June 2024
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About the Colonoscopy Procedure


Clerisy Medical PC

Patient Care

Who should get consultation & procedures?


1. Who should get a Colonoscopy?

Any abdominal pain not readily explained

* Any patient over the age of 45 or 50

* Any patient with new or worsening anemia

* Any patient over the age of 40 with a family history of colon cancer or colon polyps

* Personal history of colon cancer

* Personal history of colon polyps

* Unexplained or worsening diarrhea

* Unexplained or worsening constipation

* Any rectal bleeding

* Stool positive for occult blood

* Personal history of Inflammatory Bowel Disease


2. Who should get an Upper Endoscopy?

* Any abdominal pain not readily explained

* Any patient with history of Aspirin use or related medications such as ibuprofen

* Any patient with gastro-esophageal reflux disease

* Persistent and unexplained vomiting and vomiting of blood

* Any patient with abdominal bloating

* Part of the work-up for anemia

* Personal history of upper gastro – intestinal cancer or lymphoma

* Family history of upper gastrointestinal cancer in lymphoma


3. Who should get an ERCP?

* Known or suspected Common Bile Duct or Pancreatic Duct stones

* Cut of papilla / ampulla for suspected Sphincter of Oddi Dysfunction

* Drainage of the Common Bile Duct due to tumor, stricture (scar), stone impaction

* Clarify level of biliary scar

* Assess abnormal liver enzymes or imaging studies suggestive of cholestasis

* Endoscopic treatment of benign or inoperable malignant biliary stricture

* Work-up of unexplained pancreatitis, pseudo-cysts

* Endoscopic treatment of abnormal pancreatic anatomy such as pancreas divisum

* Endoscopic treatment of post-operative complications in the bile duct

* Endoscopic treatment of bile duct infection (sepsis)

* Ampullary cancers and bile duct cancers and / or pancreatic cancers


4. Who should get an Endoscopic Ultrasound?

* Evaluation and or fine needle biopsy of pancreatic cysts

* Evaluation of tumors both benign and malignant of the upper and lower gastrointestinal tract.