Spokane Digestive Disease Center, P.S.
is a referral-based clinic in Spokane, WA. We require a referral from a physician to establish care with our physicians. Our focus is gastroenterology
and Internal Medicine
. Our physicians, PA-C and ARNP consult with patients in the office setting for a variety of different diagnoses.
A colonoscopy is an examination of the anus, rectum, and colon. A long narrow flexible tube with a light and camera on the end called a Colonoscope is used in this procedure. A colon cleansing prep and clear liquid diet is required the day prior to the procedure. A colonoscope is inserted through the anus and gently advanced through the entire large intestine. Air is used to inflate the bowel so the physician can visualize the bowel walls. Polyps, inflammation, cancer or other abnormalities may be detected. Tissue samples or polyps may be removed by using forceps or wire loop that is passed through the colonoscope. You are given a sedative through an IV catheter and the procedure takes approximately 30 minutes. After the procedure you are taken into the recovery room until you are ready to be discharged. There may be some residual air left in the colon that will need to be expelled. Patients must have a responsible adult to drive them home after the procedure. Any tissue or polyps obtained are sent to the lab for evaluation by a pathologist. Your doctor or nurse will usually contact you within 10-14 days with the results. A follow up colonoscopy will usually be determined by the pathology results.
Flexible Sigmoidoscopy is done in our Outpatient Endoscopy Center. It is an examination of the anus, rectum, and portions of the left side of the colon. A flexible pediatric colonoscope is used for this procedure. It is inserted into the anus and slowly advanced to the lower part of the colon. This procedure usually takes 5-10 minutes and generally sedation is not required. Unless you are told otherwise, it is not necessary to have a driver with you. There is minimal preparation for this procedure. A laxative and enema are required but no dietary restrictions. Tissue samples may be obtained and sent to the lab for evaluation by a pathologist. Your doctor or nurse will usually contact you within 10-14 days with those results.
Capsule Endoscopy is performed in our Sacred Heart Office. Capsule Endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A tiny camera that sits inside a capsule the size of a large vitamin is swallowed. It helps your doctor examine the small intestine, an area that cannot be reached by upper endoscopy or colonoscopy. It takes thousand of images that are transmitted from sensors placed on your torso to a data recorder that is worn on your waist. It takes approximately 8 hours for the procedure. You will be unable to feel the capsule as it moves throughout your digestive tract. The capsule will be eliminated with a bowel movement and can be safely flushed down the toilet. You will need to return to the office with the data recorder so that your physician can retrieve the images. Generally there are minimal limitations in your activity during this time. To prepare for the capsule endoscopy you cannot eat for 10 hours prior to the exam. You will be able to resume a full liquid diet 3 hours after the capsule is ingested and a regular diet in 5 hours. It usually takes 7-10 days for the capsule to be reviewed. Your doctor or nurse will contact you with the results.