Endoscopy Unit

Endoscopic procedures are minimally invasive tests that help diagnose and treat conditions affecting the digestive system. Below is an overview of common procedures and their estimated duration. Upper Gastrointestinal Procedures These procedures examine the esophagus, stomach, and upper small intestine to diagnose and treat various conditions. Gastroscopy (EGD) – Typically takes 5–10 minutes, but may last 30 minutes to 1 hour in complex cases. Endoscopic Retrograde Cholangiopancreatography (ERCP) – Used to examine the bile ducts and pancreas. Due to its complexity, hospital admission is required. Percutaneous Endoscopic Gastrostomy (PEG) Insertion – A feeding tube is placed directly into the stomach. The time required depends on the patient’s condition. PEG Replacement / Removal – The duration varies depending on case complexity. Esophageal Dilatation – Used to widen a narrowed esophagus to improve swallowing. Time depends on the patient’s needs. Rubber Band Ligation of Esophageal Varices – A procedure to treat and prevent bleeding from enlarged veins in the esophagus. Injection Sclerotherapy – Used to manage bleeding in the digestive tract. Injection Hemostasis – Performed to stop gastrointestinal bleeding. Argon Plasma Coagulation (APC) – A technique used to remove abnormal tissue and control bleeding. Lower Gastrointestinal Procedures These procedures examine the colon and rectum for abnormalities. Colonoscopy – Typically lasts 15–30 minutes, but may extend to 1 hour or more in complex cases. Flexible Sigmoidoscopy – A 10–20 minute procedure that evaluates the lower portion of the colon. Polypectomy (Hot and Cold) – The removal of polyps (abnormal growths) in the colon. Duration depends on polyp size and location. Rectal Imprint – A diagnostic procedure performed as needed. Important Reminders Procedure times are estimates and may vary depending on individual cases. Additional treatments may be required based on a doctor’s evaluation. Some procedures require preparation, such as fasting or bowel cleansing. For further inquiries, please contact Chong Hua Hospital via Facebook Messenger.

If a digital consultation was conducted, please ensure that you present a clear photo of your doctor’s prescription or any other required proof on the day of the procedure. This helps confirm medical instructions and ensures a smooth process.

Scheduling: Clinic doctors or your attending physician will coordinate with the Endoscopy Unit for appointment scheduling. Pre-Procedure Consultation: A doctor’s consultation is required before undergoing any endoscopic procedure. The schedule must be mutually agreed upon by both the patient and the performing doctor. Strictly by Appointment: Walk-in patients are NOT allowed. All procedures must be scheduled in advance.

Endoscopy Results Result Claiming: Results can be claimed after completing the billing process. Please present the official receipt or charge slip with an “Approved” stamp at the Endoscopy reception area. Digital Access: Results can also be viewed online via the PXI portal by following these steps: Visit https://chi.chonghua.com.ph/login Log in using patient credentials. Navigate to the Results section and select the procedure. Download or view the report as needed. Biopsy Results Claiming of Results: Histopathology results are available 7–10 working days after the procedure and can be claimed at the Histopathology Office. No Online Access: Biopsy results are not available on the CHi App. Claiming via a Representative: If someone else is claiming the result on behalf of the patient, they must present: A signed authorization letter from the patient. A valid ID of the patient. A valid ID of the representative. Request for Email Delivery: Patients who prefer to receive results via email must visit the Histopathology Office on the day of the procedure to: Sign a consent form. Provide the necessary details for email delivery.

Fasting Guidelines for Endoscopic Procedures Gastroscopy Procedures: Must undergo total fasting for at least 6–8 hours before the procedure. Colonoscopy Procedures: Requires 6–8 hours of total fasting, along with laxative intake the night before, as prescribed by the doctor during consultation. Extended Fasting: If fasting exceeds 8 hours, the patient will still be accommodated. Definition of Total Fasting: No food and no water intake during the fasting period. For further instructions, please consult a doctor.

General Requirements: Doctor’s Request/Prescription: If the consultation was conducted online, a clear photo of the doctor’s prescription may be presented to the staff. PhilHealth ID or Member’s Data Record: If unavailable, a photo of the ID or PhilHealth number will be accepted. For Patients with Insurance: Letter of Authorization (LOA): Ensure the correct hospital name (Chong Hua Hospital Fuente or Chong Hua Hospital Mandaue) is indicated. Validity & PhilHealth Requirements: Confirm the validity date and any required PhilHealth documents for coverage. Insurance Coverage Verification: Check with the insurance provider if they can provide a statement of non-covered items and clarify any coverage limits for the procedure. LOA Processing: Obtain an LOA at the HMO office (Ground Floor, Building A/B) at least one day before the scheduled procedure. Additional Requirements (if applicable): PWD Patients: Present a valid PWD ID. Senior Citizens: Present a valid Senior Citizen ID. Cardiology Clearance: Required if deemed necessary by the doctor.

In-patients: A swab test is NOT required unless specifically requested by the attending physician. Out-patients: A swab test is NOT needed unless deemed necessary by the attending physician.

Pre-Procedure Reminders Personal Items: Bring a black pen for signing documents during the assessment. Remove nail polish and gel accessories from both hands. Jewelry, accessories, and dentures must be removed before the procedure. Assistance & Recovery: An able-bodied adult must accompany you on the day of your procedure, as dizziness may occur after recovery. Do NOT drive after the procedure.

Endoscopic Retrograde Cholangiopancreatography (ERCP) Estimated Cost: Charges for ERCP with Anesthesia: Includes: Procedure cost Anesthesia fees Two doctor’s fees (Gastroenterologist & Anesthesiologist) Biopsy charges (if applicable) Note: Doctor’s professional fee is NOT included in the estimated cost. Please discuss with the attending physician during consultation. Government Assistance Programs: CHAMP and other government assistance programs DO NOT cover ERCP unless specified in the Guarantee Letter. Biopsy Charges (if applicable): Additional Supply Costs: If additional findings require further intervention (e.g., biopsy removal or bleeding management), extra charges may apply for additional accessories and supplies. Personal Protective Equipment (PPE) & N95 Mask: The necessity of PPE and an N95 mask will be determined by the attending physician on a case-to-case basis. Disclaimer: For any clarifications regarding pricing, please contact the unit directly, as rates are subject to change without prior notice. In the event of any discrepancy, the updated information in the Billing Section shall take precedence.

Insurance Acceptance: Insurance is accepted, provided that a Letter of Authorization (LOA) or Guarantee of Payment (GOP) is issued before the scheduled procedure. The validity date of the LOA/GOP must cover the procedure date. If you opt to use insurance, please inform our unit staff upon arrival for the procedure. Important LOA Checks: The specific procedure listed in the LOA must match the written prescription. The hospital site/location (CHH Cebu or CHH Mandaue) must be clearly specified. PhilHealth Coverage: The total hospital bill will be adjusted based on the PhilHealth case rate, depending on the specific diagnosis. To ensure proper application of PhilHealth benefits, the Member Data Record (MDR) must be presented during treatment.