When you're scheduled for an endoscopy, you'll come to our Endoscopy Unit on the day of your appointment. We offer both morning and afternoon slots and kindly ask you to stick to your appointment time. Upon arrival, you'll be warmly welcomed by our nurse at the Reception Area. Here are a few things they will check:
Your name and contact details
Appointment time
The procedure you're booked for
Your instruction leaflet
Your appointment card
The nurse will ask about your fasting status and, if it's a colonoscopy, whether you've completed the bowel preparation. Don't worry, these are routine questions to ensure a thorough examination.
Afterwards, you'll be asked to wait in the waiting area. We recommend removing jewelry, phones, false teeth, and other valuables, leaving only your towel on your person. We're here to make you feel comfortable and well-cared for throughout your visit. If you have any concerns, don't hesitate to ask!
The consent process
Next, we'll guide you through the consent process, which is a standard procedure. This involves signing a form, indicating your agreement for the tests to proceed. Our nurse will provide a detailed explanation of the procedure and address any questions you may have.
We'll also discuss potential risks, such as a very small chance of bleeding or perforation (approximately 0.01%) during gastroscopy and colonoscopy. For ERCP, risks are slightly higher, and our doctor will explain these to you.
The good news is that procedures like UBT and Capsule Endoscopy carry virtually no risk of complications. If you're unable to sign the form, you can use a thumbprint or have a relative sign on your behalf. Your safety and comfort are our top priorities, so please feel free to express any concerns you may have.
Procedure details
At our Endoscopy Unit, we typically schedule around 10 to 15 patients for morning or afternoon sessions. While we strive to keep appointments on time, unforeseen circumstances, such as an urgent case, may cause delays. We kindly ask for your patience during these times, understanding that fasting can be challenging.
During a gastroscopy, a local anesthetic is applied before the procedure. You'll then be escorted to the procedure room, where you'll lie on your left side on a trolley. Throughout, two nurses will attend to you while the doctor inserts the gastroscope. This usually takes 5 to 7 minutes.
If you're undergoing a colonoscopy or both procedures, an IV line will be inserted for sedation and pain relief. Once positioned, you'll receive anesthesia while the doctor inserts the colonoscope through your anus. While discomfort may occur, it's brief and manageable. Throughout the 15-minute procedure, we'll communicate with you and adjust pain relief as needed.
For an ERCP, you'll be escorted from the ward to the Operating Theatre, where you'll wear a gown and have your head covered. An IV line will already be in place, and you'll receive a larger dose of sedation and pain relief. The doctor will insert the duodenoscope through your mouth, with continuous communication and adjustments to ensure your comfort. Due to the sedative's effects, you won't recall the procedure.
Rest assured, our team is dedicated to your well-being and comfort throughout your visit. If you have any concerns or questions, please don't hesitate to reach out. Your safety and satisfaction are our top priorities.