Scheduling An Appointment Virtual Colonoscopy Exam Preparation

Stanford Radiology Scheduling Center For 7days before the test:

DO NOT take iron pills (Ferrous Sulfate).
Phone: 650-723-6855 DO NOT EAT foods with seeds such as poppy, tomatoes, watermelon, or cucumbers. Avoid celery, grapes,
Fax: 650-723-6036 green peas, beans, seaweed, popcorn and nuts.
For maps and directions, go to:
[Link]
Day before the test:
Starting at midnight, drink clear liquids only: Clear liquids includes water, tea with no milk, black coffee, Virtual
Colonoscopy
7-UP, ginger ale, apple juice, white grape juice, white cranberry juice (no juice that is red or purple), clear
soup broth, gelatin (no red, blue, green or purple), popsicles (no red or purple).
Redwood City
Stanford Medicine Outpatient Center You may wish to place the kit in the refrigerator to make the contents more pleasant to drink. Or, you may
450 Broadway Pavilion B, drink them at room temperature.
Redwood City, CA 94063 Do not eat any solid food while on this diet. Do not drink alcohol. No dairy products. Stanford Medicine Imaging
Step One - 11:00 am Take two Bisacodyl® (Dulcolax) tablets (5 mg each) with 1 glass of clear liquids.
Hours: Monday-Friday, 7:00AM to 5:00 PM
Services: MRI, CT, Diagnostic X-Ray, US, Bone Step Two - 2:00 pm Drink one bottle (296 mL) of magnesium citrate. Follow this with 6 cups of clear liquids over
Density the next 90 minutes.
Directions: From South (San Jose)-Take US-101 Step Three - 5:00 pm Mix package of barium sulfate (EZ CAT) with 450 mL of water. Drink.
North toward San Francisco. Exit CA-84/Woodside Step Four - 5:30 pm Drink the second bottle (296 mL) of magnesium citrate. Follow this with 6 cups of clear
Road West (18 miles). Take Woodside Road to liquids over the next 90 minutes.
Broadway Street (.7 mile). Turn left on Broadway Step Five - 8:00 pm Mix 2 bottles (60 mL total) of diatrizoate (Gastrografin) in 1 glass of clear juice, soda, or
Street. Stanford Medicine Outpatient Center will be water. Drink.
on the left (.6 mile).
12:00 MIDNIGHT No Food or Liquids
From North (San Francisco)- Take US-101 South
toward San Jose. Exit CA-84/Woodside Road West The day of the test be sure to take your blood pressure and heart medicines with a sip of water.
(25 miles). Take Do not eat or drink anything else.
Woodside Road to
Broadway Street (.3 Special Precautions
mile). Turn left on
Broadway Street. In general, you can (and should) continue to take any routine prescribed medications during the preparation.
Stanford Medicine However, take them 1 hour before or at least one hour after taking the laxative (magnesium citrate).
Outpatient Center In the event that polyps are found on the virtual colonoscopy, certain eligible patients may choose to
will be on the left (.6 undergo same day traditional colonoscopy, and removal of polyps (polypectomy) may be performed.
mile).
For this reason, patient taking anticoagulants, aspirin, NSAIDS (e.g., Advil, Aleve, Motrin), plavix,
supplements and/or vitamins should consult with their physician before scheduling a virtual colonoscopy.
Your appointment is scheduled for:
If you take blood pressure or heart medications, or prednisone or other steroids, take them before 7 am
Date:
Sun Mon Tue Wed Thur Fri Sat
with a sip of water on the day of the test. Information for Patients
If you are taking INSULIN the dosage may need to be adjusted the day prior and the morning of the test.
Time: Contact your physician for instructions regarding dosage. and Families
What is Virtual Colonoscopy? die of the disease every year - this is the 3rd What happens during the test?
most common cancer diagnosed and the 2nd
Virtual Colonoscopy is a medical imaging leading cause of death from cancer in the United After changing into a gown you will lie on the
procedure which uses computed tomography States. In 2008 the American Cancer Society CT scanner table. The technologist will need to
(CT), sometimes called a CAT scan, and approved virtual colonoscopy as an alternative to distend your colon by placing a small soft tube
advanced computer software to produce two- traditional colonoscopy. into the rectum and administer CO2 gas. As
and three-dimensional images of the colon that the gas is administered you may experience a
can be viewed on a video screen. ACS guidelines for colorectal screening: bloated feeling and mild discomfort. You will
• 50 years of age or older be scanned initially lying on your back and
The major reason for performing virtual • A personal history of colorectal cancer or then turned onto your stomach and scanned a
colonoscopy is to screen for polyps or cancers adenomatous polyps second time. Then you are done!
in the large intestine. Polyps are growths that • A personal history of chronic inflammatory
arise from the inner lining of the intestine. bowel disease (Crohns disease or ulcerative
Some polyps may grow and turn into cancers. colitis) Virtual Colonoscopy Exam
The goal of screening with colonoscopy is to • A strong family history of colorectal cancer or Preparation Kit
find these growths in their early stages, so that polyps (cancer or polyps in a first-degree relative
they can be removed before cancer has had a [parent, sibling, or child] younger than 60 or in 2
chance to develop. or more first-degree relatives of any age)
• A known family history of hereditary Radiologist, Peter Poullos M.D.
colorectal cancer syndromes such as familial
adenomatous polyposis (FAP) or hereditary What are the benefits of Virtual
non-polyposis colon cancer (HNPCC) WALGREENS
Colonoscopy? 875 Blake Wilbur Drive, Suite CC1101
The Stanford Diagnostic Imaging • Less invasive than traditional colonoscopy Palo Alto, CA 94305
• Procedure takes less time (30 minutes) than a (inside the Stanford Advanced Medicine
Advantage Cancer Center)
traditional colonoscopy
• State-of-the-Art Technology: The latest • Sedation and pain-relievers are not needed, so PHONE: 650-838-0429
generation 64- and 128-Row CT scanners there is no recovery period FAX: 650-838-0447
• Abdominal radiology subspecialist • Patients can return to normal activities Mon-Fri 8am-7pm
interpretations immediately after the procedure Sat 9am-3pm
• Extensive experience in 3D Imaging • Lower risk of complications than colonoscopy
• If polyps are found, Stanford Diagnostic
®
• Ideal for patients with an increased risk of CTVC-KIT (Bisacodyl (Dulcolax), EZ
Pictured above is an example of how polyps may Imaging can coordinate eligible patients a
appear to a Radiologist when viewing a Virtual complications or elderly patients who cannot CAT, Gastrografin)
same day traditional colonoscopy with the
Colonoscopy tolerate a traditional colonoscopy
Stanford Gastroentrology Clinic
• Helpful when colonoscopy cannot be CTVC-KIT is available at this location
• Stanford Diagnostic Imaging utilizes CO2 gas
completed when the bowel is too narrow, only. Pick-Up or Mail Delivery available
American Cancer Society instead of air to inflate the colon. The gas is
absorbed by the body and causes less cramping obstructed, or elongated
Magnesium Citrate – Over the counter
The American Cancer Society estimates that and bloating than air thus ensuring that • Visualizes the entire bowel & available at any local pharmacy. Mail
nearly 150,000 men and woman are diagnosed patients have a better experience. • Proven effective in large clinical trials delivery not available.
with colorectal cancer and almost 50,000 will • Patient-Centric Environment • Patients tend to prefer virtual colonoscopy