Peter Koretsky, MD, PA
Gastroenterology
2955 Pineda Plaza Way Ste: 115
Melbourne, FL 32940

321-254-7375 Tel
321-254-7145 Fax

Procedures

Colonoscopy is a procedure in which a flexible tube with a powerful light source is passed through the rectum into the large bowel (colon) for direct examination.

  • With Biopsy - colonoscopy in which a specimen of tissue is removed for examination by a pathologist.
  • With Removal of foreign body - colonoscopy in which a foreign body is removed.
  • With polyp/tumor removal - colonoscopy in which a polyp (abnormal growth from the lining of the colon) is removed.
  • With control of bleeding- colonoscopy in which medication or heat is used to stop bleeding.

What to expect:
Colonoscopy is well tolerated and rarely causes much discomfort. You will be lying on your side while the colonoscope is advanced slowly through the large intestine (colon). The colonoscope is then withdrawn and the lining of the intestine is examined. The procedure usually takes 15-60 minutes. If the scope shows something abnormal the physician may take a biopsy specimen, may remove a polyp if one is found, or may use medication or heat treatment to stop any bleeding found. Remember that biopsies are taken for many reasons and do not necessarily mean that cancer is suspected.

Preparation:
The colon must be completely clean for the procedure to be accurate and complete. Your physician will give you detailed instructions about diet and the cleansing routine.  This usually consists of either the consumption of a large volume of a special cleansing solution or several days of clear liquids, laxatives and enemas prior to the examination. Be sure to follow the instructions carefully, or the examination may need to be repeated. You will also need to refrain from taking any blood thinners for 5 -7 days before your procedure. Sedation is given by a Nurse Anesthetist or Anesthesiologist and you will need someone to take you home since it would not be safe for you to drive.


Flexible Sigmoidoscopy is a procedure in which a flexible lighted tube is passed through the anus into the rectum and lower part of the large bowel (colon) for direct examination.

What To Expect:
Flexible sigmoidoscopy is well tolerated and rarely causes much discomfort. You will be lying on your side while the scope is advanced slowly through the lower portion of the large intestine (colon). The scope is then slowly withdrawn and the lining of the intestine is examined. The procedure usually takes about 5-10 minutes. If the scope shows something abnormal the physician may take a biopsy specimen. Remember that biopsies are taken for many reasons and do not necessarily mean cancer is expected. 

Preparation:
The lower part of the colon must be completely clean for the procedure to be accurate and complete. Your physician will give you detailed instructions about diet and the cleansing routine.  This usually consists of a laxative and enemas. Be sure to follow the instructions carefully, or the examination may need to be repeated. You will also need to refrain from taking any blood thinners for 5 to 7 days before your procedure.


EGD (Esophogastroduodenoscopy) is a procedure in which a flexible lit tube is passed through the mouth into the esophagus, stomach and upper portion of the small intestine for direct examination of those parts of the GI system.

  • With Biopsy - EGD in which a specimen of tissue is removed for examination by a pathologist.
  • With Removal of foreign body - EGD in which a foreign body is removed.
  • With polyp removal - EGD in which an abnormal growth is removed.
  • With dilation - EGD in which a balloon or bougie is used to  open a narrowed portion of the esophagus.
  • With Control of bleeding - EGD in which medication or heat is used to stop bleeding.

What to expect:
At the beginning of the procedure, a local anesthetic (numbing medicine) may be applied to you throat, and you may be given medication through a vein to help you relax and better tolerate any discomfort from the procedure. The procedure will begin with you lying on your left side. The scope will be passed through your mouth into the throat, stomach and small intestine. The procedure usually takes 10-20 minutes. If something abnormal is found, the physician may take a biopsy specimen or may use medication or heat treatment to stop any bleeding. Remember that biopsies are taken for many reasons and do not necessarily mean that cancer is suspected. The instrument used for the procedure will not interfere with your breathing.  You may resume your usual diet unless instructed otherwise. Your throat may temporarily feel scratchy or sore after the procedure.

Preparation: For the best possible examination, you need to have a completely empty stomach. This means you will need to have nothing by mouth for at least 6-8 hours and preferably overnight before the procedure. Be sure to inform your doctor about any medication you take and the physician can direct you about which medicines you should take. You will also need to refrain from taking blood thinners for 5-7 days before your procedure. If you receive any sedation, you will need for someone to take you home since it would not be safe you to drive.