We have the options of performing an Endoscopy, Colonoscopy, Hemorrhoid treatment, Colon Cancer Screening, and Endoscopic Ultrasound to identify the appropriate treatment to protect your health. See our complete list below to learn more about the treatment options available from our participating physicians.
We perform the following procedures:
A capsule Endoscopy is used to check the small bowel. If both an Endoscopy and a colonoscopy are completed and they show no abnormalities but pain persists a capsule Endoscopy is ordered by the referring physician. The capsule is used to also detect not only abdominal pain but also sources of anemia and intestinal absorption problems. For this procedure, the day before a clear liquid diet is kept and a small bottle of Citroma is consumed to clean the bowels. The day of the procedure, a capsule with a built in camera is swallowed, this capsule follows the digestive tract and is excreted about 8 hours after it is swallowed. A monitor is worn the whole time to make sure the capsule is moving, and the patient can eat a small lunch that day to help monitor regular activities of the digestive tract. The capsule is disposable and will be passed.
This procedure is used to examine the appearance of colon using a thin, flexible viewing tube (colonoscope), which is attached to a viewing monitor. Colonoscopies are used when symptoms appear that suggest colon diseases. This procedure is your best alternative in order to evaluate the cause of blood in the stool, abdominal pain, diarrhea, change in bowel habits and abnormalities found during x-rays or CAT Scan. Some patients that have a family history of colon disease may be recommended to schedule regular colonoscopies because they are at a greater risk of developing polyps or colon cancer.
Before the procedure it is necessary that all fecal matter be removed from the colon. The presence of any fecal matter may affect the effectiveness and duration of the exam. Therefore, the patient is put on a liquid diet and given cleansing enemas before the procedure. Additional medication may be given to help empty the bowels.
In general, medications should not be discontinued during a colonoscopy; however, certain medications such as blood thinners may affect the effectiveness of the exam. Therefore, discuss any medications you are taking with your physician before the exam, in addition to making him/her aware of any allergies or pre-existing conditions. Also, let your physician know if you have been given antibiotics before any other medical or dental surgery.
During the procedure, the patient is given an IV and the heart blood pressure and oxygenation of blood are monitored. A sedative or other pain relief medications may also be administered. The patient may experience bloating, cramping and pressure during the procedure; yet, these effects will be minimal with the medications. The patient will then lie on their left side or back while the colonoscope is slowly inserted through the anus and into the colon. The lining and integrity of the colon is monitored as it is inserted and retracted. Abnormalities such as polyps and bleeding can be tended during this portion of the procedure. A biopsy (tissue sample) may also be taken to be analyzed for cancer. This procedure lasts about 15-60 mins.
The patient will be in observation for about 1-2 hours while the medication wear off. Afterwards, a driver may take the patient home. The patient should not drive or operate machinery for the entire day even if they feel alert, since sedatives have been administered. Side effects include cramping and gas; these will be relieved shortly after the procedure with the passing of gas. Diet and activities may be restricted if polyps were removed during biopsy.
Complications from colonoscopy are very rare. They include: bleeding at site of biopsy (which can be tended to without surgery or transfusion), reaction to sedatives, irritation of vein through which sedatives were administered, and complications resulting from pre-existing heart and lung diseases. If you experience any of the following side effects you should contact your physician immediately: severe abdominal pain, fever, chills or rectal bleeding.
This procedure is performed by a gastroenterologist and uses a small, flexible, viewing tube (endoscope), inserted through the mouth, to view the organs of the upper gastrointestinal (GI) tract including: the stomach, esophagus and duodenum (top portion of small intestine).
EGD is used to evaluate possible problems with the upper GI and evaluate possible symptoms such as abdominal pain, nausea, vomiting, reflux, dysphagia and anemia. This procedure is more effective than a x-ray and has the added advantage of being able to perform biopsy (removal of tissue samples) and cytology (removal of cell samples). During EGD, the endoscope can also be used to perform other minor procedures such as stretching of narrowed areas (strictures), removal of polyps or accidentally swallowed objects, or treatment of GI bleeding.
Before the procedure, the throat may be sprayed with a numbing solution and a mild sedative and pain reliever may be administered. Discomfort is minimal and most patients sleep right through the procedure.
After the EGD is done, there is a possibility that you may feel a light sore throat or distention. These symptoms will go away after a few hours. You can resume your normal diet after a few hours as well. Once the medications have worn off, which takes a few hours, you will be allowed to go home with a driver. Because sedatives are administered, patients are not allowed to drive themselves home and are required to have driver. It is recommended that you do not drive or operate machinery for the rest of the day following this procedure.
Complications from EGD are rare. They include: irritation of vein used to administer sedatives or medication, reaction to sedative or medication administered, complications resulting from pre-existing heart/lung/liver conditions, bleeding at site or biopsy or poly removal (bleeding would be minimal and rarely requires surgery or transfusion), or perforation (which is also very rare, but would require surgery to repair). Be sure to discuss any pre-existing medical conditions or health concerns with your physician before the procedure in order to reduce complications.
Hemorrhoids are veins in the tissues at the opening of the anus that become enlarged. They can cause pain, bleeding, and/or itching. If you have hemorrhoids, you may have clots forming in the hemorrhoid tissue. Your bowel may treat the clots like stool and try to push them out of your body.
Hemorrhoid Banding is a procedure in which the doctor removes hemorrhoid tissue to remove clots and promote healing.
Hemorrhoid Banding is one method of treating hemorrhoids. Examples of alternatives to this procedure are:
You should ask your doctor about these choices.
Plan for your care and recovery after the operation. Allow for time to rest and try to find people to help you with your day-to-day duties.
Follow instructions provided by your doctor. Eat a light meal, such as soup or salad, the night before the procedure. Do not eat or drink anything after midnight and the morning before the procedure. Do not even drink coffee, tea, or water.
You are given either spinal or general anesthesia. The spinal anesthetic will make you feel temporarily numb from the chest down so that you have no pain during the procedure. The general anesthetic relaxes your muscles, makes you feel as if you are in a deep sleep, and prevents you from feeling pain.
The doctor will put an anoscope (tubelike instrument for examining the lower rectum and anal canal) into your anus and expose the affected hemorrhoids. The doctor will cut the inflamed parts of the hemorrhoids and remove them.
The doctor may also try to trim the lining of the rectum by removing some extra tissue. He or she will check for any bleeding. The doctor may sew the wounds closed or leave them open to heal.
You may go home that day or may stay in the hospital 1 to 3 days, depending how fast you recover. You will need to take sitz baths, use stool softeners, and apply ointments to the area. Avoid all heavy lifting for 2 to 3 weeks. You may return to work in a few days or weeks, depending on the type of work. You may have trouble passing urine and controlling gas and bowel movements for a few days after this operation.
Ask your doctor what other steps you should take and when you should come back for a checkup.
You will be relieved of the itching, painful, and bleeding hemorrhoids.
You should ask your doctor how these risks apply to you.
Call the doctor immediately if:
Call the doctor during office hours if:
This procedure is used to examine the rectum and lower colon (sigmoid colon). The viewing instrument, a sigmoidoscope, is 60 cm. long and the thickness of a finger. It is inserted through the anus and slowly worked through the rectum and into the lower colon. This procedure is a simple method for evaluating the cause of rectal bleeding, change in bowel habits, rectal pain and diarrhea. Sigmoidoscopy can also be used to perform biopsies (removal of tissue samples) for polyp removal and cancer screening.
Before the procedure, the bowel and rectum must be clear of fecal matter. Therefore, the physician may prescribe a liquid diet and a few cleansing enemas. A laxative may also be necessary to remove any additional fecal matter. You should inform your physician of any medications you are taking, and if you have heart valve abnormalities or hip/knee prostheses. In these cases, antibiotics may be needed before the procedure in order to avoid infection.
During the procedure, the patient will feel only mild discomfort including bloating, pressure and cramping. While lying on his/her left side, the sigmoidoscope will be inserted into the rectum and lower colon. A view of these organs will be shown on a TV monitor. The physician will carefully examine the lining of the colon and rectum when retracting the sigmoidoscope. The procedure lasts 5-15 mins.
Complication are very rare but include perforation of the colon lining, which requires surgery to repair, and bleeding from the site of biopsy. If you experience any of the following side effects you should contact your physician immediately: severe abdominal pain, fever, chills or rectal bleeding.
Enteroscopy is a procedure used to examine the small intestine (small bowel). A thin, flexible tube (endoscope) is inserted through the mouth or nose and into the upper gastrointestinal tract. During a double-balloon enteroscopy, balloons attached to the endoscope can be inflated to allow the doctor to view a large part of the small intestine.
If you need assistance in completing the forms or any other questions, do not hesitate to call as at 718-954-3535. We will gladly assist you.
As a matter of patient safety, Greater New York Endoscopy Surgical Center enforces the New York State Ambulatory Surgical Center requirement that all patients having a procedure in our facility have an escort, that is, a companion, family member or friend, to accompany you home following your procedure.
If you do not have someone to escort you after the procedure, please contact the Visiting Nurse Services of New York (888-943-8435) to arrange for a care partner to accompany you home from your procedure.
For additional information and to make arrangements for a care partner, you can visit the following website: www.partnersincareny.org. Or e-mail: par_intake@vnsny.org.
Please note that your procedure cannot be performed unless your escort is verified.
To prepare for the colonoscopy one must not eat for 24 hours prior to the procedure, and not drink 4 hours before the procedure, The day before the procedure you MUST drink a lot of clear liquids. The prep may get pricey based on the insurance, you can go with the generic which is the golytle prep. For both of these preps, when you go to the pharmacy you need to buy a bottle of citroma (lemon flavor) over the counter. The citroma is a lexative, which will help initiate the bowl movements before the prescribed prep.
Half Lightely is a half of the Golytle container and it also contains two pills. These pills follow the bottle of citroma, you take the pills 30 minutes apart from each other. After the pills you drink the half gallon. Golytle is a gallon which contains powder just like the half gallon of Half Lightley, you mix this powder with water to the fill line shake till the substance is dissolved and drink it slowly. The whole day on top of the prep, you are not eating and drinking clear liquids to keep yourself hydrated. The day of the exam, no liquids four hours before the procedure.
These procedures you prep for the same way no eating for 8 hours before the procedure and no drinking 4 hours before the procedure. For the Endoscopy and the Endoscopic Ultrasound, you sleep through the procedure, and the doctor inserts the scope to check for abnormalities. During the abdominal ultrasound, the radiologist checks the liver, gallbladder, kidneys, spleen, pancreas, etc.
Greater New York Endoscopy Surgical Center will provide you with a handbag to store your personal belongings during the procedure.
Please DO NOT wear jewelry, DO NOT bring laptops, DO NOT bring iPods or any other valuables when you come to the Center.
Please note that Greater New York Endoscopy Surgical Center assumes no responsibility for lost, stolen, or misplaced items.
An upper endoscopy or EGD (EsophagoGastroDuodenoscopy) involves the insertion of a lighted flexible tube, called an upper endoscope, into the mouth. The tube is guided by direct vision into the esophagus, stomach, and duodenum so that the lining of the upper gastrointestinal tract is visualized. Any area of the lining that appears abnormal may be biopsied; that is, a piece of tissue may be removed for analysis. Areas that are bleeding may be cauterized to stop active bleeding or to prevent future bleeding. An EGD is a generally safe procedure but carries several risks that include, but are not limited to, perforation and bleeding. Serious complications of EGD, such as perforation or bleeding, are rare, but may require hospitalization, blood transfusions, or surgery.
The Center charges for services will be stated on a uniform bill, which pertains to the cost of services during your stay. Please note that professional services provided by your physicians are billed separately.
These networks can be identified on your insurance card by their logo:
Please remember that regardless of your insurance plan, you must comply with your carrier’s requirements.
While Greater New York Endoscopy Surgical Center may be a participating provider (PAR), other services (such as anesthesiology or pathology) may not be. Always confirm with your insurance carrier whether a specific provider is within your network.
You can pay your bills securely and easily online using your credit card. Click the "Pay Your Bill Online" button below to view the portal in a new window. If you have any billing questions, feel free to contact us at 718-954-3535.
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Greater New York Endoscopy Surgical Center
Phone: 718-954-3535
Fax: 718-954-3548
2211 Emmons Ave, Brooklyn, NY 11235
Mon-Sun: 7:00 AM – 4:30 PM
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