You may experience fatigue, dizziness or
If you have any questions please ask your
headaches drink plenty of fluids to relieve
Polyps are little growths which arise from the
lining of the bowels. Some may progress and
change as they grow, therefore removal is
necessary to prevent them turning cancerous.
Polyp removal is achieved by looping them with
a snare and cutting through the lining of the
bowel. When they are removed they may bleed.
Serious bleeding rarely occurs. If conditions are
symptoms after discharge home, contact your
not optimal at the time, removal may need to be
Consultant or the hospital without delay.
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If your are taking anti-coagulant drugs you may
be instructed to cease taking such drugs as
For training purposes, a digital recording may be
Aspirin, Warfarin and Plavix if polyp removal is
kept of an Endoscopy procedure. This may be
filed as a computer file. Any such records or
For best results with Gastroscopy, it is advised
confidentially on computer according to the Data
to stop taking all antacid medications 10 days
prior to your examination. It is also advisable to
stop using Iron supplements for at lease 5 days
If you have a history of MRSA or have been in-
formed that you are MRSA positive or if you
have experienced diarrhoea/vomiting 72 hours
prior to your admission it is important that you
contact the day surgery unit or your Consultant.
The gut lining does not have nerves that give
sharp pains but during a colonoscopy you
may experience the feeling of stretching or
your procedure as comfortable as possible.
(colonoscopy), it is accepted practice to offer
You will be sedated by an Anaesthetist or
your Consultant. Sedation is achieved by
injection. You are in control of your breathing
To have a successful examination the colon
but will be deeply sedated. It is possible to
must be empty. This involves taking an ap-
propriate preparation the day before the ex-
sedation; this option should be discussed
amination. The laxative preparation will be
with your Consultant prior to your procedure.
This is a term given to an internal exami-
solids and therefore it is vital that you should
Your Anaesthetist or Endoscopist will decide
what might suit best. Also, you most likely will
hospital. The exact time and date will be
Instructions are provided with the laxative
start to work very quickly but may take hours
Please follow the instructions fully as failure
to do so could result in a poor result as even
wi th best preparation there is a recognised
endoscopy examination you will feel very
sleepy at first and then you might feel a little
should be brought to the hospital fasting over-
night from all foods and fluids—this (empty
stomach) is necessary for safe sedation.
After a variable number of hours, you will feel
During the procedure biopsies may be taken
flexible tube into the stomach to inspect
for laboratory examination. If polyps are
encountered these may be removed if it is
and drink overnight or for a minimum of 6
dangerous it may be abandoned for risk of
perforation of the bowel and peritonitis. The
risk of bowel perforation is approx. 1:1000
colonoscopy procedures. Should perforation
occur, immediate surgical treatment may be
flexible tube through the rectum along the
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Clinical Trials of Treatmentfor Personality DisordersJoel Paris, MDInstitute of Community and Family Psychiatry, Sir Mortimer B. Davis Jewish General Hospital,Department of Psychiatry, McGill University, 4333 Cote Ste-Catherine Road,Montreal, QC H3T 1E4, CanadaUntilrecently,thetreatmentofpatientswithpersonalitydisorderswaslargely guided by clinical experience. However, in the past decade a se