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Endoscopy Care

Endoscopy Care

UPMC Chautauqua is proud to provide Endoscopy Services in its new 5,000-square-foot Endoscopy Suite located at the Riverwalk Center, 15 South Main Street, Jamestown, New York, in close proximity to UPMC Chautauqua Hospital. Patients will experience the convenience of Endoscopy service and care in a new, medical outpatient environment. The Suite is staffed by a team of physicians, nurses, and technical and support professionals.

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What is Endoscopy?
Endoscopy is a broad term used to describe the examination of the body using a lighted flexible instrument called an Endoscope. The most common procedures allow the physician to examine the Esophagus (swallowing tube), stomach and portions of the colon (large intestine) to evaluate and detect problems.

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The UPMC Chautauqua Endoscopy Suite performs many procedures including:

The patient should expect to spend approximately three hours at the Endoscopy Suite. The preparation for these procedures will be explained by physicians and nursing staff.  The physicians work in tandem with nursing and technical and support professionals to provide endoscopy care for the patient.

Pre-Registration
To Pre-register for a procedure at the UPMC Chautauqua Endoscopy Suite, call 716-664-8149, or, after 2 p.m. 716-664-8440.  

The Day of the Procedure
The UPMC Chautauqua Endoscopy Suite at Riverwalk Center opens at 6:00 a.m. Monday-Friday. Most patients are asked to arrive one hour and 30 minutes before the scheduled procedure time. The patient should bring a list of any medications they are currently taking.

UPMC Chautauqua WCAFamily Members
Family members are welcome to wait for the patient in the designated patient room near the centralized nurses station. A large centralized nursing station inside the Endoscopy Suite is within a few steps of the patient.
 
After the Patient Returns Home
The patient should follow their doctor's instructions concerning medication and diet. A short instruction sheet will be sent home with the patient outlining things to watch for and any special instructions. If the patient has any problems, they should contact their physician.

UPMC Chautauqua WCAParking Instructions
Parking is free at the Riverwalk Center, 15 South Main Street, Jamestown, New York.  Park in the parking lot, once inside the Center, follow the signs to the UPMC Chautauqua Endoscopy Suite, and please check-in with the Receptionist.

Frequently Asked Questions (download here)
Q. What is a colonoscopy? A colonoscopy is an examination that enables your doctor to
examine the lining of your colon (large intestine). The doctor will take a flexible tube with a
camera installed in it, and slowly move it into the rectum and through the colon. The doctor can
view the procedure on a TV monitor throughout the test to look for signs of cancer or precancerous
polyps.

Q. What is upper endoscopy? Upper GI endoscopy is a procedure that enables the doctor to
examine the esophagus, stomach, and duodenum (first portion of small bowel) using a thin,
flexible tube with a camera installed in it. This tube is passed through the esophagus, stomach,
and duodenum so the lining of these areas can be viewed using a TV monitor.

Q: How long will the colonoscopy or endoscopy take? The procedure usually takes from
fifteen to forty five minutes depending on which procedures are done. You should plan to be at
the facility for approximately 2 and 1/2 to 3 hours. The amount of time may vary from patient to
patient, depending on how much sedation is needed and how you feel afterwards.

Q: Where do I go for my Procedure? The address for your procedure is Riverwalk Center 15
S. Main Street Jamestown, NY 14710 Suite 260. This is the suite where the examinations are
done, as the Doctor’s offices are located in suite 160. You are asked to arrive one and one half
hours before your scheduled procedure in order to allow enough time to be admitted and prepped
for the procedure.

Q: Why can't I drive myself home after my procedure? Due to the sedation given during the
procedure, you are considered legally impaired. The sedation medication impairs your judgment
and reflexes. You will not be permitted to drive following your procedure. If you do not have a
ride home available or set up prior to the procedure, your test may be cancelled and have to be
rescheduled.

Q. Will I receive sedation for the Endoscopy and Colonoscopy? You will receive MAC (
Monitored Anesthesia Care) for the exam, which means that an intravenous line is placed and
medications are given intravenously. This is not general anesthesia, although all patients are
comfortably sleeping during the procedure. Patients wake very soon after the procedure is
finished and there are minimal side effects with our medication. Each patient given MAC
anesthesia must remain in bed hooked to monitors for 30 minutes after each procedure so vital
signs can be monitored and tracked during the recovery period. After the recovery period, each
patient will then be given discharge instructions and sent home to rest for the remainder of that
day.

Q. What do I need to do to prepare for a colonoscopy? The preparation is a very important
part of the exam. If your bowel is not adequately cleaned out prior to the exam, the doctor may
not be able to identify polyps during the procedure. Before the exam you will have to take an
oral laxative solution (called "a bowel prep" or "preparation") to clean out your bowel. Specific
prep instructions vary, but the prep usually begins one to two days before your procedure. Please
read your prep instructions (given separately from the doctor’s office) to understand what you
should do one day or two days before your colonoscopy. Nothing at all should be consumed after
10 PM the night before either procedure except for a small sip of water with your morning
medications.

Q: Can I drink anything other than water? It is important that you drink a variety of allowed
clear liquids to avoid the possibility of becoming nauseated and dehydrated. Clear liquids
include: apple and white grape juice or other non-citrus juices without pulp, Gatorade, ginger ale,
diet or regular 7-Up, and Sprite. Also included in a clear liquid diet is black coffee or tea without
cream or powdered creamer, Jell-0 (not red or orange) without added fruit, and Chicken Broth.

Q: Can I take other medications before the procedure? You may take your medications
except the ones listed on Doctors Preparation instructions given to you by the office. Please
carefully review the instructions several days prior to starting your preparation to ensure that you
stop certain medications. Generally, you should take prescribed medication, as directed, both on
the preparation day and on the day of the procedure. However, you must not take anticoagulants
(blood thinners) for at least five days prior to the procedure. These include medications like
Coumadin, aspirin, Plavix, vitamin E, Fish Oil and ibuprofen to name a few. Review your doctor
instructions to get an accurate list of any medications which need to be stopped.

Q: Why can't I have gum or mints before my procedure? If you put anything in your mouth,
you increase your saliva. This can go into your lungs when you are asleep and cause pneumonia
and other severe lung problems. You cannot receive anesthesia if you have had anything in your
mouth within two hours of your arrival time. We allow a sip of water with your morning
medications, and all else should be avoided for everyone's safety. Ifyou drink more than a sip or
come into the unit chewing gum or have hard candy in your mouth, other patients WILL be taken
before you and your test WILL be delayed for a time to be determined by the doctor and
anesthesiologist.

Q: When does patient get the results of the endoscopy and/or Colonoscopy? The examining
physician will inform the patient, or family or friends waiting with the patient, of the test results
or the probable findings prior to the patient being discharged from the Endoscopy Unit. The
results of biopsies or cytology usually take three to four days and the doctor may then have an
office appointment set up, or have the office call with instructions based on those results. Please
check your discharge instructions for follow up appointment instructions and call the Office at
any time with follow up questions.

Q: Why do I need to answer questions about my medications with last doses on the
morning of the procedure? This information is required to complete your patient assessment
the morning of the procedure to ensure that all medications which needed to be stopped were
avoided and to make sure there were no medications taken that could interfere with the effects of
the anesthesia to be given. This information is used to keep the patient safe during your
procedure.

ENDOSCOPY DISCHARGE INSTRUCTIONS:
If you need a copy of dischare instructions, please download here. (Download)

Contact Us
The UPMC Chautauqua Endoscopy Suite is pleased to serve you. For questions or more information about Endoscopy, please call 716-664-8149.