Gastroenterology

Endoscopic examinations usually proceed without any problems. Nevertheless, we take your concerns very seriously. Before each examination, you will therefore have a detailed and confidential discussion with the doctor carrying out the examination. We will specifically address your concerns and explain the benefits and risks of the examination to you individually.

If you have important pre-existing conditions or feel great anxiety, we will obtain a medical certificate for your safety. A colleague from the anesthesia department or refer you to a partner hospital. However, this is not usually necessary.

As a rule, we carry out the examination in the so-called Twilight sleep This means that you will be given sedation, also known as a "sleep injection". During the examination you will feel No pain and usually have pleasant dreams.

We also use CO₂to gently distend the bowel. This has two advantages: you need fewer sleeping pills and you feel less bloated and uncomfortable after the examination.

Sedation is not an anesthetic but a Gentle twilight sleepfrom which you can be woken up at any time. This makes the examination comfortable and pain-free. We usually use Propofol, which is characterized by a high level of safety, very good tolerability and controllability.

After sedation you are up to 24 h not roadworthy (no car, no bicycle) and not legally competent. We therefore provide you with a Incapacity for work for the examination day. One personal Collection in practice by a relative or acquaintance is necessary and must be documented by their signaturealternatively we will call a cab for your way home. 

During colonoscopy, the bowel is filled with gas so that it unfolds and we can see well. We use carbon dioxide (CO₂) for this, which is absorbed 150 times faster than normal room air from the intestine into the blood and exhaled via the lungs. This significantly reduces pain and bloating during and after the examination. The benefits and safety of CO₂ have been confirmed by numerous studies, including in patients with lung diseases.

Unfortunately, the statutory health insurance companies despite the great advantages not the CO₂ insufflation, only private insurers (GOÄ A370). If you have statutory health insurance, we offer CO₂ colonoscopy as an individual health service (IGeL) for 15 € to. Even when room air is used, we naturally ensure that the examination is as gentle as possible.

For safety reasons, before a gastroscopy you must six hours sober stay healthy - that means not eating and not smoking. In the last You should also not drink anything two hours before the examination. This is the only way to ensure that the stomach is really empty at the start of the examination. Otherwise, there is a risk of liquid or food residue entering the airways (aspiration).

For a colonoscopy, it is important that the bowel is completely empty and thoroughly cleaned. The increased not only the Security of the investigation, but also the Quality the detection of polyps.

Please start already five days before the appointment with a low-fiber and seed-free Nutrition. This means: no fruit, no vegetables and no fiber-rich foods. If you eat a healthy, vegetarian or even vegan diet, you should definitely use our web app - see here.

The actual bowel cleansing with laxatives starts the day before the examination. You will receive detailed instructions on this during the medical consultation together with the laxative.

Please do not decide on your own whether to stop taking blood-thinning medication, but be sure to discuss this with your GP or cardiologist during the medical consultation or in advance - for your own safety.

The following information is important:

• What exactly is the name of your medication and in what dosage are you taking it?

• Why are you taking it? (e.g. due to a coronary stent, pulmonary embolism, thrombosis or stroke)

An example: If you ASS 100 (e.g. Aspirin protect) because of a stent in the coronary artery may not take the medication. not set down The risk of a heart attack would be too high. However, if ASA only preventive taken, it should Paused 10 days before the examination become.

If you are taking other blood thinners such as Marcumar, Eliquis, Xarelto or Lixiana a temporary switch to heparin injections may be necessary.

YesThis is possible and may be useful depending on the issue - e.g. in the case of unclear abdominal pain, diarrhea or bleeding.

Yes. After the examination, the visual findings are usually discussed and the images of the examination are shown on request. You will also receive a written preliminary medical report. After the histological examination of the tissue samples by the pathologist, usually after 7 to 14 dayswe send a final report with therapy and, if necessary, aftercare recommendations to the referring colleague(s).

Of course. Please let us know explicitly so that we can make a separate note of this. If you still do not receive a letter or would like one at a later date, please do not hesitate to contact us.

No, printed images in the doctor's letter are usually of low quality and generally do not offer any real added value. If you want a meaningful Picture documentation your examination (e.g. gastroscopy, colonoscopy or ultrasound), we will be happy to provide you with these. on a USB stick available - for a small contribution towards expenses.

One Abdominal sonography requires about 15 minuteswhich Gastroscopy or gastroscopy 15 minutesa Colonoscopy or colonoscopy 30 minutes. After sedation, please allow approx. 30 to 60 minutes for recovery. 

Please understand that there may be waiting times due to complex examinations with polyp removal.

No - Hygiene is the top priority in endoscopyYou can rely on this at all times. Our appliances are cleaned to the highest standards: First, they are pre-cleaned by hand, thenollautomatically disinfected - with peracetic acid in a special cleaning plant (RDGE).

We use additional instruments such as biopsy forceps, polyp loops or valves exclusively as Disposable products.

The quality of our hygiene measures is regularly checked by independent specialist bodies, including the Max von Pettenkofer Institute LMU Munich, and is supported by the Association of Statutory Health Insurance Physicians of Bavaria (KVB) certified.

Yes, of course you can follow the examination live on the monitor if you wish. We always ensure that the procedure is carried out as gently as possible. How unpleasant or painful the examination is perceived to becannot, however, be predicted - the is very different from person to person.

In certain cases, we do not recommend an examination without sedation, e.g. in cases of severe anxiety, pronounced gag reflex, irritable cough or a very sensitive abdomen.

If you decide against sedation, you will be fully fit for business and driving afterwards.

If you have been given a sedative injection (sedation), you may on the same day do not actively participate in road traffic - so no driving a car, motorcycle or bicycle.

To ensure that you get home safely, you must be picked up by an accompanying adult. This person must briefly confirm receipt with their signature - alternatively also the cab driver.

Important: On the day of the examination you should do not make any important decisions and do not carry out any hazardous activitiesas you are unable to conduct business or react due to the sedation.