Center for Digestive Disorders

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For Medical Professionals

Direct Access Endoscopy

BMC’s Endoscopy Center offers Direct Access Endoscopy to referring physicians to expedite patient care. Please refer to the forms and instructions below.

TO:  Referring Providers

FROM:  David Lichtenstein M.D., Director of Endoscopy Open Access Endoscopy

RE:  Scheduling Protocol

  1. Complete a Patient Referral Form and call to schedule the procedure.
    Referrals must be made by provider's office only.

    Menino Pavilion: HP-2
    Call: 617.638.6525, select 1
    Monday thru Friday, 8:00 am to 5:00 pm

  2. Important information on the referral form includes your name, method for communicating results to your office, indication for the procedure, physician preference for performing the procedure, need for antibiotic prophylaxis, medication list, and any other pertinent medical comorbidities.

  3. Patients must be given appropriate instructions for preparation (written instructions are enclosed and can be provided from the Endoscopy Center when requested).

  4. Non-English speaking patients must be accompanied by a translator, or the scheduling secretary must be informed in advance of the need for an interpreter.

  5. Iron therapy should be discontinued one week prior to a lower GI procedure but can be continued for upper endoscopy procedures.

  6. Whenever possible discontinue aspirin use one week prior to the procedure and other non-steroidal anti-inflammatory medications 2 days prior to the procedure. If necessary diagnostic and therapeutic endoscopy can be completed safely when ASA and NSAIDs must be continued.

  7. Patients on anticoagulation therapy should hold the coumadin for 4 days prior to the procedure when medically safe. Patients remaining on coumadin or with an underlying coagulopathy should be discussed with the procedure attending prior to the procedure.

  8. Patients will receive conscious sedation for upper endoscopy and colonoscopy but not flexible sigmoidoscopy. All patients receiving conscious sedation cannot drive after the procedure and must be accompanied home from the procedure by an adult friend or family member.

  9. Endocarditis prophylaxis is not considered necessary for sigmoidoscopy or colonoscopy even when therapeutic maneuvers are applied. Current guidelines recommend antibiotic prophylaxis for moderate or high risk cardiac lesions and esophageal sclerotherapy, esophageal stricture dilation, ERCP with biliary obstruction.

  10. All patients with sleep apnea need to be considered for anesthesia consultation prior to conscious sedation due to increased risks of respiratory complications.

Forms and Instructions

Direct Booking Form (PDF)

Preparation For EUS (PDF)
Preparation For EUS (Spanish) (PDF)
Rectal EUS Preparation (PDF)

Preparation For ERCP (PDF)
Preparation For ERCP (Spanish) (PDF)

Appropriate Use of Gastrointestinal Endoscopy (PDF)

Colonoscopy Preparation Instructions (PDF)
Colonoscopy Preparation (Spanish) (PDF)

Upper Endoscopy Preparation (PDF)
Upper Endoscopy (Spanish) (PDF)

Advanced Endoscopic Procedures (PDF)

Sigmoidoscopy Preparation (PDF)
Sigmoidoscopy Preparation (Spanish) (PDF)


Call: 617.638.6525 option #1
Fax: 617.638.7448


Boston Medical Center
Center for Digestive Disorders
Moakley Building
2nd Floor
830 Harrison Avenue
Boston, MA 02118


Refer a Patient

Call: 617.638.6525 option #1
Teleconsult for referring physicians: 617.638.5795
page 4887 (GUTS)


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