Tests & Procedures

At Minnesota Gastroenterology, we know that patients and families want to know as much as possible about the test and/or procedure that is being recommended by a healthcare provider.  Refer to the list below to find the information that is most helpful to you.  If you still have questions, please contact us through our website Quick Links or call (612) 871-1145 to make an office appointment.

A B C E F G H I L M N P S U

Upper Endoscopy with Double Balloon Enteroscopy

PREPARATION FOR UPPER ENDOSCOPY WITH DOUBLE BALLOON

1 day before before your procedure:

  • Stop eating solid foods at 11:45pm. Begin Clear Liquid Diet
    • Examples of a Clear Liquid Diet include: Water, tea (no milk or non-dairy creamer), clear broth or bouillon, Gatorade, Pedialyte or Powerade, carbonated and non-carbonated soft drinks (Sprite, 7-Up, Gingerale), strained fruit juices without pulp (apple, white grape, white cranberry), Jello-O and popsicles
    • The following are not allowed on a clear liquid diet: Red liquids, alcoholic beverages, coffee, dairy products, protein shakes, cream broths, juice with pulp and chewing tobacco.

You must arrange for a ride for the day of your procedure with a responsible adult. A taxi ride is not an option unless you are accompanied by a responsible adult. If you fail to arrange transportation with a responsible adult, your procedure will be cancelled and rescheduled.

Day of your procedure
Morning Medications: You may take all of your morning medications including blood pressure medications, blood thinners (if you have not been instructed to stop these by our office), methadone, anti-seizure medications with sips of water 3 hours prior to your procedure or earlier. Do not take insulin or vitamins prior to your procedure.

Continue the Clear Liquid Diet. Avoid red liquids, alcoholic beverages, coffee, dairy products, protein shakes, and chewing tobacco.

  • 6 hours prior:
    • STOP consuming all liquids
    • Do not take anything by mouth during this time.

Cancel or reschedule your appointment:
If you must cancel or reschedule your appointment, please call 612-871-1145 as soon as possible.

Bring the following to your procedure:

  • Bring the completed Health History form included in this packet with you the day of your appointment.
  • Insurance Card / Photo ID
  • List of Current Medications
  • Bring your rescue inhaler if you currently use one to control asthma
  • Bring contact lenses supplies. You will be asked to remove contact lenses prior to the start of your procedure.
  • If you have an Advance Directive, please bring a copy of your Advance Directive with you to your endoscopy appointment. Advance Directives are not honored at MNGI facilities, and in the event of a life-threatening situation, life support measures will be instituted in every instance and our patients will be transported to a higher level of care facility (i.e., hospital). In the unlikely event that you require an emergency transfer to a higher level of care facility, your Advance Directive should accompany you to that facility.

What is an upper endoscopy with double balloon enteroscopy?
An upper endoscopy with double balloon enteroscopy is a procedure that is used to examine the small intestines (small bowel). During this procedure, a doctor examines the lining of your small intestine through a flexible tube called an endoscope. This is a thin, flexible tube that is inserted through the mouth into the upper gastrointestinal tract. During a double-balloon enteroscopy, balloons attached to the endoscope can be inflated to allow the doctor to view the entire small bowel. If growths, bleeding or other abnormalities are found during the procedure, the doctor may remove the abnormal tissue, take a biopsy or treat the affected area.

What happens during an upper endoscopy with double balloon enteroscopy?
Plan to spend up to three hours at the hospital the day of your procedure. The procedure itself takes up to 90 minutes to complete.

Before the procedure:
Your medical history will be reviewed with you by your health care team including a nurse, your gastroenterology physician and an anesthesia provider. An IV line will be placed.

During the procedure:
During your procedure, the anesthesia provider will administer medications and monitor vital signs. The anesthesiologist and/or certified registered nurse anesthetist (CRNA) will help determine the appropriate type of drug to be used during the procedure to keep you safe and comfortable.

What happens after the procedure?
The physician will talk with you about the initial results of your procedure and will prepare a full report for the healthcare provider who referred you for your upper endoscopy. You may have some bloating after the procedure which is normal. Your throat may feel sore for a short time. Any tissue samples or polyps removed during the procedure will be sent to a lab for evaluation. It may take 5-7 working days for you to be notified of the results by mail or through the Patient Portal.

You may resume most of your regular activities the day after the procedure. However, medication given during the procedure will prohibit you from driving for the rest of the day. You may resume your normal diet, but alcohol should be avoided until the next day after your procedure.

Are there possible complications from an upper endoscopy with double balloon?
Although serious complications are rare, any medical procedure has the potential for risks. Risks from an upper endoscopy with double balloon include a 1% chance of pancreatitis, perforation, or a tear, of the lining of the stomach or esophagus, bleeding from a biopsy site, reactions to medications, heart and lung problems, and dental or eye injuries.