Department Of Veterans Affairs
VA Space Planning Criteria (Chapter 287)
Washington, D.C. 20402
November 2006
1. PURPOSE AND SCOPE
This document outlines Space Planning Criteria for Chapter 287: Digestive Diseases
Endoscopy Suite. It applies to all medical facilities at the Department of Veterans Affairs
(VA).
2. DEFINITIONS
A. Colonoscopy: Examination of the entire length colon, or large intestine, using an
endoscope to detect early signs of cancer, inflamed tissue, abnormal growths,
ulcers and/or bleeding in the colon or rectum.
B. Concept of Operations: A user-developed guide to the functional operation of
the VA healthcare facility. It defines the function of the facility and the scope of
medical services to be provided in the new or remodeled space.
C. Endoscopic Retrograde Cholangiopancreatography (ERCP): A diagnostic
procedure that enables the physician to diagnose problems in the liver,
gallbladder, bile ducts, and pancreas. ERCP combines the use of X-Rays and an
endoscope, which is a long, flexible, lighted tube. Through the endoscope, the
physician can see the inside of the stomach and duodenum, and inject dyes into
the ducts in the biliary tree and pancreas so they can be seen clearly on X-Rays.
X-Rays are taken as soon as the dye is injected. ERCP procedures can take
between 30 minutes to 2 hours.
D. Endoscopy: A medical examination that involves viewing a body cavity, such as
the stomach, with a tube-like instrument called an endoscope. Endoscopy uses
cameras and video recorders to make permanent records of the appearance of
internal organs. Endoscopy procedures may be diagnostic and/or therapeutic and
are generally performed under a topical or general anesthesia. Most of the
patients are outpatients.
E. Esophageal Manometry: Also called Esophageal Motility Study, which uses a
catheter to measure esophageal pressure and records the duration and sequence
of contractions in the esophagus.
F. Esophageal Motility Study: See Esophageal Manometry.
G. Esophagogastroduodenoscopy (EGD): Endoscopic examination of the
esophagus, stomach and duodenum (the first part of the small intestine). Also
called Upper Endoscopy.
H. Flexible Sigmoidoscopy: See Sigmoidoscopy.
I.
Fluoroscopy: The radiographic technique used to produce and evaluate real time
motion. A non-ionic contrast material is injected or consumed by the patient to
enhance visualization of various organs. A constant stream of radiation passes
through the patient and strikes a fluorescent screen creating shadows of the
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