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EGD w Push Endoscopy (pt sticker) 7445 E. Manqué Verde Road, Tucson, AZ 85715 (520) 7220929 FAX: (520) 7220930 Informed Consent for Gastrointestinal (GI) Procedure I authorize Dr. (the “Doctor
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How to fill out egd w push enteroscopy

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How to fill out EGD w push enteroscopy:

01
Begin by gathering all the necessary information and documents required for the procedure.
02
Ensure that you have a clear understanding of the purpose and process of an EGD w push enteroscopy.
03
Consult with a healthcare professional or specialist who can guide you through the specific steps and provide any necessary instructions or guidelines.
04
Follow any pre-procedure preparations instructed by your healthcare provider, such as fasting or discontinuing certain medications.
05
Arrive at the designated facility or hospital on the scheduled appointment time.
06
Check in with the reception or nursing staff and complete any necessary paperwork or consent forms.
07
Prepare yourself mentally and physically for the procedure, ensuring you are comfortable and relaxed.
08
Follow the instructions given by the healthcare team regarding changing into a hospital gown and removing any jewelry or accessories.
09
Cooperate with the nurses or medical staff who will prepare you for the procedure, which may involve monitoring your vital signs and starting an IV line.
10
Once in the procedure room, you will be given anesthesia or sedation to ensure your comfort and minimize any potential discomfort during the procedure.
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The healthcare provider will utilize an endoscope, a flexible tube with a camera attached, to examine your upper gastrointestinal tract.
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They may also perform a push enteroscopy, which involves advancing the endoscope further into the small intestine.
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The healthcare provider will carefully navigate the endoscope and examine the lining of your digestive system, looking for any abnormalities, inflammation, or signs of disease.
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If necessary, they may take tissue samples (biopsies) for further analysis or perform any required treatments or interventions.
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After the procedure, you will be monitored in a recovery area until the effects of sedation wear off.
16
Once cleared by the medical staff, you can typically go home on the same day, accompanied by a responsible adult.
17
Follow all post-procedure instructions provided by your healthcare provider, including any restrictions on eating or drinking and the use of medications.
18
Attend any follow-up appointments scheduled to discuss the results of the procedure and further treatment options, if necessary.

Who needs EGD w push enteroscopy:

01
Individuals experiencing unexplained symptoms such as persistent abdominal pain, nausea, vomiting, or difficulty swallowing.
02
Patients with gastrointestinal bleeding or anemia of unknown causes.
03
Those suspected of having masses, ulcers, polyps, or other abnormalities in the upper gastrointestinal tract or small intestine.
04
Individuals with a family history of gastrointestinal cancer or certain genetic disorders affecting the digestive system.
05
Patients with a history of certain gastrointestinal conditions like Crohn's disease, celiac disease, or ulcers.
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Individuals requiring monitoring or surveillance of a previously diagnosed gastrointestinal condition.
07
Patients who have previously undergone an EGD but require further examination beyond the upper digestive tract.
08
Those who require tissue samples (biopsies) for further analysis or surveillance purposes.
09
Individuals whose healthcare provider believes an EGD w push enteroscopy is necessary to diagnose or manage their specific medical condition.
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However, it is essential to consult with a healthcare professional to determine if an EGD w push enteroscopy is appropriate for your specific situation, as each case might involve different factors and considerations.
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EGD with push enteroscopy is a procedure used to examine the esophagus, stomach, and the beginning of the small intestine using a flexible tube with a camera at the end.
Patients who undergo the egd w push enteroscopy procedure are not required to file any documentation. The healthcare provider performing the procedure will keep records of the results.
There is no specific form or document to fill out for an egd w push enteroscopy procedure. Patients should follow their healthcare provider's instructions before and after the procedure.
The purpose of this procedure is to evaluate and diagnose conditions affecting the upper gastrointestinal tract, such as ulcers, digestive system bleeding, tumors, or inflammation.
The report of the egd w push enteroscopy procedure should include findings from the examination, any abnormalities detected, and recommendations for further treatment or follow-up.
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