Farouk S. Tootla, MD
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da Vinci® Procedure

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What is a Colonoscopy?

A colonoscopy is a long tube with a fiber optic light source and the act of examining your colon with this tube is called a colonoscopy.  We examine the entire colon which starts at the lower left side of your abdomen, travels up and arches across the upper abdomen to the left side of your chest, then downwards towards the pelvis and ends in the rectum or more accurately at the anus.  Since the colon is 6 to 7 feet long, the colonoscope is approximately the same length.


Why do I need this test?

There are many reasons for doing a colonoscopy and you may have one or more of the following:
  1. Bleeding which cannot be explained by examining the lower end of the colon or rectum.
  2. Your lower G.I. or colon x-ray, also called a barium enema, showed a growth or a possibility of a growth such as a polyp or a lesion.
  3. You have had a history of colon polyps or colon cancer.
  4. You have a first degree family history of colon cancer or polyps such as your mother, father, brother or sister.
  5. You have had a stool test which showed evidence of blood which could not be seen with the naked eye.
  6. You have unexplained anemia or unexplained weight loss.
  7. You have recently noted a change in bowel habits.
  8. You have or have a history of colitis.
  9. You have abdominal pains which your own doctor or we cannot explain by doing all other exams.
  10. Colon screening.  PLEASE CHECK WITH YOUR INSURANCE COMPANY TO SEE IF THIS IS A COVERED BENEFIT UNDER YOUR POLICY.

Do I continue taking my medications which preparing for this test?
  • ***Aspirin and Blood thinners such as Plavix and Coumadin must be stopped at least 3 days prior to the exam.***
  • You are to take all your other medications at the regular time unless you are instructed not to do so.  
  • If you are a diabetic, please do not take your diabetic medication on the day of your procedure.  
  • You will be instructed if certain medications should not be taken and you may be given certain medications to take at home, such as antibiotics if you have an artificial heart valve or other heart conditions.
  • You must let the doctor know all the medications you are taking and if you are allergic to certain medications.
  • If you have any questions regarding which medications you should stop taking, please contact the office.

Will I be asleep for this test?

Yes.  Anestheia is administered by an Anesthesiologist.  You must not eat or drink anything after midnight prior to your procedure in order for anesthesia to be given to you.


Do I need to bring someone with me on the day of my procedure?

Yes.  You MUST bring a member of your family or a friend with you to drive you home.  You will not be allowed to drive all day because of the anesthesia.  Your procedure will not be performed unless you have a driver with you.


What are the complications of this test?

As with any procedure, there is some risk to colonoscopy.  This includes bleeding, perforation and other complications associated with any procedure.  However, these risks are minimal.


How soon will I get a report on my exam?

Most patients are too drowsy at the end of the exam for Dr. Tootla to talk to them.  So at the end of the procedure we will come out to the waiting area and explain to your family member or friend what we found and what was done.  If you prefer that Dr. Tootla not talk with your family or friend, please let him know in advance.  When we remove a growth or do a biopsy we send the specimen to the laboratory for analysis.  For the pathologist to prepare and analyze the tissue it takes anywhere from 4 to 6 days.  We prefer you to call the office within 24 hours to make a follow-up appointment so we have the opportunity to discuss the findings with you and any type of follow-up that you may require in the future.

If you have any questions or concerns about this procedure after you have read this information please feel free to call us so that we can explain anything you don't understand.  We always feel that we should take care of our patients in the same manner and respect that we would want to be taken care of.  You give us the privilege to take care of your body and we will do the best we know how.




©2010 Dr. F. Tootla