Anesthesiology/Upper and lower Gi

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Question
Dr. Dr. Porter

1:Is it safe to have a Upper GI endoscopy and colonoscop at the same time or is it better
To have them separate?
2: what is the safest/best  anesthesia to use for twighlight and General ( for longer procedures) l that will cause the least neasea?

3: Is propofal a good safe choice for combo upper Gi and lower?
Thank you kindly

Answer
Upper GI endoscopy is often done with colonoscopy. There is no additional risk to the patient and it may be beneficial depending on the symptoms and indications.

In terms of anesthesia, propofol administered as a continuous infusion is the method of choice for almost all anesthesiologists. It is very effective with few potential side effects and wears off very quickly leaving the patient with a clear mind so they can be discharged sooner. Nausea or vomiting is seldom seen. I personally have had my colonoscopy using propofol and it was wonderful.

Of course, you should discuss the type of anesthesia/sedation you will receive with your anesthesiologist prior to the procedure and decide on a plan that meets your desires.

Good luck!

Anesthesiology

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Charles T Porter Jr MD

Expertise

Questions in all fields of Anesthesiology except Pain Management.

Experience

I have been in the practice of Anesthesiology since 1981.

Organizations
American Society of Anesthesiologists, International Anesthesia Research Society, Texas Society of Anesthesiologists, Texas Medical Association

Education/Credentials
Graduate of the Citadel and the Medical University of South Carolina. Completed Anesthesiology residency at the Naval Medical Center San Diego, California. Board certified in Anesthesiology and a Fellow of the American College of Anesthesiologists.

Awards and Honors
Alpha Omega Alpha National Medical Honor Society 1978, Outstanding Graduate Anesthesiology Resident Naval Medical Center San Diego California

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