Informed Consent of Fundoplication surgery for gastroesophageal reflux disease (GERD)
During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This surgery strengthens the valve between the esophagus and stomach (lower esophageal sphincter), which stops acid from backing up into the esophagus as easily. This allows the esophagus to heal.
Lactose and/or Fructose breath hydrogen test.
A hydrogen breath test provides information about the digestion of certain sugars or carbohydrates, such as milk sugar (lactose) or fruit sugar (fructose).
The test will help determine if you are intolerant to certain sugars. This test requires you to drink a solution of lactose or fructose, after which, breath samples will be collected at fifteen minute intervals for a period of two and a half hours.
What is anorectal manometry?
Anorectal manometry is a test performed to evaluate patients with constipation or fecal incontinence. This test measures the pressures of the anal sphincter muscles, the sensation in the rectum, and the neural reflexes that are needed for normal bowel movements.
If you have symptoms of heartburn or acid reflux, your physician may want to determine the amount of acid (the pH) that is getting into your oesophagus from your stomach and/or the amount of bile getting into your oesophagus from your stomach.
- Measuring Muscle Pressure in the Upper Digestive Tract
What Is Oesophageal Manometry?
Oesophageal manometry is a test to measure the strength and function of the oesophagus (the "food pipe" ). A thin tube (catheter) with holes in it that can sense pressure is placed down the oesophagus. Results can help identify causes of heartburn, swallowing problems, or chest pain. The test can also help plan surgery and determine the success of previous surgery.
PillCam® Capsule endoscopy is a new endoscopic technique used to examine the small intestine. It is not intended to examine the oesophagus, stomach, or colon. It does not replace upper endoscopy or colonoscopy.
- What is a Colonoscopy and Who Performs It?
It is a safe, effective means of visually examining the lining of the bowel using a long, flexible, tubular instrument. It is used to diagnose colon and rectum problems and to perform biopsies and remove colon polyps. Most colonoscopies are done on an outpatient basis with minimal inconvenience and discomfort. It is performed by a gastroenterologist who is an accredited physician and is recognised by the Royal Australian College of Physicians as specialist in diagnosing and treating disorders of the bowel. A gastroenterologist is also accredited by the Australian Gastroenterology Society as an expert in performing colonoscopy.
The success of your examination depends on the Bowel being as clear as possible, otherwise the examination may need to be postponed and the preparation process repeated.
- Stop taking Iron tablets 3 days prior to your procedure. Continue with your regular medications and check with your doctor if you are taking Warfarin, Aspirin or Diabetic medication. (Please bring all your current medications with you to the hospital).
- Do not smoke for 1 day prior to your procedure - It would be preferable that you stop smoking for 1 week.
Informed Consent for Gastroscopy
What is a gastroscopy?
A gastroscopy is a test that allows your doctor to look inside your food-pipe (oesophagus), stomach and the first part of the small intestine (duodenum). The test is done using a narrow, flexible, tube-like telescope called an endoscope. The endoscope is passed through the mouth and into the oesophagus and down towards the stomach. The test may also be simply referred to as an endoscopy, or OGD (oesophago-gastro-duodenoscopy).
Your doctor has determined that a gastroscopy is necessary for further evaluation or treatment of your condition.
A gastroscopy is a procedure that enables the doctor to see the lining of the stomach for abnormalities. This is done by passing a flexible tube via the mouth, through which a bright light is passed via fibre optics. Unlike X-rays, a gastroscopy allows the doctor to see the surface of areas directly and can provide far more detail and accuracy than an X-ray.
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