The Spyglass Direct Visualization System is used for detection and treatment of large stones and strictures throughout the pancreatobiliary duct system. The Spyglass camera System is for use during diagnostic and/or surgical procedures when endoscopic video assistance is required. It may expand options for visual diagnosis, breaking stones, and taking biopsies of tissue leading to quicker diagnosis and treatment. The risks, benefits, and possibile complications will be discussed with you by your doctor prior to your procedure.

For your procedure, the stomach should be completely empty. You should have nothing to eat or drink for at least 8 hours prior to your procedure. This includes water, gum, and/or mints. Your physician will instruct you regarding the time to begin fasting depending on the time of your procedure. You may brush your teeth, but do not swallow the water.

You will be sedated during the procedure so you must make an arrangement to have someone drive you home. Sedation can affect your judgment and reflexes for the entire day. You will not be able to drive, drink alcohol, or operate machinery until the next day.

Prior to the procedure, you will have an intravenous inserted. Your nurse will obtain a full medical history from you including medical conditions, medications you take, and family history. You will be brought to the procedure room on a stretcher and positioned on an X-ray table on your abdomen. A heart monitor, blood pressure cuff and pulse oximetry monitor will be placed. You will also receive oxygen through a small tube under your nose. A small plastic bite guard will be gently placed between your teeth to protect the scope. Once you are positioned and monitored, sedation will be administered through your intravenous by our Anesthesiologist. You will drift off to sleep before your ERCP begins.

Once the procedure is complete you will awaken quickly and remain in the Post Anesthesia Care Suite until you are ready to go home, usually within 1-11/2 hours. Your throat may be a little sore, and you may feel slightly bloated right after the procedure because of the air/water in your stomach introduced during the exam. This should pass quickly. Your physician will explain the results to you after your procedure or at your follow up visit. If your physician takes specimens during the procedure (called biopsies), you will have no sensation or pain at the time. This tissue will be evaluated by the laboratory and you can expect to hear results from your physician within a week.

Following are instructions which will also be given to you by your doctor. Please review them and follow them as directed.

On the day of your procedure: Plan to arrive at the time designated by your physician.

  • Please tell your nurse and doctor if you are allergic to Iodine or Shellfish, because of the Iodine in the X-ray dye.
  • Please bring your insurance card, Photo ID, insurance co-pay and all forms completed.
  • Please do not apply lotion before the procedure.
  • Please come accompanied by another adult or plan for a ride home – you will not be able to drive for 24 hours following sedation.
  • Please bring a list of your medications you are currently taking with the dosage and times including vitamins and herbal supplements.
  • If you take blood thinners, aspirin, Motrin, anti-inflammatory medication, notify your physician prior to your procedure.
  • If you are taking Blood Pressure medication, heart medication or seizure medication – you make take that in the morning with a sip of water.
  • Diabetic patients – Consult your PCP regarding medication the day of the procedure – your blood sugar level will be taken the day of the procedure.
  • If you have any medical questions, please contact your doctor.