedure, pour the first bottle of Suprep liquid into the mixing container and fill the container to the "fill line" with cool water; mix. Drink all of the liquid in the container. You must drink two more 16 ounce containers of water over the next hour. Continue drinking clear liquids all evening.

DAY OF PROCEDURE

  • Dose two: The day of the procedure, 6 hours before your ARRIVAL TIME, pour the second bottle of Suprep into the mixing container and fill the container to the "fill line" with cool water; mix. Drink all of the liquid in the container. You must drink two more 16 ounce containers of water over the next hour.

    Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda, or club soda) until 4 hours prior to your ARRIVAL TIME.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

Suflave Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

SUFLAVE PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the evening before the procedure, and the other half the morning of the procedure.

One Day Before Procedure

In the A.M.:  

  • Open 1 flavor enhancing packet and pour contents into 1 bottle. Fill the provided bottle with LUKEWARM water up to the fill line. After capping, gently shake the bottle until all the powder is dissolved. Refrigerate the solution. Remember no solid foods - clear liquids only.

At 5 p.m.:

  • Drink 8 ounces of solution every 15 minutes until the bottle is empty. Drink an additional 16 ounces of water following.

In the evening:

  • Mix second dose and place in fridge (see above mixing instructions).

DAY OF PROCEDURE

  • 6 hours before ARRIVAL TIME: Drink 8 ounces of solution every 15 minutes until the bottle is empty. Drink an additional 16 ounces of water following.

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

For more than 20 years, St. Charles’ bariatrics program has been consistently recognized for its high quality of care, commitment to improvement and dedication to safety.

And that’s not changing, even as new providers join the team – bringing with them openings for new patients, it should be noted.

“This is a great example of teamwork across practices, because I think we’re really all just focused on making sure the quality measures that we track never dip below where they’re supposed to be,” said Dr. Stephen Archer, a Summit Health surgeon who is also employed by St. Charles as medical director of the program. “It’s an arrangement that has worked well over the years, to the benefit of the community.”

Bariatrics is the study and treatment of obesity, and bariatric surgery is the most effective treatment for obesity “by far,” Archer said.

“It changes the anatomy of the stomach to help patients have different sensations of being full or hungry,” he said. “That can lead to prolonged and sustained weight loss of 20% to 30% of their total body weight, so a 300-pound person could expect to lose 100 pounds in the first year, for instance.”

Archer has been doing bariatric surgery at St. Charles since the early 2000s. For that entire time, the program has maintained what’s known as Comprehensive Center accreditation from the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery, which work together to advance safe, high-quality bariatric surgical care.

“(Accreditation) formally acknowledges your commitment to providing and supporting quality improvement and patient safety efforts for metabolic and bariatric surgery patients,” according to the organizations. “As an accredited program you have demonstrated that your center meets the needs of your patients by providing multidisciplinary, high-quality, patient-centered care.”

For Archer, the recognition is not just a validation of the bariatrics team’s efforts, it’s also a strong indicator of sustained quality within the program and safety for potential patients.

“We’re evaluated through an on-site visit every three years, where they make sure the hospital has the right protocols, equipment, staffing and education in place, and that we are monitoring the quality of care patients receive,” Archer said. “They use stringent criteria and we’ve always passed with flying colors, so there’s reason to believe that St. Charles is as safe as anywhere else in the country for bariatric surgery. That’s a great accomplishment.”

The program is growing, too, with the addition of two new surgeons in the past year, both of whom are actively taking on new patients:

  • Dr. Randy Kjorstad, who specializes in minimally invasive and robotic approaches to surgery, including bariatrics.
  • Dr. Shaan Akhtar, a board-certified general surgeon and a fellowship-trained minimally invasive, robotic and bariatric surgeon.

To make an appointment, ask questions or learn more about your weight-loss options, visit our website, fill out the “Contact our bariatric team” form or call 541-548-7761.

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Golytely Bowel Prep Instructions

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GOLYTELY PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

One Day Before Colonoscopy

At 5 p.m.:  

  • Mix Golytely solution with lukewarm water to the fill mark (4 liters) on the jug. Do not add any other ingredients or flavors.

  • Place cap securely on the jug. Shake the jug very well several times to make sure the ingredients are well dissolved.

  • Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to rapidly drink the whole glass rather than slowly sipping.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

Gavilyte Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GAVILYTE PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

Make sure to purchase:

  • 128 oz. of Gatorade (not red, blue or purple), Propel or Smartwater
    It must contain electrolytes

Two days before colonoscopy
In the evening:

  • Mix the Gavalyte with 128 oz. (1 gallon) of Gatorade according to the instructions of the bottle.

  • Shake and stir well until the powder is dissolved.

  • Store the solution in the refrigerator.

One Day Before Colonoscopy

At 5 p.m.:  Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to keep the solution cold and rapidly drink the whole glass rather than slowly sipping. When you complete the first half of the container, put it back in the refrigerator.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body


Procedure Prep Instructions

What is a Colonoscopy?

A colonoscopy is a medical procedure used to examine the inner lining of the large intestine (colon) and rectum. This procedure helps in diagnosing, monitoring, and preventing various conditions, including colorectal cancer, polyps, and inflammatory bowel disease. During a colonoscopy, a flexible tube with a camera, called a colonoscope, is inserted through the rectum to visualize the colon’s interior.

Why is a Colonoscopy Performed?

Colonoscopy procedures are typically performed for the following reasons:

  • Screening for Colorectal Cancer: Recommended for individuals over 45 years of age or those with a family history of colorectal cancer.

  • Investigating Symptoms: To evaluate symptoms such as persistent abdominal pain, bleeding, or changes in bowel habits.

  • Monitoring Inflammatory Bowel Diseases: To assess the condition of patients with Crohn’s disease or ulcerative colitis.

  • Polyp Detection and Removal: To identify and remove precancerous polyps before they can develop into cancer.

After the Colonoscopy

Post-procedure, you might experience mild discomfort, bloating, or cramping, which should resolve within a few hours. Your doctor will discuss the findings with you and provide any necessary follow-up instructions. If any polyps or abnormal tissue were detected, further testing or treatment may be required.

Risks and Considerations

While colonoscopy is generally safe, there are some risks to be aware of:

  • Bleeding: Especially if a biopsy or polyp removal was performed.

  • Perforation: A rare but serious complication where a tear occurs in the colon wall.

  • Infection: Although uncommon, infections can occur.

Follow-Up and Results

Your doctor will provide detailed results and discuss any next steps based on the findings. If a follow-up colonoscopy is needed, your doctor will guide you on the appropriate timing and preparation.

Schedule Your Colonoscopy

Regular colonoscopies are vital for maintaining colon health and preventing serious conditions. If you’re due for a colonoscopy or have concerns about your digestive health, contact us today to schedule an appointment.