The first part of your initial consultation with a member of the Pancreas Center GI/Endoscopy team will be similar to any physician visit. You will undergo a thorough history and physical where you will be asked to discuss your personal health history as well as any incidence of cancer in your family. During this conversation, it will be important for you to know what medications you are currently taking, at what dosage, and for what conditions. It will be helpful for you to write down a list of your medications and bring it with you to show your endoscopist.
If you have recently had any imaging studies performed, like an MRI or CT scan, it is very important to bring a copy of the study as well as the imaging report. The findings of your imaging study will help your endoscopist decide if you need an endoscopic procedure and if so, what kind of procedure. If you have had the imaging study performed here at NewYork-Presbyterian Hospital/Columbia University Medical Center, we will be able to access the reports internally. However, if your imaging study was performed at an outside facility, we strongly encourage you to obtain a copy of the images and accompanying report ahead of time to bring with you to your consultation. If you do not have these items with you, we may have to request them directly from the facility that performed the study. That extra step can delay your endoscopic procedure, diagnosis, and treatment.
After reviewing your history, physical, and any lab tests or imaging studies you have brought with you, your endoscopist will discuss your options with you. If an endoscopic procedure, such as an EUS or ERCP, is indicated by the information you supply, you will have the opportunity to schedule the procedure for a convenient date in the near future.
In some cases, further tests are required before scheduling an endoscopic procedure. In these situations, we encourage patients to have those tests completed here at NewYork-Presbyterian Hospital/Columbia University Medical Center and can help you arrange them.
On average, an initial consultation with a Pancreas Center endoscopist will last about 45 minutes.