Procedures

Quality. Safety. Efficiency. Comfort.

We understand that endoscopic procedures will never be considered a “fun” experience. We aim to make the process as pleasant, effortless, and efficient as possible, while simultaneously maintaining the highest quality and safety standards. Learn more about how we are trying to make your colonoscopy experience easier.

Convenient Appointment Times to Fit Your Schedule.

• • EARLY MORNING appointments start at 7:00 a.m.
  • SATURDAY appointments are also available.

You Can Eat Breakfast and Lunch on the Preparation Day.

• • Traditionally, gastroenterologists recommend a clear liquid diet without any solid food for the entire day before the procedure, which can mean up to 36 hours depending on the timing of the test.
  • Multiple studies have shown that allowing patients to EAT A LIGHT BREAKFAST AND LUNCH the day before a colonoscopy improves prep tolerance, increases patient satisfaction, and improves willingness to repeat the test in the future.
  • Most importantly, the quality of the bowel cleanout in these studies was identical whether the patient ate or not. A more recent study suggested that eating the day before a colonoscopy may actually improve the quality of the bowel cleanout.
  • Importantly, these meals do have restrictions. They must be “low residue” foods (no nuts, seeds, vegetables), which are more challenging to wash out later.

More flexible preparation options.

• • One size does not fit all.
  • Our goal is to provide SEVERAL EFFECTIVE OPTIONS so that you can find the most tolerable alternative for your taste preference.

Deluxe procedure experience.

• • Relax and recover in your own SOUNDPROOFED PRIVATE BAY with a television, charging station, and laptop workstation for you and your companion.
  • Studies have shown that listening to music can contribute to a more pleasant patient experience. You CHOOSE THE MUSIC preference to relax to while you are cared for!
  • Enjoy a DELICIOUS SMOOTHIE filled with important prebiotics and probiotics to help restore a healthy gut microbiome after your procedure.
  • We value your time and make every effort to optimize efficiency without affecting our careful devotion to detail. Average time from start to finish is ONLY TWO HOURS.
  • If your companion would like to run errands, check out this area map of all the NEARBY SHOPPING OPTIONS.
  • We devote MORE TIME to reviewing your procedure findings and EDUCATING YOU on their significance.

Highest quality technology and techniques.

• • State of the art OLYMPUS endoscopes.
  • Sedation provided by an ANESTHESIOLOGIST to enhance comfort and ensure rapid recovery time.
  • CARBON DIOXIDE is used for inflation to maximize comfort after the procedure since it rapidly dissolves.
  • Adherence to the most RIGOROUS STANDARDS for disinfection, sterilization and infection control. We regularly conduct infection control checks in areas where endoscopes are reprocessed to ensure compliance with all policies and guidelines.

Meticulous tracking of quality benchmarks with exceptional results.

ADENOMA DETECTION RATE

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• • Adenomas are the precancerous polyps which have the potential to transition into colon cancers if left within the colon.
  • It is critically important that adenomas are properly detected and removed during screening colonoscopies.

The detection goals that have been established are to find at least one adenomatous polyp in:

• • >30% Men
  • >20% Women

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NOTE: for the most accurate methodology, values are calculated only for patients age >50 for their first-time screening or surveillance examinations after 10 years; surveillance examinations for a history of polyps or family history of colon cancer/polyps and other symptomatic indications are excluded.

Dr. Troy’s Adenoma Detection Rate:

• • 44.7% Men
  • 33.1% Women

Dr. Nathanson’s Adenoma Detection Rate:

Prior to his joining us at Comprehensive Gastrointestinal Health, Dr. Nathanson had calculated adenoma detection rates that also were significantly higher than standard quality goals.   Because these numbers were calculated using a different methodology, Comprehensive Gastrointestinal Health has decided that, rather than publish these rates, it will measure Dr. Nathanson’s adenoma detection rate using the procedures he performs in our endoscopy suite by the same method that is used to calculate Dr. Troy’s rate.  This data will be compiled and updated on our website.

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SESSILE SERRATED LESION DETECTION RATE

• • Sessile serrated lesions are a type of difficult to detect precancerous colon polyp. There is controversy regarding the prevalence of this subset of polyps, with published studies varying from 2%-10%.
  • Although a standardized benchmark has not yet been determined, Dr. Troy tracks her sessile serrated lesion detection rate as well:
    • 15.0% Men
    • 14.9% Women

CECAL INTUBATION RATE

• • Cecal intubation rate reflects the ability of the endoscopist to reach the beginning of the colon, which ensures a complete examination of the entire large intestine.

• • The national benchmark for cecal intubation rate in a screening colonoscopy is >95%.
  • Dr. Troy’s cecal intubation rate is 99.87%.

WITHDRAWAL TIME

• • Another quality indicator of colonoscopy is withdrawal time, which is defined as the amount of time spent viewing as the colonoscope is withdrawn during a colonoscopy.
  • A 6 minute withdrawal time is currently the standard of care.
  • Dr. Troy’s average withdrawal time is 13.72 minutes.

Calculations reflect procedures performed from July 1, 2017 through December 31, 2021.

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