What is the Colonoscopy Assist Program ?

  • Colonoscopy Assist is a program that promotes affordable colon cancer screening and is available as a free resource to the public.
  • The following services are provided at affordable pre-negotiated rates:
    1. Colonoscopy (screening or diagnostic)
    2. Upper Endoscopy
    3. Flexible Sigmoidoscopy
    4. Virtual Colonoscopy
    5. Cologuard
    6. FIT
  • Financial assistance is available for patients unable to afford the services.

Informed Consent2019-01-28T19:18:23-06:00

Because Screening For Cancer Should Be Affordable

Nationwide Scheduling | Phone : 1-855-542-6566 | Fax : 847-984-1164

INFORMED CONSENT

INFORMED CONSENT

COLONOSCOPY

Please read this information carefully and if you have additional questions, feel free to discuss them with a member of our team prior to the procedure.

 

What is the purpose of a colonoscopy?
Colonoscopy is used to examine the lining of the large intestine (colon) and, if necessary, to take biopsy specimens (tiny bits of tissue) or remove polyps (abnormal growths that can become a cancer). Since colon cancer starts as a polyp, removal of those polyps prevents colon cancer. Cancer of the colon is the second leading cause of cancer related death for men and women in United States.

How is a colonoscopy done?
Colonoscopy is a test using a video camera on a long flexible tube designed to pass through your large bowel looking for abnormalities. The image from the camera is projected on a video monitor and the doctor steers the scope around your bowel. During the procedure the tube needs to pass around some bends in your bowel, and requires that air be introduced into your bowel, to help with visualization. Sedation is provided to minimize any discomfort you may have as a result of these maneuvers. Up to 30% of the time polyps are found. Most can be removed through the colonoscope at the time of the procedure. Polyps can be snared (lassoed with a wire loop) and removed. A small piece of tissue (biopsy) may also be removed to send for analysis to determine if the abnormality was benign (noncancerous) or malignant (cancerous). Biopsies and polypectomies do not cause any discomfort.

What can I expect during the colonoscopy?
Colonoscopy is usually well tolerated and rarely causes much pain. An intravenous will be started, so that the doctor may give you medication to make you feel relaxed and sleepy. While you are lying on your side, the tube is inserted into the rectum and gradually advanced through the colon. The doctor will examine the lining of the bowel, perform any necessary biopsies or polyp removal, then the tube is slowly withdrawn. You may feel uncomfortable during the test from time to time because air is used to inflate the bowel.

What are possible complications? (IMPORTANT)
While all the physicians that participate in the program are experienced and use the utmost caution, there is a well-documented risk associated with the procedure. However the risk of not getting screened is far more significant (1 in 20 lifetime risk for colon cancer).

  • Bowel Preparation: There is a risk of dehydration with the bowel preparation. Drinking lots of fluids with electrolytes (like sports drinks) helps to increase the quality of the bowel preparation and also decreases the risks of dehydration and the associated risks.
  • Drug reaction: It is possible, although extremely unlikely, that you will develop a reaction to one of the medications. The reaction is usually mild and in the form of rashes, hives, or itching at the site of the IV catheter.
  • Perforation: Puncture of the wall of the colon is very rare (1:1000 chance). If it occurs surgery might be necessary to repair the perforation and you will be hospitalized.
  • Bleeding: There is a small risk of significant bleeding (1:100 chance) if a polyp is removed. Bleeding can occur up to 10 days later. This usually settles without further treatment and rarely blood transfusions or surgery may be required. Contact your physician or go to the emergency department if you have rectal bleeding of more than one half cup.
  • Missed abnormalities: Some polyps or abnormalities might be missed. The risks are significantly higher if your bowel is not cleaned properly.

What can I expect after the colonoscopy?
Your pulse, respiration and blood pressure will be checked while you are in the recovery room. You may feel bloated or have some cramping. Due to the sedation given, your judgment and reflexes may be impaired for the rest of the day. Someone must accompany you home. You cannot drive or operate machinery for 12 hours post sedation. Unless your doctor tells you otherwise, you may resume your regular diet after leaving the facility. The doctor will explain the results of the examination to you and provide you with a written summary. These findings will also be communicated to your referring doctor.

UPPER GI ENDOSCOPY / EGD

Please read this information carefully and if you have additional questions, feel free to discuss them with a member of our team prior to the procedure.

What is the purpose of an upper GI endoscopy / EGD?
You are considering a procedure called upper endoscopy, which is the examination of your esophagus (food pipe), stomach, and duodenum (first part of the small intestine) with a flexible, lighted scope.This procedure is most often done for:

  • upper abdominal pain or discomfort
  • gastroesophageal reflux disease (acid reflux or heartburn)
  • difficulty swallowing
  • persistent nausea and vomiting
  • bleeding from the upper gastrointestinal tract
  • unexplained anemia or weight loss
  • follow up of previous abnormal findings, such as Barrett’s esophagus (a precancerous condition), ulcers or polyps
  • further investigation of abnormalities found on X-ray studies, such as an upper GI or CT scan.

How is an Upper GI Endoscopy Performed?
Patients may receive a local, liquid anesthetic that is gargled or sprayed on the back of the throat. The anesthetic numbs the throat and calms the gag reflex. An intravenous (IV) needle is placed in a vein in the arm if a sedative will be given. Sedatives help patients stay relaxed and comfortable. While patients are sedated, the doctor and medical staff monitor vital signs. During the procedure, patients lie on their back or side on an examination table. An endoscope is carefully fed down the esophagus and into the stomach and duodenum. A small camera mounted on the endoscope transmits a video image to a video monitor, allowing close examination of the intestinal lining. Air is pumped through the endoscope to inflate the stomach and duodenum, making them easier to see. Special tools that slide through the endoscope allow the doctor to perform biopsies, stop bleeding, and remove abnormal growths. During the upper endoscopy, various procedures to aid in diagnosis or treatment may be performed:

  • A biopsy, which is a small tissue sample about the size of a match head, may be taken.
  • If a polyp is noted, the Physician may choose to remove it using a small instrument that is passed through the scope.
  • Abnormal bleeding may be treated with cauterization, injection of constricting medicines, metal clips or rubber bands.
  • Strictures (narrowed areas) may be dilated (stretched) with balloons or tapered tubes.
  • A pH probe can be placed to determine amount of acid reflux and correlate symptoms with acid reflux.
  • Ingested foreign objects may be removed with a variety of small instruments passed through the scope.
  • Feeding tubes can be placed for long term nutritional support.

What are possible complications? (IMPORTANT)
Upper endoscopy performed by a trained physician is generally a very safe procedure, but, like any medical procedure, does carry some possible risks:

  • Major complications such as bleeding or perforation (making a hole or tear in the upper gastrointestinal tract) occur in less than 3 out of 10,000 upper endoscopy procedures and may require surgery.Bleeding and perforation are more likely when large polyps are removed, dilation is performed (less than 4 out of 1000 dilations), foreign objects are removed, or feeding tubes are placed.
  • Bleeding may be more likely to occur if you take certain medications that thin the blood: Coumadin (warfarin), Eliquis (apixaban), Pradaxa (dabigatran), Xarelto (rivaroxaban), Lovenox (enoxaparin), Arixtra (fondaparinux), heparin, Plavix (clopidogrel), Brilinta (ticagrelor), Effient (prasugrel) aspirin products, or arthritis medications. Be sure to discuss with the physician or his staff what to do if you take any of these medications.
  • Uncommonly, aspiration (inhaling food or liquids into the lungs) can occur, possibly causing pneumonia or difficulty breathing.The risk of aspiration can be minimized by not eating or drinking before the procedure.(See separate instructions)
  • Reactions to the sedative medications given during the procedure may occur, although this is uncommon.Please notify the physician or his staff if you have any medication allergies or previous unusual reactions to sedatives.Also, you can undergo the procedure without sedation.Be sure to notify The Physician if you prefer no sedation.
  • Very rarely, there can be unforeseen complications that include breathing or heart problems, infection, damage to teeth or dental work, injury to other internal abdominal organs, or even death.
  • Sometimes it is not possible to examine the entire upper gastrointestinal tract and additional testing may be required.It is also possible to miss cancer, although this is rare.

Depending on the reason for your upper endoscopy, you should also know that there may be potential risks to not doing the procedure, such as delayed diagnosis of cancer or missed diagnosis of disease.

There are alternatives to upper endoscopy:

The upper gastrointestinal tract can be examined with a barium upper GI X-ray examination.If abnormalities are found, an upper endoscopy may be required for further investigation.

Polyps, bleeding and strictures can be treated with surgery.Foreign objects may be removed and feeding tubes may be placed surgically.

Sometimes bleeding can be treated and feeding tubes can be placed with a radiologic procedure.

What am I consenting to?
You acknowledge that you have :

  1. read and fully understand what is involved in a colonoscopy and an upper endoscopy procedure; including the benefits and risks
  2. that you understand that there is a risk of complication
  3. that you would like to proceed to schedule for either one or both procedures.

If you have any questions about the information contained in this document please contact the program at (855) 542 6566. We would be happy to assist you or provide clarification. You will have an opportunity before the procedure to discuss your concerns with a physician or nurse at your request.

Your signature acknowledges that you have read the informed consents for both procedures and grants your consent to the procedure(s).

I am so thankful that such an offer is available for those without insurance. Very affordable tests for colon cancer screening. The entire experience was so effortless for me. They made it so easy and did all they advertised to do. They guided me every step of the way.

Google ReviewJ.M (6/8/2019), Google

As I don’t have health insurance, I was pleased to learn about Colonoscopy Assist. Had it not been for my girlfriend, a former RN, I would have been unaware of your service. By working through Colonoscopy Assist, I have saved at least $500 versus a straight private pay. In addition, my last colonoscopy was well over a decade ago. Due to the number of polyps removed, I was instructed to return in 5 years. Had it not been for your services, I would have delayed this procedure even longer. Thankfully, there were no polyps this time. I now have peace of mind on which I cannot put a price.

Google ReviewD. K., Google

You saved my life. Seriously. I am 46 but have a family history of colon cancer. When my brother had malignant polyps, I got a referral from my doctor. Our insurance doesn’t cover colonoscopy so I would have had to pay $4600 out of pocket. Yikes. Found this site and made the appointment. Out of pocket costs were much more manageable, and the entire process worked as stated. A cancerous mass was found, so now I am getting treated. Otherwise I would never have known until it was too late. Thank you Colonoscopy Assist.

Google ReviewB. L., Google

I’m very grateful for the service Colonoscopy Assist provides. Being able to have a colonoscopy at a significantly reduced rate was a real blessing. As advertised, I only paid the flat rate they stated from the outset. Due to a conflict, I had to reschedule my original procedure appointment but Colonoscopy Assist was able help me with this process. The doctor and his staff were very professional and everything went very well on the day of my procedure. Colonoscopy Assist provided helpful communication throughout the entire process, from my initial registration to my final procedure results!

Google ReviewB. H., Google

Everything went smoothly and professionally as promised. There was no problem at check in and the facilty and staff were excellent and very caring.
We would use this program again for sure.

Google ReviewR. M, Google

Operators were awesome. Quick to help me get appointment setup and walked me through what I needed to do. Pleasure dealing with them.

Google ReviewS. S., Google

Great program! Very well done and organized. I got screened and it saved me a lot of money.

Google ReviewT. S., Google

Everyone at the office was professional and friendly. It was very easy to make the appointment and the procedure went well. I appreciate the opportunity to have a colonoscopy at a much more affordable price. Thank you Colonoscopy Assist.

Google ReviewC. J., Google

ColonoscopyAssist made the process very easy. The payment option really helped out and the discounted rate also. I was scheduled with a great provider who I actually used years prior through my insurance at the time. Great people to deal with and their program is extremely helpful.

Google ReviewB. H., Google

From the moment I walked in and filled out paperwork to preparing for procedure. Everything went like clockwork. Will visit again in 5 years.
Excellent service!!!

Google ReviewK. B., Google

ColonoscopyAssist made the process very easy. The payment option really helped out and the discounted rate also. I was scheduled with a great provider who I actually used years prior through my insurance at the time. Great people to deal with and their program is extremely helpful.

Google ReviewB. H., Google

very simple, very thorough. They keep you well informed and check up on you too

Google ReviewS. N., Google

Professional staff, very efficient, it was nice to have the doctor call to check on me after procedure. I highly recommend this facility…

Google ReviewK. T., Google

This is a great and affordable way to get it done. I traveled 140 miles, but it was worth it. The facility and the doctor were nothing but top-notch. No difference in treatment or care than if you had the best insurance. I will definitely go back, and will recommend ColonscopyAssist to family and friends.

Google ReviewC. C., Google

Used your program 5 years ago. Was very satisfied then. You contacted me with a reminder for five year checkup. Thank you. You helped get appt. with a facility closest to us. They were very nice staff and doctor was great. Again, thank you for your assistance in helping us out.

Google ReviewJ. K., Google

Colonoscopy/Assist was the best thing that happened for me. With family history of colon cancer I was long over due to do my first screening. Getting several quotes from several doctors I was looking at the unaffordable fees. When I contacted Colonoscopy/ Assist I was given the price that I could afford (a flat fee with no hidden fees)

Google ReviewL. H., Google

very simple, very thorough. They keep you well informed and check up on you too

Google ReviewS. N., Google
Appointments : 1-855-542-6566