Detecting Cancer Earlier
The advanced Endoscopic technologies at Wayne Memorial Hospital have improved the diagnosis of digestive diseases. These technologies, which are used to examine the esophagus, stomach, liver, small intestine, and colon help physicians see in amazing detail and detect pre-cancerous changes earlier than ever before. The Endoscopy Department at Wayne Memorial Hospital offers specially trained registered nurses and technicians to assist physicians and care for patients before, during, and after the examination.
Wayne Memorial Hospital is proud to offer the latest technologies and services concerning your digestive health.
- EGD (Esophagogastroduodenoscopy): Examination of the esophagus, stomach, and duodenum (upper portion of the small bowel). This may involve the removal of a polyp or the collection of a specimen.
- Esophageal Dilation: Dilation tubes or balloons are used to stretch narrow portions of the esophagus.
- Therapeutic Injection: An injection is done with a small needle probe through the endoscope. The needle is used to inject a solution to the desired location. The solution may sclerose (harden), vasoconstrict (make smaller) or cause swelling to stop and/or prevent bleeding.
- Variceal Banding: The physician places a small band around the varices to reduce the flow of blood to the vein in order to prevent further bleeding.
- Small Bowel Enteroscopy: Examination of the small intestine beyond the second portion of the duodenum and not including the ileum.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Endoscopic technique for radiologic visualization of the biliary and/or pancreatic ducts during which the physician may place a stent, obtain a biopsy or remove a stone(s) from the ducts to promote adequate drainage.
- PEG (Percutaneous Gastrostomy Tube Placement) : A technique for the endoscopic insertion of a gastrostomy feeding tube through the endoscope.
- Colonoscopy: Examination of the entire large intestine/colon. This may involve the removal of a polyp or the collection of a specimen.
- Flexible Sigmoidoscopy: Examination of sigmoid colon. This may involve the removal of a polyp or the collection of a specimen.
- Polypectomy: The removal of a polyp with a wire loop with or without electrical current.
- Hemorrhoidal Banding: Hemorrhoids are enlarged, bulging blood vessels in the anus and lower rectum. Hemorrhoid banding is a procedure to remove them.
Special and Advanced Procedures
- Small Bowel Capsule Endoscopy: The PillCamTM SB video capsule will enable your doctor to examine your entire small intestine. Capsule endoscopy helps your doctor determine the cause for persistent symptoms such as abdominal pain, diarrhea, bleeding, or anemia.
- Esophageal pH monitoring: a 24-hour esophageal pH study is the monitoring of the levels and changes of acid content in the esophagus, over a 24-hour period, during which the patient conducts his or her normal daily activities. Esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD).
- Esophageal manometry: Esophageal manometry is the recording of the muscle pressures and coordination of activity in the esophagus and is the current gold standard for the assessment of the esophageal motor activity.
Preparing for Your Endoscopy
The Day Before…
- Your physician will instruct you on bowel preparation for a colonoscopy or flexible sigmoidoscopy. You will also receive instructions regarding your medications and when you need to stop eating and drinking.
- A registered nurse will attempt to contact you by telephone to obtain your medical/surgical history, medications, allergies and special needs.
The Day of…
- Bring a picture ID and your insurance card.
- Please bring all your medications in their original containers.
- Nothing to eat or drink after midnight.
- You may brush your teeth the morning of the procedure, but do not swallow any water.
- Wear loose comfortable clothing.
- If you wear contact lenses, please bring contact supplies and/or wear your glasses.
- Leave valuables at home, including jewelry, piercings and money.
- You will need to arrive at the Hospital 1 and ½ hours before your scheduled procedure.
For Your Safety...
If you are having a procedure requiring sedation, you must be accompanied by a responsible adult. You will not be able to drive for 24 hours after your procedure.
- Parking is in the Rehabilitation Parking area at the Southeast Wing. Check in at the Rehabilitation Desk upon arrival.
- After verifying that all of your insurance and demographic information is correct, patient registration will place an armband on your wrist. You will then be directed to the Endoscopy Waiting Room.
- A nurse will take you to a room to prepare for the procedure. Your family members will be brought back to the room after the process has been completed. Only two family members will be allowed with the patient at a time.
Following the procedure, you will be taken to the recovery area where you will be monitored until you are awake and able to drink fluids. Your physician will discuss the procedure with your responsible person. You will be given written instructions and educational material at the time of your discharge.