KMI
(한국의학연구소)

鎮静、年齢、絶食、事前準備について、KMI自身の資料が印刷しているとおりに載せています。資料が韓国語の場合は英語訳を掲げます。資料が何も書いていない項目は、一般的な規則で埋めるのではなく、書かれていないことをそのまま記します。

• Eat a lighter dinner than usual before 8pm the evening before (a light porridge before 6pm if digestion is normally slow), and nothing but water after 9pm. On the day, no water, chewing gum or cigarettes at all, fasting for at least 10 hours before the check-up.
• Colonoscopy: from 3 days before (from 7 if constipated) avoid fruit with seeds, mixed grains, seaweed, kimchi, seasoned greens, tough or fibrous food and coloured drinks. The day before, an easily digested low-fibre meal, then plain rice porridge or gruel with no vegetables, then fast. Plain water is allowed until 3 hours before the exam.
• Colonoscopy bowel preparation (Halfprep) is taken in two doses. Each dose is 500ml of solution at 250ml every 15 minutes over 30 minutes, then 500ml of water the same way. Morning exam, 8pm the day before and 4am on the day. Afternoon exam, 6am and 8:30am on the day. The second dose adds 1 sachet of anti-foaming agent.
• Blood-pressure medication and anticonvulsants are taken with a small sip of water 3 hours before or on waking, and the staff told (for a morning colonoscopy, at bedtime the night before; for an afternoon one, early that morning). Diabetes medication and insulin are withheld on the morning of the check-up until it is finished, and with a colonoscopy insulin stops from the evening before. Anticoagulants and antiplatelets are stopped 7 days before, after consulting the prescribing doctor.
• Colonoscopy: arrive 15 minutes before the booked time. A repeat needed because of poor bowel preparation is charged. Not during a period unless a tampon is used. The bowel preparation cannot be used with G6PD deficiency. Not within 6 months of abdominal or anal surgery. Cancel or change at least 7 days before the booked date.
• After a biopsy or a polyp removal, long-distance travel, overseas flights included, may be restricted for 7 to 14 days. Gastroscopy is not done within 6 months of open abdominal surgery, or with loose teeth or dental treatment under way.
• Sedation cannot be used at age 65 and over; with a BMI of 30 or more; with severe snoring, sleep apnoea or a CPAP machine; after a heart attack or angina within 6 months, or with severe circulatory disease; with asthma, COPD or other respiratory disease; with chronic liver disease or kidney disease; in pregnancy or while breastfeeding (possible if breastfeeding is paused for 24 hours); with unstable vital signs; with impaired consciousness or difficulty communicating; with psychiatric illness; or when unwell on the day. These patients have the endoscopy without sedation, and in some cases it cannot be done.
• After sedated endoscopy, rest for 3 to 4 hours, and a companion is required. No driving, operating machinery, exercise, sauna or important decisions that day.
• At age 65 and over sedation cannot be used, so endoscopy is done without sedation.
• No other age limit is printed. The YOUTH package is named "Adolescent" but prints no ages.