Endoscopy Procedures

After Booking Your Gastroscopy and/or Colonoscopy
Once you have booked your gastroscopy and/or colonoscopy, we will send you an admission pack which will include:

  • Appointment letter
  • Admission booklet; and
  • Procedure information and preparation instructions.

Please complete the admission paperwork and return to the hospital along with your original referral at least seven (7) days prior to your procedure. You can return your admission paperwork by mail or email.
In preparing for your admission, our nursing staff will review your paperwork and contact you if they have any queries or special instructions from your Gastroenterologist.
Prior to your admission our reception team will notify you of any estimated out of pocket costs related to your admission.

Preparing for your Gastroscopy and/or Colonoscopy
Whilst your GP would have discussed with you what a gastroscopy and colonoscopy is and what is involved, it is important that you review the procedure information and preparation instructions we send to you so you can make an informed decision to proceed with your procedure. Our procedure instructions outline the benefits and risks associated with gastroscopy, colonoscopy and sedation. They also provide you with important information on what to expect after your procedure. Our team are more than happy to answer any queries you may have, we are only a phone call away.

COLONOSCOPY PREPARATION
If you are having a colonoscopy you will need to complete bowel preparation to ensure your large bowel is cleaned of waste material. For patients of Professor Garas and Dr Sam Galhenage, unless otherwise instructed by your Doctor, you will need to follow the instructions we have provided for a morning or an afternoon colonoscopy. For patients of Dr Smith, your bowel preparation instructions will be sent to you by Dr Smith’s rooms.
Adequately cleaning your bowel prior to your colonoscopy is vital. If you have experienced difficulties in the past with bowel preparation, phone our Endoscopy Unit and speak with one of our nursing staff. Together with your gastroenterologist, we can advise on a specialised bowel preparation regime.
For further information on what is a colonoscopy and how to prepare, please refer to our Colonoscopy Preparation Instructions available below. Please note that the bowel preparation instructions will vary depending on your procedure time.

GASTROSCOPY PREPARATION
The only preparation required prior to a gastroscopy, is that you fast from all solid foods and fluids (including water) before your arrival at the Endoscopy Unit. Your fasting time will be based on your procedure time.  Please note if you are having a gastroscopy AND a colononoscopy you are required to complete a bowel preparation

If you are having a morning gastroscopy: No food after midnight. You can drink water until 5am.

If you are having an afternoon gastroscopy: No food after 7am. You can drink water until 11am.

For further information on what is a gastroscopy and how to prepare, please refer to our gastroscopy information

 

Pre-Admission
COVID-19 Testing Requirements

Thank you for choosing to have your procedure at South Perth Hospital. As you are aware, there are increasing cases of COVID-19 in our community. To ensure we keep our staff and patients safe, South Perth Hospital has implemented screening and testing arrangements based on guidance from the WA Department of Health.
To ensure that patients are free of COVID-19 and are in optimal health prior to their procedure, all patients over the age of five (5) and boarders will be required to undertake a Rapid Antigen Test (RAT) at home no more than three (3) hours prior to admission.  Parents or guardians should perform the RAT on children under the age of 12.
A RAT can be purchased from your local pharmacy or supermarket and provides results within 15 to 20 minutes. All RAT kits have a QR code which links to a video that demonstrates how to take the test. To avoid delays with your admission, it is recommended that you purchase a spare RAT in the event the first result is invalid.
Please bring your negative RAT with you to hospital in a clear ziplock bag. Your RAT result will be verified by a staff member prior to your admission.
Should you have any further queries, please phone the hospital on (08) 9367 0222.
Thank you for your assistance in keeping our staff and patients safe.

Guidance on Test Results:

POSITIVE
If two coloured bands appear within 15-20 minutes the result is positive. No matter how faint the coloured band is in the ‘T’ zone the result should be considered positive.

What to do:
DO NOT ATTEND THE HOSPITAL.
Isolate and phone the hospital on (08) 9367 0222 to cancel your procedure.
You must register your positive RAT result via the Healthy WA website and proceed to your local COVID clinic for a PCR test.

NEGATIVE
If one coloured band appears in the ‘C’ zone and NO coloured band appears in the ‘T’ zone within 15-20 minutes the test result is negative.

What to do:
You may attend the hospital for your procedure.
Place the RAT in a clear ziplock bag to bring with you to the hospital.

INVALID
If there is no coloured band in the ‘C’ zone within 15-20 minutes the test is invalid. The test has not worked. You may have collected your saliva or nasal swab incorrectly or there may be a manufacturing defect.

What to do:
You need to repeat the test with a new RAT kit.
You must return a negative result to proceed with your admission.

More Information: COVID-19 Testing Requirements

 

About your Sedation
Before your gastroscopy and/or colonoscopy you will be given a light anaesthetic which we refer to as sedation. This is administered by your anaesthetist who will monitor you throughout your procedure. You may be slightly aware of what is going on in the procedure room, but generally you will not remember anything.
When you wake up you will be in our Recovery Room where our nurses will be monitoring your vital signs until you are more alert.
As you would have received sedation it is very important that you have a responsible adult to pick you up after your procedure and stay with you overnight. For your safety, you must not drive or operate machinery until the following day, or as indicated by your anaesthetist.
If you have any questions or concerns about your sedation please contact our team.

On the Day of Your Procedure
The entrance to the Endoscopy Unit is located on Fortune Street. On the day of your procedure please proceed directly to the Endoscopy Unit. There is a five minute drop off and pick up bay out the front of the Endoscopy Unit as well as ample free parking in Fortune and Burch Streets. There are no visitor facilities in the Endoscopy Unit and you will be with us for approximately four hours.
Patients are admitted in order of the procedure list. When you arrive at the Endoscopy Unit you will be admitted by a nurse who will review your medical history, record your vital signs, and prepare you for your procedure. You will then meet with your Gastroenterologist and Anaesthetist.
A gastroscopy takes approximately 15 minutes and a colonoscopy takes approximately 20 – 45 minutes.
When your procedure is complete, you will wake up in our Recovery Room and be cared for by a nurse who will monitor your vital signs. You will have an oxygen mask on your face. Within twenty minutes, you should be feeling more alert and will be taken through to our Discharge Lounge where you will be provided with light refreshments. Your nurse will contact your nominated contact person once your vital signs are within appropriate limits and you are feeling well enough for discharge. You should be ready for discharge approximately one hour after your procedure completion time.
The findings from your procedure will be discussed with you and you will have a procedure report to take home with you. This procedure report is also sent to your referring General Practitioner.

After Your Procedure
After your procedure you can resume your regular diet and previous medications unless your gastroenterologist instructs you otherwise.
It is important that you rest after your procedure. You have received sedatives during your procedure and these may make you feel tired and dizzy.
We provide post discharge phone calls to our patients 24-48 hours post procedure. During your admission, our nursing staff will ask for your consent to contact you after your procedure. During this call we can clarify any questions you may have and you are welcome to provide us with feedback on your experience.
However, if you have any problems or are worried about your health once you are discharged, please present to your nearest Emergency Department and take a copy of your procedure report with you.
For more information on what to expect after your procedure download our Discharge Instructions.

Follow up after your Procedure
If biopsies or specimens were taken during your procedure, your results will be sent directly to your GP. You should book an appointment to follow up with your GP approximately 7-10 days after your procedure.
Based on the outcome of your colonoscopy your gastroenterologist may suggest a repeat procedure for ongoing surveillance. This may be in 1, 3 or 5 years’ time. Surveillance intervals for a repeat colonoscopy are guided by the Cancer Council of Australia Clinical Practice Guidelines for Surveillance Colonoscopy (2019).

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