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Direct Access Colonoscopy

It is now possible to have a screening colonoscopy without having a prior office visit or consultation. This option is called Direct or Open Access Colonoscopy. You may be eligible to schedule a Direct Access Colonoscopy if none of the following apply to you.
1. Age 75 or older
2. Weight greater than 350 LBS
3. Insulin dependent diabetes
4. Take anti-coagulants (blood thinners other than aspirin)
5. On home Oxygen therapy
6. Have a serious heart condition
7. On hemodialysis
8. Unable to readily give consent
If none of the above apply to you and you are interested in learning more or scheduling a colonoscopy, please return to our HOME page and click on Schedule a Colonoscopy or call the Center. A Registered Nurse from the Seaford Endoscopy Center will contact you before the end of the next business day.

Value-based Care for All Patients

All patients at the Seaford Endoscopy Center will recieve quality care at a lower cost because we are a independent free-standing outpatient center.
All patients admitted to the Center will receive one on one nursing care from a Registered Nurse. These same nurses will talk with you before your procedure to answer questions and help you with your pre-procedure instructions and will call you after your procedure to check on your recovery.
When you arrive at the Center, you will be quickly checked in and admitted to the pre-procedure area. We will provide you with a warm blanket while we review your medical history and prepare you for your procedure. Some people feel a chill during their bowel cleansing. We will give you intravenous fluids that have been warmed to make you more comfortable. Relaxing music is played and the lights may be dimmed in your room if you desire.
After your procedure, you may have your responsible person join you in the recovery area. Here, Dr. Mackler will review the procedure findings with you. The nursing staff will provide you with additional information regarding any newly presscribed medications, any dietary recommendations or procedure findings. You will be given a beverage and provided with comprehensive discharge instructions.

Our average length of stay is only 2 hours. You will be awake and able to walk out when you are finished, but some precautions and restrictions will be needed for the rest of the day to ensure your safe recovery.


A test that allows your doctor to look at the inner lining of your large intestine (colon and rectum). A thin, flexible tube called a colonoscope is used to view the colon. A colonoscopy helps find ulcers, colon polyps, tumors and areas of inflammation and bleeding. Colonoscopy is the most sensitive method to detect colorectal neoplasia and prevent deaths from colon cancer.

The use of carbon dioxide during colonoscopy to decrease bloating and gas pains

When air is used to inflate the colon during a colonoscopy most patients will experience some brief abdominal bloating, gas, and perhaps some cramping during recovery. This is due to the retention of the air in the colon after the procedure. At the Seaford Endoscopy Center, we utilize carbon dioxide to inflate the colon instead of air. This fairly new technique leaves our patients with little or no gas after the procedure. Our patients who receive this technique typically report 100% satisfaction with their level of comfort upon discharge from the Center. This benefit is available at no added charge to our patients.

Upper Endoscopy (Esophagogastroduodenoscopy)

A test that examines the lining of the esophagus (the tube that connects your throat to your stomach),the stomach and the first part of your small intestine (duodenum).

Esophageal Dilatation

A test that is used to stretch or open a blocked portion of the esophagus.


Cytology is a branch of biology that examines the formation, structure, and pathology of cells. Biopsy is removal and examination of a sample tissue from a living body for diagnostic purposes.


Removal of fleshy growths that grow on the inside lining of the colon. Screening for and removing polyps can reduce the incidence of colon cancer.