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Capsule Endoscopy Program - Outpatients   at
South Health Campus
Specialty: Gastroenterology
Connect Care Department: CGY SHC CAPSULE ENDOSCOPY
Estimated time to routine appointment: Within 6 months
Alberta Health Services - Calgary Zone
SERVICE DESCRIPTION
Provides endoscopy procedures for gastrointestinal concerns.Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder you wear on a belt around your waist. Capsule endoscopy helps doctors see inside your small intestine -- an area that isn't easily reached with more-traditional endoscopy procedure.

This service provides:
  • assessment of gastrointestinal (GI) diseases or disorders
  • patient education regarding capsule endoscopy
Provides endoscopy procedures for gastrointestinal concerns.Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder you wear on a belt around your waist. Capsule endoscopy helps doctors see inside your small intestine -- an area that isn't easily reached with more-traditional endoscopy procedure.

This service provides:
  • assessment of gastrointestinal (GI) diseases or disorders
  • patient education regarding capsule endoscopy
ELIGIBILITY REQUIREMENTS
Small bowel capsule endoscopy is a non-invasive procedure that allows direct visualization of the small intestinal mucosa.
Current indications for capsule endoscopy include obscure gastrointestinal bleeding, Crohns Disease, refractory Celiac Disease, polyposis and abnormal small bowel imaging.
Risks associated with capsule endoscopy include capsule retention, missed lesions, risks associated with bowel preparation, aspiration of the capsule, and equipment failure.
Contraindications to capsule endoscopy include implantable cardiac devices, pregnancy, dysphagia, known strictures and age less than 2 years.
In patients with known or suspected strictures, a patency capsule test may be required prior to capsule endoscopy. During this test, a dissolvable pill is swallowed to determine GI tract patency prior to capsule endoscopy.
Small bowel capsule endoscopy is a non-invasive procedure that allows direct visualization of the small intestinal mucosa.
Current indications for capsule endoscopy include obscure gastrointestinal bleeding, Crohns Disease, refractory Celiac Disease, polyposis and abnormal small bowel imaging.
Risks associated with capsule endoscopy include capsule retention, missed lesions, risks associated with bowel preparation, aspiration of the capsule, and equipment failure.
Contraindications to capsule endoscopy include implantable cardiac devices, pregnancy, dysphagia, known strictures and age less than 2 years.
In patients with known or suspected strictures, a patency capsule test may be required prior to capsule endoscopy. During this test, a dissolvable pill is swallowed to determine GI tract patency prior to capsule endoscopy.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Referrals are accepted from Gastroenterologist only.

Complete the referral form and fax it to the service using the contact information in this profile.
Referrals are accepted from Gastroenterologist only.

Complete the referral form and fax it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Appointment requests should be submitted in Connect Care identifying the appropriate Connect Care treatment or procedure department.

  • Connect Care users: Appointment requests should be submitted in Connect Care identifying the appropriate Connect Care treatment or procedure department.
    • Using the Prep for Procedure Navigator enter an order for Video Capsule Endoscopy (VCE) to be Clinic Performed at South Health Campus, Department: Capsule. Ensure to include comments pertinent to procedure planning, i.e. GI tract patency concerns, requires endoscopic deployment of capsule, implantable cardiac devices, pregnancy.
Click the link for more information: Capsule Endoscopy Referral Process & Guideline.
  • Referring Gastroenterologist remains responsible for case management.
  • Referrals are received by RN and reviewed with physician for appropriateness. 
  • Referrals are triaged according to urgency. 
  • The patient will be contacted by RN to arrange an appointment for outpatient procedure.
Please call Capsule Endoscopy office for any questions regarding referrals.
Appointment requests should be submitted in Connect Care identifying the appropriate Connect Care treatment or procedure department.

  • Connect Care users: Appointment requests should be submitted in Connect Care identifying the appropriate Connect Care treatment or procedure department.
    • Using the Prep for Procedure Navigator enter an order for Video Capsule Endoscopy (VCE) to be Clinic Performed at South Health Campus, Department: Capsule. Ensure to include comments pertinent to procedure planning, i.e. GI tract patency concerns, requires endoscopic deployment of capsule, implantable cardiac devices, pregnancy.
Click the link for more information: Capsule Endoscopy Referral Process & Guideline.
  • Referring Gastroenterologist remains responsible for case management.
  • Referrals are received by RN and reviewed with physician for appropriateness. 
  • Referrals are triaged according to urgency. 
  • The patient will be contacted by RN to arrange an appointment for outpatient procedure.
Please call Capsule Endoscopy office for any questions regarding referrals.
ADDITIONAL SERVICE DETAILS
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
403-956-3804
FAX
403-956-3838
REFERRAL PHONE
403-956-3804
REFERRAL FAX
403-956-3838
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Capsule endoscopy
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Diagnostic Imaging Reports (CT abdomen, MRE, CEUS, RBC Scans, U/S Abdomen, Meckel's Scan)
 
Within 3 months
Endoscopy reports
 
Within 3 months
Labs: CBC, Iron, TIBC, Ferritin, Celiac screening, and other pertinent labs completed
 
Within 3 months
Pathology Report
 
Within 3 months
Recent discharge or surgical summaries
 
N/A
Referral requirements for:
  • Obscure Overt GI Bleeding
    • High-quality EGD & Colonoscopy are negative for source of bleeding
    • Consider small bowel cross-sectional imaging, particularly if there’s a concern for small bowel mass
    • Consider Push Enteroscopy, RBC Nuclear Scan, Meckel’s Scan, CT Angiography with embolization in
      actively bleeding patients
  • Obscure Occult Gastrointestinal Bleeding/ Iron Deficiency Anemia
    • Iron Deficiency Anemia is recurrent or persistent despite iron supplementation
    • High-quality EGD & Colonoscopy are negative for source of IDA within 2 years
    • Celiac Serology or duodenal biopsies are negative for Celiac Disease
    • Urea Breath Test or gastric biopsies are negative for Helicobacter Pylori
  • Suspected or Known Inflammatory Bowel Disease
    • Objective clinical features consistent with Crohn’s Disease are present
      (i.e. elevated CRP, + ASCA, + cross-sectional imaging, iron/nutrient deficiency)
    • High-quality ileocolonoscopy is negative
    • If not already complete, cross-sectional small bowel imaging such as an MR enterography or CT enterography is preferred prior to capsule endoscopy to rule out strictures. Patency capsule test may be
      required if this has not been done recently.
  • Refractory Celiac Disease
    • Proven Celiac Disease
    • Unexplained symptoms despite treatment with gluten-free diet for 6 months
    • High-quality EGD with normal histology completed within 6 months
    • tTG is negative
  • Polyposis
    • FAP & Hamartomatous Polyposis Syndromes
    • Recommended every 1-3 years for surveillance
  • Abnormal Small Bowel Imaging
    • Consider if referral for double balloon enteroscopy or surgery is more appropriate.
PATIENT APPOINTMENT INFORMATION
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MISSED APPOINTMENT GUIDELINES
Capsule Endoscopy Program is part of the SHC Gastroenterology Outpatient Service follows 1 NO SHOW. Failure to comply with this policy will result in cancellation of the referral requiring re-referral by the patients Family Physician or Health Care Provider to a gastroenterologist.

 A no show is someone who misses an appointment without cancelling it within a full working day (24 hours) in advance or who fails to present at the time of a scheduled appointment. Both of these will be recorded in the patients chart as a no show.
Capsule Endoscopy Program is part of the SHC Gastroenterology Outpatient Service follows 1 NO SHOW. Failure to comply with this policy will result in cancellation of the referral requiring re-referral by the patients Family Physician or Health Care Provider to a gastroenterologist.

 A no show is someone who misses an appointment without cancelling it within a full working day (24 hours) in advance or who fails to present at the time of a scheduled appointment. Both of these will be recorded in the patients chart as a no show.
 
HOURS OF OPERATION
Monday: 7:00 am - 3:00 pm
Tuesday: 7:00 am - 3:00 pm
Wednesday: 7:00 am - 3:00 pm
Thursday: 7:00 am - 3:00 pm
Friday: 7:00 am - 3:00 pm
Description:
Closed Statutory holidays.
   
 
ADDRESS
7 floor Outpatient Services, Module 7E
4448 Front Street SE
Calgary Alberta
T3M 1M4
PATIENT APPOINTMENT INSTRUCTIONS
  • A modified bowel preparation is required. Your nurse will call you to review the procedure and preparation instructions approximately one week prior to your appointment.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
  • A modified bowel preparation is required. Your nurse will call you to review the procedure and preparation instructions approximately one week prior to your appointment.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • Please make sure to have someone with you if you are unable to communicate in English.
 
DIRECTIONS
Capsule Endoscopy Program is located on the 7th floor Outpatient Services, please check in on the GI Outpatient Clinic (Module 7E). Take the Outpatient elevators (across from Good Earth) to the 7th floor, turn right and follow signage to Module 7E.
Map 7th floor
 
At the Information Desk, on the main floor, there are "wayfinders", people in red shirts to help you find your way (if you get lost). There are also electronic kiosks throughout the hospital that give directions.

SouthHealth Campus (SHC) is located in the southeast of Calgary. Take Deerfoot Trail to the Cranston Ave/Seton Blvd exit and head one block east on Seton Boulevard.For regular clinic visits, travel clockwise around the building to access underground parking and the main entrance.
SHC Patient access brochure

Bus Routes:
Current bus service to South Health Campus (SHC) include:
Capsule Endoscopy Program is located on the 7th floor Outpatient Services, please check in on the GI Outpatient Clinic (Module 7E). Take the Outpatient elevators (across from Good Earth) to the 7th floor, turn right and follow signage to Module 7E.
Map 7th floor
 
At the Information Desk, on the main floor, there are "wayfinders", people in red shirts to help you find your way (if you get lost). There are also electronic kiosks throughout the hospital that give directions.

SouthHealth Campus (SHC) is located in the southeast of Calgary. Take Deerfoot Trail to the Cranston Ave/Seton Blvd exit and head one block east on Seton Boulevard.For regular clinic visits, travel clockwise around the building to access underground parking and the main entrance.
SHC Patient access brochure

Bus Routes:
Current bus service to South Health Campus (SHC) include:
 
PHONE
403-956-3804
 
PARKING INSTRUCTIONS
South Health Campus Parking Information
SHC Parking information
South Health Campus Parking Information
SHC Parking information
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
 
WHEELCHAIR ACCESSIBILITY
Yes

This facility is wheelchair accessible.


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
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Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
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The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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