Portland Gastroenterology Center

161 Marginal Way • Portland, Maine 04101 • 207-773-7964

Ileoscopy Prep

If you have any questions, please call 207-773-7964.

Download these Prep Instructions for Printing

About Your Appointment

A responsible adult will need to drive you home. Taxis, Ubers, buses, medical ride services, or walking are not options unless a responsible adult accompanies you. You will not be able to drive for the rest of the day.

Plan on being at our facility for about 1 1⁄2 hours from arrival to departure (although this may vary depending on the day/procedure/location – ex. approx. 2.5 hrs for MMC)

For appointments with a scheduled arrival time of 4:00 pm or later, have your ride plan to be at the facility no later than 5:30 pm.

If you are unable to keep your appointment, please call at least 3 business days prior to your procedure to reschedule. We reserve the right to charge a penalty fee for patients who “no show” or cancel without adequate notice.

  • Aside from the medications below, we recommend you take all home medications as usual with a small amount of water, at least 3 hours before your arrival time.
  • If you take blood thinners (Plavix®, warfarin, Eliquis®, Xarelto®, etc.) and haven’t been given directions to stop them by our office or your prescribing physician’s office, please call us to clarify. It is ok to continue your Aspirin.
  • Take ½ your morning insulin dose. Bring the other ½ with you.

Stop the following medications until after your procedure as directed below:

  • 7 DAYS BEFORE
    • Iron supplements
    • Fiber supplements (e.g. Metamucil®, Citrucel®)
    • Weekly-dosed GLP-1 agonists
      • Trulicity® (Dulagultide)
      • Bydureon®
      • BCise® (Exenatide ER)
      • Ozempic® / Wegovy® (Semaglutide)
      • Mounjaro® / Zepbound® (Tirzepatide)
    • Adipex-P® / Lomaira® (Phentermine)
    • Qsymia® (Phentermine/Topiramate)

 

  • THE DAY BEFORE
    • Questran® (cholestyramine)
    • Lomotil®
    • Imodium® (loperamide)
    • Colestid® (colestipol)

 

  • DAY OF PROCEDURE
    • Daily-dosed GLP-1 agonists
      • Saxenda® / Victoza® (Liraglutide)
      • Byetta® (Exenatide IR)
      • Rybelsus® (Semaglutide)
      • Adlyxin® (Lixisenatide)
    • Morning dose of oral diabetic medication (bring it with you)

NOTHING BY MOUTH 3 HOURS BEFORE YOUR PROCEDURE

Examples of clear liquids

  • Popsicles, EXCEPT for red, purple, or blue
  • Coconut water (NOT coconut milk)
  • Gatorade®
  • Kool-Aid®
  • Strained fruit juice (apple or white grape)
  • Jell-O®
  • Coffee and tea (without dairy products/creamer)
  • Soft drinks

 

Tips

If you start to feel nauseous while prepping, try:

  • Pause drinking the prep until the feeling improves, then resume
  • Decrease the amount you drink at a time
  • Take more time between drinks
  • Refrigerate the prep mixture
  • Use a straw

Prep goal: your stool should be clear and yellow. This chart will help you judge your progress!

Your prep is one of the most important parts of your ileoscopy. Without a good prep—your bowel is empty and clear—your gastroenterologist will not be able to see your colon clearly. This could lead to missing a polyp or having to reschedule your ileoscopy.

What are the risks of an Ileoscopy?

Ileoscopies are standard medical procedures. Although rare, and like will all procedures, ileoscopies have some risks:

  1. The instrument may tear the wall of the colon which may require surgery to repair.
  2. There may be adverse drug reactions or heart/breathing complications.
  3. Bleeding may occur and is more often a risk when tissue or polyps are removed.
  4. There may be discomfort during and after the procedure.

Do you have questions? Contact our office at 207-773-7964.
Office is open 8:30 am – 4:30 pm Monday – Friday

1 Week Prior to Ileoscopy

  • Stop eating seeds, nuts, popcorn, tomatoes, corn, berries, granola with dried fruit, and raisins
  • Purchase the following items:
    • One 4.1-ounce container of MiraLAX® or GaviLAX powder
    • 32 ounces of Gatorade®, Propel Water®, Vitamin Water®, Smartwater®, or coconut water
  • Call the office if you are pregnant, have an internal cardiac defibrillator, have had a recent cardiac procedure, or have a new cardiac health concern

The Day Before Ileoscopy

  • Before 11am
    • Eat a light breakfast from the following list of foods:
      • One boiled or poached egg
      • Dry white bread or toast (without butter)
      • Applesauce
      • Yogurt (no granola or fruit chunks in it)
      • Skinless chicken, turkey, or fish
      • Cottage cheese
      • Plain tofu
  • At 11am
    • Do not eat solid foods until your procedure is completed
    • Drink additional clear liquids while you prep up until 3 hours before your procedure
  • At 1pm
    • Mix 4.1 ounces of MiraLAX® or GaviLAX® powder into the 32 ounces of Gatorade®, Propel Water®, Vitamin Water®, Smartwater®, or coconut water and refrigerate (tip: it is best tolerated cold!)
  • From 2pm – 5pm
    • Drink 8 ounces of the mixture every 10 to 20 minutes until you have finished the entire 32 ounces
    • Continue to drink clear fluids up to 3 hours before your procedure (tip: it is important to hydrate!)
    • Review ileoscopy preparation tips to determine if you are ready for your ileoscopy