EGD Prep

You must follow the instructions below or the procedure may be cancelled.

Seven days prior to your procedure:

  • For Patients Taking Daily Aspirin:
    • If you take a daily Aspirin prescribed by a Physician for a medical condition, you should continue to take your Aspirin until the day of the procedure unless otherwise instructed by your Physician.
    • If you are taking Aspirin on your own accord (self-prescribed for “general CardioProtection” and not prescribed by a Physician for treatment of a medical condition), you should STOP taking your Aspirin 7 days prior to your procedure.
  • STOP the following medications 7 days before your procedure. These medications can thin your blood or cause constipation: Ibuprofen (Advil, Motrin) Naproxen (Naprosyn, Aleve), Meloxicam (Mobic), Multivitamins with Iron, Iron Supplements, and Fish Oil (Krill Oil, Lovaza, Vascepa)

Thirty-six hours prior to your procedure:

Do not consume alcohol or recreational drugs.

The day of your procedure

***No smoking or chewing tobacco after midnight on the day of your procedure Do not take any medications on the day of your procedure unless your doctor has instructed you otherwise. Your doctor may want you to take your beta-blocker the morning of the procedure.

8 hours prior to your procedure:

Stop eating all solid foods. Clear liquids (liquids you can see through) are permitted in small amounts until four (4) hours before your procedure. Avoid red, orange, purple, or berry colors. Clear liquids include sports drinks, apple juice, soda, water, jello without fruit, hard candy, water, broth, white grape juice, black coffee, bouillon, tea and popsicles.

4 hours prior to your procedure

  • Do not eat or drink anything (4) hours prior to your procedure. Your procedure may be canceled or delayed if anything is consumed within (4) hours of your procedure. This includes water, gum, mints, candy.
  • If you have a card for your Pacemaker or Automatic Implantable Cardioverter-Defibrillator (AICD), please bring it to your procedure.
  • An adult that is at least 18 years of age must accompany you to the endoscopy center and remain on the premises to drive you home. You are not allowed to drive for 12 hours after your procedure.

Special instructions for patients who are diabetic or taking coumadin/warfarin medication

Diabetic patients on oral diabetic medications

Patients on oral diabetic meds are recommended for morning procedures.

Day before the procedure - please take your normal oral diabetic pills as prescribed

Morning of the procedure - do not take diabetic oral pills on the day of the procedure and nothing by mouth 4 hours prior to the procedure

Diabetic patients on insulin

All diabetic patients on insulin must be scheduled for their procedure before 10:30 am.

The day before the procedure
  • In the morning, take your normal morning dose of insulin.
  • In the evening if you are on a long acting insulin (Lantus, Levemir, Toujeo) only take 1/2 of your usual dose
Morning of the procedure
  • Nothing by mouth 4 hours prior to procedure
  • Check your blood sugar at home at 6:00 AM
    • If your home blood sugar is less than < 70 follow the instructions below
      1. Drink 4 oz. of apple juice and do not take any a.m. insulin
      2. Repeat blood glucose again
      3. If procedure is scheduled at 7:30 or earlier, proceed to College Park Endoscopy Center. If your procedure is scheduled later than 7:30 a.m., you should call College Park Endoscopy Center 913-385-4400 at 7:00 and ask to speak with a GI nurse
    • If your blood glucose is greater than 300 on the day of the procedure, your procedure will be cancelled and you will need to schedule an appointment with your physician regarding a follow-up on the elevated blood glucose level.

Patients who present to the Endoscopy Center on day of procedure with elevated blood glucose (> 200, but less than 300) may potentially be cancelled at the discretion the physician and CRNA

Patients taking Coumadin/Warfarin

If you are taking Coumadin/warfarin (or if you were instructed to hold your dose prior to the procedure), you will need to have an INR drawn the day before your procedure. Your INR will be done in the College Park Specialty office in a clinic that manages patients taking these types of medications. The clinic is called the ACT clinic and is located at 10600 Mastin OP KS 66212, Entrance C.

Please call 913-438-0868 for an appointment once your procedure has been scheduled. If your procedure is scheduled on a Monday, you will need your INR drawn on Sunday. Your endoscopy provider will direct you on where to have your INR drawn.