Our physicians are capable and trained in endoscopic procedures. These include colonoscopy and upper endoscopy.
Colonoscopy is the tool utilized to perform colon cancer screening and the removal of polyps that could lead to the formation of cancers.
The current recommendations for colonoscopy are age 50 and then every 10 years subsequently. The interval may be shortened depending on the discovery of polyps or family history of colon cancer. The age to start could also b moved to earlier years if there is significant family history of colon cancer.

Upper endoscopy is utilized to diagnose upper intestinal and stomach problems. Some of the most common are ulcers, gastritis and GERD (Gastro Esophageal Reflux Disease)
The procedure may include the placement of a PH Bravo probe for objective measurement of acidity and severity of GERD.

The colonoscopy procedure will require a bowel prep, but not for the upper endoscopy. To the right of this paragraph there is a link for bowel prep instructions.


1. Bleeding - this is a risk that exists mainly if a biopsy or removal of a polyp is performed. The area is cauterized to prevent this from continuing, but rarely there may br prolonged bleeding that would require the repeat of a colonoscopy t control the bleeding.
2. Perforation - The risk of perforation exists any time we insert a scope in the intestines. We are careful to minimize this risk and it is very low, but still exists. In the event a perforation occured, our surgeon is equiped with the skills to handle the problem via minimally invasive procedures and prevent in that way any further problems
3. Missed polyp - There is a posibility that a polyp is not detected or missed due to th convoluted nature of the colon. This is the reason colonoscoipy should be repeated at acertain interval determined by the findings and risk of each patient. The default is 10 years but may be shorter.
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Lugo Surgical Group

150 Pine Forest Dr,,

Shenandoah, TX 77384

Phone. 832-377-5846