Dr. Brett Bernstein

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East Side Endoscopy | Gramercy, New York

Specialties:

Gastroenterology, gastroenterologist, colonoscopy, Colon cancer, GI disorders, heartburn, obesity and nutrition, digestive drugs

Website(s):

Deal of the Day

Capsule Endoscopy - all inclusive

Gastroenterologist Dr. Brett Bernstein offers Capsule Endoscopy - all inc... for a 'Deal of the Day' price of $1250
A Fair Price for this service is $1458 according to the HealthcareBlueBook (see more)




This offer is for an endoscopy of the central areas of the digestive tract through the use of a wireless camera that is swallowed by the patient.

There are no additional charges related to this procedure. All required usual services are covered by this one offer. The only exceptions are for complications and the preparatory cleansing materials which should cost less than $50.

What is a Capsule Endoscopy?*

Capsule endoscopy allows for examination of the small intestine, which cannot be easily reached by traditional methods of endoscopy.

A Capsule Endoscopy is a diagnostic procedure that lets your doctor examine the lining of the middle part of your gastrointestinal tract, which includes the three portions of the small intestine (duodenum, jejunum, ileum). Your doctor will give you a pill sized video camera for you to swallow. This camera has its own light source and takes pictures of your small intestine as it passes through. These pictures are sent to a small recording device you have to wear on your body.

Your doctor will be able to view these pictures at a later time and might be able to provide you with useful information regarding your small intestine.

Why is Capsule Endoscopy Done?

Capsule endoscopy helps us evaluate the small intestine. This part of the bowel cannot be reached by traditional upper endoscopy or by colonoscopy. The most common reason for doing capsule endoscopy is to search for a cause of bleeding from the small intestine. It may also be useful for detecting polyps, inflammatory bowel disease (Crohn’s disease), ulcers, and tumors of the small intestine.

As is the case with most new diagnostic procedures, not all insurance companies are currently reimbursing for this procedure. This is why we are listing it on FairCareMD for an affordable price if you have to pay directly. This does not mean it is not effective. In fact, Capsule endoscopies, while not perfect, are among the safest, least invasive options to visualize this hard to reach section of the digestive tract.

How Should I Prepare for the Procedure?

An empty stomach allows for the best and safest examination, so you should have nothing to eat or drink, including water, for approximately twelve hours before the examination. Your doctor will tell you when to start fasting.

Tell your doctor in advance about any medications you take including iron, aspirin, bismuth subsalicylate products and other over-the-counter medications. You might need to adjust your usual dose prior to the examination.

Discuss any allergies to medications as well as medical conditions, such as swallowing disorders and heart or lung disease.

Please make sure you advise us of if you have a pacemaker or defibrillator, previous abdominal surgery, or previous history of bowel obstructions in the bowel, inflammatory bowel disease, or adhesions.

We generally recommend a bowel prep/cleansing prior to the examination. After you request this deal we will send you the needed information for that.

What Can I Expect During Capsule Endoscopy?

Our staff will prepare you for the examination by applying a sensor device to your abdomen with adhesive sleeves (similar to tape). The pill-sized capsule endoscope is swallowed and passes naturally through your digestive tract while transmitting video images to a data recorder worn on your belt for approximately eight hours. At the end of the procedure you will return to the office and the data recorder is removed so that images of your small bowel can be put on a computer screen for physician review.

Most patients do not experience any pain or discomfort at all from this diagnostic test. The capsule endoscope is about the size of a large pill. After ingesting the capsule and until it is excreted you should not be near an MRI device or schedule an MRI examination.

What Happens After Capsule Endoscopy?

You will be able to drink clear liquids after two hours and eat a light meal after four hours following the capsule ingestion, unless your doctor instructs you otherwise. You will have to avoid vigorous physical activity such as running or jumping during the study. We can generally can tell you the test results within the week following the procedure; however, the results of some tests might take longer.

What are the Possible Complications of Capsule Endoscopy?

Although complications can occur, they are rare when doctors who are specially trained and experienced in this procedure perform the test. Our practice performs thousands of capsule endoscopies a year.

We will note, however, that there is potential for the capsule to be stuck at a narrowed spot in the digestive tract resulting in bowel obstruction. This usually relates to a stricture (narrowing) of the digestive tract from inflammation, prior surgery, or tumor. It’s important to recognize obstruction early. Signs of obstruction include unusual bloating, abdominal pain, nausea or vomiting. You should call your doctor immediately for any such concerns. Also, if you develop a fever after the test, have trouble swallowing or experience chest pain, tell your doctor immediately. Be careful not to prematurely disconnect the system as this may result in loss of pictures being sent to your recording device.

Capsule endoscopy may also be called 'capsule enteroscopy" or "wireless capsule endoscopy".

Created on: 10/22/10
Last modified on: 08/19/11
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Locations:

Second Avenue Endoscopy Suite

380 Second Avenue
Concourse A
New York, NY 10010

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Preparing for your Capsule Endoscopy from the AGA

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