Endoscopy Risk & Mitral Valve Prolapse. Part 2

These high-risk procedures include gastroscopy in which the esophagus is dilated or in which a needle is used to deliver an injection into the lining of the esophagus. Patients at high-risk of endocarditis include those who have had the condition in the past, those who have had their heart valves replaced and those who have recently received vascular grafts. Most patients do not fall into this category.

A.Lower-risk conditions for endocarditis include mitral valve prolapse and other congenital heart conditions. In such cases, antibiotics may be given at the discretion of the endoscopist if a high-risk procedure is being done. Similarly, antibiotics may also be given if a lower-risk procedure (such as a routine upper endoscopy or colonoscopy) is done in a high-risk patient.

Generally, you should discuss your condition with the endoscopist before the procedure and find out if he plans to give you antibiotics. As far as the bowel-cleansing prep required before colonoscopy, it should pose no problem in someone with mitral valve prolapse. Most patients drink the Golytely cleansing solution and tolerate it well. However, another solution, called Fleet’s Phospho-Soda, must be used with caution in patients with significant kidney or heart disease.

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