Outpatient Services

Affinity Outpatient Services (AOPS) is a certified ambulatory surgical center specializing in endoscopy procedures. AOPS has one board-certified gastroenterologist and two board-certified pulmonologists on staff who perform procedures. The unit is also staffed with RNs, LPNs and a secretary. AOPS is accredited by the State of Georgia and is inspected annually to ensure compliance with Rules and Regulations for Ambulatory Surgical Treatment Centers.

Outpatient Tests & Procedures

Colonoscopy
Purpose of the test: A colonoscopy is performed to examine the colon (large intestine) and (if applicable) remove a polyp(s), a growth attached to the inside of the colon. Most polyps are benign, but removal is strongly recommended so an exact diagnosis can be made. In addition, some polyps may become malignant over time--another reason they should be removed.

What to expect: While you are sedated, a long, flexible lighted tube will be inserted into your rectum and beyond. In many cases, the instrument can be inserted throughout the entire extent of the large intestine--allowing a complete examination. You will most likely experience abdominal cramps throughout the procedure, but medications will help ease the cramping.    

Preparation for test: Your doctor will give you complete instructions for your colon preparation, including a liquid diet to follow and certain laxatives to take. You must follow these instructions exactly. You should also discuss any medications you are currently taking.

What to expect: A flexible scope will be inserted into your rectum while you are lying on your left side and slowly advanced through your rectum and sigmoid colon. The scope will produce the sensation of having (or needing to have) a bowel movement. Small amounts of air will be injected during the procedure, and you may experience some mild cramping. The examination usually takes less than 10 minutes. In some cases, a biopsy (tiny bit of tissue) may be taken for microscopic examination. You will feel no discomfort when the biopsy is taken.

Preparation for test: The preparation may vary, depending on your doctor's orders. Ordinarily, an enema is given 15-30 minutes prior to the test. You should take all of your medications as you normally would.

Esophagogastroduodenoscopy (EGD)
Purpose of the test: An EGD allows your doctor to examine the lining of the upper part of your gastrointestinal tract, which includes the esophagus, stomach and duodenum (first portion of the small intestine). The procedure helps your doctor evaluate symptoms of persistent upper abdominal pain, nausea, vomiting or difficulty swallowing.

What to expect: Your doctor will either spray your throat with a local anesthetic or give you a sedative to help you relax. While lying on your side, the doctor will pass the endoscope through your mouth and into your esophagus, stomach and duodenum. The endoscope doesn't interfere with your breathing. Most patients consider the test only slightly uncomfortable.

Preparation for test: An empty stomach allows for the best and safest examination, so you should have nothing to eat or drink, including water, for approximately six hours before the procedure. Your doctor will let you know exactly when you should begin fasting. You should also discuss any medications you are currently taking.

What to expect: You will lie on a table with your head raised. Your doctor will insert a thin, flexible tube (called a bronchoscope) into your nose. A special light and a tiny camera are attached to the tube. Oxygen may be supplied through a soft nasal clip. You will be given medications to help you relax and to prevent gagging. Also, your nose and throat may be numbed with a special anesthetic spray. The bronchoscope doesn't interfere with your breathing. The procedure takes about 45 minutes to an hour. Tiny tissue samples may be removed for biopsy.

Preparation for test:   You should stop eating and drinking for six to 12 hours before the exam, or as directed by your doctor.   Also, stop smoking for 12 - 24 hours before the procedure, or as directed by your doctor. You should also discuss any medications you are currently taking, including the use of inhalers.

Resources
www.asge.org
www.acg.gi.org
www.thoracic.org
www.chestnet.org